HomeMy WebLinkAbout0100 RUSHY MARSH ROAD - Wood Stove Permit 10/05/80 TOWN OF BARNSTABLE
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MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ................................ FIRE DEPT. ISSUING PERMIT Z.z ......................
NAME (owner) O l
NAME (Installer)
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ADDRESS /. . . ..... . .., ........................ SS
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STOVE TYPE-?' ! +r*�" °` �'f-�s� CHIMNEY: NEW ........................ EXISTING
................................... .................................. ....
Manufacturer !-- CHIMNEY: Masonry ... '..:.............................................................................
�- �� Z---Mass. Approval ............................................................................................................ CHIMNEY: Metal
This is to certify that the above installer has permission to install a wood burning appliance at the listed address
in accordance with an application on file with the .................................... ...... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: .... '/. �a C..� .141 Title .... Date .......................:..�........
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Permit to install expires 60 days after issue date
Stove ....�...............................................................................................................................................................................................................................................................................................
StoveClearance 11'0'�....................................................................................................................................................................................................................................................................
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Floor .. ✓ ................................................................................................................................................... .............. "...............:............................................................ ....:................ ...........
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Smoke Pipe t t
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Smoke Pipe Clearance
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Chimney
SmokeDetector .... ............................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood-burning stove and equipment made under author-
ity of permit dated .................................................................. has been made in accordance with provisions, .of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ...........................................................................
1 Installer ,r
INSTALLATION APPROVED fZ.....:. ..` �� By_: / ( ,,�e ;. [`,,Titlo a•,:•• •! 0
date................. r 7
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT