HomeMy WebLinkAbout0224 SCHOOL STREET - Wood Stove Permit 12/09/80 i1�yO{T �~w
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TOWN OF BARNSTABLE
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Solid Fuel Stove Permit
DATE OF APPLICATION ................p...........�;..........141�1�.o.................................
FIRE DEPT. ISSUING PERMIT ........ !:�?......................
NAME (owner) e�' QG'� C CU!JIJdJ �....................... NAME (Installer) ?.!', /...... ...:... �c^;lt,f?11..A:-. ..........
............................................................................. .....
ADDRESS o2�1y ...S S 41270i -, AA, ADDRESS ....?',2-.. ...... ('; DI1 ... ?'.....C_F37'f ,a :, BSI .
..........................
STOVE TYPE ........ J.... � r� a ���1 D CHIMNEY: NEW ........................ EXISTING
..... ......................................... .................... !.. ....
Manufacturerflt! S(1 AJ ........................................... CHIMNEY: Masonry ...............!.::!`
::......................................................................
Mass. Approval ....v -....t �L........................................................................ CHIMNEY: Metal............ ...................................................................................................
This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
application on file with the
pP .A.a.a. ..................................................... Fire Department,
address in accordance with an a
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: n.r,��.�.r..... Title Date / Z
.... ........................................................ ......................................................................... .a..... ...... ........
Permit to install expires 60 days after issue date
Stove ✓..................................................................................................................................................................................................................................................................................................
StoveClearance ..!�.....................................................................................................................................................................................................................................................................
Floorr ..................................................................................................................................................................................................................................................................................................
SmokePipe ... ..............................................................................................................................................................................................................................................................................
SmokePipe Clearance '�..................................................................................................................................................................................................................................................
Chimney .�....�.....................................................................................................................................................................................................................................................................I......................
SmokeDetector ...... ..............................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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 ............................:% ��- !'/L.
Installer
INSTALLATION APPROVED/ � *� - �-..................................... B ................................ Title:�..........:...
date .v.:... ........................................ � �, ......`;. ...
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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