HomeMy WebLinkAbout0329 SCHOOL STREET - Wood Stove Permit 10/05/84 TOWN OF BAR.NSTABLE
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MASSACHUSETTS
Solid Fuel Stove Permit
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DATE .OF APPLICATION ... :���r....:.a`�..;: 1��.�....................... FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) /`�F_T 1��C.2.►............................................ NAME (Installer) .�.'�.. n ! C�t�:�.'
ADDRESS :......�o3�u.'.r......1. ... ........... ADDRESS °` 'cK��ca? , 5.... I:..........v.;rJ.NE,s IW.
STOVE TYPE . / {xa I x,t±'1U.�C�-
CHIMNEY: NEW ........................ EXISTING ':`�..............
Manufacturer ... �?uJ tt f .,e........................................................................ CHIMNEY: Masonry ..`�................................................................................... t
Mass. Approval ..................... .::.................................................................................. CHIMNEY: Metal ...................................................................................................
This is to certify that the above installer has permission to install a solid fuel 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. .........! /..�. •, ... �'.:is ` ........Title ..........C,;./' '�r' ".................................... Date .../11 ?
Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance ......' ................................................................................................................................................................_....................................................................................................
Floor .............................................................................................................................................................................................................................................................................................................
SmokePipe .....!' ..........................................
SmokePipe Clearance ... .....................................................................................................................................................................................................................................................
Chimney ..............`......................................................... ....... ............................................................ ................. . _ .......... .. ................................................... ..........................
....... ....... ....... .............. . .
SmokeDetector ........`:........................................... ................................................................................. ...................................... ........ . ................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated .....`i52..ZZ..Z,.f it has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ....:........ � .?•{-� [ �x.'..•` ..
Installer
INSTALLATION APPROVED ..................................... y. By:......-�-r.. .._............ .:`:......",............ r'Title. ....... ::.............
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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