HomeMy WebLinkAbout0202 ARROWHEAD DRIVE - Wood Stove Permit 10/30/81 A
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I TOWN OF BARNSTABLE
Z DAHHBTAM i
'o0 63q. iP MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION ............ � ..�. �. �
............................. FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) : : , �' w �A) G- ... NAME (Installer) ..............5�.9. --"e. .....................................................
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ADDRESS .: ..� � Y"�I f�i7 1�v! 1, t)" ' ADDRESS :54 hi e
............................................ ...... ................................... .............................................................,............................................................
A .0 1 A !/ / {./ l
STOVETYPE ......................................................................................:............................ CHIMNEY: NEW ........................ EXISTING .....✓Y...........
Manufacturer IV b l 51 6?1 ...... CHIMNEY: Masonry
...................�. ........... ...... .............................................................................................
Mass. Approval`.....`... `.f. ........'..?:......`?.`.... :...........�.. .............. �...... ..... CHIMNEY: Metal ...................,................................................................._............
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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: .................................................................................................................................Title .................................................................................... Date ..........................................
Permit to install expires 60 days after issue date
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Stove ..............:...................................t................................................................................................................................................................................................................................:......................
StoveClearance ....................................................................................................................................:....................................................................................................................................:........
ti
Floor �
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SmokePipe ....::......................................................................................................................................................................................................................................................................................
SmokePipe Clearance..:.............................................................................:...............................................................................................................................................................................
Chimney �:.::
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SmokeDetector .....!...............................................................................................................................................................................................................................................I...........................
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 --........................................................................
Installer
INSTALLATION APPROVED ........... ..:. ' : By:........... :`..:'^'' ...................................' Title: .................................................
%date............... .....
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT