HomeMy WebLinkAbout0168 BISHOPS TERRACE - Wood Stove Permit 08/22/80 TOWN OF',,..BARNSTABLE
BARISTAU
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Wood Stove Permit
DATE OF APPLICATION
.. .... ... ............................:.. FIRE DEPT. ISSUING PERMIT .....................................:......................
NAME (owner) / Ae »"�S � t ') o t74,-1", i -' NAME (Installer.) ....�.T.,1010`.' L) C,h 3 i�„p.y..... �` `.ra
...................................................�......................................... "
ADDRESS ....�' f ADDRESS <rtc _
STOVE TYPE n, ��.. CHIMNEY: NEW .. EXISTING ........................
..........................................................................................................
ManufacturerCHIMNEY Masonry �} �......................................................................................... ..................... y .............................................................
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 withy the ......::::................... . Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
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IssuedBy: ...:_..................................................................................�..................................Title ................................. ......................................... Date
Permit to install expires expires 60 days after issue date
Stove ................. z2.z z / J » ,............... ..Z) .2�'. ....1?�7.�f�............�...............................................r.....v.,.. j... ... .. ........ ./...........
StoveClearance 121—.1 G_.................:........................ ....................................................... ..................................................................................................
Floor / y`��r_ E ',e........................................................................................................................................................
..................................... ...........
Smoke Pipe ........................................:. .......:....................................................................................................................
..................................:........................................
.............
Smoke Pipe Clearance .................... ! .......:................................
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Chimney .°.................:..i...............
... ::,�e ,.................,......................................................Y.........................................................................................................................................................
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��%s..�.I.... ...11.-.. .........
Installer
INSTALLATION APPROVED
2 Title:
date 4 / �. .
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR" - PINK: APPLICANT
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