HomeMy WebLinkAbout0385 BISHOPS TERRACE - Wood Stove Permit 07/08/79 Bsaa�Taer, TOWN •OF BARNSTABLE
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Wood Stove Permit
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DATE OF APPLICATION 7!�... ... ....... T
_.�� FIRE DEPT. ISSUING PERMI `„ M/� '�
...... .....
NAME (owner) .......................... ��\\r_ ` ...... NAME (Installer) ,0 :..... '* t:....". ......................
ADDRESS ... ti\1e ADDRESS v. ..:.`'........:'
STOVE TYPE ...s ,cam ,f yar .i`hx 1£�� CHIMNEY: NEW ............ ......... EXISTING 3-!'...........
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Manufacturer ..�.�::....a,�Y-,C-' � o�<�;,� ` � , ,iC�: �►..v.\C
.............................................................................................. CHIMNEY. Masonry .........:...................................
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 .... .�� i Fire Department,
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and subject to the provisions of the Commonwealth of!Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By � ....................Title ............. Date ...... . 4 . .... ... ....... . ....... yyf,
f..i.,t/..........
Permit to iinstall expires 60 days after issue Ada' to
Stove .....5..�:::.: t^ ...:��i S`7 a � �X?�;��~""C
........................................................ ..............................._................................ ............... ..........................................................................................................................................
Stove Clearance ; i� �1 i �C'��`�.0 �Ct\` s Z rFp C'C.Lj.-k�
:........................................................................ .................. .... ......................
Floor.....<...�;a �„ � ��C t ,��1, C11��11� �'� rat C ......�..e �.!t'�1...* .........k��1� �i!..�:................................. ...................
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SmokePiped - � ��T,_.1 `` . ................................................................................................................................
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Smoke Pipe Clearance �?�� Ch cv tr'1 � �1„!; �r �1
......... ................................:................ ..............................................................................................................._................................
Chimney :...........................
....................................................................
Smoke Detector ... ..,.. � ............................................. ;-1 �'Y� hKs.
................. ................................................................. ............................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ............. ....'...... . .'....:.....-7.. .... has been made in accordance with provisions of the Commonwealth
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of Massachusetts State Building Code now currently in effect and pertaining thereto -{ ,—, �`- t ... ...`.. '--............................................................
Installer
INSTALLATION APPROVED .................................� By -r'� ' �_
..................... ....................o...........r................................................. Title: .....................................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT