HomeMy WebLinkAbout0127 BRISTOL AVENUE - Wood Stove Permit 12/16/80 7
TOWN OF BARNSTABLE
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'°o t6 9 ,� MASSACHUSErrS
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Wood Stove Permit
DATE OF APPLICATION ..�.�-. .� ...... . ......... FIRE DEPT. ISSUING PERMIT
NAME (owner) M..k .Lf". NAME (Installer)v .. 'S�?C F to t►t2 t K11
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ADDRESS Ile. ADDRESS .�4 ,� .r IYl A
... ..........................................................
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STOVE TYPE ...... CHIIVINEY: NEW ......... EXISTING ... ............
Manufacturer . „n.t...R.Y'n2.. :.............................................................. CHIMNEY: Masonry ... ..........................................................................
Mass. Approval ..............................`..............................................
.............. CHIMNEY: Metal ................................................................................................
This is to certify that the above installer has perm ssion to install a wood burning appliance at the listed address
in accordance with an application on file with theFire 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 60 days after issue date
Stove1.............................................................................................................................................................................................................................................................................................................
Stove Clearance h 3
.................................................................................................................................................................................................................................................
Floor .......:.....................................
SmokePipe ....�.`....................../R 1 I.......................................................................................................................................................................................................................................:.........................
SmokePipe Clearance ..............................................................................................................................................................................................................:..................................4..........
Chimney, .....................................................................................................................................................................................................................................................................................................
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 ...........................................................................
Installer
INSTALLATION APPROVED
B Title: ..................:...................................
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT