HomeMy WebLinkAbout0071 CANTERBURY CIRCLE - Wood Stove Permit 10/11/79 TOWN OF BARNSTABLE ri f /0 _AUL
MASSACHUSETTS
Wood Stove Permit
DATE OF .APPLICATION .................................................... FIRE DEPT. ISSUING PERMIT Z _.........................................................
NAME (owner) ...� � o .! ...�.%; 7 NAME (Installer) -'AA .......�.tn;Tr;...;.......;;..r.;k�!...---..........
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ADDRESS .....!' �, � r�►`t� :�r`rr a...................: ADDRESS ...............:..................................................................... f.............. ..................... ............. ......
STOVE TYPE ...... ..............
�,f-�.r-s�,.� ....�...................x.................. ........ .......... EXIS NG ...� �.
CHIMNEY• NEW ...,... ....... TI � ......
Manufacturer ...:q�:"'?.....!..G ...+...� ... ?....4 rrl,...`:.:j ..-...'"' CHIMNEY: Masonry .......-''...................................
/I/t�`s�
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 �'1 .... Fire Department,
.............................. ...............................
and subject to the provisions of the Commonwealth of Massa�usetts State Building Code and regulations made
under the authority thereof. }
Issued B . ........ ........^-jj /1 1 Ti 1 _.. �,'r..�`...
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• ........ ........... ..........................:............... t e .:............................................................................ Date ....
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Permit to install expires 60 days after issue date
Stove .....................................................................................................................................................................................................................................................................
StoveClearance ...............�...N....................................................................................................................................................................................................................................................
Floor
Smoke Pipe ..........................
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Smoke Pipe Clearance
...............................................................................................,...........................................................................................................................I......................
Chimney .......................................... ......t...................................................................................................................................................................................................................................
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SmokeDetector ............... .......:............................................................................................................. ............................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated .112....�. ..'.�� ............... has been made in accordance with provisions of the-Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ...........................................................................
Installer
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INSTALLATION APPROVED J .:.. .. ...f.......................' J ! By:.tr�� r �/t.j- ` �
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dater /. .................... ................. r_. ................ _ ,••
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT