HomeMy WebLinkAbout0046 CIRCLE DRIVE - Wood Stove Permit 03/03/81 (2) TOWN OF BARNSTABLE
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1039. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION . �
FIRE DEPT. ISSUING PERMIT �'`A,4� �a �
NAME (owner)' o........�.:.. .�i , .- r.�✓- P .S NAME (Installer) ...........::.............. ............................................ ........................
ADDRESS 'T�� '_ ......... ADDRESS ....:......................................................................... .
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STOVE TYPE ..... -r.......................................... .......::............................... CHIMNEY: NEW ........................ EXISTING .. ..........
Manufacturer `................................ CHIMNEY: Mas,onry ........:................:....!::�...........................................
....................................................................................
Mass. Approval ..................................................................:......................................... CHIMNEY: Metal ..................:.....................:........................................................
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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 . ........... Fire Department,
and subject to the provisions -of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ..............................................................................................................................Title .............................................................................. Date ................................................
Permit to install expires 60 days after issue date
Stove ......................................................................................................................................................................................:...........................:........:........................:.......................................................
StoveClearance .........:................................. ...............................:...........................•............. ............................................................ .. ......... .............................................
Floor ................................................................ ............................................:....................:........................................................................................................::...................................................
SmokePipe ...............:........................................ ................................................................................................................................................................................................. ................
Smoke Pipe Clearance ............................
.............................................................................................................................................................................................................:.....................
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 .........-� 2. � .... ................... By ""`..`.:':................... Title: ..... ..`+ date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT s
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