HomeMy WebLinkAbout0027 CIRCUIT AVENUE - Wood Stove Permit 05/20/81 TOWN OF BARNSTABLE
,639.1 MASSACHUSETTS
0 MAY
Solid Fuel Stove Permit
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DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) .....................t.:...-.... ...............:........................................................ NAME (Installer) ......................................................................................................
ADDRESS .......?-?............... / Y < ...... J ° ADDRESS ....................:..................................•.........................................
STOVE TYPE .........,. v..d. .../'t, /.. .................................................... CHIMNEY: NEW ........................ EXISTING ........��........
Manufacturer ..................................................................................................................... CHIMNEY: Masonry ..................;..........................................................................
Mass. Approval ............................................................................................................... CHIMNEY: Metal .......................................:............................................._............
This is to certify that the above installer has permission to install a solid fuel 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.
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IssuedBy: :.. ..... ....... ." A,- �-...... ............................Title �..,. � - l c................... Date ...................................................................... �................... f.
Permit to install expires 60 days after issue date
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Stove / r '� �
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StoveClearance ................................................................................................................................................::..................................................................................................:.............................
Floor .............................................................................................................................................................................................................................................................................................................
SmokePipe .............................................................................................................................................................................;...-........................................................................................................
SmokePipe Clearance ......................................:.......................................................................................................:.................................................................................................................
Chimney, ...................•.....................:.......................................................................................:..................................................................................................................................................................
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SmokeDetector -f..................................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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 ........................................................................
ti ti Installer
INSTALLATIONAPPROVED ............................................................ By:.......................................................................................... Title. . ................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT