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0072 CROOKED POND ROAD - Wood Stove Permit 09/06/79
i t TOWN OF BARNSTABLE i BsaaerMM o 9 "� MASSACHUSETTS Wood -Stove Permit r �., .r-r�*Y DATE OF APPLICATION .." J..f FIRE DEPT. ISSUING PERMIT ....�......... .. ' �............................................... ..................... ................................. n , NAME (owner)—..I......4.1..(.�....................�..../...'... .p............/............ ..... ......... NAME (Installer) ............ ......... ...................................................................... 1� ?(icy ADDRESS .... ADDRESS - _.► L".�.. .......................................................... rah , 'JI � STOVETYPE .............................................................................................................. CHIMNEY: NEW ........................ EXISTING ........................ Manufacturer .....!w:f..?. .,....�.a.`... .... ............................................................. CHIMNEY: Masonry ....................................................................................... Mass. Approval /Y�`.'.C................................... CHIMNEY: Metal ................. n1 .................... .......................................!� 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 Mass�husetts State Building Code and regulations made under the authority thereof. Issued By: ... ? .....::...... .....( A: .k-'!r:.. ..`..:.`.. Title IJ f� s ' ' .....`- ` t ..... ............................................� � j ..r.. .. ........ r.. ....... Date Permit to install expires 60 days after issue date J Stove ............................................................................................................................................................................................................................................................................................................. StoveClearance .0A.................................................................................................................................................................................................................................................................. Floor .............................�......................................................................................................................................................................................................................................................................... SmokePipe ...........(%1.......................................................................................................................................................................................................................................................................... SmokePipe Clearance .....©.. ...............................................................................................................................................................:......................................................................... i.- Chimney ..............................p. ............................................................................................................................................................................................................................................................. SmokeDetector ................!�.....:..................................................................................................................................................................................................................................I.............. The undersigned hereby certifies that the installation of wood burning stove and equipment made under author- ' ,�� /.��-" author- ity of permit dated ................. '......................�1... .......... has been made in accordance with provisions of the Commonwealth of Massachusetts State Building Code now currently in effect and pertaining thereto I : �* f ........ _ ........ ...... ... ............. Installer INSTALLATION APPROVED � _ I �rTitle: }ii v�rR r By................... ....................... .. date :, . �t WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT