HomeMy WebLinkAbout0081 GOSNOLD STREET - Wood Stove Permit 11/04/81 TOWN OF BARNSTABLE
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0 MASSACHUSETTS
Solid Fuel Stove Permit
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DATE OF APPLICATION ............. ��....J..........k; .:.._.....'................. FIRE DEPT. ISSUING PERMIT ............. .......................................
�C 1...�{! .. ..��p� ���1 ^%/- = -- NAME Installer `` 1`
NAME (owner) .... ............................ (Installer) . ............................................................................
ADDRESS / -"xa .. ! �ADDRESS ............ .....,...2;!M ./... ...................................................
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STOVE TYPE l - " mod CHIMNEY NEW EXISTING
.......................................................................... ......
Manufacturer ��. f L :-r........................................... 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.
Issued By: r.. / .! 1✓. r Title .r , .�r .........:................... Date ..:.. . ........................
........................ ................. . ............................ .. T
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Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
Stove Clearance '..................................................................................................................................................
...............................................................................................................................
Floor ...........................................................................................................................................................................................................................................................................................................:.
SmokePipe . .....................................................................................:.:...............................................................................................................................................................................................:
SmokePipe,Q ILrance .:t............................................................................................................................................................................................................................................................
Chimneyf .................................................................................................................................................................................................................................................................................................
Smoke-Detector Detector ... ................................................................ ..................................... ........... . ....................................... .................................................
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The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
Mthority 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 ........................................................................
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Installer
INSTALLATIONAPPROVED ........................... By Title.......................................................... . ................................................
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WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT