HomeMy WebLinkAbout0017 GREGOIRE CIRCLE - Wood Stove Permit 04/13/81 t ,
TOWN OF BARNSTABLE
i BAR STUL
2039 MASSACHUSETTS
Wood Stove Permit
.y..:.�1/ 1 FIRE DEPT. ISSUING PERMIT ......`-I.Y.A.6✓...N.'J. ............
DATE OF APPLICATION ................� �.. . ......�............................... ICI
NAME (owner) ......il. .9.A...........r........Fkv+:z... ..R.-I.................. NAME (Installer-) .....................................................................................................
ADDRESS .......... ..Z..........�a...C... .�..4.1..R.2.......C.i...4...........al.\h ADDRESS ...........................................................................................................................
STOVE TYPE ........... MP................4J.Q.Q. ................................. CHIMNEY: NEW EXISTING
Manufacturer I �:.•,,,:. Gi/'0 Q Q .............. CHIMNEY: Masonry .......................................................................................
Mass. Approval CHIMNEY: Metal ................................................................................................
This is to certify that the above installer has permission to install a wood burning appliance at the listed address
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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 tot install expires 60 days after issue date
Stove ....................................... .............................................................................................................................................................. .......................... .......................................
StoveClearance ...............................�... ..Ay....................................... ................................. ................................................................................................................................
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Floor .......................................................... ::............................................................................................................................................................................................................................
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SmokePipe ...................................... .1.. ..... .................................... ..............:.......................................................................................................................................................
SmokePipe Clearance ..........!Qkki............................................................................:................................................................................................................"...................................
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.Chimney ..............................................:... . ....�....................................................................................................................................................................................................................................
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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 .................................................................. 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 ...:7.:..'-. .`SJ 1 ....... Title ...................By:............................................................................. QLG
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT