HomeMy WebLinkAbout0270 HINCKLEY ROAD - Wood Stove Permit 09/15/80 -e TOWN OF BARNSTABLE '
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639. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ............................. FIRE DEPT. ISSUING PERMIT .................
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NAME (owner) ......l..... ........:�..1.`-...1..�....L..........:...................... NAME (Installer) ............� .. .... :......�..... .................................................
ADDRESS `) ........................................................................................ .......I............. ADDRESS .........................................:.................................................................................
STOVE TYPE ......:.......... ................................................ CHIMNEY NEW EXISTING 1Z
Manufacturer .................................................................. CHIMNEY: Masonry ..
CHIMNEY: Metal ..................................................................
Mass. Approval ...................................................................................................:... ..............................
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 .... r..f� =a �� 1 1 e
PP .................................�>................................................:..... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof. , - j -7 7, (l
Issued By t/I / !, 9-�a . ,.....................................Title s .�.�-e .�G L( ,. Date ��... -5�............
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Permit to install expires 60 days after 'issue date
Stove1.....................................................................................................:....................................................................................................................................................................................................
StoveClearance E .............................................................................:..........................................................................................................................................................................................
Floor .. �/ r l o tr P l"/r7,4 v'"`•,.
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Smoke Pipe t.��
.............................................................................................................................................................................................................................................................................................
SmokePipe ClearanceL!..........................................................................................................................................................................................................................................................
Chimneya�if r....r', ,i� ltl-P/ ''�
............................... .................................................................................. ....... .......
Smoke Detector ......:......
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The undersigned hereby certifies that the installation of wood burning stove and equipment made under, author-
ity of permit dated .....................................I............................ hag' been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ...........................................................................
Installer
INSTALLATION APPROVED By
................................. Title
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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