HomeMy WebLinkAbout0168 LONGVIEW DRIVE - Wood Stove Permit 03/02/81 TOWN 'OF BARNSTABLE
DAUSTAU
6 9 MASSACHUSETTS
Wood Stove Permit
DATE. OF APPLICATION ......�.��.��.�........................................ FIRE DEPT. ISSUING PERMIT 12.y L"I'l....'.f.........................
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NAME (owner) 146rb.�''.y. f......a ( 26! �'. NAME (Installer) r=r�'r `.� .-terf'. '.�............................................................ U.7...
/-ADDRESS
ADDRESS u..7�. � nrr,,;rP �hc�
STOVE TYPE (/;n,.1...............................................................................................: CHIMNEY: NEW ........................ EXISTING .........✓.............
Manufacturer ....... G c s q„ �' -�G �i rn ................... 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
in accordance with an application on file with the .....................✓..r....ti..... ............................................................................. 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• ........................ ......Title .................................................... ..:............ Date .........
Permit to install expires 60 days after issue date
,Stove .......... . !..........:...........:......................... A.f.......................ffa. .::.'.................................... .......................................................................................................................
StoveClearance .................................................................................................................................................................................................................................................................................
Floor !..............................................................................................................................................................................................................................................................................................................
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Smoke Pipe ........n....
...................................................................................................................................................................
SmokePipe Clearance .........:....... ..............................:.....................................................................................................
Chimney .............:........................................................................................................................................................................................................................................................................................
Smoke Detector .-.`'......°1
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
INSTALLATION APPROVED '
................................ By:........................................................................... Title: ......................................................
date
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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