HomeMy WebLinkAbout0124 MEGAN ROAD - Wood Stove Permit 11/24/80 TOWN OF BARNSTABLE
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Wood Store Permit
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DATE OF APPLICATION ....... !OUr.....�........`..... .......�0... FIRE DEPT. ISSUING PERMIT .... ...�.. .N. .. . ........
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NAME (owner) ...:........................................................................................................ NAME (Installer) ......................................................................................................
I _ .fQ E G A M 1 A ADDRESS .:...............� A IT
ADDRESS ............................................................................................................. ......,............:............................................................................:
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STOVE TYPE c0 1 L
.............:..:..:............. /............................................................................... CHIMNEY: NEW .......................: EXISTING........................
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Manufacturer � � � � CHIMNEY: Masonry /r ........................_........................:.................................................................................. ..,... ...
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 ........................................................................................................................ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued B /I/ i��� ,`!? ........................... Title ...:, ..{ :....................................................... Date ?....~. .........................
Permit to install expires 60 days after issue date
Stovei.r.�.......................................................................................................................................................:...............................................................................................................................................
StoveClearance`•'.'............................................................................................... .......................................................................... ........................................................................................
Floor~.............................................................................................................................................................................................................................................................................................................
SmokePipe ' ................................................................................................................................................:...................................................:........:......:...............................:...................:..............
SmokePipe Clearance I...........................................................................................................................................................................................................................................................
Chimney 'o-............................................................................................................ :.............................................................
.......................................................................................................................
Smoke Detector; .........................................................................................................................................................................
............................................::.....................................................
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 By ��....�.................. ..................... Title: .....................................................
............................. ........:............:......
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR PINK:.APPLICANT