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HomeMy WebLinkAbout0110 OLD CRAIGVILLE ROAD - Wood Stove Permit 03/02/81 1. a TOWN OF BARNSTABLE t ]IMMST K AUL 19 MASSACHUSET'I'SIMLY Wood Stove Permit ............... FIRE DEPT. ISSUING PERMIT :.....�'� ....`.f '�'�f ^DATE OF APPLICATION ............................................................ ........................:. ... NAME (owner) ................................................ ................. NAME (Installer)' ADDRESS /,/U..... L �i�'�9fYl L.�.� ......�r.b..'. jADDRESS ..................Sf / 1✓/G'/ij........................................:.............................................................. . ....... STOVE TYPE ' 0 L...................................................................................................... CHIMNEY: NEW ........................ EXISTING .. ...... Manufacturer /-PM 2 ©11 C 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 ' ..'.� S........................................................... Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under.the authority thereof. Issued B �.,Q...�l.e.a �1 ...��-�-t�;... .........Title ....... -� • .`f:: t l•................ Date ..... �1t /.............. y: ...................................... .......................................................... .............. Q Permit to install expires 60 days after 'issue date t Stove ....................................................................................................................................:.....°................................................ ..............................................................:............................................... StoveClearance fi/ ! ,..,✓� i��,?c-€� r� ...... .:...'4.......................................... ............................................................. �... ...... ... ....... ....... ...... Floor .............................................................................................................................................................................................................................................................................................................. SmokePipe ............................................................................................................................................................................................................ SmokePipe Clearance ............................................................................................................................................................................................................................................................. r Chimney ...............................................................................................................I...:.............................................................................................................................................................................. ` Smoke Detector .1 .......... ............................................................................. The undersigned -hereby certifies that the installation of wood burning stove and equipment made under author- ity 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 a .7 INSTALLATION APPROVED ..........:.:.....` By:............ .:�'' ,`f.' Title: ............. .............................. .................. .......................... ......................................... date WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT