HomeMy WebLinkAbout0295 OLD STRAWBERRY HILL ROAD - Wood Stove Permit 03/24/80 TOWN OF BARNSTABLE
NAILISTAU
0.39. MASSACHUSEWS
a MAX
Wood Stove -Permit
DATE OF APPLICATION .......... FIRE DEPT. ISSUING PERMIT ....................
..................................................................
6,1�4 ..................................................
.NAME (owner) ..�.141P.1.14.111d........................................................................ NAME (Installer)
ADDRESS ADDRESS ...........................................................................................................................
... ..........
STOVE TYPE W.0141-1................................................................................ CHIMNEY: NEW ........................ EXISTING ...........y.............
Manufacturer ..... ..................I............................................... CHIMNEY: Masonry ................y.................. 14 A,4-J.
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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 7,4 /....✓.................... ...........15O.-f.."".7 Fire Department,
and subject to the provisions of the -Commonwealth of Massachusetts. State Building Code and regulations made
under the authority thereof.
IssuedBy: AAOIA411f I/ J//d 1-.................................................................................14.........................................Title �.1'117 ................................................. Date ... ...............7...............o....
Permit to install expires 60 days after issue date
Stove .................o
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Stove Clearance 61A.............................................I......................................................I.....................
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Floor .........................r) )K
..........I.............................................I...........................................................................................................................................................................................................................
Smoke Pipe ..........2.
...............................................................................................................................................................................................................................................................................
Smoke Pipe Clearance k,
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Chimney .....................................................................................................................................................................................................................................................................................................
Smoke Detector ..............re
...........
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The undersigned hereby certifies that the,installation of wood burning stove and equipment made under author-
ity of permit dated ;a -- W 7 Pd............ has been made in accordance with provisions of the Commonwealth
............................................
of Massachusetts State Building Code now currently in effect and pertaining thereto ...................................................
Installer
1-7
B y_:................................................................(141........... T ...................................
INSTALLATION APPROVED2'-- ............. itle,
........................Lie
4
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR - PINK: APPLICANT