HomeMy WebLinkAbout0124 SEAGATE LANE - Wood Stove Permit 10/18/80 TOWN OF BARNSTABLE
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039. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION .......... FIRE DEPT. ISSUING PERMIT
NAME (owner) ''• ......................................................__ P ?...... ......� NAME (Installer) { 7,r'.. ::... ..........
ADDRESS ...........L... ..... ` :. ._r. ADDRESS _.� .._.........
_:.._ .
................. _.........................................
STOVE TYPE 1...� ...... ..... M CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer , j � L/ � z. 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 ......................................................................................................_................ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code.and regulations made
under the authority thereof.
IssuedBy: ..........................................._.......W_._ . ._ _ - -_ _...Title .............................................................................. Date ................................................
Permit to install expires 60 days after issue date
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Stove ......................................................................................................................................................................................................................................................................................................_
StoveClearance L..............................................................................................................................................................................................._- - -- ...................................................
Floor✓..................................................................................................................................................................................................... W . .r......_....._._..............._..................
SmokePipe�....................................................................................:....................................................................._ ...r.................................................
Smoke Pipe Clearance t'`�..............................................:. ........... ..� ___ .. ....._ ....W. ........_........_............................................................................................
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Chimney. ..............................................................................................................................-............................................................................................_................_................................................
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Smoke DetectorLs`......................../ ............................2 x1 1 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
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INSTALLATION APPROVED l ................. ............................... ._...... ... .
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. ..........'�....:...... '�....... By ..... ........:.... . FA`. .. Title:
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WHITE: "FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT