HomeMy WebLinkAbout0488 SOUTH STREET - Wood Stove Permit 11/17/81 ��y�fTXEr��o� ? 2
` TOWN OF BARNSTABLE
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039. MASSACHUSETTS .
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Solid Solid Fuel Stove Permit
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DATE OF APPLICATION .....................` FIRE DEPT. ISSUING PERMIT
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NAME (owner) .t!�r'LO 1 f�la�.... atI �O NAME (Installer) ...............� ...........................................................
ADDRESS ............ . .6 S 6.4 7 t 151...................................... ADDRESS .501W
STOVE TYPE W 6,04
........................... .............................................................. CHIMNEY: NEW ........................ EXISTING ....... .......
Manufacturer ............... CHIMNEY: Masonry . '
Mass. Approval .............................................................................................................. CHIMNEY: Metal ....................................................................................._............
This is to certifythat the above installer has permission to install a solid fuel 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. 4
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Issued By: ..Qe.sr.r��� /i-.F ,.S/!/� .' ................:.....Title .Z�4zl:'.....�r.,�dtAP.A.................... Date /��
......................y......... v' ............................... y ............ ..... .......... ..............
Permit to install expires 60 days after issue date ;
Stove ..............................................................................................................................................................................................................................:........................................................1....................
Stove Clearance .................................................................................................
`....................................................................................................................................................;:......................
Floor ..........................................................................................................................................................................................................................:..................................................:..............................
SmokePipe ...............................................................................................:............................................................................................ ..............................................................................................
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SmokePipe Clearance ........................................ ..........................................:.........................................................................................................................................................................
Chimney ..................................................................��'......................................................................................................................................................................................................................
SmokeDetector .......................................f.�. ......................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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 ................................................
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date ...................��.....................................� ..:�............. i
.~ WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT