HomeMy WebLinkAbout0043 STETSON LANE - Wood Stove Permit 08/07/79 TOWN OF BARNSTABLE `�`"' °
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Wood Stove Permit
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DATE OF APPLICATION ............ ...1 ..: ......................... FIRE DEPT. ISSUING PERMIT ....... :.... .!..`. ..'?..:.................
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NAME (owner) A �;x vo.r . - x 4 .r 0�?%� .................. NAME (Installer) ...:� .; f?` .....% S'�rrr~.......................................
e� .. . ::ADDRESS 72�/ '``........ .... � ..:...... .. !.................................... ADDRESS .;'-.` .... !�.....::. ? ' f`.:!.' .a........-.�:f..{........� ^. . .......
STOVE TYPE ..............��� a�...` `. - r h? &ua'' CHIMNEY: NEW .... EXISTING �
Manufacturer ........................................`.�....... �ylllr.................... 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 ............ ......ce `°...................................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
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Issued By .........�... Title . .. ...... ................... ............................. .... Date(..............................................
Permit to install expires 60 days after issue date
Stove .. 1 c Q s� �
............................... 1 .......................................... ................. .........................................................................................................................................................
Stove Clearance ...........t .........
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Smoke Pipe ..........°..`/
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SmokePipe Clearance` .........j.�i..................f..�.......�.�t}.C-e- ...�. .�...... .. ... ................................................................................................................................................
Chimney ......... .........�''.......�.�.........................................................................................................................................................................................................................................
SmokeDetector ............. !....�.-'...................................................... ......................................................................................................................... ... ...�.
The undersigned hereby certifies'that the installation of wood burning stove and equipment made under author-
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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 .....................................................
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Installer
INSTALLATION APPROVED/ ... .....jL.1�....... By: .:....... T: ��u.. S.f�* Title-
date :
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT