HomeMy WebLinkAbout0552 STRAWBERRY HILL ROAD - Wood Stove Permit 01/08/80 V. TOWN OF BARNSTABLE
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06 Y MASSACHU SETTS
Wood Stove Permit
DATE OF APPLICATION ....../........ ............'..... .................. FIRE DEPT. ISSUING PERMIT ......%.: .. '' `"``.�.........
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NAME (owner) ..�..�- .9 � lute Q..f ...... NAME (Installer) ...... ............................................................................................
.................................................................. ...............................
^�ADDRESS J J .may •• ADDRESS ...........................................................................................................................
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STOVETYPE ............................................................................................................... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer 11i� �Q �, —a�+-6"J-P CHIMNEY: Masonry .........................!:..}!�.........................:r....
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Mass. Approval ....................................J...................................................................... 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.
Issued By . `i AR� 4-C4 k�...........................Title � � ��-fit,r ..(_ ��•:�.... D ate'
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.Permit to install expires 60 days after issue date
Stove ............................................................................................................................................................................................................................................................................................................
StoveClearance ...L......................................................................................................................................................................................................................................................................
Floor ................................................................................................................:.............................................................................................................................................................................................
SmokePipe .......................................................:.......................................................................................................................................................................................................................................
Smoke Pipe Clearance l�
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Chimney ....................................�................................................................................................................................................................................................................................................................
SmokeDetector ...... ,!:...............:................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated .................................................................. has been made in accordance with provisions of the Commonwealth + t
of Massachusetts State Building Code now currently in effect and pertaining thereto
Installer
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INSTALLATION APPROVED ...................................................... By. b� ? . A... .. ..f Title l 1(.. .
date ....... ........................................................................._. � . � .....................................................�
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT