HomeMy WebLinkAbout0728 STRAWBERRY HILL ROAD - Wood Stove Permit 09/10/79 TOWN OF BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION ............................................................:................. FIRE DEPT. ISSUING PERMIT ......... a: �-.............................
NAME owner x ..................................
( ) .a-g.i-r; .r ........ ..r •7............*... NAME (Installer). !�-'�-
............................
f� .� ..(e...,�.��...,.W,1 1`7�•r1� ..J' ADDRESS
ADDRESS ................................... ....................................... ..............
STOVE TYPE Z � ......::. CHIMNEY: NEW ........................ EXISTING ...... ........:
...............:...:........................... .
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Manufacturer i1�` .. Cti ...................................................... CHIMNEY: Masonry.................. .......................................
1 � > �
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.
Issued By• 'ti1� ���~ ' r�Z�f .P�_�0✓(�1� !i /` r � . ....
::............................�...........................................:......Title ............................................ti............�................. Date ................................... ..r..
Permit to install expires 60 days after issue date
Stove ...........................r... ............................................................................................................. t R 1 .� r. .................................................................... .........:...................................
StoveClearance .....�'... .................................................................................................................:......................... :............:...............................?.::.............................................................
Floor .............................................. ....... ......................................................... ✓.".
Smoke Pipe .......................n..1 .................................................................................... 1t�f. ., ' .....`............:. ..I!...�
........ ..
Smoke Pipe Clearance ............................................................. V\�"
...................................................................................................
s{ `xj v
Chimney ...............................................n.. ........:...............................:................:..........................,..................................................................................................................................................
Smoke Detector .......................
..........................................................................................................................................................................................................................
..............................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ...... .!f...'. ....:....:...................... has been made in accordance with provisions of-the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto-` :.:`:.. ............::r
Installer
_ .(j �
INSTALLATION APPROVED ..............`.�.. �. ... By r..r1/1-...-* �'`% Title. .: � ....!{..
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT