HomeMy WebLinkAbout0035 SUFFOLK AVENUE - Wood Stove Permit 10/19/79 ' TOWN OF BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION .... .o....1 .217 FIRE DEPT. ISSUING PERMIT -'�
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NAME (owner) .. /CH✓�.��",cfr OS l� I N..'f�/. NAME (Installer) ......�:....C�....,1-1 � ......'E~ts�..�........................
............... ' I ............................
ADDRESS ... ?.�..........SU 4�CQ4K G.11k.....#t/aV!V!5 ADDRESS .....1,0•7• )...........t t(�.j.1.r,G...............................1................. n
STOVE TYPE !.! ►Y�............661' � .epi-= .... CHIMNEY: NEW .......�........ EXISTING
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Manufacturer ....................!�....�_`.I�........................................................................... CHIMNEY: Masonry ............................................:..........................................
Mass. Approval �.. -............��....-�.. ..................................... CHIMNEY: Metal ............................t. .........................................................
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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 ...................off ' %f!A A^.A Fire Department.........
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and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
I nder the authority thereof.
Issued By: Title .4`�—..;.I5 ....:AA. ...? lll.6........ Date
.. .........................................
Permit to install expires 60 days after issue date
Stove ............................................................................................................................................................................................................................................................................................................
Stove Clearance Oh
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Floor ..................................U...�.............................................................................................................................................................................................................................................................
SmokePipe ...................a......�..............................................................................................................................................................................................................................................................
SmokePipe Clearance ...�...�.. ............................................................................................................................................................................................................................................
Chimney ...........................................................................................................................................................................:...:...................................................................
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SmokeDetector ...............i.':jl............................................................................................................................................................................................................................... .........
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated .., ....�:J .� y.................. has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ...........................................................................
Installer
Ili .4—�l�! '.)�-A 4�lkl
INSTALLATION APPROVED ...................................................... By..,....._...........;................................................�........... Title ;.. .... .... ...........�.....�.... 'u.
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT