HomeMy WebLinkAbout0020 TUCKER ROAD - Wood Stove Permit 10/16/79 �` °• TOWN OF BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION ... .....r'. .: ......................�.. FIRE DEPT. ISSUING
NAME (owner) .G....v.��-.�l.aRZNAME (Installer) � rc. ..r..•.a:.1.........................................
............................................................................................ ....,..............................
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ADDRESS ` .�................!-'.�.............................�.............................................. ADDRESS ........................................`�..:�.....................................................................
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STOVE TYPE .......... �p...............................................�..�..�.. ....... CHIMNEY: NEW ........................ EXISTING .......................
Manufacturer .............. / 9�.. ...'e.............:......................................... CHIMNEY: Masonry .............................!C:......................................
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 .-_ x , .......r l `�................................................. Fire Department,
............7. ...........................................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued B .«.a�J '%�ice! 1 �/rn Title .J�e........../..".,r,�r�r...................... Date ��'�/.+ �/.�.y ...:......y.................................................................... .... . ..................... .......
Permit to (innstall expires 60 days after issue date
StoveC/0 f.........t ........ .............................................................................................................................................
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StoveClearance ........................................................................................................................................................:.......................................................................................................................
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Floor ..................................................�.,...............�...........................�� .........�.........:�..�.�..:�'...........................................................................................................................
Smoke Pipe ........................:
...............................�-r? .- ..<- .. '.......::: -................... ........................................................................................................................
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t 8moke Pipe Clearance .... .. � ./. �.... !
................................................................................................................. ............ ............................. ......................................................................
Chimney ................................................... /J J"c
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Smoke Detector a
................................................................................................................................................................................. ..................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
it of � �� // has been made in accordance with provisions of the Commonwealth
Y Permit dated ...............G.. ./.<�. �..��..,?!
of Massachusetts State Building Code now currently in effect and pertaining thereto"...............................................................
. .
Installer
INSTALLATION Z'0,!/G=� 1 s� ^"� ....S ALLATION APPROVED ...................................................... B .,................................................................................. Title: ........................,�.... .
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date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR- — PINK: APPLICANT
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