HomeMy WebLinkAbout0009 WALLEY COURT - Wood Stove Permit 11/10/80 t,�!flh"ff /f !,
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TOWN OF BARNSTABLE
BAR STAM
MASSACHUSETTS / t
77
Wood Stove Permit, 7 7/ - c
DATE OF APPLICATION ............ .-. �� FIRE DEPT. ISSUING PERMIT ...... ....✓ � !...........�t.........
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NAME (owner) -3 z 1:......:..1't ),, !�A h�.%"' NAME (Installer} ..11t...............................................r` ' . ) (� .♦..................... _ .....
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ADDRESS `..................... ....... ........ ..........:...... ADDRESS ..............................................................................- ............
STOVE TYPE l/ti1...........................�~�-.,Imo'.. ./? rC' a , , CHIMNEY: NEW ..................:..... EXISTING .....`✓ ...........
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�% `S .fin! ✓ ,�/� _ �f CHIMNEY: Masonry Manufacturer ...................................... .........................................................................
Mass. Approval ............................................................................................................ CHIMNEY: Metal .........................................................................................:......
This is to certify that the above installer has permission to install a wood burn appliance at the listed address
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in accordance with an application on file with the -)I V � a u I .................................... Fire Department,
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and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof. >7.
Issued B ��� , J'1 ..........................Title .�.c.��d �" t..� .................. Date fl//4//f,-0 .
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Permit to install expires 60 days after issue date
Stove .................................................................................................................... .......................................................................................................................................................................................
StoveClearance .......................................................................................................................................................................................................... ............................ .............................
Floor .........................................:...................................................................................................................................................... ....................................................... ........................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
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
of Massachusetts State Building Code now currently in effect and pertaining thereto ...........................................................................
Installer
INSTAfL-,hA-T-ION APPROVED ....................................:................. By:.................................................................................... Title: ......................................................
,. date
ry WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK:'APPLICANT