HomeMy WebLinkAbout0019 WINDSHORE DRIVE - Wood Stove Permit 09/20/79 • r
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TOWN OF : BARNSTABLE
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1639. ,� MASSACHUSEYFS
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Wood Stove Permit
DATE OF APPLICATION ......... ... a�....�....�..R!..................../... FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) . 10-- .7jr- e�'/CA` �P.P A t<' NAME (Installer) ......................................................................................................
...............................................o............o...................... ...................
ADDRESS .......................................................................................................................... ADDRESS ...........................................................................................................................
STOVE TYPE ✓� Tj ! CHIMNEY: NEW ....t .......... EXISTING
................................................................................................................ ........................
Manufacturer ................................................ CHIMNEY: Masonry
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Mass. Approval ......................................................................................................... CHIMNEY: Metal .....................................................................................
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'This is to certify that the above installer has permission to install a wood burning appliance at the listed address
j in accordance with an application on file with the f ^' ' "- ' Fire Department,
. ................................ ........f..
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: .. . 1Date�. ...............Title � ......�A/ 2 / ct' ................ P � ..........................................
Permit to install expires 60 days after issue date
y(Stove � mZe e:� .....................................................................................................................................................................................
/"Stove Clearance ..................................................r.......................................................................................................................................,.................:..........................y......................................
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Smoke Pipe"!
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Smoke Pipe Clearance r�xF iry✓ �//I�l� 1, -lleAx ",�L ... .................................................
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,a KChimney MA I��/�Pt,-' ...�..� . r
........................................ ............ .................... ..................................................... . ................................ .......................... ................
i Smoke Detector ...�F" TT "/t.+� 11rillr"F�—...............:..............................................................................................................................................................:.....
......... ....................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated .............r .... .........— i I............. has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto '' .. F.............................................................
Installer
11 rn�INSTALLATION APPROVED .....f...... .... ....l.. :......... By:.rk:...:.... ...... Ceti..... ,... ' ............ Title: )........... ..:.�y.........
. , ....... /^
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT