HomeMy WebLinkAbout0188 WINTER STREET - Wood Stove Permit 12/13/79 r _7f
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TOWN OF BARNSTABLE
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Wood Stove Permit
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DATE OF APPLICATION .......... ::......: ...... .............�............ FIRE DEPT. ISSUING PERMIT.........
NAME (owner) y..................... NAME (Installer)
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ADDRESSADDRESS .................. ...............................................................................................
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STOVE TYPE ............ .. .................... ............ 1.........�....--- .. CHIMNEY: NEW ........................ EXISTING ........1..............
Manufacturer .....: ............................................................................................................. . CHIMNEY: Masonry .......................................................................................
Mass. Approval ......................'/c�+e` .................. CHIMNEY: Metal
This is to certify that the above installer has permission to install a wood burning appliance at the listed address
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in accordance with an application on file with the ................................................:..............:{:.:....................:......................... Fire Department
and subject to the provisions of the Commonwealth of Massachusetts S:, e Building Code and regulations made
under the authority thereof.
IssuedBy: ..............................................................................................................................Title .............................................................................. Date ................................................
Permit to install expires 60 days after issue date
Stove .........................../9..:A.....................................................................................................................................................................................................................................................................
StoveClearance ........�.f`.."............................................................................................................................................................................................................................................................
Floor ) ��
..........................................................................................................................................................................................................................................................6...................
SmokePipe......................... .................................................................................................................................................................................................................................................................
SmokePipe Clearance ... ..............................................................................................................................................................................................................................................
Chimney .........................0...........................................................................................................................................................................................................................................................................
SmokeDetector ......` ...r:. ...........:...........................................:............................................:..............................................................................................................................................
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
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INSTALLATION APPROVED j ` ' ...... Title: >ax -V r%
fdate.................. By: ................. Y. .. .. ....... �........ ... ...
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT