HomeMy WebLinkAbout0477 YARMOUTH ROAD - Wood Stove Permit 12/15/81 Ir
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TOWN OF BARNSTABLE
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YA 1639•9 MASSACHUSETTS
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" Solid Fuel Stove Permit
DATE OF APPLICATION ..........................`.................................................. FIRE DEPT. ISSUING PERMIT ............:..............................................
NAME (owner) / f :RI c� /j���2 NAME (Installer) --.�� �®I � !a
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ADDRESS .' `...�..��....Xe7lel-"o..uf/� .�............ ADDRESS .................................:��......`ltJ!�..........................................................
STOVE TYPE .............................. .I.��D................................:........................... CHIMNEY: NEW ........ EXISTING ........................
Manufacturer ..................................................................................................................... CHIMNEY: Masonry .............................................................................................
Mass. Approval l�...� ....................................................... CHIMNEY: Metal ....................................................................................._............
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This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
j address in accordance with an application on file with the ................................................................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code ,and regulations made
under the authority thereof.
IssuedBy: .................................................................................................................................Title .................................................................................... Date ..........................................
Permit to install expires'60 days after issue date
Stove1'.. r .....................................................................................................................................................................................................................................................................................
StoveClearance t..................................................................................................................................................................................................................................................................................
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Floor : ` ............................................................................................................................................................................................................................................................................................
SmokePipe � ......................................................................................................!.
SmokePipe Clearance ...... .a:'.....'.........................................................................................................................................................................................................................................
Chimney .......................... .........
SmokeDetector .. .........................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove andequipment made under au-
thority of permit dated ...................................................... has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining ther'*w........................................................................
Installer
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INSTALLATIONAPPROVED ...........� ...... ..................................... By:.......................,..........:.........!::..........:....:..................:..... Title: ................................................
date ` r � ��� �
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK' APPLICANT