HomeMy WebLinkAbout0250 BEARSE'S WAY - Wood Stove Permit 08/05/80 TOWN OF BARNSTABLE y
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DATE OF APPLICATION ........................ ';...... .......�..: `...'...... FIRE DEPT. ISSUING PERMIT ............................................................_.
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NAME owner iLP.ADDRESS
AME InsADDRESS r� �C ! IPC � ,� .....I�t a . ....................�....:y try v t t'�p 1 .......................................
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STOVE TYPE ( , '' ., lK� ............................................................... CHIMNEY: NEW ....... .. EXISTING ........................
.................
Manufacturer .��.. riAi .. v!J.j,�},.............. CHIMNEY: Masonry ,.. F.r..:_....................................................................
Mass. Approval ........ ..��` ..................... % 6 �'"." ................... 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 ...................................� .........................................................::................. Fire Department,
and subject to the provisions of the Commonwealth of-, Massachusetts State Building Code and.regulations made
under the authority thereof.
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IssuedBy: ..............................................................................................................................Title .............................................................................. Date ................................................
Permit to installee p res 60 days after issue date
Stove ..............................................................................................::::..........................................................................................................................................................................................................
StoveClearance .................................................. . ............................................................................:........................................................................................................................:...............
........... 4.p� .. - `
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
INSTALLATION APPROVED r
......................... Title:
B r, .� .........
........................date.................. y. .......�.. ..........r..... �
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT