HomeMy WebLinkAbout0800 BEARSE'S WAY - Wood Stove Permit 06/14/80 TOWN OF BARNSTABLE
1MASSACHUSETTS'\ ^, e -• "`t '�
ood°Stove Permit' .
DATE OF APPLICATION ...." !�`N. r 1`? �� FIRE ADEPT�ISSUING PERMIT : .. .................� .......... ....... .......
NAME (owner) C.U'T vV2t ............ NAME`-(Installer_) eA.1 K........�� t `� Q4�'t...................
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ADDRESS ..............................................................A .,,.. ADDRESS............................. ...........................................................................:...........................................
STOVE TYPE M �c-a�-- � �1 ��, ...�........................ ...... .:CHIMNEY NEW ...,< EXISTING ........,...........
Manufacturer MA-f21 1 r,1, `oi74A51(t`�"+L. S 1, .................................. .......: ......... CHIMNEY:. ;'Masonry ......................................................
amass. Approval �• t.........�.... ` '> 'x........................ CHIMNEY: . Metal ....... :......_....................,..............,.. ...........
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—„T,his'is to certify that the above installer-tics:permission to install a wood burning appliance'at the listed address
in. accordance with an eapplicati
on 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.
r
Issued By: .......................................................................................................:......................Title .............................................................................. Date ................................................
Permit. to install expires 60 days after issue date
Stove .....................!';J . ..� r� '�✓�"' *� r
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�r..... ............q.+.�..,,,.•r ..�......._.....�f...�......1.../.../.1..tes...-.r..
4 � . ..tr Stove Clearance ✓..... /.�I.....
Floor - Grrs.:.. f _ ..... Qn _n...... n1 •.^. . '..........�......�..�..........i.. f
Smoke-Pipe � ..� F............................ � .............:....... ,,... ,.......� . _ ..................................- ............................................... ................................
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Smoke Pipe Clearance ....... ..............
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Chimney4Z�.... ��.......................... .........................................................::......................................................................................................................................................................
Smoke Detector ......................
, ...................................................................,.........................................................................................................................................................
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 �^ B _ - ��" "'. Title y-y-� ��'�`'
y% l .y Title: r, ..
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT
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