HomeMy WebLinkAbout0044 BETTY'S POND ROAD - Wood Stove Permit 12/12/80 S
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TOWN. OF . BARNSTABLE .
i BAB3lTMBL : -
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0 q. MASSACHUSETTS
Wood Stove Permit -77
DATE OF APPLICATION ............................. .....�.. ...................... -FIRE DEPT. ISSUING-PERMIT ...........�...,........................:..�...............
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NAME (owner) .J..�A).....� ••'� �1f-.� ��� � NAME (Installer) ........ i u........�
ADDRESS . -4-........B. i-- T rvl'� PQ AJ IN ZOO D ADDRESS w I C_r-1
.........................................................................................7............ ....... .......................................................................................
STOVE TYPE � T v F ......... CHIMNEY: NEW .......�....... EXISTING
Manufacturer �� -°-L•-t N[, a CHIMNEY: Masonry
.................................... .......................................................... ............................................ ................... ........
........`.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
in accordance with an application on file with the )Q V/ � A1; � Fire Department,
...................................................................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof. r
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Issued By Date....................Title ..... . .c..3......../.�lf
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Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance ............................................................................................................................................................................................:...............................:...................................................
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
., - 1JJ. j.
:INSTALLATION APPROVED ..............................�.....................: By:..: ..........:o....:....� ...................... ................ Title: ......................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT