HomeMy WebLinkAbout0061 BETTY'S POND ROAD - Wood Stove Permit 12/23/80 4
TOWN OF BARNSTABLE
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MASSACHUSETTS
�D YAY M�
Wood Stove.Permit
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DATE OF APPLICATION ........ � ............. FIRE DEPT. ISSUING PERMIT
...:................................ ............................................................
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NAME (owner) .. NAME (Installer) '� . ..: 0.......................................
ADDRESS .................. ADDRESS ..............................+..:.r.... ;c/t •......•r .
fJ.�... ... .................
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STOVE TYPE -- ...... ........ CHIMNEY NEW ........:.. .... EXISTING
Manufacturer ................................... CHIMNEY: Masonry
Mass. Approval ............................................. 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.
IssuedBy: ..............................................................................................................................Title .............................................................................. Date ................................................
Permit to install expires 60 days after issue date
Stove ........................................................................................................................................................................................................:....................................................................::.............................
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StoveClearance ............................................................................................................................................................. ............................................................................................................
Floor ..................................................................................................................................................................................:...........................................................................................................................
Smoke Pipe
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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
INSTALLATIONAPPROVED By ......................... Title..i... . ............................................::........ . ......................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT