HomeMy WebLinkAbout0021 CAPT ISIAH ROAD - Wood Stove Permit 10/19/82 �4 F
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TOWN OF BARNSTABLE
BMSTAU i
'moo rb 9• MASSACHUSETTS
Solid Fuel Stove Permit
?DATE OF APPLICATION ... ................................ FIRE DEPT. ISSUING PERMIT ........ ................................................y
NAMEowner!! ................................ ......................:.............................................. NAME In ��e^........:...............:.......... .. ......................... ........................,....:
ADDRESS2 f P IA M ��!............................ ADDRESS . .....1„ -s, . . . :... �_..:.....................................................................................................................
STOVE TYPE .t..lr'�Z�i�. y ' CHIMNEY: NEW EXISTING
Manufacturer ~....• 11r4.til ..�......................................................:. CHIMNEY: Masonry ...'�.... .................................................................................
Mass. Approval :.............................................................................................................. CHIMNEY: Metal ...................................................................................................
This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
address in accordance with an application on file with the 6+ 't. :.�;"............................................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By.: .. .......................................Title 1,�tG;�J'J�,............................................. Date .
/ �_j /,i
'�' Permit to install expires 60 days after issue date
Stove ......G. .....o 0:1 rr..!�... �r.�.......::.........................................:............................................................................................................................................................................................... .................
Stove Clearance ...!. .................................................
Floor .....,,;,r,...,:.....:.................................................................................... .............................................................................................................................................................................
Smoke,Pipe ............Ili�.. ...:�..................................................................................................................................................................................................................................................:................
Smoke Pipe Clearance .. -.:..�
Chimney .....".....U.............................................................................................................................................................................................:............................................................
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Smoke Detector ............ d�..--...........................................................................:
The undersigned hereby certifies that` the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ..... .a�..1t.. ................... has been made in accordance with provisions, of the Common��wAlth
of Massachusetts State Building Code now currently in effect and pertaining thereto ...... 5? a!! �:.:�..f.....:......
Installer
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INSTALLATION APPROVED ............ .............................................. By:....:............... Title: ................................................ .
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date "F V
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT• .