HomeMy WebLinkAbout0052 CAPTIAN COOK LANE - Wood Stove Permit 11/29/79 TOWN OF BARNSTABLE
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MASSACHUSETTS
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Wood Stove Permit
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/� __. .............. FIRE "DEPT. ISSUING PERMIT ....:.t..? �`.�'`�`�j
DATE OF APPLICATION ............1...................................................
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NAME (owner) ...!`I .'.:,. �-^'.... ' ..'�... NAME (Installerr)"T.. ill's ....c;� ? .......................
ADDRESS .�...' .....`... 2 c, u z 4._ C;^e �< f �' ADDRESS ............' ' Lt"b .............. 'P'n.. '........................
...... .............................� ..�............................................ ,r �
STOVE TYPE - �
.................... .... CHIMNEY: NEW ........................ EXISTING ........................
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Manufacturer ( ` v 1: �4, 1c L v c 0� .1-lef�.�..... 44.: CHIMNEY':` Masonry .........................................................................
............................. ........ .. ...... ..
Mass. Approval ........�.....�,2. I�2.. ..... .H...L`...�....�...... CHIMNEY: Metal ................................................................................................
This is to certify that the above installer has permission to instglav
wood burning appliance at the listed address
in accordance with an application on file with the ............................. (_W,`�................................................. Fire Department,
, (. .........................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority. thereof.
Issued B • aCW0
, ' ""1J" Title% �I1 ,� ............... .... . D •1: _`.2 i
y. .. . .................. ......... ..... ........ f ate ..,..:.......................................... #
Permit to install expires 60 days after issue date
Stove ............................9... .................................................................................................................................................................................................................................................................
StoveClearance ..4..0..!:�..........................................................................................................................................................................................
.................................................................
Floor ................................. `.....�............................................................................................................................................................................................................................................................
Smoke Pipe V /
..... ...................... ..................................................................................................................................................................................................................................
Smoke Pipe Clearance '�
.............................................................................................................................................................................................................................................................
Chimney ......................................� �..................................................................................................................................................................................................................................................
SmokeDetector 1��'7../..:..........................................................................................................................................................................................................................................I..........
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 ...�::!:�::............a�,..:,ra��
.. ...... .........
Installer
INSTALLATION APPROVED r . �4/1...1...^r• `p !:—Tit
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�. .....date ...�1`....... By:......�` . ............ ' le ......................� .-
Mr v '
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR PINK: APPLICANT