HomeMy WebLinkAbout0003 COOKS CIRCLE - Wood Stove Permit 11/04/79 TOWN OF BARNSTABLE
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Wood Stove Permit
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DATE OF APPLICATION I Z �� r/
.................................... ....... ......... ....... FIRE DEPT. ISSUING PERMIT '`! } .1....... .:. ..-1
NAME (owner) � /`'1 /2P..................� /; /Cash .. NAME (Installer) / ...f?...... ..<✓ .. - - r,�
.................................. ..... . ....
ADDRESS " ...fl r� �,� (. � .:. '...1 ': . ........ ADDRESS '... r� ..` .:j?.�%..�....................................... ..... . y .
STOVE TYPE CHIMNEY NEW EXISTING
Manufacturer �f .....•r�•.. CHIMNEY: Masonry ..?=::...............................................................................
s�.........t... . ........ ...............................................
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Mass. Approval ............................................f)................................................................ 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.
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ssued By ..............Title .............................................:................................ Date ................................................
.............................................. . .................. _ ............
Permit to install expires 60 days after issue date
Stove .. !'r.. .. ..:: .!.::� �h ..�' ,� r; c_
.•.............................. ............................................................................................................................................
StoveClearance ................................................................................................................................. ....................................................................:..................................................................
Floor -+ ..rr•. ..............................................:................................................................
SmokePipe ..................................................... ............................................................................ .......................................................... ....................................................................
SmokePipe Clearance -.............- ........ .....................................:................................................................................................................................................
............... ...............
Chimney ....ram: ,..............s . . i: ..r f,:.. .: .. ' . ........................................................................................................................ .......................
.................. .....................
Smoke Detector ...........>...........-Q--:............
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
it of permit dated .........�/ /" has been made in accordance with
y p ......................................a................. provisions of� the-Commonwealth
g y pertaining ...v.................--I . .
of Massachusetts State Building Code now currently in effect and ertainin thereto
Installer,*' v
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INSTALLATION APPROVED // 'z �- J. �" �J � Title• I.. !..>. ! ........ .^..'G��
date.. .............. By. ........ ..................................... _ �.. . ....;.. �..
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT