HomeMy WebLinkAbout0196 CRAIGVILLE BEACH ROAD - Wood Stove Permit 10/02/79 �e`�'yof�`` TOWN OF BARNSTABLE
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oo�`O 39H�� MASSACHUSETTS
Wood Stove Permit f� � �` ? 7
DATE OF APPLICATION ............. ...........y..... ... ......y�.. FIRE DEPT. ISSUING PERMIT ............................................................ .
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NAME (owner) .................................... NAME (Installer) ......... ........... .... ... ......`.
ADDRESS .!......, ...f, t. G�'"a l t/r r ! n /t� ADDRESS ................... J ....................� -,.....�
...........................................................................:.............. V.. .......
STOVE TYPE ..............t .. ..:. fit. ............ .. ....:.......................... CHIMNEY: NEW ....:................... EXISTING ......... ''..�.
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Manufacturer .......................................... CHIMNEY: Masonry �` /"i f j�..:.............................................................
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.
4 Issued B /l..l. / ,�"f/ i ( �
Y: ..:.........................................................................................................................T Title ...................................................�................... Date .................................................
Permit to irist 11 expires 60 days after issue date
Stove !..............................................................................................................................................................................................................:..............................................................................................
StoveClearance ................................................................................................................................................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance .............................:...............................................................................................................................................................................................................I...............
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 provis!Z�_
s .of-the—Commonwealf
of Massachusetts State Building Code now currently in effect and pertaining thereto' ................................... ..................................
Installer
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INSTALLATION APPROVED '/! �/t� B ,t' .............................. Titlec� 4tt?/ �
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........................:.............. y.:-,..........-.............................•
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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