HomeMy WebLinkAbout0010 DUMONT DRIVE - Wood Stove Permit 11/10/81 ; TOWN OF BARNSTABLE
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1639. MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION ...... :�.—� .. FIRE DEPT. ISSUING PERMIT .��
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NAME (owner) �................. ....�>.............. , .......l+ c'' elNAME (Installer)
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ADDRESS .: ........../��r/I//�raT DIP �a�-�/1t�r f ADDRESS %a�.� ,�r�tr t�a,ff,(��Ir......t'hr';�t.:.:�../.�..��c�
..................................................,....... ........
STOVE TYPE -J�/'�2 � CHIMNEY: . NEW EXISTING............................................................. .......
Manufacturer ............................................................................... ... ....a........ ............... 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 aAPl.ication on file with the me �!.7.1
.......... ?...................................................................................... 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 ...................................................................................................:...................................................:.....................................................................................................................................................
StoveClearance ............................................................................................................:...................................................................................................................................................................
Floor ................................................................................................................................................................................................................................................................:.............................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney .................................................................................................:....:..............................................................................................................................................................................................
Smoke Detector s
...............................................................................................................................................................................................................................................................................
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:..................I................................................................ Title: ......................................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT