HomeMy WebLinkAbout0090 DUNN'S POND ROAD - Wood Stove Permit 01/12/80 TOWN OF BARNSTABLE
t 31AIL STAEL
A"L MASSACHUSETTS
Wood Stove Permit
PERMIT DATE OF APPLICATION ...................................... FIRE DEPT. ISSUING.................................... . 7-3................................................
NAME (owner) NAME (Installer)
..................................................................................................... . ......................... ................................
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ADDRESS �&................................................................................................................. ADDRESS ...........................................................................................................................
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STOVE TYPE ............A P N 8.f..A1._.5.................................. CHIMNEY: NEW ........................ EXISTING..... .. ... ..... . .... .. ..... .. ......... ...............
Manufacturer .................................................................................................................... CHIMNEY: Masonry ..........................K
............................................................
Mass. Approval IJ )............)7...-..T 7.................................................... 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 ....................................A ......... ....................................... Fire Department,
and subject to the provisions of the Commonwealth of MassachusAts State Building Code and regulations made
under the authority thereof.
.... .. ...... ....... ...........
Issued By: Title ::LL*1??.i.f 41 re. ................... Date lb"llf I?
. ......................................... ....................................................................................T V 7.......................................
Permit to install expires 60 days,after issue date
Stove ..............................................................................................................................................................................................................................................I..............I................................................
Stove Clearance .'"
..... .......................................................................................................................................................................................................................................................................
Floor ...................... ...................................................................................................................................................................................................................................................................................
Smoke Pipe .............�K ...............................................................................................................................
..................................................................................................................................................
SmokePipe Clearance .� ................................................................................................................ . .............................................................................................
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 provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto K P6, 0
...........................................................
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INSTALLATION APPROVED ...................................... By: ............... ........................................................... Title: ......................................
date
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT
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