HomeMy WebLinkAbout0445 FALMOUTH ROAD - Wood Stove Permit 02/09/81 TOWN OP BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION .............................................................�O t FIRE DEPT. ISSUING PERMIT .....................................
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NAME (owner) 1. �t../f#� �.�C (Installer)
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�j.�.........s�.......... ......./ ...................... NAME Installer ......... ....
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ADDRESS ......... ..........:.......... ADDRESS
STOVE TYPE_25. "a �9.� .e CHIMNEY: NEW ........................ EXISTING
Manufacturer 1�.�..�•a a,,..c.�f ,..r...-a '�-�....:.................... CHIMNEY: Masonry ...�...-r:":"".................................................................
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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.
IssuedBy: ..............................................................................................................................Title .............................................................................. Date ................................................
Permit -to install expires 60 days-after issue date
tove `.............................................................................................................................................................................................................................................................................................................
StoveClearance `............................................................................................................................................................................................................................................................................
Floor ..............................................................................:................................................................................................................................................................................................................................
SmokePipet...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance ............................................................:...........................................................................................................................................................................................
Chimney , ...................................................................:......................................................................................................................................................:.......................................................................
SmokeDetector '::.........................................................................................................................................................................................................................................................................
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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 ...............................................I...........................
Installer
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INSTALLATION APPROVED ....:.f. .�f f .` C` By:...........`.......:."'G .. %,�?' .... ....... Title: .......'.::....`...:�..........................
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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