HomeMy WebLinkAbout0415 MAIN STREET - Wood Stove Permit 10/12/79 ]ZIFSTM TOWN OF BARNSTABLE
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,69 MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION / FIRE DEPT. ISSUING PERMIT ........ r:..'...... >t ^........�........................ .... .............................
....... ......
NAME (owner) NAME (Installer) ................ '.r� Ir< .... .......................................
..................................................................................
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ADDRESS ...................................................................................:...................................... ADDRESS ................................�............ .......................................................................
STOVE TYPE :.57............. i� —
................................................................................... CHIMNEY: NEW ...........:.......... EXISTING ........................
Manufacturer �s / t10. ...................................................... CHIMNEY: Masonry .......................................................................................
....
Mass. Approval ....................f ' t 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 they �" +-- 2�, 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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Issued By: k�,.. :..... ..... :" I x•e h ..9..+-".............................Title .::.�.%....... .4: .......................................... Date .:: .........j.'................... ...
Permit to install expires 60 days after` issue date
Stove ........... ... ...................................................................................................................................................................................................................................................................................
Stove Clearance
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Floorrq......................................................................................................................................................................................................................................................:.............................
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SmokePipe ...............:...... ...................,........................................................................................................:......................................................................................................:............................
Smoke Pipe Clearance ....r......�
Chimney ................!f�.................................................................................................................,.................................................................,..................
.............................................:.........................
- Smoke Detector ........................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity ./ ..:. 1 (; k
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''`:..�...E1f�tffify �fkl 'llw. ...............................................
U Installer
INSTALLATION APPROVED By.......Fr ..:... +!3 � . .......:. Title .:: "r ...... .......... ...
........ .............?..............
date r.... r .
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WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT