HomeMy WebLinkAbout0721 OLD POST ROAD - Wood Stove Permit 10/04/80 TOWN OF BARNSTABLE
Z HARTSMUL
'moo ,631. , MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ...42.0.7`42.1366,e ' I FIRE DEPT. ISSUING PERMIT ...:�:7":d:.j..!..-)"..............................
NAME (owner) . � .................... NAME (Installer) L'� / `;�/. -'l. ........................ :..
....................................................................................... . .......
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ADDRESS 7.�' 1 ........... ADDRESS . �?. -�........... .... .....>.. .. 1-�
STOVE TYPE �'x' ��...��........................... CHIMNEY: NEW ........................ EXISTING .....!....:.........
Manufacturer t?-.: .. .�`7 (_....... .. ....... ....... 1.� CHIMNEY: Masonry ............................................................................
.... ......
Mass. Approval �� 1 +......:.................................................................................................... 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 �-ru"...`� Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued B rL .-� ..............Title la r - ................... Date
Permit to install expires 60 days' after issue date
Stove .... ....................................................................................................................................................................................................................................................:........................................
StoveClearance ..................................................................................................................................................................................................................................................................
Floor .........'"............................................................................................................................................................................................................................. ........................................ ..............
SmokePipe ... .:.....................................................................................................................................................................................................................................................................................
Smoke Pipe Clearance .
Chimney .te�'.'" ...................................................:................................................................................................................................................................................................................................
SmokeDetector .q. .........�................................................................................................................................................................................................................................................................
l
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
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J J
INSTALLATION APPROVED Z .` .4 ..................... By-i ��. :. - � � -�--� Title:-�^ .n L-_. :.-��
date ............... v ......................... ...........
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT
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