HomeMy WebLinkAbout0028 CAPE COD LANE - Wood Stove Permit 10/25/79 i
TOWN OF BARNSTABLE
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10 9 MASSACHUSEWS
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Wood Stove Permit
'751
DATE OF APPLICATION .............................................................................. FIRE DEFT. ISSUING PERMIT .............,..............................................
� /�ft j?tI 0 yr L �-_ �i l r fl✓ � v—C;.NAME (owner) .............................................................................................. ......... NAME (Installer) ...........................
ADDRESS -.......................................... ADDRESS P�9
STOVE TYPE ..........: A
...........rl �11f ..r CHIMNEY: NEW EXISTING....... ..........
Manufacturer ................ ��� fw-aO� 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 application on file with the . .
:..`......�L ................................................... Fire Department,
....
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By l ��✓ / I/cl�.........................:...... .. ......................��........... ..............................�..........` .:.Title Date s 5'- t`
Permit to install expires 60 days after issue date
Stove ...................ILI�LC ............................................................................................ /� 1� /,.�.......`............:�..".C/.C1 ....�...
..................................................................................
Stove Clearance .1 L !�
............................................:�....... ...... ............................................................................................................................................................ ,
Floor ..........` F �t9��/4G
................. ..................:.........................................................................................................:..................................................................................................................
SmokePipe ............................. :.. ..............................:..........................................................:.................................................:.............................................................:...........................................
SmokePipe Clearance ............... .....................................:.......................................................................................................................................................................................
Chimney ..................................................::.........................................................................................................
.................................................0. ....................................................................
Smoke Detector ...... ..............................:..............................................................................................................................................
................................ .' S
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ......... ..d....`.......7 .................. has been made in accordance with provisions of the Commonwealth
. ... ........
of Massachusetts State Building Code_ now currently in effect and pertaining thereto �* M �...................n:..... _....................................
Installer
INSTALLATION APPROVED U. .S...� 7 By:... ..................................... ...Title: ..... �tt`.r......................
.......................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT