HomeMy WebLinkAbout1670 HYANNIS ROAD - Wood Stove Permit 10/01/80 TOWN OF BARNSTABLE
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'oo 6 9 MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ...... ®........ ......... ..o............................ FIRE DEPT. ISSUING PERMIT .........�.�..�r.. ..`...................................
NAME (owner) S'!''f. �.�Q.'`l �� '� NAME (Installer) %'7 /V'-�e,<.............................................................................. ..............,....;...................................................,................:............
ADDRESS ............... ...............A4 Y4.4-nr5 t? l ADDRESS A/Y/4 r-I f
........................................................... ............................... .......................................................................................
STOVE TYPE ....................../�
EW ........................ EXISTING ...............:........
Manufacturer ` ..........'. T'Jfi .G........S... CHIMNEY: Masonry .................................... ,.........................................
Mass. Approval ........E ....................................................................................... 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.
Issued By: ............ � <G' .. ...Title � d..* Date
y:.Y............. .. t....................................................... ...........................................
Permit to install expires 60 days after issue date
Stove ...................................................... ..........................
................... ...........................Jc?r;l.O ..:a......................................................................................................................................
.....
Stove Clearance 0 l�
................................................................................................................................................................................................................................................................................
Floor ,� l",? X-2. l7'=`W
SmokePipe j'`7.�..................................................................................................................................................................................................................
SmokePipe Clearance .............................6221...............................................................................................................................................................................................................
Chimney ..............................................................................�'�..�.........................................................................................................................................................................................................
SmokeDetector ............................................................ ./�f^..`a................................................................................................................................................................................................
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,,df the Commonwealtth
of Massachusetts State Building Code now currently in effect and pertaining thereto ...............................................:...........................
.Installer
INSTALLATION `!)�'1 f� �2/L-r'� ! . r� /4,'a r tfv,r'-
S CATION APPROVED ...................................................... By,-1... . .............................. Title
date � �! _ ........Y. ................. ......................................................
WHITE: FIRE DEPARTMENT — CANARY; BUILDING INSPECTOR — PINK: APPLICANT