HomeMy WebLinkAbout1324 MARY DUNN ROAD - Wood Stove Permit 09/22/79 TOWN OF BARNSTABLE
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Wood Stove .Permit
DATE OF APPLICATION .~ € c/................... FIRE DEPT. ISSUING PERMIT ..11AP!I................................... ................. .................. ........
NAME (owner) f •!/t°. T �/V. S C?° ........................ NAME (Installer) ff it_�,•!�T'ft• .�t".k+..t.�w'�.^.,t ................
........... .... ......................... .
ADDRESS 1MY �.y... I..&A.....n. . ADDRESS C("''f��•dn. ..., t ; r!........................................
STOVE TYPEf��...7�(r1f "' ��-�C� ��r�� CHIMNEY: NEW EXISTING ..... :..........
Manufacturer tl/l��!_ Rt� ./�f, .......................... CHIMNEY: Masonry ..................t�..,..............................................................
........................... ..........................................
Mass. Approval ... r ,7 1,C h' 1�,r' ................................... 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 �� r1#411 ................................................. Fire Department,: . ............. ... ...................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: .......r �ti. .` fl ..........................Title ���."/f Date .. ........................� .
2
Permit to install expires 60 days after issue date
Stove ............................................... ..............................................................................................................:...............................................................................................................................
Stove Clearance ..................... ...................................................
Floor .................................................... :.', ,....,............................................................................................................................................................................................................................
SmokePipe ..................................... .'......................................................................................................................................................................................................................I..................
SmokePipe Clearance .....................................:..................................................................................................................................................................................................... ........
Chimney ......................................................�-�':................................
.......................................................................................................................................................................................
............
SmokeDetector ...............................`�;�-..................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ......9.' ................ . . has been made in accordance with provisions of the Commonwealth
of Massachusetts,State Building Code now currently in effect and pertaining thereto jZ R^ r P...... <IA".,��?�,
.............................. ....... `
' Installer
U
INSTALLATION APPROVED "..Y.. ' -22 ` r B C H/_4
............................................ ........ ....... ................ Title. ......................................................
. .
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT