HomeMy WebLinkAbout1327 MARY DUNN ROAD - Wood Stove Permit 11/27/79 TOWN OF BARNSTABLE
STAK
AUL
'oo 1639. MASSACHUSE'I"I'S
Wood Stove Permit
DATE OF APPLICATION FIRE DEPT. ISSUING PERMIT '-
NAME (owner) ALICRA.04 ........... NAME (Installer) ................... ......................................................
ADDRESSA,/ "/ y41n A A 4................. . ADDRESS .................................................................................:....:......................................................................................... .............
STOVE TYPE :...... ; ......... CHIMNEY NEW EXISTING. ........................ ...........
Manufacturer ................ ............................................. 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 � . ���� .................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued B h . ff' ..� �r�...� C,. �f- �' /—.2 ,- /7 ,
y Title Date
Permit to install expires 60 days after issue date
Stove ........................ ..`. ......................................................................................................................................................................................................................................................
StoveClearance ..................... ........................................................................................................................................................................................................................................
Floor ................................................. .. .........................................................................................................................................................................................................................................
SmokePipe ......................................-r..... ..............................................................................................................................................................................................................................................
SmokePipe Clearance ......... ..:�...................................................................................................................................................................................................................................
Chimney .............................................. ..... ......................................................................................................................................................................................................................................
Smoke Detector ..............................................��". .......................................................................................................................................................................................................................
.. ....
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 ..................`% '' � <: 3
................ ..... ...........
Installer
i127- !4 INSTALLATION APPROVED By................................ ...,......:...�?!........................ Title: .. :.n rF. :.......................
....�.. , .........date........`.
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT