HomeMy WebLinkAbout0147 SUNSET LANE - Wood Stove Permit 10/18/79 TOWN OF BARNSTABLE
'163 MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ........... . ...... ........... FIRE DEPT. ISSUING PERMIT .........................
..... .......7.....
NAME (owner) 141-41-riFAI IAN /7—/,—
....................................6....................t...........!..................................... NAME (Installer) .....................................
,4
ADDRESS ........... ...............5.11.�44-;.(-crt.........1-.V............... ADDRESS .............C..............P4..............F 5 x
..........................
STOVE TYPE Ah*7"4 T-
...........O.0........................................................................................... CHIMNEY: NEW EXISTING ........................
Manufacturer Jo-,I-C/ CHI-MNEY: Masonry ......................................................................................
..............................................................................................66..........
Mass. Approval ............................................................................................................ CHIMNEY: Metal .................k/
.................................................................
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 ...............A��t...... L-.0e 0.................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under-the authority thereof.
Issued By: ....................................f..........7 ......................................
�4
.........................Title . .................................................... Date Y�.....................................
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Permit to install expires 60 days after issue date
Stove ............................................................................................................................................................................................................................................................................................................
StoveClearance ............................................................................................................................................................................................................................................................0...................
Floor ....................................................................................6................................... ..............................................................6.............................................................................................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance .........................................................................................................................................6.................. ............................. .....................................
Chimney ........................................................................:........................................................................................................................................................0...................0.06............................................
SmokeDetector ...........................................................................................6..................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
it y of permit dated .................................................................. has been made in accordance with pro isions�lof the4 Commonwealth
v
of Massachusetts State Building Code now currently in effect and pertaining thereto
............ ...................................
nstaller
INSTALLATIONAPPROVED ...................................................... By:................................................................................... Title: .....................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR PINK: APPLICANT