HomeMy WebLinkAbout0035 VANDUZER ROAD - Wood Stove Permit 10/07/80 TOWN OF BARNSTABLE
3 STM
�639. MASSACHUSEWS
Wood Stove Permit
7-
DATE OF APPLICATION .................... FIRE DEPT. ISSUING PERMIT ......................................
NAME (owner) 4A-Afl) Y A/ C_119JA
.........................................................!............................................... NAME (Installer) ......................................................................................................
ADDRESS .............5,�_ Ilk-/7(,/7-&( /?/)
.......................................................................................................... ADDRESS ................................... ..........................................................
STOVE TYPE ............... .................................... CHIMNEY: NEW ")%/.............. EXISTING ........................
................. .. ....... ..... .. ....
Manufacturer ...............C"-1_A-_A-iA ()0A
.................................................................................................... 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 ............... A41&-674 A t rc-
..................................................... 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........................... �-A�u
....................................................................................................................Title ................................................... Date ........... ..................
V
Permit to install expires 60 days after issue date
Stove ..................... ......................................................................................................................................................................................................................................................................................
Stove Clearance ..................112 VIT
........... .....
..6) .......................................................................I................................................................................................................................................................
Floor ......................................... Ir
.............y....................................................................................................................................................................................................................................................
14r
Smoke Pipe ...................................
()............................................................................................................................................................................................................................................................
Smoke Pipe Clearance .......... ......................................I
......................................................................................................................................................I....................................
Chimney .................................................0
.............I......................................................................................................................................................................................................................................
Smoke Detector ......................................y
.......................................................................................................................................................................................................................................
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 th ereto 4...........................................................................
Installer
INSTALLATIONAPPROVED By..................................................................................... Title: ......................................................
date V
T z I.
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR PINK: APPLICANT