HomeMy WebLinkAbout0109 CEDARWOOD ROAD - Wood Stove Permit 11/07/79 Hof rOi
TOWN OF BARNSTABLE
2 aeaaerasM
MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION .610h4.....� / FIRE DEPT. ISSUING PERMIT 0 .......................
."NAME (owner) / /t3 d�S Fk a "7"�Al NAME (Installer) ( / • ...� ....... :..............................................y..................................................... ( ........ y... ............
ADDRESS � : .......c.................................. ADDRESS / 4-,,r,1,06,,c�''�, ?,...... ;.......................................................................................
STOVE TYPE � .�.7!R ► �`►�' �1- ' �j�a +�� CHIMNEY: NEW .....!' ........ EXISTING.................... _ ..................... . .
J
Manufacturer �l,n� n� ��r�c-� r� t,t�a?c"���F"....� rl '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 4 :� a ... Fire Department,
....................................................................................................................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ..............................................................................................................................Title .............................................................................. Date ................................................
r
Permit to install expires 60 days after, issue date
Stove .......................................................::
.......................................................................................
.............................................................................................................................:...................
StoveClearance ............................................................................................................................................................. ................................................ ............................................
Floor .. ...............................................................................................................................................................................................................................................................................................
SmokePipe .1�................................................................................................................................................................................................................................:............:.....................................
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 ............................................................................
Installer
INSTALLATION APPROVED .'.t9l."' 79 By 6` �� " Title: .� �.......�.�,�=,1�..
date.................. y. ..................... . ...... ........... _ ..............
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT