HomeMy WebLinkAbout0048 EASTWOOD LANE - Wood Stove Permit 11/03/79 TOWN OF -BARNSTABLE
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639• ,� MASSACHUSEWS
Wood Stove Permit
DATE OF APPLICATION .... ................. ...�................. ......... FIRE: DEPT. ISSUING PERMIT
NAME (owner) ........ :...•?� 0 ���GUi y] NAME (Installer) '' .. 1� f° .....................
............. ........................`..f..........
ADDRESS ....... ....��a ....... f?_>'r�/Jl�fl�! G iY ....... ADDRESS : ,.. �' t" f l✓• "l C'r� 'C f
... ............ ................................... ....... . ... .... .......
STOVETYPE ...../..'...................................................................................................... CHIMNEY: NEW ..............:......... EXISTING .....'' ..........
Manufacturer ...../Yr r��l71h a � 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 �:'j L/i Fire Department,
............................... .............................................. ....
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By:
., ...................,..,,,/..........................................................................................Title ......:.. 3..�:.:....................... ......................... Date ./
Permit to install expires 60 days after issue date
Stove .... .........................................................................................................................:....................................................................................................................................................................
StoveClearance ..................................................................................................................................................... ........................................................... ...........................................
Floor .i'. ........................................................................................................................................................................................................................................................:.........................................
SmokePipe ....'.`......................................................................................................................................................................................................................................................................................
Smoke Pipe Clearance ...! ..............................................
Chimney ... .....................................................................................................................................................................................................................................................................................
SmokeDetector ..... ........................................................................................................................................................................................................................................
......................
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 ..:.✓—, . ...:...ZeJ d . l iFu-r, t� r-,?
.................... By:..............F ............................. Title. ......................................
date .... .....
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT