HomeMy WebLinkAbout0050 GERALDINE ROAD - Wood Stove Permit 11/19/80 ,� • TOWN OF BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION ......... ./1 ........... FIRE DEPT. ISSUING PERMIT reC4,1 I C?S 1.........._
NAME (owner) 0?Atc
.... ..�......................L..C..�.`.... r ff................ NAME (Installer) .....................................
....... .;.r.. ....................................................
_
ADDRESS ....................5 C ) 4.�.a I �<J/,r0h......... Vr�......... ADDRESS ..�j.�....�...:�...•��i�z�.�41...:....!.......�.�...:... tF..c,.'�lfAt
.......................................................... ....
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STOVE TYPE � � / .... CHIMNEY: NEW ....................:... EXISTING .....�..........
.....................:.....................................................................................
Manufacturer Al; r.e�� ;� . ,, ell ...:........... CHIMNEY: Masonry ........................................:. .........:...............:..........
. ....iK:1 ...4....... .r.............................................................
Mass. Approval ..1//.....ol, , m.................................................................... 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 �"Il 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: .......... r` .2�iw— �� /� G� � Title ....... /�� i` f!` �. Date .....� .. ... �U
............................................ ......................fj..... ............. ...........................................
If
Permit to install expires 60 days after issue date J
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Stove ......................... i// � rt i .t.;'! C .r lr�� .....�. �" �V/.'i / l
StoveClearance ... ........................................................................................................................................................................................:...................................................... ! ........
Floor ..:.................................................................................................................................................................................................................................................................................................:.........
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 %l �cr�. .......... has been made in accordance with provisions of the Commonwealth' '
of Massachusetts Stat Butilding Code now currently in effect and pertaining thereto .."+�. r.�...'f....................................................... ......�.....
Installer01
INSTALLATION APPROVEDf e ........... By:.-.t. .../.: (...'..... ,.. ................: ::: Title: r �� :f......: ,-!Q
dte WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT