HomeMy WebLinkAbout0047 HIGHLAND AVENUE - Wood Stove Permit 10/19/79 TOWN OF BARNSTABLE
NARISTAEL
'oo .0 v`. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ......... .... .................................... FIRE DEPT. ISSUING PERMIT l n:a!�,2.:!......... ....
NAME owner .-{
(owner) c�' ..... NAME (Installer) �....................................................................................................... ......................................................................................................
ADDRESS ...............................................................��..�........................................... ADDRESS ...........................................................................................................................
STOVETYPE ' ` �.........................d........`...........,......................................................... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ........ ..... p �e lisle r ................
1,kt o�..�........�'�............."�................................'........................ CHIMNEY: Masonry ..........................:............................................
Mass. Approval .......r .: ....................................................................................... CHIMNEY: Metal ........................................................................................:.......
This is to certify that the above installer has permission to install a wood burning appliance at the.listed address
`_.tin accordance with an application on file with the ��a � / � Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: . .................' c�• � . Title i. .%/� ........... Date /�.'/,�'... ....
r ................ ................................................ ................
Permit to install expires 60 days after issue date
Stove .....................................................................................................................................................................................................................................................................................................
StoveClearance L.'..........................................................:................................................................................................................................................................................................................
Floor ...................................:.........................................................................................................................................................................................................................................................................
SmokePipe ..kr..............................................................................................................:....................................................................................................................................................................
SmokePipe Clearance k!:� ...................................................................................................................................................................................................................................................
Chimney � ....................................................................................................................................................................
SmokeDetector ...'..........................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation. of wood burning stove and equipment made under author-
ity of permit dated Qt.� .` .............. has been made in accordance with provisions-of the Commonwealthrt
......................... ...................
of Massachusetts State Building Code now currently in effect and pertaining thereto � ^ 'M
...............................................
w Installer
INSTALLATION APPROVED A LZ....1........� B :.11�7� ......:.� .:... !.--...:::.. Title: .. f!a.a.......... '�>•
daate , ..,7.�. y ........�..........
F _
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT