HomeMy WebLinkAbout0245 POPONESSETT ROAD - Wood Stove Permit 12/31/79 TOWN OF BARNSTABLE
Z BASdOTAU i
039.
0`. MASSACHUSETTS
Wood Stove Permit
r
DATE OF APPLICATION ... �r� .lf t.. .Z FIRE DEPT. ISSUING PERMIT ?..f...........
NAME (owner) �f %!1r _ .hr- 115 !.�.. NAME (Installer) r! ...� �... ..:.: .`: f:. .G..";......
.....................................................................................................
. . . ..... .... . ...... ...................... . ..... ......... r�...... S.....t......... ..... .........�
.....................ADDRESS r= 57.5.e 7_f R ........... ADDRESS t 30 STOVEITYP.EI' �'� ra J r� .................. CHIMNEY NEW "�r EXISTING
..................................................................::......................... . .. ............... ........................
C f4�0 'r /•'�6}r7 Gl f.ffG� r 'l��s,
Manufacturer �!:....... � 6 ,r?G r S-r.+ << r� ro2�r 5 CHIMNEY: Masonry :.1 r.....:................................................................
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 � + �� ' Fire Department,
......................................................................................................................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
y: . . . .(, � .............Title ,� • ; lo.s / Date f r'... ....�.......
Issued B ... ....................................... ........ ...+....... ..............
Permit to install expires 60 days after,..issue date
Stove ............
...............✓..� ................................................................................................................................... .................................................................
.......
StoveClearance ..✓.....�.....................................................................................................................................................................................................................................................
Floor ..................V ........✓
..... .....................................................................................................................................................................................................................................................................
SmokePipe ..........�.......!�..............................................................................................................................................................................................................................................................
SmokePipe Clearance ":........................................................................................................................... .........................................................................................................................
toe
Chimney .........:'.f
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 theeCommonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto•"7 # ' ' r"..........................................
/ Installer
.INSTALLATION APPROVED r 7 ` 2 , %� 'r"' �-
' By: ...... :�.......-"..'3.4............. .......�.......... Title. .. ':...........................f` :....
date `
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT