HomeMy WebLinkAbout0726 PUTNAM AVENUE - Wood Stove Permit 10/28/80 TOWN OF BARNSTABLE
BeaaarM
6 9 MAS5ACHUSETTS
O
Wood Stove Permit
DATE OF APPLICATION �� Apt) ........... FIRE DEPT. ISSUING PERMIT .....................+..T + %........ ..........................
f ' t
NAME (owner) ... "... rr. r/.+� /,/...//.�....a.r13� ( )�,�+I ���s+ +�./..lfitrr,.r,•,f�!rG!/4
t......... NAME Installer C_
ADDRESS ADDRESS ..............�r :.:....:................................................
STOVE TYPE ....................... .................................—.................................................... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ..../......c .�,-.,-.. r..-.."., r ar CHIMNEY: Masonry .. ..............................................................................
11 J��2..-- CHIMNEY: Metal ...................:....
Mass. Approval .......:...............................................................................................
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.
Issued By: ......................... C_,,.. . 01 .......Title S .................... Date ,. �........' ............-
........... ......................................................................... ...................,. .
Permit to install expires 60 days after issue date
Stove ......... .......................................................................................................................................................................................................................................................................................
StoveClearance ..`'.................................................................................................................................................................................... . ...............................................................................
Floor ...........!'.".'..P........................................................................................................................................................................................................................................................................................
Smoke Pipe
1 ......................................................................................................................................................................................................................................................................
SmokePipe Clearance ........................................................................................t.......................................................:.....................................................................
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 ...........................................................................
r
Installer
INSTALLATION APPROVED �'=�.". U..'. ........... By,:: /� -..::: ZZ::^:: f`� Title: a-", /�
date r
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT