HomeMy WebLinkAbout0081 RALYN ROAD - Wood Stove Permit 10/15/79 TOWN OF BARNSTABLE
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Wood Stove Permit
... .. ...�. FIRE DEPT. ISSUING PERMIT ........................:.DATE OF APPLICATION ..........:........................................ ....................................
7 i NAME (owner) f'S1an, � OU �1�a/ l� t NAME (Installer) ..........:...t.1..�. ..'.���::. .....................................................
... .................. ........... .........
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ADDADDRESS ...... ......... .................................... RESSf
...................... j .....:.......i...,....................
STOVE TYPE .........:........................:.......................................................................... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ..............................' !) ..................!..:... .................................................... CHIMNEY: Masonry ..........................:f...................................................
Mass. Approval ..............Ili ....
................................................................................. 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.
Issued By: �. v( � ..................Title ...../a:'G1/,...Pr ............................... Date Il i�,/r���
.....................:................................ti..
Permit.'to' install expires 60 days after issue date
Stove .............. ..I..�......J .......�..�.l......�..... ...............t....t...1..�i( ( ta,4i. .�1�.1.. ............................i................................f............................................................................:.......... I
Stove Clearance .r........ i . .
.. ... .. .............. .......... ............Floor ` .�.O .....: { C) fI(lC ` 1 ' flt�(1I �_, � t�f 1� 1 ; J1 C � iY!7`
............................................................................................................................ .. .................... ....... .......
SmokePipe ............ ............................................................................................... ..................................................................................:..... ....................:..........................................................
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Smoke Pipe Clearance .. �....h 71.{i 01 .!) fF� ........................
.................. ......................................................................7........................
Chimney .... n .................................................) 1r j
.. ................................................................................�............................................... ..........................................................................................
Smoke Detector .....1.. ...� I (� �( f �� �, w li i� }.......� !. M:J.t ........................................................................................
i ................................................................I.....�.......... _ .......
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 .�`' By• �..`�.-��--t`-`�n Title � �l�.r' :..-
C date ..........
............ J.f, ........... - • _ .......... ............... .... ..............
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT