HomeMy WebLinkAbout0197 RALYN ROAD - Wood Stove Permit 12/27/80 TOWN OF BARNSTABLE
imirSTM
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039 MASSACHUSEYFS
Wood Stove-Termit
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ATE OF APPLICATION ZZ............................................................... FIRE DEPT. ISSUING PERMIT ...........................................................
NAME (owner)v5;44,10-...... ...a4.....7.... . NAME (Ins4taller)
0. ...........................................
. .....". ...R..._............................. . . .....
ADDRESS Z2? ............. ......................................................................... ADDRESS . ............ ............ ... ... ...........................-........I....
............
STOVE TYPE Te........................................................................................................... CHIMNEY: NEW ........................ EXISTING I...........
-Manufacturer Y�� VV7^,I _/��11'47*!T ........ C.IMN 411�
.................................7...........................:W.................................. EY: Masonry .......................................................................................
Mass. Approval t.,I).. .. .................................................I............. 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 n file with the ...................../1'44Z41'
0 ................................................................................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
I Issued[ By.-->eAG .................Title ,aa '
............................................... .............................................................. Date .............................................
Permit to install expires 60 days after issue date
Stove ............................................... ........................................................................................................................;................................................................................................................
Stove Clearance 4.�
..........................................................................................................................................................................................................................................................................
Floor ..........................................................................................................................................................................................................................................................................................................
SmokePipe .......................................I....................................................................................................................................................................................................................................................
SmokePipe Clearance 4 .................................................................................................................................................................................................................................................
Chimney ......................!............................................................................................................................................................................I..................................................................................................
Smoke Detector Al-l"
...........................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ...........A 7............ I..................... has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ......................................................
Installer
INSTALLATIONAPPROVED ....................................... ................................................................................. Title: ...............................
date
WHITE: FIRE DEPARTMENT CANARY: BUILDINdL INSPECTOR PINK: APPLICANT