HomeMy WebLinkAbout0131 SANDALWOOD DRIVE - Wood Stove Permit 09/22/79 TOWN OF BARNSTABLE
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Wood Stove Permit
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DATE OF APPLICATION ........... .. x� ..t.. ............................ FIRE DEPT. ISSUING PERMIT ..1,..,. ... .f..... ... ...............:.
NAME (owner) ....l ..l ................ . ....ate . .....................: NAME (Installer) .. /...& 4 n11 J !�r ;T
.......................................................................
ADDRESS ......4. �.. ............ 4 Cil a �ll Cat C`� ADDRESS ......L...�Ic?. ... .....r ..3t�n ..�%'..........�I�1......
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STOVE TYPE ...�`t._V.!� �� VI 1 11I-A�k n'�,� CHIMNEY: NEW ......... ........ EXISTING................................................................................. ........................
ManufacturerQ � ........ CHIMNEY: Masonry...................................................................................................... .....................................................................
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.
Issued By: ................. .,..'...::..........:........... :1�, ..............Title .....'.r.....:.p ..f.. ....1........................................... Date . +f..... .r............/'.l`
........... .................................. j
Permit to install expires 60 days after issue date
Stove ......,,,,C,:aYIO^..' 1 pW:YL�rC� .....:...... Q. ....! ........... ........................................................................................... ......... ................ .
StoveClearance .............� ..T................r�. . .......,.......................... ....p.......:: .......:... ........................................t............ ....:........`...? .".......... ..........:...................................
Floor ....... ......................-..................'....f: ;...'�.s.�..................! .............'.........m.:�'..........:...................................... : .......................................................................................................
SmokePipe .......................................................................................................................................................................................................................:........................................................................
SmokePipe Clearance .........................................................................................................................................................................................................................:.....:.............................
Chimney ..........�...:. %
...................................................................................................................................... .............................................................................................................................
SmokeDetector l �'. ' "............................. : .............. .................................................................... .........................................................
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; ';�::�.!- 4 ��% -' .......,a.........J..........
r Installer
k� �d
INSTALLATION APPROVED'
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,.Title: .............'.:..:.................................
date
WHITE: FIRE DEPARTMENT — -CANARY: BUILDING INSPECTOR — PINK: APPLICANT