HomeMy WebLinkAbout0050 WEST STREET - Wood Stove Permit 11/19/79 TOWN OF UARNSTABLE,
33ARTSTM
16
0. MASSACHUSEWS
Wood Stove Permit
DATE OF APPLICATION FIRE DEPT; ISSUING PERMIT .......................
.......................................................
NAME (owner) Z&S..........4Fe1,4AJ 4_e_RCf%............... NAME (Installer) Ek L F...................................................................... . ............................................................. ns ................... ........
ADDRESS ..........1,D........ .............. ADDRESS .....................IV14
...............!...................s.................................................................
STOVE TYPE !IeAl¢ ........................................ CHIMNEY NEW ........................ EXISTING
................
Manufacturer ............................................................................. 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 .........................................
p Fire Department,
...............................................................................
and subject to the provisions of the Commonwealth of Massachusetts State..Building Code and regulations made
under the authority thereof.
...................Title ............................................................... .... Date Zy.., .,..;7"9...........
Issued By: .... .......................................... ...........
Permit to install expires 60 days after issue date
Stove ....................................................................................................................................I..........................I.........................................................................................................................................
StoveClearance .....................................................................................................................................................................................................................................................................
Floor ....W......
-1,
.. ..................................................................................................................................................................................................................................................................................................
SmokePipe ..e�..........................................................................................................................................................................................................................................................f.......................
SmokePipe Clearance t�.................................................................................................................................................................................................................................................
Chimneyi.�.....................................................................................................................................................................................................................................................................................
SmokeDetector ...........................................................................................................................................................................................................................................................................
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 'Z.2! Z.2............. ............ .................................................................. Title: K.Z� X.................................
date 7
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT