HomeMy WebLinkAbout0199 BETH LANE - Wood Stove Permit 11/26/79 (2) TORN OF BARNSTABLE
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DATE OF APPLICATION 449 �'........................... ,.................,..... ......... FIRE DEPT. ISSUING PERMIT ............................................
NAME (owner)-- -.A)..14. 9 �"rsi W ' / " tea NAME .(Installer) .. 0'/" .../ Lt ................................................
ADDRESS /`�� 7 /�r s 'r..... .... ADDRESS ....?:. .......... ......... .........
STOVE TYPE 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 ........................... ! z<' ........................................ Fire Department
and subject to.the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ................................................................ .................Title. .............................................................................. Date ................................................
Permit to install expires 60 days after issue date
Stove .........................................................................................................................................................................................
......... .... .....................................................................................
StoveClearance .......................................... ........................................................................................................:......................................................................................
Floor ...................................f ..."i.............................................................................. ....... .......
SmokePipe ................................... ......................................... . .............................................................................................................................................. ...........:.. ...............
r
SmokePipe Clearance .......................................................................................................:.................................................:.............:..........:...........:...................
Chimney ......................................(7),
. ............................................................................................................................................ . ..........................................................................................
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 .>.. .:"!. .Y r"} ���A,4�' - )10 Lf�° 4 .�.......................... By:. ........................ ................................ Title
date 7
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT