HomeMy WebLinkAbout0026 CIRCUIT AVENUE - Wood Stove Permit 10/23/79 TOWN OF BARNSTABLE
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163 9. MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT ...........................................................
NAME owner) i............. ................................................................... NAME Installer ......................................-......./.0.....5.. 4�
.................................
ADDRESS ...................A .A 4 e-.......
ADDRESS ....................................................................................................................................................STOVE TYPE , W ............................................. ............................ 'CHIMNEY: NEW ........................ EXISTING
Manufacturer ................................................. CHIMNEY: Masonry. Z..........................................................................Mass. Approval ...........................................k %................................................... 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 ........................................................................A 141/a .............. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: ............
...................................... ....i............................................Title ....................................................... Date
Permit to install expires .60 days after issue date
Stove .......................................................11, too...................................................................................................................................................................................................................................
Stove Clearance .....................................................................t--?
...........................................................................................................................................................................................................
Floor ................................................................................................. ......11019
..... ..................................................................................................................................................................................................
Smoke Pipe ..................................................................................
............. ...................................................................................................................................................................................................
SmokePipe Clearance ............................................../.51,�...................................................................................................................................................................................................
Chimney ......................................................................................-,)
...............................................................................................................................................................................................................
SmokeDetector ...............................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ......... 1421?01>9.................. has been made in accordance with provisions of the Commonwealth
7 7 -12L 4 X "< -/-?, %/,.,/
of Massachusetts State Building Code now currently in effect and pertaining thereto.....................!�....................................................
Installer
INSTALLATION APPRVED : 4e
.... ........................... Title ......................................................
date
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR - PINK: APPLICANT