HomeMy WebLinkAbout0144 CONNEMARA CIRCLE - Wood Stove Permit 12/14/79 •k
TOWN OF BARNSTABLE
Z BAR STABL
MASSACHUSETTS
Wood Stove Permit
i', lv��t .S
DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT ...".......................".............:..................
NAME (owner) Ci�GC I�t L L- ....0 lal l tV NAME (Installer) .....R!2.6/13.............-'...............'C.../!.��.,0 ?lry
ADDRESS ....�.. ` ........ �nt f=,�1V) i?t� t' 1 /y ADDRESS I �."..� �v/�Ji;""sV9�9Z r ..........C.�t"�).........9,{�y,
/ ......" ..."
STOVE TYPE .P/S /o CHIMNEY: NEW EXISTING .,.. .".......
............. ........................... ......... ..... ........... .........
Manufacturer ., /G ........�'......................
....................... CHIMNEY: Masonry ..........�...... ......
Mass. Approval ..........1 ...-r....... .....3 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 ............":.............: --**".'�:�►��...!':4 ..................................... Fire Department
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
/117
Issued By: ....,".....................11 j��ri Title :!�,.a"fX ...".. '. ......... Date ......... _ ....�:. ....
................................... ..�... ....................................
f d
Permit to install expires 60 days after issue date
Stove ..........................................................................................."......................."....".............................."...".............:.........................."....................................................................................................
StoveClearance ..........................................""................................................................................................:................................"...................................................."..........................................
Floor �.-
�....... ."..................................". . ..............."........... ...............................""..".".......... ..................................................................."........................ ".................................
SmokePipe ....... .. .............."................:....."............................."...................................................................................."......................................".........................."..............................................
SmokePipe Clearance ...................... ............................:........................................."...................""...............................`............................................................................................
Chimney ....... .. .....f.............................""..........................................................................."................................................"...................................................................
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
" R
r c�
INSTALLATION APPROVED By:.....::.......:.... 4A/(!,r,�h�Ju -Y' Title:' '
....
date �: T f i
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT