HomeMy WebLinkAbout0197 GREENWOOD AVENUE - Wood Stove Permit 08/05/80 TOWN OF BARNSTABLE
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'moo 6I MASSACHUSETTS
Wood Stove Permit
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DATE OF APPLICATION ...................................... .............:. FIRE DEPT. ISSUING PERMIT ..� :�''�'`'�
......
NAME (owner) ....:....,1 ., 1" .�.. ........... .....�- ... NAME (Installer) ................ ........................... G
ADDRESS 1 I J G f W o Q f Vt=ADDRESS .......................
................................... ......................................................................................
STOVE.TYPE ...................�,►;.�,�1 ( ........................ . ,5....... CHIMNEY: NEW ..........:! ...... EXISTING ........................
Manufacturer CHIMNEY: Masonry .:... �..� .
................ t: '. ..^...:".... ....... ............. . ........... ..................
419
Mass. Approval ......Alm,0-- ' / ` ��� CHIMNEY: Metal t... ..... ... ....................r. .......
This is to certify above installer has permission to install a wood burnin appliance at the listed address
P ,.......g PP
in accordance with an application on file with the +"►fitia Fire Department,
................ ......................................................
and subject to the provisions of the Commonwealth of Massach-iisetts State Building Code and regulations made
under the,authority thereof�q
IssuedBy: ..............................................................................................................................Title .............................................................................. Date ...............................................
Permit to install expires 60 days after issue date
Stove ............... ...............................................................................................................................................................................................................................................................................
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StoveClearance ..f.?......................,,. ........................................................................................................................................................................................................
Floor .................... .......................................................................................................................:..........................................................................
SmokePipe ................... ... ...........................................................................................................................................................................................................................................................
SmokePipe Clearance .......:. .. ............................................................................... ................................................................................................................................................
Chimney ...........................0.......................................................................................................................................................................................................................................................................
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 . ! z !........ .. ...................�.. .
Installer
INSTALLATION APPROVED .......................... B Title
date...... y. .............. ............................ ...y.. .... ..*,;, . ............ ..........�...................
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT