HomeMy WebLinkAbout0048 KENNEDY CIRCLE - Wood Stove Permit 10/18/79 TOWN OF BARNSTABLE
DARISTAU
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1039. ,� MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION . � "ram j FIRE DEPT. ISSUING PERMIT .......'� `. '........................................ .........................
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NAME (owner) G....................................................... a ; �r`. (Installer) rss
7..................................... NAME Installer ................ ....... ..........................................................
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ADDRESS .................................................... .... ADDRESS. ................................................................. .........................................................................................................................
STOVETYPE ............................................................................................................... CHIMNEY: NEW ........................ EXISTING ...,::............
milufacturer ........................................r l� a ?...../ ........................................................... CHIMNEY: Masonry .......................: ....................................................
Mask, 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 ........................................................................................................................ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
� *'� �� ...Title .: .c :'.:.....f ..j:``.. .......................... Date ./
Issued By: ,......... �`,.. ...............:. ...: - - F�rF ......
...... ......................................... ........... ............
Permit to install expires 60 days after issuer date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance ................................................................................................................................................................................................................................................................................
Floor ....................................................................................................................................................................................:.........................................................................................................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance ........................................................................................................................................................................................................................................................:....
Chimney ....................................................................................................................................................................................................................................:................................................................
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
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./. _ Title:INSTALLATION APPROVED By. . ............................................ ..........'...................::
date 'f
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT