HomeMy WebLinkAbout0037 LATTIMER LANE - Wood Stove Permit 01/26/80 TOWN OF. BARNSTABLE
Z BARISTM
'� 6 9 MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION ` a"'- FIRE DEPT. ISSUING PERMIT ....... .�F.
n^I ................. !. .:�.........
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NAME (owner) ¢ � �� . ��� �. NAME (Installer) ..... ...................................................... `� .. �.............. ...... ......... ................. .......
ADDRESSrs �I �1 t.( P S 5 ADDRESS ......... t/..f..'.t—;1.S..........tt ................................................................ _ . ........................... .. .............................
STOVE TYPE + R -�i� � .if' '................. CHIMNEY: NEW ........................ EXISTING ........................
............................................................ ................
Manufacturer ..................................................................................................................... CHIMNEY: Masonry ...............!::...................................................................
Mass. Approval /t�Pr-X ..... 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�% .. ........... Fire Department.........................:................................................................................. ,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
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IssuedBy ..................Title� ? . . ............................................. Date ...................................
Permit tin' stall expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance ...........................................................................................................................................................................................................................................................................
Floor ........................... :........................................................................................ .................................................................................................................................................................................
Smoke Pipe I,--
...............................................................................................................................................................................................................................................................................................
Smoke Pipe 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 .......:. :.'..:.
V y J
` Installer
t'?
INSTALLATION APPROVED6........... (- J`{^BK /W Title: ^ E?i�r)......date.................. ✓ ,n?�`
y:.................. ...................................`............ ...... .. . ...... ..6r
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT