HomeMy WebLinkAbout0266 LINCOLN ROAD - Wood Stove Permit 11/13/79 �W'''�f ��`'• /� TOWN OF BARNSTABLE
6 9 � MASSACHUSE'I"I S
.� Wood Stove Permit
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DATE OF APPLICATION ...:..............�`.............../........................................... FIRE DEPT. ISSUING PERMIT ............. .........................................
NAMEowner ..................................,.......... .......................................... NAME Installer ......................................................................................................
1 / ` }
ADDRESS �� r1�d✓rI fl' .......................... ADDRESS .................................�..�-....................................................................
.................................................................................................
STOVE TYPE CHIMNEY: NEW ......!�"............. EXISTING ........................
.............................................................................................................
Manufacturer s,a
......................................................................p. ................................... CHIMNEY: Masonry ...................................::..................................................
Mass. Approval .........Ae"'rFa/ (-...................................................................... CHIMNEY: Metal ........................................................................ ...................................
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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 ............... !�`>..V..�).�............................................................. 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. yY li i.(� tom-�-'..�--- t........................................Title ...... _ i. - ............... Date �f 2..�.........�:...... .......................................................... ...........�...y.......................... ..........................
Permit to install expires 60 days after issue date
Stove ............................:....................................................................................................................................................................................................................:...........................................................
Stove Clearance .L,
...............................................................................................................................................................................................................................................................................
Floor
Smoke Pipe ................................................................................................................................................................
.......................... .......................................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney .....................................( ..................................................................................................................................................................................................................... ...........................
SmokeDetector ............ ...:�...............................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ...... .j..... ...>..:�........7.�............... has been made in accordance with provisions�ooff' the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto x !:.:.: !!f... �
Installer
INSTALLATION APPROVED �........................................................ By:..............'..... ~i..h/1 ��.. ,l�r //Title: 1. >.... !a!'.:! :^.:' �..
date �. .. '..
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT