HomeMy WebLinkAbout0013 MARC AVENUE - Wood Stove Permit 10/02/80 � 7 r
TOWN OF BARNSTABLE
i BeaaSraU t
'oo �Ma 9 '' i MASSACHUSE'I"I'S
Wood Stove-Permit
t rr
DATE OF APPLICATION ... � ................... FIRE DEPT. ISSUING PERMIT �................................... 11L................................ ................
NAME (owner) E� I-€ �Y � 5Q...� Y. ......... NAME (Installer) ................' e a � ..... r..... . ... ..
ADDRESS / .' A A r C �, � f .C. I"1 •• ADDRESS Sr�..:.�:..�..�f.................. ......... .... .
C�
STOVE TYPE .''?. ... .A 1rl I A 1 � CHIMNEY: NEW EXISTING
. .................................... ........................................ ............. ....... ........................
Manufacturer .................................................................................................................... CHIMNEY. Masonry .......................................................................................
.
Mass. Approval (> �') T,4 /tic3r4 N—A /- 7-�P 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.
a
1'
Issued B ...................Title _ '-` a-, .,.....:........................ Date ...... / .�
.� ...... �.. ............. .. ... ..... ....................... ...........:... .................... . ; ......
Permit to install expires 60 days after issue date
Stove
StoveClearance .....................................................................................................................................................................................................
v ....
Floor ..........................................................................................................................................................................................................................................................................................
......pe ..........................................................................
Smoke�P '` ............................................................................................................................................................................................................
. ...
Smoke Pipe Clearance ?G< ,.�
.....................................................................................
Chimney ........ .............................................................................................................................................................................................................................................................................
SmokeDetector ... .. � �--�.........................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated .........J. ..'.. .. d.::................... has been made in accordance with provisions of the Commonwealth
of Massachusetts State.Building Code now currently in effect and pertaining thereto ........................................
V Installer
' INSTALLATION APPROVED ..............................v `�v ' / f l y....... By..... Title.. ......................................................
date �.. .
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT