HomeMy WebLinkAbout0058 MEGAN ROAD - Wood Stove Permit 08/01/79 TOWN OF BARNSTABLE
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MASSACHUSETTS
Wood Stove Permit ��~��~
DATE OF APPLICATION .. .... .t 12 q FIRE DEPT. ISSUING PERMIT ...........................................
NAME (owner) °Ci� l2'7 NAME (Installer) k
........................................................... ......................................................................................................
ADDRESS ..�2 2....... ADDRESS T.oU L.A.10......M.Y.SA,Pit................................................
ARRtSD�.1 - — pdJ� ..
STOVE TYPE ....................................................................................................:.......... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ......aA{;:R.!.SoN .�.11C �'v.......................................... CHIMNEY:. Masonry .............�.....................................................................
_..... ...............
Mass. Approval ..,�7/ty:.................................................................................... 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 /:. ;�tit� ........... Fire Department,
................... ...............................................................
and f subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
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Issued By: 1�... .t...� c��;/ tvh ..................Title �v. � j t�.� tu ........ Date ..... . ...... ... y..
............................................ �..`.. r. .. .....�...............
Permit to install expires 60 days after issue date
Stove ...................................r........................................................................................................................................................................................................................................................................
StoveClearance ........ ..h............................................................................................................................................................................................................................................................
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 .................................................................. has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ............................................................................
Installer
INSTALLATIONAPPROVED y ^� �'' ( ° / ' .. �-.................:.................................... B ..........................:..........................................................;.,Title: ...........................................:..........r
date d
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT.