HomeMy WebLinkAbout0035 MOUNT VERNON AVENUE - Wood Stove Permit 04/08/80 TOWN OF BARNSTABLE
ZASTAU . .
MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT/�. /f'�.............................................
NAME (owner) .................C
......
....................................................................................................... NAME (Installer) ..............................................................................
ADDRESS ........... y0ziv ADDRESS .........................................................................................................................
STOVE TYPE 2Y..... ........................... CHIMNEY: NEW EXISTING ........................
Manufacturer ...........................................................................................I......................... CHIMNEY: Masonry .........................................................
Mass. Approval ........../.V'119 �................................................................... 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
IssuedBy: �77................................ ... Tdtle .............................................................................. Date ................................................
Permit to install expires 60 days after issue 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 e= :�. <"—.19A has been made in accordance with provisionsof the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ............. .....................................................
Installer
INSTALLATION APPROVED ....................................... .......... Byjh� ........ ... .. ......................... ... ...
, . . . _ 4
: .........:... ...•�� ..........
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT