HomeMy WebLinkAbout0024 MYRTLE DRIVE - Wood Stove Permit 11/19/79 TOWN, OF- ':BARNSTABLE
A6 e`• MASSACHUSETTS
�0 YAY Ind
�t Wood Stove Permit
DATE OF APPLICATION j
............... ....................... .. .......: FIRE DEFT. ISSUING PERMIT
...........
NAME (owner) 6e—( ? �AP /) n ` &11_z^ NAME (Installer) � �-
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........................................ ...... ........ ........ ......... ......... ........ .....................
ADDRESS ? 4 f ../, L th..�.. Kl h/JADDRESS ......:.............:.:.....:.�....................�........ ......... ................. ..................
STOVE.TYPE ... ..: .. .........................:............ CHIMNEY NEW EXISTING
Manufacturer ...........................f.........................................................................:::........... CHIMNEY: Masonry .........L'..'.........................6....... ...................... ...............
Mass. Approval ...........�.......�--% ............... 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.�f..��,................:.................................... Fire Department,-
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By• t�/ Q D! ,�(� Title r�Lco .UAY,.t�. Date ...�1/„/ -2 9
................ _ _ ...... . .......................................... ............................ ...� ................................ .......
Permit to install expires 60 days after issue date
Stove ........................................................................................:............................................................................................:.......
......... ................................................................................
as
StoveClearance .�......................................................::..............................................................................................................................................................................................:...........
Floor
1�.,,�................................................................................ .................................................................................. ............................................. ................................
SmokePipe .............................................................................................................................................................................................................................. .............................
�................................................................................................................................................................................................................................................
Smoke Pipe Clearance
Chimney (� Ilk
......................................................................................................................................................................................................................................................................
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 rovisi�s"of the Commonwealth
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of Massachusetts State Building Code now currently in effect and pertaining thereto�.:.�.'A ..............r` -�
Installer
INSTALLATION APPROVED 1.° ...... .. By:;.':�+;,.. '.{ .s+.. Title: �� N.......................'%'11
date.................. ..f .......... . ..... !"� ,
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT