HomeMy WebLinkAbout0490 OAKLAND ROAD - Wood Stove Permit 10/16/79 TOWN OF BARNSTABLE v7
I 31AMISTMM
MASSACHUSETTS
Wood Stove Permit
>
DATE OF APPLICATION IRE DEPT. ISSUING PERMIT ....... .. .............
NAME (owner) ... ............... ... .... ....6.,. NAM
E (Installer) ........ ...t........ ..............................:.......)�.. ......
90 D lyV, ADDRESS 7_�....................................................
... . ..................... ..........
ADDRESS :7.............................................................................................................. A V
Nl
STOVE TYPE /CH IMNEY NEW ........................
. ................ ....... .................................................................. EXISTING .............
Manufacturer IW�i T�'J� At F IV CHIMNEY: Masonry X 4;� t (7 k�
.............................................!....................................................................... .......................................................................................
Mass. Approval 141 W-9—
..................................................................................................... CHIMNEY: Metal ..................................................................i.............................
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.
Issued By: itle)
................. .............................................. .... ...............................T ............................................il............... Date ......................................
Permit to install expires 60 days after issue date
Stove ..............r)
.............................................................................................................................................................................................................................................................................................
StoveClearance ............................................................................................................................................................................................................................................................
Floor ........................njr
.....................................................................................................................................................................................................................................................................
SmokePipe ...........................................................;.................................................................................................................................................................................................................
SmokePipe Clearance ...........................................................................................................................................................................................................................................
Chimney .....................................................................................................................................................................................................................................................................................................
Smoke Detector ..........1.6
The undersigned hereby certifies that the installation of wood burning Stove and equipment made tinder author-
ity of permit dated "IQ9.......r/ ............... has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto/11;11-01t/'4�_� 111111�411114�"I�
.. .............6..........................6...........................
"'Insita-Ilei
INSTALLATION APPROVED ...................
.... ........................ By: J-4-i. Title:_�)t �"IXJI
....... ..................6..... ....... ..............
date V
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT