HomeMy WebLinkAbout0019 OCEAN AVENUE - Wood Stove Permit 10/17/79 eaaaer�r, TOWN OF BARNSTABLE
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i�a e`• MASSACHUSETTS
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Wood Stove Permit
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DATE OF APPLICATION j....y..::..........................:....................... .... FIRE DEPT. ISSUING PERMIT .:.:..L...t{ ......................:....r..............
NAME (owner) ..:.. ......&".....L,1 RU-44 ................................... NAME (Installer) ...... !`� �- ,
.................................. ........ ......................................................
ADDRESS ........................................................................................................................... ADDRESS .......................................................................................:...................................
_. 90.
STOVE TYPE-, 3f . .......................................................................... CHIMNEY: NEW ........................ EXISTING ........................
,,.................
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Manufacturer .............. ............�......................................`.........�/ur..`::..:.'y..j.... CHIMNEY: Masonry ......:................................................................................
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 ........................... ..................x .....................................:......... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By :�ic� ��.......................................Title Date J %s f
..................................................�............. .............................................................................. ...,.. . ....
Permit to install expires 60 days after issue date .
Stove .................QX..............................................................................................................................................................................................................................................................................
StoveClearance .... :�...............................................................................................................................................................................................................................................................
Floor ........................ •.....................................................................................................................................................................................................................................................................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
Smoke Pipe Clearance v
.............................................................................................................................................................................................................................................................
Chimney ..................�J......................................................................................................................°........................................................................................................................................................
SmokeDetector .............'. ............................................................................................................................ ........................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipments'rn'a'de/und.e�autlior�
it of permit dated l.k. J•� _ , hieComm ' /wea ��
y p "' ..... has been made in accordance with provisions of��t,h��.e Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ..........,c....................... ........ ....... ......
fInstaller
INSTALLATION APPROVED ....,I/:.. 'J B :...II.. R sE'��''I'' � !�-�"'�....... Title.:� ,al• .1 �
..................... y .....................................X
date 1 �'
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT