HomeMy WebLinkAbout0126 OLD TOWN ROAD - Wood Stove Permit 10/12/79 TOWN OF BARNSTABLE 1
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039. ,� MASSACHUSETTS
Wood Stove Permit
/,®-- 62- 7 9 fy1y}��a r>J �
DATE OF APPLICATION .................................^"" ............................... FIRE DEPT. ISSUING PERMIT .........,..................................................
NAME (owner) ! D .`f'T .�. w ..... NAME (Installer) .��..:�:;& ..............�;;,,A,;�+...............................:
l ..... .........../........w. .._� .............^ ...
ADDRESS ......./..�Z..... l Ia 4t/�� Ir ADDRESS ..I4=69............�.�Zh.......... _w,, L........�'r�...'.......
................... .............................5........................
STOVE TYPE ....... ..�%...�.•�l•.!`Ilk,............................................. CHIMNEY: NEW ........................ EXISTING ........ ......
Manufacturer ..................................................................................................................... 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 ./i /PkJ(. f-1............... Fire Department,
.................................................................. ...............................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By:
nlJc� -�5 � �,n � / .�.-.. .��............................................................................................................................Title ..,..... ,.........:........p...........:.................................. Date ..................... ......
Permit to install expires 60 days after issue date
Stove ............................1..............................................................................................................................................................................................................................................................................
Stove Clearance .........Q
.......................................................................................................................................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
Smoke Pipe
................................................................................................................................................................:.............................................................................................................................
SmokePipe Clearance .......0..................................................................................................................................................................................................................................................
Chimney ........................................... ... ......................................................................................................................:.............................................................................:...................................
SmokeDetector ............................J.............................................................................................................................................................................................. ..........................................
The undersigned herebyyeerttifies that/,the installation of wood burning stove and equipment made under author-
ity of permit dated ...�.// � as been made m accordance with rovisi..:.......T`. l.a.:. : �"'. ce ons off the Co manwealth.
e , ��of Massachusetts State Building Code now currently in effect and pertaining thereto :...: .. ..............................................
Installer
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INSTALLATION APPROVED /1 ° y•+ f� '` 0r/r4itle:'. �Jt?:!���+...���°::
B ......................................................................,..... .....�... .. .. ... r
date
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT