HomeMy WebLinkAbout0127 RIDGEWOOD AVENUE - Wood Stove Permit 10/05/81 • i
TOWN OF BARNSTABLE
BABH9TABL
cASL
9 MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION .......I.d...... '� / r .•.t FIRE DEPT. ISSUING PERMIT f
.................................. ........... ...........................................................
NAME (owner) .....rI...N.�' A � � AJ NAME (Installer) ....:....!�...:�:. d G��^ d . r"
.................................................................................. ..............................................................................
ADDRESS ..../...R2............... 4......4...1 ADDRESS / r5 4, / t Co � &/,
...... .... ............................................................................�......F..f...r....v...s..
STOVE TYPE .............. .. �'r' C O CHIMNEY: NEW ......... ...... EXISTING
................................ ........................... ........................
Manufacturer ..................................................................................................................... CHIMNEY: Masonry ............................L"....'...............................................
Mass. Approval ............................................................................................................... CHIMNEY: Metal ...................................................................................................
This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
address in accordance with an application on file with the iv/✓� J.................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
C `?/ ��fi1� % Title �t -< `S Date �/'F /Z /
IssuedBy. ................................................................................................�....r .............. ...........................�..........��..... ..........................
Permit to install expires 60 days after issue date
Stove ............................................................................................................................................................................................................:..............................................................................................
Stove Clearance _, • - ... y •...- ............................................ ......I.................:f... .............................................................................................
r........................................................................�...............
Floor ............................................................................................................................................................................................................................................................................................................
Smoke Pipe--:--fi• • ... �._
SmokePipe Clearance .................................................................................:............................................................................................................................................................:.................
Chimney ....................................................................................................................................................................
SmokeDetector ..-':.:+..... .................:::.... ......... ..:...................s ...........................................................................................................................................................
,The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
it thority of permit dated .��... .5�. � has been made in accordance with provisions of the Commonwealth
........ .. .................
of Massachusetts State Building Code now currently in effect and pertaining thereto ..4.......:/.��—*-��17
Installer
INSTALLATION APPROVED ............................ -.%...........................'/� By�
.................. Title: .::......?::...................................
date' P
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT