HomeMy WebLinkAbout0348 SCUDDER AVENUE - Wood Stove Permit 01/17/80 TOWN OF BARNSTABLE
t 33AR STABL 'D A,?
MAIL MASSACHUSETTS
Wood Stove Permit
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DATE OF APPLICATION ... ........:............. ......:...............:. FIRE DEPT. ISSUING PERMIT .!'� �f'�'..'! ....'�::Gc'...............
NAME (owner) ,CIJ .�. ?"a�� NAME (Installer) ......................................................................................................
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ADDRESS ADDRESS ...............................:......
STOVE TYPE .....! .:r =~. ::.......... ..�.1 ........ ...:..... CHIMNEY: NEW EXISTING........................ ........................
Manufacturer .....5 ..............................................�. .. . f.s....& . CHIMNEY: Masonry .............................1 ....
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Mass. Approval ............... CHIMNEY: Metal ................................................................................................
This is to certify that- he. above installer has permission to install a wood burning appliance at.the listed address
in accordance with an application,Aon file with the Fire Department,
AN'
and subject to-the provisions of the Commonwealth of -Massachusetts State Building Code and regulations made
under thew lity'thor �thereof.
Issued By• 0' (A)v�v� .)1 ....................................Title ix�u.....�t ............. Date '.. ` ...� {5
............................. .............................�. .. r r
Permit to install expires 60 days after issue date
Stove ............0�1 : ...............................
.... ..............................................................................:....................................................................................................................................................................
StoveClearance .... .............................................................................. .... ..... .................................................... . ........ ............ ...................................................
Floor ................. ................................................................................................................................................................................................................................................................................
SmokePipe ..........Q.. .............................................................................................
...........................................................................................................................................................................
SmokePipe Clearance ...... .. .........................................................................:.............................................................................................................................................................. .
Chimney �......`
............................................................................................. ................................................................................................................................................
SmokeDetector ..............I.....Q ........................................................................................................................................................................................................................
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 provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and. pertaining thereto ..................................:........................................
Installer
INSTALLATION APPROVED Jt— -" n�7 r`/�.. Title. ra � + f
date.................. By:........................e
....... .�........� �................r... ...........................................
WHITE: FIRE DEPARTMENT. - CANARY: BUILDING INSPECTOR - PINK: APPLICANT `0