HomeMy WebLinkAbout0492 SCUDDER AVENUE - Wood Stove Permit 11/06/79 • TOWN OF BARNSTABLE:
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MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION .........
...........
�.................................. FIRE DEPT. ISSUING PERMIT _.14.�ax.1,1%15.
NAME (owner) .................. . Ln...S OP............................... NAME (Installer) ........... .......................................................................................
ADDRESS ................... ADDRESS ..........I............................
STOVE TYPE ....................... CHIMNEY: NEW ........................ EXISTING V111...............
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Manufacturer ...kdo.(V�: ....... ........W .......... ............ CHIMNEY: Masonry ./.......-.....,......�...........I
. .. . ................................
Mass,. Approval ......................4.
...................................................................................... 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 ............................
0 i * !................................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: -4a,4-1. ...... .....................................Title_ ........................................................................ Date -77
Permit '"to install 'expires 60 days after issue. date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance 1.k.....................................................................................................................................................................................................................................................................
. .................................................................................................................................................
Floor ..................................Qi.k .................................................................................................................
SmokePipe .......................Q.r\...............................................................................................................................................................................................................................................................
Smoke Pipe Clearance ..........0.1s
....................................................................................................................................................................................I.....................................................
Chimney ...............................2..K...................................................................................................................................................................s.....................................................................................
SmokeDetector .................. .................................................................................................................................................................................................................................................
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 �Z_ .........................................
....................................... By:..................................... ..... T tle:
date f!
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR PINK: APPLICANT