HomeMy WebLinkAbout0037 SEAGATE LANE - Wood Stove Permit 12/26/79 i 0
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TOWN'' OF BARNSTABLE
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b 9L. ' t MASSACHUSETTS
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Wood Stove. Permit
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DATE OF APPLICATION ... Pv,YE.� r .Z� ...................... FIRE DEPT.ISSUJNG PERMIT {Z ' ��' '� �..............
.......... ..... . ... ...
NAME (owner) ^��................ tL NAME (Installe ..........;.............................:�......(C?C................................
ot Yi 11 �ADDRESS ............p......Q....�,.,....�......�.,.,....oi f f�.(?:........1.X..'.i...�.....S....�...r./..3..`..�......�..... ........ADDRESS ........... ..................
i.G............ ............ ....
STOVE TYPE .........6Q (?a i SL r� wed .�� CHIMNEY: NEW ........................ EXISTING... yV................................................................................................... ........................
1V m ed I cwft t1 7-Q—
Manufacturer ....................................................................................:...:............................ CHIMNEY: Masonry .....i: ............................................................................
Mass. Approval CHIMNEY: Metal
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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 ................:..........!�.;�!::� �-'- -!........................................ Fire Department,
................... .
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
ti.l. a:...........................................Title ...�:e n P�—�....J l-e... Date } t„c� (o/...?
Issued By: ............................................................................ .........................`.... ............ ... ..
Permit to install expires 60 days after issue date
Stove .........................�..........................................................................................................................................................................................................................................................................
StoveClearance ..............................................................................................................................................................................................................................................................................
Floor ...........................
.............................................................................................................................................................................................:.....................................................................................
SmokePipe ................ .......................................................................................................................................................................................................................................................................
SmokePipe Clearance ... -.................................................................................................................................................................................................................................................
Chimney ............................ ................................................................................................................................................................................................................................................................
SmokeDetector ..�.....P...S.............................................................................................................................................................................................................................................................
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 ..... 4DA2,1,61 .,t..'................. By:.i...`...y................� ...... -Title:
date /
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT