HomeMy WebLinkAbout0051 SHADY LANE - Wood Stove Permit 12/06/79 TOWN OF BARNSTABLE
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MASSACHUSETTS
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cou Wood Stove Permit
DATE OF APPLICATION ...........1 106` .79................................ FIRE DEPT. ISSUING PERMIT VA.1.? 9............
NAME (owner) ..ALFR.f- ? CROCKZ�R............................................. NAME (Installer) r, !3 � tyr�rn� z=
............. ........... ......... ...,.....................................................
ADDRESS ....�`.E . ,1 �f....L??, F� , »t3. . Itnl� "tADDRESS} .....a�aiatYr.... :' .�- !"....... . 'x• n»,.
...............
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STOVE TYPE Cam:.. :{..... . r,.r a.. .-.: . -' CHIMNEY: NEW .......... ........ EXISTING ........................
Manufacturer PLY�OTI ??R0N 11OR S� PLYt.7lHCHIMNEY: Masonry .........................................................................................................................................v..................
Mass. Approval ..........�........ . `M(�� 7,-/ CHIMNEY: Metal CLASS..."Alt....M �'TAL....BEST(.,``.....
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............................................. .........
This is to certify that the above installer has permission to install a wood1burning 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.
Dateyrr� '7,�(,/°7 � � T tl Issued B a ............ i e ...................': ..Y...................................
: .. ....................... C
Permit to install expires 60 days after issue date
Stove ' ................... ................................................................................................................................................................................................................................................................................
Stove Clearance l
......:........................................................................................................................................................................................................................................................I................
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Floor ..............................................................................................................................................................................................................................................................................................................
SmokePipe .........................:....................................................................................................................................................................................................................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney ...................... ................................................................................................. ............................................................................................ ..............................
SmokeDetector ...... :......................................................................................................................................................................................................................................................................
coal
The undersigned hereby certifies that the installation of wob`d burning stove and equipment made under author-
ity of permit dated .f..{2....2...-. ti................ has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto .���?R ....................................................
CR R -R
Inst'01er� {y
INSTALLATION APPROVED .......,....'........ By �— ��^�...e: ......... ........ .. ............. .. Title. .
date ..`.. ..➢. ..
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT