HomeMy WebLinkAbout0056 SMITH STREET - Wood Stove Permit 12/05/79 TOWN OF BARNSTABU
IDAILIFSTAU
039. ,� MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION ... �� � �............................. FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) , " ��� � � �.............. NAME (Installer) � .......... �IVA 'R
............................................................... ...................... .............................................................
ADDRESS . =. .
STOVE TYPE ........YIS.7,�. ./0 ................... CHIMNEY': NEW. EXISTING......................................... .,�:............
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Manufacturer ..................................................................................................................... CHIMNEY: Masonry .......................................................................................
Mass. Approval CHIMNEY: Metal .................................................................................:..............
....................3....y............................
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.
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IssuedBy: ........... .................................Title ..........r...............i...........................V............. Date ...........................................
Permit to install expires 60 days after issue date
Stove ............................. .j ...................................................................................................................................................................................................................................................................
StoveClearance ... K.............................................................................................................................................................................................................................................................
Floor /. .......................................................................................................................................................................................................... ....................................................
SmokePipe ........................ .......:.............................................................................................................................................................................................................................................
SmokePipe Clearance ........'�......................................................................................................................................................................................................................................................
Chimney ....................................................................................................................................................................................................................................................................................................
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 .. .�7............................................. By• `.I f• .fie. Title• j� ..... .�..Irl �.'..
jt t
date ....... ............... . ..........�...,�,...... , .........` ..�. f
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT