HomeMy WebLinkAbout0053 WALTON AVENUE - Wood Stove Permit 09/22/79 TOWN OF BARNSTABLE
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Wood Stove Permit
2 FIRE DEPT. ISSUING PERMIT ''f� "' DATE OF APPLICATION *�' ? � � "-'�'''�
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..�.»� NAME (owner) .X�f.. t�..... ......................................* NAME (Installrs
er) ....:........... ...... ^` ' ..........................................
ADDRESS ....:.�. .........?� �_ /',ll�r/-� ....... ...
..:.......................................................................................... ADDRESS ........:....................... ....... .... ....:...........................................
STOVE TYPE /'3A `��^- P.tca.
:..........:........................:...................................................................... CHIMNEY: NEW ........................ EXISTING ....1'::::r....
CHIMNEY: Masonry I--
.............
Manufacturer ........... ..r-`.�►-"-: .................................................................... .......................................................................................
Mass. Approval .................��.--r.................................................................. 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 .......................:..... 1'?��'.................................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and-regulations made
under the authority thereof.
y• d� ��1u�' .. Title��...a.: ..:.. '� e ....... Date ..............................................d� rJ
Issued B ....:......................:........................ .....................................................
Permit to install expires 60 days after issue date
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Stove ........................:nl..!..�.................................................................:.................................................................................................................................................................................................
StoveClearance .......o...k.........................................................................................................................................................................................................................................................
Floorf%...............................................................................................................................................................................................................................................................................................................
SmokePipe /) ......................................................................................................
.........................................................................................................................................................................................
Smoke Pipe Clearance e r ,
.............................................................................................................................................................................................................................................
Chimney 0
........................................................ ...........................................................................................................................................................................................................................................
Smoke DetectorG' r ..................................:.......................................
j.... . ..................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated .... 5. ��.�...................... has been made in accordance with provisions;; of the Commo�nweeallth
oo-f. Massachusetts State Building Code now currently in effect and pertaining thereto'.r.': I::�:hl"14-k ;-..........................J� �"1- Uj
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.............................
Installer
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INSTALLATION APPROVED .. �'" ' '� vs i
B ....� .......� .....� � Title:�.....�............�..............
y:...................................................................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT