HomeMy WebLinkAbout0080 WINTER STREET - Wood Stove Permit 11/19/79 TOWN OF BARNSTABLE
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,639. MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION ......OJn ....... : .... `?. :. ....... FIRE DEPT. ISSUING PERMIT )4,1d 1'`�t_ ...... ................................................
NAME (owner) ... f �..=,� �..r�1 NAME (Installer) ! - '+•'� �.-^•!'..�'
ADDRESS .......... ./?�h.� .> .Cu. �� r c%�, �v►,, . ADDRESS ........................................................... �....... . .....
............... ........,..................:.
STOVE TYPE ray.�:....7 •r .................................................... CHIMNEY: NEW ........................ EXISTING ..... .............
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Manufacturer ..................................................................................................................... CHIMNEY: Masonry ..............................................................................y.......
Mass. Approval L.`...........................................::3:3..-5.......1 ./.......... 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 � ' -a .., .. 4.-.-' •..............................• Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: rt��P.v �1u Title ............................: ..... ................. ....... Date ...
.........................................................,;.....,...................................
Permit to install expires 60 days after issue date
Stove
Stove Clearance ............ -
Floor .......... .............. .... ............................................................................................................................................................................................................................................................
SmokePipe ....................U. ...............................................................................................................................................................................................................................................................
Smoke Pipe Clearance .....(}
........................................................................................................................................................................................................................................................
I
Chimney ............................
.......... .....................................................................................................................................................................:.......................................................................................
SmokeDetector ..............................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated z 2z ' 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 ...................................................... By > °* - ....... Title:! l-��'r.... .......� A /
..........................................................................� ///
date �.
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT