HomeMy WebLinkAbout0219 BRAGG'S LANE - Wood Stove Permit 11/02/79 ypf fir`
TOWN OF BARNSTABLE
AML
039. MASSACHUSETTS
Wood St6ive, Permit
DATE OF APPLICATION ..........ZY............................... FIRE' DEPT. ISSUING, PERMIT ....................................
NAME (owner) ............... n- zz NAME (Installer) ................................................................ ..............................................................................................
ADDRESS ..............a.1 q ................../_ A ADDRESS ...........................................................................................................................
.........................
STOVE TYPE ............... Q W NEW............................................................................................0,4g,HIMNEY: EXISTING ........................
Manufacturer ........... ...................A4 4 dl-4 Jk,
......................................................40CHIMNEY-: Masonry ................C...................................................................
Mass. Approval ............................................................................................................ 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 ....................... .
. ........ ...................................... Fire Department,
......... .. .. ............. ......
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
:Issued By: ...............a .................... Title..................................................... ..1 ............................................... .................. Date .................................................................
1pr i
Permit to install expires 60 days after issue date
Stove ...........................
...............................................................................................................................................................................................
. .................................................7.........................
Stove Clearance ................/,) k
.....................................................................................................................................................7....................................................................................................
Floor ............................................ ................
...................................................................................................................................................................................................................................................
SmokePipe ...............................()...........r.,......................................
........................................................................................................................................................................................................
Smoke Pipe Clearance 19 /f
................. ...........
Chimney ...................................................J
.............................................................................. ..................................................I.......................................................................................................
Smoke Detector ..............................V
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated V... .... ....-.1 /J................... has been made in accordance with provis I ions of the Common,wealtCommonwealth. ....
of Massachusetts State Building Code now currently in effect and pertaining thereto9k
Installer
C 1V k-
INSTALLATIONAPPROVED .................................... By,: ......................................... Title: ................. ...................................
date U .
WHITE: FIRE DEPARTMENT CANARY:'BUILDING INSPECTOR PINK: APPLICANT