HomeMy WebLinkAbout0049 BUCKINGHAM WAY - Wood Stove Permit 10/24/79 TOWN OF BARNSTABLE
ISARISTAEL
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MASSACHUSEWS
Wood Stove Permit
DATE OF APPLICATION 23................................ FIRE DEPT. ISSUING PERMIT I........................
Me NAME (Installer) ......................................................................................................
NAME (owner) H.ary L , Vr ,e---s
............................................................................................
ADDRESSJ�u�!mR64n'l.........................................................................M. ADDRESS .............I.............................................................................................................
STOVE TYPE ....................................................... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer =EtA? ................................................................ CHIMNEY: Masonry .......................................................................................
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: ........................Title A.I.Eur......... .......................... Date Z 7.2.......
. ..........................................................
Permit to install expires 60 days after issue date
Stove .....................................................................................................................................................................................................................................................................................................
Stove Clearance ..................................
Floor .........................................................................................................................................................................................................................................................................................................
SmokePipe ................................................................................................................................................................................................................................................................................
SmokePipe Clearance ..Z..................................................................................................................................................................................................................................................
Chimney ...................................................................................................................................................................................................................................................................................................
SmokeDetectors''........................................................................................................................................................................................................
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 z.............. ............ Title: ..AZ'efuz.........................
date
41
I
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT