HomeMy WebLinkAbout0000 CROCKERNECK ROAD - Wood Stove Permit 11/15/79 TOWN OF BARNSTABLE
0.39 MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ..A/0 I 9 '79 FIRE DEPT. ISSUING PERMIT ..67,".2-121.2..........
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NAME (owner) ............................................................................................................ NAME (Installer) If...........................................................................
A
ADDRESS LIZ--STA41...................................
............. ADDRESS .........................................................................................................................
STOVE TYPE ....
................. CHIMNEY: NEW ........................ EXISTING ...........
....... ...
.................................................................................... ..........
Manufacturer ............M ...................................... CHIMNEY: Masonry tl�..................................................................
..... . ... ............ ........ ............ ...............
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 ............................ !p r_!..4_2.............................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ...........Title . ................................................................ ..........................
ir...................................................7........................................... Date 7`�
Permit to install expires 60 days after issue date
Stove ......................................................................................................................................................................................................................................................................................................
tr
Stove Clearance ...............................................................................................................................................................................................................................................................................
Floor ....6..................................................................................................................................................................................................................................
SmokePipe �................................................I......................................................................................................................................................................................................................................
SmokePipe Clearance .1.'..�........................................................................................................................................................o.......................................................................................
Chimney �.........................................................................................................................................................................................................................................................................................
SmokeDetector ......................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and eqiipment made under author-
ity of permit dated .......79..................... has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ...........................................................................
Installer
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INSTALLATION APPROVED Z2'20 _19' ........ Title: ........................
date 1..
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT