HomeMy WebLinkAbout2240 MAIN STREET - Wood Stove Permit 10/22/79 a
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TOWN OF BARNSTABLE
6 9 ,� MASSACHUSEWS
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Wood Stove Permit
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DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT .....................:......................................
Y Y
NAME (owner) ... ...................................4 A rt.� � NAME (Installer) .... �li./F�.........: AC,�4
ADDRESS ........;� 90..................0 ..... ....................................
ik S 7" ADDRESS ................................:�..:�....:!�.:t.......................................................
... .............. ............. ........................
STOVE TYPE ........ .................: EW................... ... . HIINEN EXISTING
................
Manufacturer /U/(,.1+7-PA- d ALr S 7—d vr�..... 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 � ��r....�-:� � .'`. ��...... .................................... 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 Date
Permit to install expires 60 days after issue date
Stove ............ .................................................................................................�:..�.t// ti•...............f....�J.0 .................................................................................
StoveClearance .............o AJ...................................................................................................................................................................................................................................................
Floors :............................... ... ....... ........ ..... ..... ................................................ ....
SmokePipe (2 / ............................................................
...............................................................................................................................................
SmokePipe Clearance ............ ... ..I...................................................................................................................................................................................................................................
Chimney .............................................../2 k......................................................................................................................................................................................................................................
Smoke Detector .............................
/......... ................................................................................................................................................................................................................................
......................... .
The undersigned hereby certifies(that the installation of wood burning stove and equipment 'made under author-
- ity of permit dated ...........:.....................Y..............�............. has been made in accordance with provision`S�o` the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ....... ` � ..f.A :�.�'?---
.................... .........................
.. Installer
STALLATIONAPPROVED .,,.................................................. B :.......,................,.o.,..................................................... Title: ............ ...................................
�� r Y date y I!
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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