HomeMy WebLinkAbout3310 MAIN STREET - Wood Stove Permit 10/30/79 °- TOWN OF BARNSTABLE
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039. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ..t../)"'- ,3 77 FIRE DEPT. ISSUING PERMIT ....
NAME (owner) .....7_04......................................................:................. NAME (Installer) ...'
ADDRESS Q A4A.il%. �. ADDRESS ...................................................:::....:fa.........=:...............................................
STOVE TYPE %�-.............................................................................................................. CHIMNEY: NEW. ........................ EXISTING ........................
Manufacturer ...........C.-An�►f r)................................. A �?,,V l=' c f<Jr��r CHIMNEY: Masonry ........... ' ..............................................................
.. . . ....... ........................... y..
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 theFire Department,
............................. . ............................................... I..............................
a.nd subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: .........................:.......^:`' F�" ..... -..Title
�" ,i ) ..3
............................................. t e ....................... Date . }
�........... .............. p y...,..................:.............,............ ................................................
Permit to install expires 60 days after issued e
Stove ......................:.. +`... .. ............................................................................................................................................................................................................................................
StoveClearance .................. .. ............................................................................................................................................................................................................................................
' �l i r'G(r'4
Floor ..............................................................................................................................................................................................................................................................................................................
SmokePipe ...................................�.A ............................................................................................................................................................................................................................................
SmokePipe Clearance ({...............:.............................................................................................................................................................................................................................................
Chimney ..........................................................�...................................................................................................................................................................................................................................
SmokeDetector ............................... ..: ..............................................:.............................................................................................:....................................
The undersigned hereby certifies that the installation of wood.burning stove and equipment made under author-
..........ity of permit dated .......� r -.... provisions of the Commonwealth
... has been made in accordance with
of Massachusetts State Building Code now currently in effect and pertaining thereto .'ff --^w �x_
. .........................................
'Installer
INSTALLATION APPROVED ..... .d- 30 " By:...., -+' ^f ig'.:. Title: ........... . ..... -';
date.................. f :....... , ........... N
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT