HomeMy WebLinkAbout3965 MAIN STREET - Wood Stove Permit 09/22/79 TORN OF BARNSTABLE
2 Bsaa3rAU
6 e`• MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ...................................................... ........... FIRE DEPT. ISSUING PERMIT W.. ... ` _ ....
NAME (owner) ....1.. /' �; ';,+fs�AIR NAME (Installer) t11 r:1 7 ........mac`-., (JA?I '/,,F?. .........
................. . ..y. .... , .. . ......
ADDRESS 36r A41AI 'S r..........0 �M v& A1'PJRESS ............................!�✓U�(.1 '�ifA(�11,/ ..............................
_ .... . ............................................................
STOVE TYPE `` � �� /����� 1" " CHIMNEY: NEW ...... ............ EXISTING
Manufacturer - a 4¢F �I S 7-
........ .. . ............. ....................... . .......... ........ ,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 f� X��.. ! .E.. `................................................ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code.and regulations made
under the authority thereof. _
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Issued By: ... x .. 1��.. �.....`.................... .............................
y
..... ..........y.........'........................................ .......T,itle ..... Date "'
t'
j' Permit to install expires 60 days after issue date
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Stove ...... `! "., r111AdA_- ............r , , • !......�................
................................................................................................................... ................. ............ `.... . ... .............
Stove Clearance ..................... .�.Im.....................................................................�............................................................................................................................................................
..
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Floor ........................................ A ��r �
......................�..............................................................................................................................................................................................................................................
SmokePipe .................................. ...�...............................................................................................................................................................................................................................................
SmokePipe Clearance .....................`.)...... ......................................................................................................................................................................................................
Chimney .........r..............................................................................................................................................................................................................................
.......................................................... � _
Smoke Detector ........ ...
.. ............................... ..........................................................................................................................................................
....
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 proy sions of the—Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto..........�..........,,.....................................Al
Installer
INSTALLATION APPROVED ` Title:
.......r. ...........date.....;.......... By...
V
y: ....................�.. .... ............... .................
,
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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