HomeMy WebLinkAbout0035 ACRE HILL ROAD - Wood Stove Permit 01/29/80 TOWN OF BARNSTABLE
31ARNSTAU of
039. MASSACHUSETTS
Wood Stove Permit
- 170
DATE OF APPLICATION ........... . ................................................ Cl I- FIRE DEPT. ISSUING PERMIT ..46A .YA..........................
NAME (owner) LAte9A4..1........... .............. NAME (Installer) ..........0...................
................................................
ADDRESS ADDRESS ...........................................................................................................................
....................................................
STOVE TYPE ...................j;F44..1I,4? ..,I ...................................... CHIMNEY: NEW ........................ EXISTING P I..............
Manufacturer krJf,,4- 5 T77 yI �- I?AA,,r, X
................................................................................................ 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.
r
Issued By: 44 a 1/7?)- J74,,,. ........t................................. Dat. . .......12 C.l.-..F0
...
Permit to install expires 60 days after issue date
Stove ................/ 41-5-rl).......................................................................................................................................................................................................................................................
Stove Clearance ...........................(9 /14T
....................................................................................................................................................................................................................................................
Floor .......................................................t) /I—
...... .... ..........--..............
Smoke Pipe .....................................r) III
........................................................................................................................................................................................................................................................
Smoke Pipe Clearance ..................
.......................6........................................................................................................................................................................................4.........................
Chimney ......................................................() /T
...............I...................................................6..............................................................................................................................4......................................
SmokeDetector ............................ ...................................................................................6.......................................................................................................................................
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 CommonIealtli�
.of Massachusetts State Building Code now currently in effect and pertaining thereto A.. t...................... ..
JQ1lle, V-,<1
sta
-A
INSTALLATION APPROVED By.....
................................................ ..................................................................t.............. Title:
;r .........................................
date, C/
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR PINK: APPLICANT