HomeMy WebLinkAbout0115 ACRE HILL ROAD - Wood Stove Permit 01/03/81 TOWN OF BARNSTABLE
t BAS STAU
,639. MASSACHUSETTS
Wood Stove- Permit
.... ............
DATE OF APPLICATION ............................................................... FIRE DEPT. 'ISSUING PERMIT ..... ...................... .................
NAME (owner) 4_06AF,#T
............................................................................................................ NAME (Installer) ................................................................................
ADDRESS .............. ...........10<4................. ADDRESS ...........................................................................................................................
STOVE TYPE ................ 4414 7—
.............................................................................................. CHIMNEY: NEW ........................ EXISTING
Manufacturer .......... ................... CHIMNEY: Masonry .................................................k
.....................................
Mass. Approval .....................4
....................................................................................... 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 t....................................................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
lope,
Issued By: 7A, ) - .
.......... ..............i............ .............. ......................Title ...........................6(. ................................... Date. ... ...........................................
Permit to install expires t60 days after issue date
Stove ..................../t-rZ 44 r
................................................................!....................................................................................... ..........................................................................................................................
Stove Clearance ...............................00,-
............!...................................................................................................................................................................................................................................
Floor ..........................................................611—
................................................................................o................................................................................................................................................................
SmokePipe ..............................................................................................................................................................................................................................................................................................
SmokePipe Clearance fi2 .................................................................. ..........................................................................................................................................................
Chimney ........................................................I
.......................................................................................................................................................................................................................:.....................
Smoke Detector .......................... ......yk......�
.... ............................................................................................................................................................................................................I...............
The undersigned hereby certifies that the installation ;of wood burning stove and equipment made under, author-
I
ity of permit dated ..........1—?, —,?/ . �
............................. ................ has been made in accordance with provisions o 'the/Commonwealth`
of Massachusetts State Building Code now currently in effect and pertaining thereto .......................................................
INSTALLATIONAPPROVED ...................................................... By....................................................".V/^.................. Title: .......................................................
WHITE: FIRE DEPARTMENT' CANARY: BUILDING INSPECTOR PINK: APPLICANT
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