HomeMy WebLinkAbout1525 HYANNIS ROAD - Wood Stove Permit 10/25/80 f
TOWN OF BARNSTABLE
DARNSTAIM
6 0`. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION / sue.......................~ ►.. ' ........... FIRE ADEPT. ISSUING PERMIT ... �: �'
NAME (owner) ............. NAME (Installer) ` . ...........................
ADDRESS l..r .�/Ye .vJr//5 'r�, r"� v�'�c/ Tip � ADDRESS C'4 Y :.. :�..:.`..... ......... ....... .....•
STOVE TYPE .. ryfl?C'n4t._ . CHIMNEY NEW EXISTING
Manufacturer rA r C_< TAB
. ..... ..... ......................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 ........................................................................................................................ Fire 'Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: y ....................................................Title �.�. i' f ............ Date. ...
Permit to install expires 60 days after issue date
Stove ...................Gam''_
.........................................................................................................................................................................................................................................................................:................
ice, --
Stove Clearance .......................................................................................................................................... ...............................................................................................................................
Floor ............................... �.r ..:...................................................................................,.........................................:. ...........................................:...........................................................................
Smoke Pipe ..................
....................................................................................................................................................................................................,.......................................................................
SmokePipe Clearance ........ y............................................................................:.......:.........................................................................................................................................
Chimney .....................
..............................................................................................................................................................................................................................:.................................................
SmokeDetector .................... •....:......`............................................................................... ..................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ....... ...." +s..`:�r`� �'............. has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto 1 ' .......~
-Installer
INSTALLATION APPROVED
! Title " rEr-,.............................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR PINK: APPLICANT
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