HomeMy WebLinkAbout1643 HYANNIS ROAD - Wood Stove Permit 01/22/80 TOWN OF BARNSTABLE
BARNSTADL
AASL
039. MA5SACHUSEYFS
Wood Stove Permit
TO
DATE OF APPLICATION ................................................................. FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) ......................................................................................................... NAME (Installer) ......................................................................................................
ADDRESS ........................................................................................................................... ADDRESS ...........................................................................................................................
STOVETYPE ..........................................;................................................................... CHIMNEY: NEW ........................ EXISTING
Manufacturer .................-7—i:Fm/V Ix,Ll 0-4 CHIMNEY: Masonry ...........................P(.......................................................
Mass. Approval ............................................................................................................ CHIMNEY: Metal .................................................................................................
This is to certify that the above installer has permission to install a wood burning appliance at the listed address
/ 727 ,
in accordance with an application on file with the ......................T,11", 6 ....................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulation& made
under the authority thereof.
Issued By: Title C HIZ-1- ............... Date
.......................................................................................................... e ... .............. ..............................................
V Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
Stove Clearance ..........I...............0117
............ ........................................................................................................................................................................................................................................
Floor .............................................................................................................................................................................................................................................................................................................
Smoke Pipe ....................................J()
........................................................................................................................................................................................................................................................
HSmoke Pipe Clearance O.
..............................................................................................................................................................4............................................................................
Chimney ................................................ ...... .....t.......................................................................................................................................................................................................................................
'
Smoke Detector ......................0.........................../...........0....5.....1
..................................................................................................................................................................I................................
-The undersigned hereby certifies tLt the installation of wood burning stove and equipment made under author-
ity of permit dated has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code 'now currently in effect and pertaining 'thereto/ --I,
..........I..........................................................
Installer
I.A L . P A . Title:INSTALLAT10N APPROVED ...................................................... .................... ...........
date
_.V
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT