HomeMy WebLinkAbout0140 INDIAN TRAIL - Wood Stove Permit 05/14/82 i 7RAHd9T . TOWN OF BARN-
STABLE
SUL
aN v►� MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION FIRE DEPT. ISSUING PERMIT ....................................
NAME (owner) h! C�4.� �4 .................. NAME (Installer) ..�.,.:?.
...............................................�.....................
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ADDRESS L Y0 ..... !............................................... ADDRESS ;........... ... . .... 0f.*........:�.�..'.�.'�..............................
......................
STOVE TYPE ......V„Q1 ' ....................................:........................... CHIMNEY: NEW ......! ............ EXISTING
........................ ........................
Manufacturer ...... /. :M1 .... $....�"`.�'................................. CHIMNEY: Masonry .......... ......................................................
.et Q
Mass. Approval .............................................................................................................. CHIMNEY: Metal ...................................................................................................
This is to certify that the above installer has permission to install a solid fuel 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.
C�
IssuedBy. .................................................................................................................................Title .................................................................................... Date .....,....................................
Permit to install expires 60 days after issue date
Stove
StoveClearance ........ ....................................................................................................................................................................................................................................................
Floor .".............................................................................................. ...................................................................................
..........................................................................................
SmokePipe ........�� ............................................................................................................................................................................................................................................................................
Smoke Pipe Clearance
!�1..............
Chimney ............... ... ..............................................................
....................................................................................................................................................................................................................................................
SmokeDetector .................r 'P..S...................................................................................................................................................................................................
..........................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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 ?r' .f t f +fW'!A........................................... ....
Installer
INSTALLATION APPROVED Q�
..�........��.....� ........ By:.. i........................... ................ ... Title: .. . ......':'::....'.............
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT