HomeMy WebLinkAbout0100 MARSTONS LANE - Wood Stove Permit 11/26/80 TOWN OF BARNSTABLE
BAIRL STM
6
9. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ............ DEPT. ISSUING PERMIT .............4`::_..z...............
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"1 0 �r /,/4
NAME (owner) ............................................................................................................ NAME (Installer) ...........ems. ....................................................................
ADDRESS .....L��.....h.!
............ ADDRESS .............;.............................................................................................................
STOVE TYPE .............................................................................................................. CHIMNEY: NEW ........................ EXISTING .................
Manufacturer ...................................................................................................... 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 ................................................................I......................I................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
A
IssuedBy. r.....................I, /... ......... ..... .......... ..............Title .. ..... . . ......................................... Date ..... . .......7. d
..........
V Permit to install expires 60 days after issue date
Stove ...........................................................................................................................................................................................................................................................................................................
Stove Clearance .............3 4 C_ a
............................................................................................................................
-7-
Floor ..................1..... L
....�.................................................................................................................................................................................................................................
Smoke Pipe .......... (0
...........................................✓I..............................................................................................I..........................................................................................................................................
SmokePipe Clearance ............................... .............................................................................................................................................................................!..............................
0
Chimney ....................................................................................................................................................................................................................................................................................................
Sn
Smoke Detector .............................................................................................................................................................................................................................................................................
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 theCommonwealth
Ji U t AV
of Massachusetts State Building Code now currently in effect and pertaining thereto ..................................
...................................
Installer
INSTALLATIONAPPROVED ...................................................... By, ................................................................................ 'Title:
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT