HomeMy WebLinkAbout1279 MARY DUNN ROAD - Wood Stove Permit 02/26/82 ��ypi THE Tp�`e�
TOWN OF BARNSTABLE
Z DAHISTAN
MASL
6 q. MASSACHUSETTS
�DMAYM�
Solid Fuel Stove Permit
DATE OF APPLICATION .............................r " ... FIRE DEPT, ISSUING PERMIT........... ................................. :................................................
6hrK
................................................�.......................... NAME Installer .......................................................................`........;�;.:..............NAME (owner) .................................... (Installer)
ADDRESS ....p✓ul..........®........................................... ADDRESS .::�..............................................................�..................................................
...............................
STOVE TYPE ...S C'44"1�/�'.......Md41 .�o' ........ CHIMNEY: NEW ........................ EXISTING .......
Manufacturer �+'!. �1 2*S4 5 CHIMNEY: Masonry .............. ..................,.....................................
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.
IssuedBy .......... .........................................................Title Date
Permit to install expires 60 days after issue date
Stove
StoveClearance ��.................................................................................................................................................................................................................................................................
Floor .6 i
.........................(....�..............................................................................................................................................................................................................................................................................
SmokePipe .........`'`.... ...............................................................................................................................................................................................................................................................
'�1„.....................................................................................................................................................................................................................................
Smoke Pipe Clearance�....:..�........
Chimney "' `
SmokeDetector. ............... .............................................................................................................................................................................................................................................................
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 E........: ....... ....................................
Installer.-k�"
�".. . tl/ . i 1 . tr 'r
INSTALLATION APPROVED ............................................................ By........................................................�.......................,......... T t e. ................................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT