HomeMy WebLinkAbout0158 SALT ROCK ROAD - Wood Stove Permit 12/06/80 TOWN OF BARNSTABLE
Z BARTSTM
AASL
26.39. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION .F ..... FIRE DEPT. ISSUING PERMIT *'` �'�..�'`....................
..... .. .......
NAME (owner) �T4C tr kri M� NAME (Installer)................................................................................................ .............................. ...................................................................
ADDRESS .......�..'.�.... �... ;` ADDRESS ...........................................................................................................................
. ..................................................................................................
STOVE TYPE A44,t,4A CHIMNEY: NEW ........................ EXISTING ........................
................:...................................................................................
Manufacturer ��tt i', .lit_4F,l,f,T ...... 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 �"`� ,// ..��. t�............................................. Fire .Department,r. .... ...........
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By• �— t ---' ........... Title 'f�4 111-O .............................. Date .j ..W..........`..............
Permit to install expires 60 days after issue date
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Stove ....................................... fG�...�:.......................................�,!'.`ti-...........�...................:.. .. ...........................................................................................................................
StoveClearance ..................................�.�...�f................................................................................................................................................................................................................................
Floor ........................................................ ...�............................................................. ...................................................................................... ... .V
SmokePipe ........................................... -�.�..................................................................................................................................................................................................................................
SmokePipe Clearance ........................ .............................................................................................................................................................................................................................
Chimney ..............................................................t) f4
...............................................................................................................................................................................................................................
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 ,the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ................ .(...1;4('"' ` - ,(
................................................
-Installer
INSTALLATIONAPPROVED ...................................................... By............Y.............. .....:.....: � ......................... Title. ...:;:.............�. .................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT
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