HomeMy WebLinkAbout0289 SALT ROCK ROAD - Wood Stove Permit 11/12/80 TOWN OF BARNSTABLE
i asaaSxAU -
��p f63q.39 MASSACHUSETTS
CFO Yoh M`
Wood Stove Permit
l
DATE OF APPLICATION �PZ.~ .. `'...: FIRE DEPT. ISSUING PERMIT .:.... ....................................................
..............................................
NAME (owner) fJ >/.!'.4.A-5 ...... NAME (Installer) �141J6- ��C/�✓��".,�Z-
.....................................................................................
ADDRESS ............ .. T /&r'J..G ..... ADDRESS ............................................:<A/-?;.:�.................:............................
.... .......
STOVE TYPE /' �� 7" CHIMNEY NEW EXISTING ✓�.... ....................................................................... ........................
Manufacturer ....................................:............. CHIMNEY: Masonry ................... .......................................................
........4:''...........................
Mass. Approval ..............................................1:: ............................... 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 me- .................................. Fire Department
... ....................... ..... . ........
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ............................................................................. � ................. ..............................................
Permit to install expires 60 days after issue date
Stove ..........................
.....................................................................................................................................................................................................................................................................................
StoveClearance ......................... ................................................... ......................................................
Floor .............................................. ............................................. ....
SmokePipe .........................................................................................................................................................................................................................................
.....................................................
SmokePipe Clearance .............!............ ...........................................................................................................................................................................................................................
Chimney ................................................. .................................................................................................................................................................................................................................
SmokeDetector �-.�� ... '. .............................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equi�nt made under author-
ity of permit dated 11 112.. U............... has been made in accordance with provisions of.the Commonwealth
I
of Massachusetts State Building Code now currently in effect and pertaining thereto.: .
Installer
INSTALLATION APPROVED %r �
RO ED ......y.............................................. By .............�........v......... ............................................. Title: ......................................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT