HomeMy WebLinkAbout0022 BAY ROAD - Wood Stove Permit 12/01/80 (2) Q�THET0
TOWNzOF BARNSTABLE ;
= BARIUM
.6 9 MASSACHUSET'I'S
�0 MA`S h.
Solid Fuel Stove Permit
DATE OF APPLICATION . f.. '..................................... FIRE DEPT. ISSUING PERMIT '?". .!..... .............................
�.. NAME (owner) ....................................... ..................�...... ..................................... NAME (Installer) ....:...............................................*....................... .......�.......
'202
'3111
ADDRESS ........................................................................................................................... ADDRESS ..................:.......................................................................................................
STOVE TYPE ...... ' +'= �a CHIMNEY: NEW ........................ EXISTING X
.............................. . ........ y.............
Manufacturer ....`. .....:..... .....'`��"... ...-' /.. CHIMNEY: Masonry j>(V..............
Mass. Approval f. ��.. ........................................................................ CHIMNEY: Metal ....................................................................................._............
This is to certify that the above installer has permission to inst(p11 a solid fuel burning appliance at the listed
address in accordance with aria application on file with the ...........4J : .!: ....................................pp ................ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued BY: Title ��c?:A .. X� ........................ Date 1 /
w ........0 ................ r ............... ............ ......`.............
Permit to install expires 60 days after issue date
Stove1',/... .............................................................................................................................................................................................................................................................................
StoveClearance ..!.............................................. _....................................................................................................
Floor .. ...........................................................................................................................................................................................................................................................................................
SmokePipe ...'..:...r.................................................................................................................................................................................................................................................................................
SmokePipe Clearance .. 1..............................................................................................................................................................................................................................................
y 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 pertainingthereto" �" d '
Installer
P
y� Title:
INSTALLATION APPROVED .. ',` .... ).........:............. B ,.......`;........��:4..:.:.... ......'
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT