HomeMy WebLinkAbout0214 COTUIT BAY DRIVE - Wood Stove Permit 09/27/80 ' M t
TORN OF BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION 9 7. FJ FIRE DEPT. ISSUING PERMIT �1:.�.r!.:............................................................................................... .................
NAME (owner) _.........�'�/�r�?;a l+.z.. ................ NAME (Installer) ............::........................................................................................
ADDRESS !� . L. a`2 , .,, a a I. ADDRESS ........................................................................:
... .. ........... ......
STOVE TYPE �.' :F. /�'-`� ✓' CHIMNEY: NEW EXISTING �r....................................................................... ........................ ........................
Manufacturer _ ."l/'77 Ala) la ................................... CHIMNEY: Masonry .. .....................................................................
Mass. Approval ( .. t 7.................................... 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 ................................. ""!::.'........................................................... Fire.Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By• .t�-/J �•. .S l x� - -��............Title ��J er b'`. w`�t�:.�r: .......... Date .......... ..................................
'
..`..._ ...... _ ........................................................... ................................ Y
Permit to install expires 60 days after issue date
Stove .... 'r.. .......................................................................................................................................................................................................................................................................................
Stove Clearance t�
...........................................................................................................................................................................................................:....................................................................
Floor ..................
..............................................................................................:..............................................................................................................................................................................................
SmokePipe ........ ........................................................................................................................................................................................................................................................................
�i
Smoke Pipe Clearance ..............................................................................................................................................................................................................................................................
�s
Chimney .............. .......................................:....................................................................................................................................................................................................................................
SmokeDetector ...............................................................................................................................................................................................................................................................................
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 ...........................................................................
Installer
INSTALLATION APPROVED ....... `. �/.. ........................... By;.�i�.:_:..........:.............%..'..;.....�....... Title: ..(a.�' -+..�....�...`.` `.
date / - ...........
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT