HomeMy WebLinkAbout0089 EISENHOWER DRIVE - Wood Stove Permit 09/30/80 �W'y��f
°°• TOWN, OF B'ARNSTABLE i 1111 —0
i BAR STABL
039. MASSACHUSEWS
Wood Stove Permit
DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT !,.z17'::r... +
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NAME (owner) .........................LI...........:...................................... ... NAME (Installer) ............................................................................. �..
ADDRESSt..........................................................+�........................................................... ADDRESS. . ........................... ..............................................................................
STOVE TYPE � C,?CiU !_L.... CHIMNEY: NEW ......:!e........... EXISTING ........................
.... ....
Manufacturer -q Del rr, 5.............................� .t:. ... CHIMNEY: Masonry .:... ........................................................................
to .I - F.--
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 .<? ^ ,�. �. �� ................................................. Fire Department,
............. ......v......
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority]thereof.
1
IssuedBy: .......... ....... :................. ..........�................................................................Title .�,....:��.................................................. Date � �.
1 Permit to install expires 60 days after issue date
,VDU a�
Stove ................� !
.............................................................................................................................................................................................................................................................................................
r
Stove Clearance ..... ............. /.............
Floor .................... .lr'...l E>......... L.r.4l(7.T ............c ................K-c,--t c t�!''. .£'...:.......... Y�� Q" > .... ./ ../.. 7r U
SmokePipe .................................1.............. .. ._... ..... ................ .....................::.......................................,.........................................................................................................:...............
SmokePipe Clearance ................. i............................................................................................................................................................................................................................................
Chimney ................. ............`�..'...�.C�/!... ......../f !..........................................................................................................................................................................................................................
Smoke Detector .....................3..................................................................................................................................................:............................................:................
.......................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ...........���... .... .r ........... has been made in accordance with -provisions of the Commonwealth
� 1 r
of Massachusetts State Building Code now currently in effect and pertaining thereto ..........................................................................
Installer
INSTALLATION APPROVED .. ...`.... : �� �a By:. � . ''Title: `....
dateto .......... f .; .... ......... ... . .... ..... ........
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT