HomeMy WebLinkAbout0035 FULLERS MARSH ROAD - Wood Stove Permit 05/28/80 TOWN OF BARNSTABLE
S BsaaerIUM _
'moo .639. ,� MASSACHUSETTS
0 MAY
Wood Stove Permit
DATE OF APPLICATION .' FIRE DEPT. ISSUING PERMIT-6 ......
NAME (owner) :.. ..f�.-....:!...► NAME (Installer) ^............-''a
ADDRESSf � ........ ADDRESS .......:�............... ..... 4 f /
If
STOVE TYPE ' ..-*...t. ..:!� 7................. ..� ....: CHIMNEY: NEW EXISTING
Manufacturer
:� ,� 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 thee. ......... .....:................................:...........:......... 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' 2... ..�� . !..: .�$ . ':. ................... Date`.................................................'
r............ .. ..............................................
ty
Permit to install expires 60 days after issue date
Stove ........... -
StoveClearance ...�z.....................................................................................................................................................................................................................................4..........................
Floor .......,. ...........................................................................................:............ ........................
1 ........ .....................................................................................................................
SmokePipe ... .............................................................................................................................................................................................................................................................................
SmokePipe Clearance ... ..............................................................................................................................................................................................................................................
Chimney
.::.....:.....:.......................................................................................
SmokeDetector ......r1 -�� ........................................................................................................................... ................................................................................................ ...................
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 . - :... ................. ................................ Title: :..F (......
y �f
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR--,, PINK:,APPLICANT
/