HomeMy WebLinkAbout0149 GROVE STREET - Wood Stove Permit 11/07/79 Hof �O
TOWN OF BARNSTABLE
S BABalTM ;
1639. ,� MASSACHUSE'1vI'S
or�r�
Wood Stove Permit
J Q CDATE OF APPLICATION ...............1. ...... 1.. ....1.........:.:.....:....:.... FIRE DEPT. ISSUING PER ...........•................................................
NAME (owner) .. ...........e..G:, .I'.......I..................... .............................. NAME (Installer) ....................................::.:.............................................................
I ;
ADDRESS .....,l....,.91.............. ..... ..... ,�......CO. .
ADDRESS .............a.............................f............:...........................:...................................
STOVE TYPE t CHIMNEY NEW EXISTING�.....................�..... ...........::...........
Manufacturer `........................•......... CHIMNEY: Masonry:.............................:.:.................. .......................................................................................
Mass. Approval ............................................................................................................ CHIMNEY: Metal ................................................................................................
This is to certify that the above installer has permission to install a wooA burning appliance at the listed address
in accordance with an application on file with the Q.:...:. l.. ......... .... Fire Department,
........................................ . ............................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
i
Issued By. ' Title...................... .............................. .........� ....................... Date ................................................
<. 1{' . � :r ;'
Permit to install expires 60 days after issue date
Stove .........v...............................................................................................................................................................................................................................................................................................
StoveClearance ....V.............................................................................................................................................................................................................................. ....................................
Floor .......✓..........................................................................................................................................................................................................................................................................................
SmokePipe ......! ..............................................................................................................................................................................................:.........................:.................................:..........................
SmokePipe Clearance ...( .................................................................................................................................................................:....................................:.......................................
Chimney
Smoke Detector ...........
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
. .........................................
' r ,
of Massachusetts State Building Code now currently in effect and pertaining thereto ' ..1x � ='
...........................................................................
Installer
INSTALLATION APPROVED .......... .......7...: / ! By:....:Y'�,f-'...� .:r-..:. rl' `."..:.........`'. Title: ...{..:.........'..�.
......................... r ....... ..... ................. ... .......................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT