HomeMy WebLinkAbout0088 HIGH STREET - Wood Stove Permit 11/15/82 ,
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TOWN OF BARNSTABLE
BMSTUL
MAUSL
.639.
6q. MASSACHUSETTS
0 MAY M�
Solid Fuel Stove Permit
DATE OF APPLICATION 1 � � .............................. FIRE DEPT. ISSUING PERMIT ...... .�.r.' .......................
NAME (owner) ...�saro'.k?':!:.>�' _Ir. ............. .e..C.:�.g11.r...... NAME (Installer) ............. 4,ko-I,F..-r..............n .. :. ..a..r..
ADDRESS ............... ��. ADDRESS ...............�45.....:.. 1'f L6
................. ...................... .. ..................... .................,..
STOVE TYPE ..........AA41a! - r t� .......................... CHIMNEY NEW EXISTING
Manufacturer ,�.C_ AZ.......... CHIMNEY: Masonry .................... ...................................................
............................ / ................................................:..........
Mass. Approval ....................�
.......................................................................................... CHIMNEY: Metal This is to certify that the above installer has permission to install a solid fuel burning appliance at the listed
address in accordance with an application on file with the ....... ' i i................................................. .......... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
a I r� 0-r Title �.0 �, sr�. 'Date ...11 4 f .9_a
Issued By: ....:. ...........�.............Y..............................:.................. ......................�.�................................................... ........ . � ......................
. ..........
Permit to install expires 60 days after issue date !
1# r
Stove
StoveClearance ....... ..................................................................................................................................................................................................................................................................
Floor ............................................................................................................................................................................................................................................................... . ......................
SmokePipe .. ........................................:..............................................................................................:...............................................................................................................................
r,
Smoke Pipe Clearance ..
Chimney � `j'�
Smoke Detector
.�;ate
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 Comm�Wfi/Ql'h
of Massa elitisetts"State Building Code now currently in effect and pertaining thereto .. .....A..-?*�� -o . .... -!�''Y ,.. ..
Installer
t�
INSTALLATION APPROVED ......................... ............................. B . ....j. .................................................... Title. ...... >i.... �...............
1 date y.......
it
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT