HomeMy WebLinkAbout0118 HOPEWELL LANE - Wood Stove Permit 10/24/80 TOWN OF BARNSTABLE
s DAZISTABL i
Epp 1639. ,� MASSACHUSETTS -
�
Wood Stove Permit
DATE OF APPLICATION .....................................�.r..`......... .... , FIRE DEPT. ISSUING PERMIT .. ..............................................
r
/ rC ,�.�/--r'...� �.r
NAME (owner) .. .. Y/'C. t. %t'�a NAME (Installer) :..r
......../. /
ADDRESS � `... ........ ADDRESS -. ....
.... ''t'
STOVE TYPE ....�i!�... .................................................................... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ......................................................................:.............................................. CHIMNEY: Masonry .......................................................................
Mass. Approval a4,.................................. CHIMNEY: Metal ..........................
This is to certify that the above installer has permission to install a wood/burning burning appliance at the listed address
in accordance with an application on file with the ►� �'��'' a► /a I Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: _.........................:........................:..................,........................................................Title .:................................ .......................... Date .............—cZ...................................
Permit to install expires 60 days after issue date
k / l
Stove (_� t �sn....'....................................... ...............................:..:..............:........................................................
Stove Clearance
..................................... ....................................... ...................................................................................................................................................................
Floor ... ........................................................................................................................................................................................................................................................................................
Smoke Pipe ......4-� .....................................................................................................................................................................
....................................................................................................................
SmokePipe CClle-arance .�............................................................................................................................................................................................................................................
Chimney .. `..........................................................................................................................................................................................................................................................................................
SmokeDetector .................. ................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made,under author-
ity of permit dated ........, .'" �?L.' d.............. has been made in accordance with provis�ion�s-�of-h Commonwealth '�
of Massachusetts State BuildingCode now currently in effect and pertaining thereto';; �'e'''2 f'.•r
Y P g ..................................,,.......................................
Installer
y.
INSTALLATION APPROVED '... U.......... By: / �.._ ( .:. . -..::::. Title:��r ' +..... 1. ..
date...... r................................. .... /
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT