HomeMy WebLinkAbout0030 ARBETA ROAD - Wood Stove Permit 11/13/79 � ! J
TOWN OF BARNSTABLE
Z BARNSTAn
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A Wood Stove -Permit
DATE OF APPLICATION FIRE DEPT. ISSUING PERMIT �`
NAME (owner) 1 0-1'-`- + / t` '✓� ' NAME (Installer) -�t'�-.'tix' r7
ADDRESS ADDRESS ;
.......................... .............. .... . . . ... ...................... ......................... ..... ........................................
...... ... . ............ ....... ...
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STOVE TYPE (..`.�......g-:.......................� ........................................................: 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 the ................. .'-'� ..� '...................................................... Fire Department,
..,......f........ ........................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy. ..................................Title .............._............................................................. Date ......................�..........�.�
Permit to install expires 60 days after issue date
Stove ................... � .......................................................................'......................................................................................................................................................................................
.
StoveClearance ... ....................................................................................................................................................................................................................................................................
Floor .................................0..�........................................................................:.......................................:..........................................................................................................................................
Smoke Pipe ....................... /
.....h....................................................................................................................................................................................:......................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney ..................................Q.. ....................................................................................................................................................................:...............................................................................
Smoke Detector
r
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated .......... ................. .... ..........If............ 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 J .:'....C...%......... B /ta:..r.:r.: ..p y£''.., Title: ��' r.!,lr .. '...f. y.... ........... �r� .... , r
date r r y'
WHITE: FIRE DEPARTMENT - CANARY: BUILDING'INSPECTOR - PINK: APPLICANT