HomeMy WebLinkAbout0040 ARBOR WAY - Wood Stove Permit 11/10/81 TOWN OF BARNSTABLE
t IIARTST
"63"a
� 9. MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION XA............ ......................... FIRE DEPT. ISSUING PERMIT ............
.............................................
NAME (Installer) .............NAME (owner) �; , V., / e',-. 1, f, _ f
..................k:................................................... .........................................................................................
ADDRESS .......... rl.', 6_40, V
..........................................................................................;!....................... ADDRESS .......... e...................................................................................................
STOVE TYPE ..............
. .................................................................................................. CHIMNEY: NEW ........................ EXISTING .................
Manufacturer .......... 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 . A..) ) /.S............................................... Fire Department,
Z
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
N
IssuedBy: ........... Title ...................................... Date ..............................
Permit to install expires 60 days after issue date
Stove I.......................
...................I................................................................................................................................................................................................................................................................
StoveClearance ..................................................................................................................................................................................................................................................................................
Floor .............................................................................................................................................................................................................................................................................................................
SmokePipe ..............................................................................................................................................................................................................................................................................................
SmokePipe Clearance t......................................I..........................................................................................................................................................................................................................
Chimney ...........L:`•..................................................................................................................................................................................................................................................................................
SmokeDetector .................................................................................................................................................................................................................................................................................
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 Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ?l....... ..............................................
Installer
......................... Title: ................................................
INSTALLATION APPROVED ...................................................... By:.................................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT