HomeMy WebLinkAbout0022 ARROWHEAD DRIVE - Wood Stove Permit 10/23/81 TOWN OF BARNSTABLE
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Solid Fuel Stove Permit
DATE OF APPLICATION .. .d� �.................... FIRE DEPT. ISSUING PERMIT ^!�'�
....�....................... ..............................
NAME (owner) .................... J ~`, !:,�•`� NAME (Installer) �-�? .:... :�.Z'�;e e- �,
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ADDRESS 2 .... ?n'� d d..f✓-N--a,-� /'91...t ADDRESS ....... X --~ r............................
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STOVE TYPE ...................:...............................................:..................:........................... CHIMNEY: NEW ........................ EXISTING ........................
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Manufacturer ' CHIMEY: Masory. ............................. . cy. ... .............................................................................................
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 ................................................................................................... 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.................................................................................... ..........................................
Permit to install expires 60 days after issue date
Stove ........:....................................................................................................................................................................................................................................................................................................
StoveClearance .......... .....................................................................................................................................................................................................................................................................
Floor ............................................................................................................................................................................................................................................................................................................
SmokePipe ......................................................................................................................................................................................:.......................................................................................................
.......Smoke Pipe Clearance . ... ........................................................................................: ............................................................................................................................................................
Chimney .....................................................................................................................................................................................................................................................................................................
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 .........................................................................
Installer
INSTALLATIONAPPROVED .............:. By.................................. ........... ............................................f............................................. Title: ................................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT