HomeMy WebLinkAbout0077 ARROWHEAD DRIVE - Wood Stove Permit 11/17/80 r,
TOWN OF BARNSTABLE.
2 3 INTAX ;
'°o6 s`• ,�° MASSACHUSETTS'
1
Wood Stove Permit .
DATE OF APPLICATION ! .......1..... ............... ............:..:....... FIRE DEPT. ISSUING PERMIT .........................................:..................
NAME (owner), f .. .. c�t�= �1.� ( )
................................................................................ NAME Installer
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ADDRESS ....7... - !4j/% r 1 N/ l .Z) "?, ADDRESS .:...:...........:..............:................................................................................................... .........................................................................................
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STOVE TYPE ./':.. { L= ' CHIMNEY NEW EXISTING
Manufacturer ..................................................................................................................... CHIMNEY: Masonry .......................................................................................
Mass. Appr/a /Q?' ,�^�aJd- ..................... 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 ............ 4.._ .................. ............................... 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 f
Stove .......................................................................................................................................................................................................
......................................................................................:...............
StoveClearance` ............................................................................................................................................................: . .................................................................................................
Floor 11
Smoke Pipet"---,
...................................................................................................................................................:....................................................................................................................................
SmokePipe Clearance `�:.........................................................................................................................................................................................................................................................
Chimney
...............................................................................................................................
SmokeDetector ..............................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity 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
C,
INSTAIiLATIONAPPROVED ...;...:. ...K.............f................. By... . ....................,............................................ Title: ................. .................................
ate /� �/
WHITE: FIRE DEPARTMENT — CANARY: BUILDING (INSPECTOR — PINK: APPLICANT (/