HomeMy WebLinkAbout0099 ARROWHEAD DRIVE - Wood Stove Permit 10/29/79i
TOWN OF BARNSTABLE
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Wood Stove-Permit
DATE OF APPLICATION Q...��� " �� "`FIRE DEPT. ISSUING PERMIT ..................
NAME (owner) ..... .. `? n� �! NAME (Installer) �+^ r A>.Q►t',�
........................ .... .................... .. ... ..................................... ...
...........................
ADDRESS ................. ?... /1 ?t:....;..: .. ...l!r. ADDRESS Cam. ' t l 't�
......... .....................
STOVE TYPE cJ"�i CHIMNEY: NEW EXISTING
DZanufacturer '........................ ...................... .................................... 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,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
:Issued By: �'—t# 'r '�It1Fst�. �' ' Title LX Y. ?R cf it"s,� Date f�l C1 _17 .
�... :: .............. . . 7.. f ....
Permit to install expires 60 days after issue date
Stove ........................ . ......................................................................................................................................................................................................................................................................
StoveClearance ...2 .............................................................................................................................................................................................................................................................
Floor ................................ ............................................................................................,................................................................................................................................................................
SmokePipe ......................0. ..�............................................................................................................................................................................................................................................................
SmokePipe Clearance .....�)/.."............................................................................................................................................................................................................................................
Chimney .......................................��....`�................................................................................................................................................................................................................................................
SmokeDetector ..............:....... : .............................................................:.................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated Z() ` .. `..�1,,......... 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 f..��......r'. By:.. t :..... -,� - Y Title�� . � !T ... c''�* �'
J....... F..:. . ... ...
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT