HomeMy WebLinkAbout0306 ARROWHEAD DRIVE - Wood Stove Permit 11/05/80 TOWN OF BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION ................:............................................................. FIRE DEPT. ISSUING PERMIT ..................................
NAME (owner) ............................................................................................................ NAME (Installer) .............................................. .............................................
? � 16 0�1 at ADDRESS ? 6..........�ADDRESS ....... ................. ................... 4�✓...l�r.i9...................- ............./..
STOVE TYPE ......LV.0..d ..... CHIMNEY NEW EXISTING..........................................................................:..... : ........................ ........................
Manufacturer il........... ................................... CHIMNEY: Masonry .......,x.............................................................................. k
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.
IssuedBy. ..............................................................................................................................Title .............................................................................. Date ................................................
Permit to install expires 60 days after issue date
Stov .............................................................................................................................................................................................................................................................................................................
StoveCleara.nce-�.............................................................................................................................................................................................................................................................................
Floor `:.............................................................................................................................................................................................................................................................................................................
SmokePipe 1z...........................................................................................................................................................................................................................................................................
SmokePipe Clearance ...........................................................................................................................................................................:...........................................................................
C h i m n e A-1--.1
................................................................................................................................................................................................................................................................................................
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
4
INSTALLATION APPROVE !�' �" F � / �`'` I'�'/i .
ROVED ...................................................... Bye,....... .................................................................. Title. ......................................................
date r
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT