HomeMy WebLinkAbout0412 BISHOPS TERRACE - Wood Stove Permit 09/02/80 4
TOWN OF BARNSTABLE
Z HARISTAU i
1039 * MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION .�-�C.�;Cl;f/�l� /980 FIRE DEPT. ISSUING PERMIT ... *>.:`..�' �F '�'......... ............................. ..................................
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NAME', (owner) r_/4.1_)24FS f /7t.C�CS NAME (Installer) ........................
t� ................................................................................./....... ........................................................................... .
ADDRESS �C`52/?•, �fi�t7�l�J/5 4.. ,C-?V14A AF
........... ADDRESS ...........................................................................................................................
STOVE TYPE ..... 2l ,vrl.Cr,J 1.749;zR ... CHIMNEY: NEW .......: EXISTING
n ..................................................................................
Manufacturer �/dAN�/ ........ CHIMNEY: Masonry ..✓.........................................................................
....... .......
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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: ..............................................................................................................................Title .............................................................................. Date ................................................
Permit to install expires 60 days after issue date
Stove .........................................................................................................................................:...................................................................................................................................................................
StoveClearance ........................................................................................................................................................... .................................................................................................
Floor ........:.....................................................................................................................................................................................................................................................................................................
SmokePipe ............................................................:......................................................................................................:.....:.....................................................................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney .....................................................................................................................................................................................................................................................................................................
Smoke: Detector ...............................................................................................................................................................................................................................................................................
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
INSTALLATION APPROVED ........:.....:.............:......................... By Title•
date ................. ...............ti..... ..�........... ..............................................
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT