HomeMy WebLinkAbout0003 BROOKSHIRE ROAD - Wood Stove Permit 02/11/80 TOWN OF BARNSTABLE
31JANSTMM
AUL
1039. MASSACHUSETTS
a VAIX
Wood Stove Permit
12
DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) NAME (Installer)
.............................................................................................. ......................................................................
ADDRESS .� . , of) ADDRESS ...../....1.1..,—
.6
F.............. ...............................1!............................................
STOVE TYPE ................. ......- CHIMNEY: NEW ........................ EXISTING y...........
Manufacturer ...................J oe
..................................... HIMNEY: 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 va 14 (��
7 ********"** Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: Date...................................... ...............................................................................Title .... ..............................
.......................................... ...............................
Permit to install expires 60 days after issue date
Stove .............. ..................................................................................................................................................................................................................................................
StoveClearance ..........I..........................................................................................................I..........................................................................................................................................................
Floor ...................................................................................................................................................................................................................................................................................6..........................
SmokePipe ................................................................................................................................................................................................6...........6...................................................................
SmokePipe Clearance .................................................................................................................. ...........................................................................I........................................
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 f,
...............................................t........................
Installer
�4 JA k'
. ....... By: Title: ' )
INSTALLATION APPROVED ...................................i ........ ................... ................................................. ..........7............... .................
date
WHITE: FIRE DEPARTMENT- — CANARY: BUILDING INSPECTOR PINK: APPLICANT