HomeMy WebLinkAbout0077 BUCKWOOD DRIVE - Wood Stove Permit 11/26/80 TOWN OF BARNSTABLE
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Wood Stove Permit
! DATE OF APPLICATION........*2. ....... � v FIRE DEPT. ISSUING PERMIT ...........................................
................................................ .................
(owner) (Installer) I�lait;! 1 fit.. 1L.�/,C/'
NAME owner F`............................................'......�. .✓..... NAME Installer
ADDRESS .....7 .......... Ur WUUoj.........................�........................ ADDRESS ..:..:.,�..��............�`l�t .}, �ar�ra� �R'.......................
...........................................
STOVE TYPE C a . CHIMNEY NEW EXISTING .........L.. ....
Manufacturer ..................................................................................................................... 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.
IssuedBy• ............................................................................ _ -:...Title-...::.:....................................................................... Date ................................................
Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance �;n.........................................................................................................................................................................................................................................................................
Floor ..... .......................................................................................................................................................................................................................................................................................................
SmokePipe !..............................................................................................................................................................................................................................................................................................
SmokePipe Clearande,'.............................................................................................................................................................................................................................................................
Chimney ....^ ..............................................................................................................................................................................................................................::..........................................................
SmokeDetectoO..................................................................................................................................................................................................................................................................................
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 ON APPROVED ...................................................... By:......._.........................................;,................................. Title. ......................................................
date �
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT