HomeMy WebLinkAbout0025 CARLOTTA AVENUE - Wood Stove Permit 12/12/80 TOWN' OF BARNSTABLE �` y
i 11AItIrSTM
039. ,� MASSACHUSETTS
.Wood Stove .Permit
DATE OF APPLICATION FIRE DEPT. ISSUING PERMIT ....... ..............................:..................
NAME (owner) .��� ..� s ........ NAME (Installer)y... ......................................................................................................
ADDRESS ..... ........n � ... ........... ADDRESS ...........................................................................................................................
STOVE TYPE ...........IN ?.f' . ............................................ .................... CHIMNEY NEW EXISTING
Manufacturer CHIMNEY: Masonry .............................:.........................................................
Mass. Approval ............................................................................................................ CHIMNEY: Metal ........oy..............................................................................
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 ................. /�✓ A�'���- � �! `S- ........... Fire Department
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued B Gi` !' -'t-�_ �,.. .,...Title ,c •. ............................................. Date ...
Y ............. ............................. .. j..
Permit to install expires 60 days after issue date
Stove. ..................................................
StoveClearance ................................................................................................................................................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
SmokePipe................................................................................................................................................................................................................................................................................................
SmokePipe Clearance :.:..............................................................................................................................................................................................................:...........................................
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 ...........................................................................
Installer
INSTALLATION APPROVED .'
..... By. .................................. Title: ..................::.................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR -- PINK: APPLICANT
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