HomeMy WebLinkAbout0061 CHASE STREET - Wood Stove Permit 01/21/81 W'�pf rO`,O
TOWN OF BARNSTABLE
i Bsaaer�r,
'oo 1039. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION .... ...... ....�......J.....�..j........... FIRE DEPT. ISSUING PERMIT ..J�.. .r:... ... ...!:... ............
NAME (owner) ........ NAME (Installer) .....................................................y.............................................
ADDRESS .. h.... ........�. •,na C .� 7 r �� ADDRESS ................................................ . ..... ..................................................
:....................................................... ...................
STOVE TYPE .C .. . ......k� ►.G A t&e I/L,� r1�" CHIMNEY: NEW ........................ EXISTING.............. ................................................................... ........................
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Manufacturer ............ ...��.......knn.... ..............................:................................... CHIMNEY: Masonry ......�'-^' ...............................................................
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Mass. Approval ................................................. CHIMNEY: Metal ................................................................................................
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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 ......�V.y:..C. +.....? ..... ..... ..............................................:........ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: ... ',.. ..M V V at ,� _� t! Title r�{'�t. • -� ;? •; (....................... Date ...............................` • ...........
................................................... ................................................ ..........................
Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
Stove .Clearance ....... ..
Floor /y � '1 rl.O.f �"i1.................^.........:......................................................................................... ............................................................................................................
SmokePipe � .......................................................................................................................................................:....................................................:........................................................................
Smoke Pipe Clearance f
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Chimney ................................................ .. - .................................................................................. .................................. ........................................................................
.................... ............. ............
Smoke Detector/0
....-U1�/u�.�'
............................................................................................................
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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