HomeMy WebLinkAbout0107 CHASE STREET - Wood Stove Permit 12/08/80 TOWN OF BARNSTABLE
i BABISTABL
039. ,� MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ....... .. ..........:................. ...G................. FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) ILL T ' %�� i'f l' �t'5I 'v � ( ) � �- .�1..!)......!V(A 3i/.a.............................................................. NAME Installer ......% ::
............................................................. .......:. .... .. ...
ADDRESS .. � �. 1- A r .'` !4 '''/.N? " 'j ADDRESS ......1 P....r�......r..� �.S..r j..`.......1...:�:'!:..........................
:...........................................................................................
r r� ..... CHIMNEY NEW EXISTING .....:.................
STOVE TYPE :....................................................................................:................... ........................
�F
Manufacturer L ( Z r CHIMNEY: Masonry L/Y
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 ................................................................................................................................................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
r
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
INSTALLATIONAPPROVED ...................................................... By:................................................................................... Title: ......................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT