HomeMy WebLinkAbout0123 FAWCETT LANE - Wood Stove Permit 10/31/79 TOWNS OF BARNSTABLE ,. �/ , ' ` �y �✓ n
DARISTAEL
'��OYAYM�' # I MASSACHUSE'I` S
Wood Stove Permit
DATE OF APPLICATION 7:3! r y............................ FIRE DEPT. ISSUING PERMIT .......,............ ......................................
NAME (owner) >� '� :. �"''� � `T�' NAME (Installer) ..... ........................ � �
........................ .................. .......................... .................. _.
ADDRESS ....... .. -. /�- l .......... ......?! a..:. ADDRESS /' t d '// >' %L +1 '/.........�',/IWK.4............................. .......................... ...... .. ................................... ........... .
STOVE TYPE .............................................................
.................................................. CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer .r���:.:.. �� ��1 a�'� .CHIMNEY: Masonry I ' A/-AC ! ..............
....................................................... .............................................................
Mass. Approval ..............................................
f. z" r!`" 1 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 Massa h setts State.Building Code and regulations made
under the authority thereof.
Issued By ;l/1 -+�_ �y1 ..........................:Title r i,: ..�:-... ........... Date ..........1... ........
...r.. �;............� Y k.
Permit to install expires 60 days after issue date
Stove ................(�........./...........................................................................................................................................................................................................................................................................
StoveClearance .......a... .......................................................................................................................................................................................................................................................
Floor ...................lJ.::............................................................................................................................................................................:....:... ..........................................................................................
SmokePipe ..........:... ...................................................................................................................................................................:..............................................................................................
Smoke Pipe Clearance :f
Chimney ....:................./ t ��
.............................................................................................................................................................................................................................................................................
Smoke Detector
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated a.................... 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 ! I r�f By: .........:. y ��'� Title:,t�!� .......... ............................................................ ....................................... .... ........ .
date - 1
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT