HomeMy WebLinkAbout0015 GREENBRIER LANE - Wood Stove Permit 04/08/80 TOWN OF BARNSTABLE .
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Wood Stove Permit
DATE OF APPLICATION ...................r........... ............................................ FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) ..;/./;�.A ZT l.A/ ....�., . '-.. -: NAME (Installer) .t.�.IC..r..iE'.-..i ........... .!., .I'.?..��...�J.a...
................................. ...... .i........... .. .................
ADDRESS ..% ....G.R tV 0 h - �� `.,Pr ADDRESS ...........................................................................................................................
` J .............................................................................
STOVE TYPE 1Y••,C .. ... ............................................................................... CHIMNEY NEW X EXISTING
Manufacturer P/-f/11 5 18(, g CHIMNEY: Masonry ........�...................................:......................................
...'...... ..Gf`......................................
Mass. Approval .......................�.............................................................................. CHIMNEY: Metal ................................................................................................
This is to certify that the above installer has permission to install a�wo�od 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 yof Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: ....., ..t .-....., ..Title ......................................................... Date ................................................
Permit to install expires 60 days after issue date
Stove .......................................................:.....................................................f.................................................................................................:...........................................................:................
StoveClearance *° .....................................................................................................................................................................................................................................................................
Floor,.",-.".......................................................................................................................................................................................................................................................................................................
SmokePipet.:'.'..�.....................................................................................................................................................................................................................................................................................
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:. .... ...
l . � .F. ..................... ..
date
'WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT