HomeMy WebLinkAbout0005 HOUGHTON ROAD - Wood Stove Permit 02/27/81 ypf o`y �
TOWN OF BARNSTABLE
Z BARTSTMM i
'moo A69 MASSACHUSE'rrS
Wood Stove. Permit
DATE OF APPLICATION .....�.. .......�.�. 9 /........................ FIRE DEPT. ISSUING PERMIT �1��~!H. -�...:..............
NAME (owner) .. UrQ. �A�� NAME (Installer) G IT� �� ...-�� r.rstr� r �1�
................................ ............................... ........... ......... .........
ADDRESS :. ..... Old Gf TU�y /2 ADDRESS ....... ..:ra........ t---1 f f ............................................
..............................................................................................
STOVE TYPE .CO �.. �O op.
............................................................................................................. CHIMNEY: NEW......................... EXISTING ................
Manufacturer .. ...................... . ...''..................................................... CHIMNEY: Masonry ......G..:r...................................................................
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.
Issued By ..... ...... .......
� r
Title ........ /i� :_,.� f/....................... Date -5� f 1
Permit to install expires 60 days after issue date
M
Stove ......................................................s�..............................................................................................................................................................................................................................................
StoveClearance ..............................p.!............................................................................................................................................................................... ...... .............................................
Floor ....................................................!...............................................................................................................................................................................................................................................:.
SmokePipe ......................................��................................................................................................................................................................................................................................................
SmokePipe Clearance ............r. ..........................:................................................................................................................:..............................................................................................
Chimney ......................:................................................................................: .................................................................................................................................................................................. ...........
Smoke Detector ................ /
.........................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ......�2..:`.. .'.....5....1................. 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^ ✓e
.............. i .. .....
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT