HomeMy WebLinkAbout0188 LONGVIEW DRIVE - Wood Stove Permit 02/21/80 TOWN OF BARNSTABLE
i DAHNSTAU
1039. ,� MASSACHUSETTS
�0 WAY
Wood Stove Permit
DATE OF APPLICATION �. " .......... FIRE DEPT. ISSUING PERMIT .I
..................................................:.:............... ..........
NAME (owner) ............/ A(:-w../j......................................... 7 ................:.......
.• ................. NAME (Installer) ...............................................................................................r....
...............
ADDRESS ADDRESS,. �i 4
..................:................................................... •.............................
STOVE TYPE�ii.ta CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ..... ..c ,G......_a...........�...-.....j ..................................... CHIMNEY: Masonry ........................................................................... ....f 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 ................................... .... :� fi� Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By e rA a� / \ Title :)Q Date......................
?.....r ......... .. ...................... ......... i
Permit to install expires 60 days after issue date
Stove ..... . .............................................................................................................................................................................................................................................................................................
StoveClearance ..... .............................................................................................................. ................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
SmokePipe ...............................................................................................................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney ..... ......................................................................................................................................................................................................................................................................................
r
SmokeDetector .f.. -C' ............................................................... ..................................................................................................................................................................................
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,,fhe Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto n .(e�.�Av
.f .r.. 'Installer t , -�-�
". r �1(1,t Title: 1n.............................................Q �
INSTALLATION APPROVED 1 By .. '�...
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT