HomeMy WebLinkAbout0062 MAPLE STREET - Wood Stove Permit 10/07/80 TOWN OF BARNSTABLE
I ISARIrST"L
%639. MASSACHUSETTS
Wood Stove,Permit
DATE OF APPLICATION ............ RMIT................................................................. FIRE DEPT.. PE ............................................
NAME (owner) ..................................................................................................7.r.-. NAME (Installer) .................................iff..............................................................
ADDRESS 60
. ...... . 7......................................;............................. ADDRESS .................... ............................................................
STOVE TYPE CHIMNEY,: NEW........................ ............................................................................ ................. EXISTING ........................
Manufacturer CHIMNEY: "Masonry .......................................................................................
............................................................................................
Mass. Approval Ar)V A h�) (;t�FE6�F_ AL 4V CHIMNEY: Metal................................. ..................................... ...............................................................................................
This is to certify that the above installer has permission to install fa 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.
.............................Y�.. Title .........Z ......... ... Date
Issued By: ................................................... ........ ...............................................
Permit to insta, expires' 60 days after issue date
Stove ............................................................................................................................................................................................................................................................................................................
StoveClearance ................................................................................................................................................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
SmokePipe ........................................................................................................................................................................................................................................................................................
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
/K y:
rA
INSTALLATION APPROVED .................................... ...... B .................... ...........
T...... ...........................................Title. ......................................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR PINK: APPLICANT