HomeMy WebLinkAbout0188 MEGAN ROAD - Wood Stove Permit 12/02/80 ��',,o �` TOWN OF BARNSTABLE
31AILISTAU
163
AAML
9 MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION FIRE DEPT. -ISSUING PERMIT 9 Y�4 AW I �2........................................................ .....................................I..................
NAME (owner) n'i
.. .. .. .................................................................................. NAME (Installer). ......................................................................................................
ADDRESS 4, ►r,�A] 0 VIA
...................7......................................................................... ADDRESS ..........................................................................................................................
STOVE TYPE ............C.2A..../..t;...................................................................... CHIMNEY: NEW ........................ EXISTING
Manufacturer
/ 10-' 09 CHIMNEY: Masonry ............................................................................................................................ .......................................................
Mass. Approval Llkt— 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. I
...............................................................................................T itle ...........
Issued By: ....... ......................................................... Date ................................................
Permi6to install expires 60 days after issue date
Stovet,...:��...................................................................................................................................................................................................................................................................................................
StoveClearance ...............................................................................................................................................................................................................................................................................
Floor ...........................................................................................................................................................................................
SmokePipe n...................................................................................................................................................
.................................................................................................................................
SmokePipe Clearance :±. ..................................................I.............-.:;....................................................................................................................................................;..................
f.
Chimney '.�...............................................................................................................................................................................................................................................................................I................
SmokeDetector Lr.......................................................................................................................................................................................................................................................................
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 ..
......................I.........................................
Installer
INSTALLATIONAPPROVED .......................... J By:................................................................................... Title: ......................................................
date
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT