HomeMy WebLinkAbout0300 MEGAN ROAD - Wood Stove Permit 12/01/81 TOWN OF BARNSTABLE
t639 MASSACHUSETTS
Wood Stote Permit
DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT ...........................................................
NAME (owner) r- NAME (Installer)ailler) ..................................................................................... . ...... .....................................................
-ADDRESS ........ .............. ADDRESS .....................................................................
.......................................................
STOVE TYPE ei e�p
..................................................................... CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer ..................................
.................................................................................... CHIMNEY: Masonry ..............................................................................
Mass. Approval ............................................................................................................ CHIMNEY: Metal ...............o................................................................................
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. .......: ....... •. .............Title ............................................................................... Date .............. .....................i:a.
...............7............................................... .... ..
Permit to install expires 60 days after issue date
'17 1
Stove ............ .................................................................................................................................................................................................................................................................................
Stovel Clearance .................................................. .............
.................................................6....................................................I...............................6.........................................................................
Floor ...................:.........................................................................................................................................................................................................6.......................
Smoke Pipe ................................
.................................................. ..................................................................................................6.......................................................................................................
SmokePipe Clearance ................................................................................................................................................................6...............................................6...........................6................
ss
Chi
mney .....................................................................................................................................................................................................................................................................................................
Smoke-Detector .........................
.................................................. ................................. ............
............................................................ .........................
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
J, 4.
of Massachusetts!State Building Code now currently in effect and pertaining thereto ..............................................666..........................
Installer
INSTALLATION APPROVED ZZ11 0_1 By:................................................................. ............. Title: .......... ................
e-.
dat
a WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT