HomeMy WebLinkAbout0070 OAK HILL ROAD - Wood Stove Permit 10/22/81 TOWN OF BARNSTABLE
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MASSACHUSEYFS
Wood Stove Permit
DATE OF APPLICATION ............0 IC 7............2 Z 91PI FIRE DEPT.
... .......................... ISSUING PERMIT ..........................................
NAME (owner) .........................;.................................................................. NAME (Installer) ................................................................................................
ADDRESS .................. 0A/, .A/// ADDRESS 14'41yw's
. ............................................................................ ...........................!...............................................................................................
STOVE TYPE NEW ........................ EXISTING�511.)✓ FWor-AliqW.........................I CHIMNEY: N ................
Manufacturer 471)......................................... CHIMNEY: Masonry .......................................................................................
/0 rn" //,I
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 .........................111...........14,IV....................AII._............................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issuedtpy: 2%4�l................4�...........4'�.-All"A)..............Title ............................................................. Date ................................................
Permit to install expires. 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
C_
Stove Clearance .........
................................................................................................... .................................................................................................................................................................
Floort ..............................................................................................................................................................................................................................................................................................
SmokePipe c........................................................................................................................................................................................................................................................................................
SmokePipe Clearance L.—............................................................................................................................................................................................................................................
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
INSTALLATION APPROVED ........../ ........................... ................ Title: ......................................................
I................. ..... By:....................................
date
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT