HomeMy WebLinkAbout0036 OAK NECK ROAD - Wood Stove Permit 06/04/80 �. TOWN OF BARNS TABLE
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Wood Stove Perjnit
tl/��. � d FIRE DEPT. PERMIT .........:......:.:....:..................DATE OF APPLICATION .......... ...........
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NAME (owner) ..._ NAME (][nstaller)
ADDRESS :-3f ADDRESS ............................................ ,l�
.........
STOVE TYPE � �t71?�'lx: a...... ...................... CHIMNEY: NEW ........................ EXISTING ........................
.................. ......
ManufacturerCHIMNEY: Masonry .......�........................................................................................................................ . .......................................................
Mass. Approval ................................................:........................................................... .CHIMNEY: .Metal r................................................................................................
. .
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.
IssuedBy: ..............................................................................................................................Title ................:............................................................. Date ................................................
1
Permit to install expires 60 days after issue date
Stove ....................................................................................................................j.....................
..................................................................................................................................................................
.
Stove Clearance ..Itlt1......C-l'o c"n r' � a r»T .'� C '�......1... .................................... ....... ......... ......... ......... ........................... .......
Floor ....................`.... .................................................. ...................................................................................................................................................................
SmokePipe .. .....................`"° .................... .....................................................................................................................................................................
Smoke Pipe Clearance ..Z n
......... .. �........ ................ .................. ............................................
Chimney .......................................................................................................................................:. ..........:... .............................................................................................................................................
Smoke Detector ./rl . .........a.:✓
.... ....................................................................................................................................................................................................... ..............
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:...... . By:.........:................................................... .......... .....................................................I
date '
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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