HomeMy WebLinkAbout0298 OCEAN STREET - Wood Stove Permit 09/28/81 1
OftNE>° i i f" /
TOWN OF BARNSTABLE
BAH39TAU i
6 q. MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION ..... :... ®... ...........l............................ FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) �� / l=�n/,,�rc .. l......... NAME (Installer) ...jt: ........:::�::�r..'........................................
.............................................. .......... ....
YADDRESS .: ........ � l� �i....
.........................................`........................ ADDRESS ........................................ .............................. . �l
STOVE TYPE 1-0 no... d FP"g,,YkLI............... CHIMNEY: NEW .......A..f.. EXISTING ........................
................................... .................................................... _
Manufacturer .............................................t/,fN ............................................ CHIMNEY: Masonry .............................................................................................
, y
Mass. Approval ............................ ....................................................... CHIMNEY: Metal
..........................................................................................
This is to certify that the above installer has permission to install a solid fuel 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 ..........................................
Permit to install expires 60 days after issue date
Stove ..........................................................................�....,............:...........................................:........................:............................................................................................................................................
Stove Clearance ..........................
.............................................................................................................................................................................................................................6.............................
Floor ..........................................................................................................................................................................................................................................................................
Smoke Pipe ..................................................
.............. ... ..... ..r.................................. .............................:.............................
Smoke Pipe Clearance ...r .. ` ..
Chimney .............................................................. ....................................................................................................................................................................................................................................
SmokeDetector ..................................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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
A"
INSTALLATION APPROVED ..::f�:... ..... Title. ... °'
.........:.......c:........................... B,y:........... :........ -....................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT