HomeMy WebLinkAbout0023 SCHOOL STREET - Wood Stove Permit 02/24/81 TOWN OF BARNSTABLE
11STAU
039. MASSACHUSETTS
Wood Stove -Permit
DATE OF APPLICATION . .... FIRE DEPT. ISSUING PERMIT ............... ...............
_ o
`.....
NAME (owner) ...............I P 4.5. 1.......Z.................... NAME (Installer) A -V
.................................................................................
ADDRESS 3..............24,9,11 ...............av ADDRESS !2 3 ......................................
. ......................................7............
_2 STOVE TYPE ............ ................................................. -CHIMNEY: NEW EXISTING ........................
Manufacturer a.. . ............ CHIMNEY: Masonry ".1.. .... .. ...................................................................
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 ..............Ak�40.0�12.15..................................................................... 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 ..................................................................
........................................................... ........................................................................................................................................................................
StoveClearance ................................................................................................................................................................................................................................................................................
Floor ...................................................................."-./
........... ..........................6.......................................................................................................................6...................................................................
Smoke Pipe ......................................................""/
..............................6.....................................................4....................................................................................................................................................
Smoke Pipe Clearance ........................I...,/
. .............................6..........4....................................6.............................................;....................................................................................................
Chimney ..................................................................................................................................................................................o.............................................I...................................................................
SmokeDetector ............................................................................................... .............. ..........6.............................66..................................................................................................
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 Massachus etts State Building Code now currently in effect and pertaining thereto ...........................................................................
Installer
INSTALLATIONAPPROVED ........... By:........................ .......................................................... Title: ................................................
date
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR - PINK: APPLICANT