HomeMy WebLinkAbout0336 SOUTH STREET - Wood Stove Permit 03/04/80 TORN OF BARNSTABLE �__ --'"
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Wood.Stove Permit
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DATE OF APPLICATION ?'dr G..... FIRE DEPT. ISSUING PERMIT .................................
NAME (owner) .........................................................................�.............................. NAME (Installer) ......................................................................................................
ADDRESS ..S'ru `....... ADDRESS ..:. ,? .......;..........................................................................
STOVE TYPE � " F'� '�� ............. CHIMNEY NEW EXISTING....................................................................... : ...........:............ ........................
ManufacturerCHIMNEY: Masonry ....................................................................................................511el%./... .................................................
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 ........................................................................................................................ 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 ..............................................................................................................................................................................................................................................................................................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance ....................................................................................::.......................................................................................................................................................................
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
INSTALLATIONAPPROVED ............./.................................. By:..... C....,................................ .................................. Title: ......................................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR PINK: APPLICANT