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HomeMy WebLinkAbout0043 STETSON LANE - Wood Stove Permit 12/17/79 ypf p`` TOWN OF BARNSTABLE DAIINSTAX ,639. MASSACHUSETTS 0M�t�� a• Wood Stove Permit t DATE OF APPLICATION . . .. .. w ..... FIRE DEPT.. ISSUING PERMIT .............................................. .........:................. ..................... NAME (owner) .; Y,,.G�;r. . ............. NAME (Installer) ...................................................................................................... ... .... �() /I ADDRESS .................. ....... ... ...............� ...... ....:.. ADDRESS ........................................ ..I . STOVE TYPE .. ..p .........PRI......� .............. CHIMNEY NEW EXISTING /.. Manufacturer )J-� � tnd� ,CHIMNEY: Masonry .... ..::-':":.................................................................. Mass. Approval �.'_.0................................................................... 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 ..............,.....�....�..•ti.-..:^::.......'?................................................................. Fire Department, and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. Issued By .... `'..!�i .v................................................Title ...1 :... ......i..::............ ... Date/'..: :.........................�. Permit to install expires 60 days after issue date Stove ` o ;�k- StoveClearance .............................................................................................................................................................................................................................................................................. Floor .............................................0 k....................................................................................................................................................................................................................................................... SmokePipe ............................... ............................................................................................................................................................................................................................................................ SmokePipe Clearance ........©....�............................................................................................................................................................................................................................................... Chimney ............................................i......................................................................................................................................................................................................................................................... Smoke Detector ................. �..F' (............................................................................-................................................................................................................................................................ .. 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 _1 9 INSTALLATION APPROVED / � Title: By............................./ ...................................P................ ...:.... ............�..................., date `, V WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT