HomeMy WebLinkAbout0197 STRAIGHTWAY - Wood Stove Permit 10/06/80 TOWN OF BARNSTABLE
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639. MASSACHUSETTS
OV
Wood Stove Permit
DATE OF APPLICATION 0 FIRE DEPT. ISSUING PERMIT A............................................
...............................................................
NAME (owner) 4 K'6f�7
.................................................................................................... NAME (Installer) ......................................................................................................
ADDRESSADDRESS ..........................................................................................................................
W"
. STOVE TYPE .......................A........................................................................... CHIMNEY-: NEW ........................ EXISTING....... . . ..... ................
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Manufacturer ........ CHIMNEY:
Masonry ..... . . ....................................................................t..... . .I...... ......... ......... . .................................
Mass. Approval ..............................................I I........................................... 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 rfZ�....................................q...............................................................................................................................................................................................................
Chimney .....................I...............................................................................................................................................................................................................................................................................
SmokeDetector ........................................................................................I......................................................................................................................................................................................
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
_L Massa
chusetts
APPROVEDBy:......................................................... .............................................
date V 10
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT