HomeMy WebLinkAbout0016 WALLEY COURT - Wood Stove Permit 03/21/81 TOWN OF BARNSTABLE C] . '
16 q. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION
FIRE DEPT. ISSUING PERMIT ...........................................
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NAME (owner) ....:..e..!�..�'t�i � 9/� �r�'S/ /�'�/.f..:�'� � NAME (Installer) �/�,�t.................................................t.. 5 1'1 G..........................
..,.....
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ADDRESS / il � /%t� ?....... ..... ADDRESS .................... ..C..�....�.7 .�...l...A..�l S.........................................................
STOVETYPE .......................................................................................................... CHIMNEY: NEW ........................ EXISTING ... .:................
Manufacturer { T�... ":./.r�' ��' -f ��r�................ CHIMNEY: Masonry......:................ ......................................................... . .......................................................................................
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 ...... ...7/d..rA�............................................................................................. Fire Department,
, . .
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: 6Sfef r 1� 1/A. ` .................................................Title . r = �f /� r®/r.................... Date .2..'. ��..".��..........
....................
Permit to install expires 60 days, after issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance ................................................ ......................... ..............................................................................................................................................................................................
Floor ..............................................................................................................................................................................................................................................................................................................
9
Smoke Pipe-': . .a�C.� `>a '.1-2.-... %'� �_o � .
................. ......................................................................................................................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
4
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 ....................................................,Title: ......................................................
............................... ................................
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT