HomeMy WebLinkAbout0048 WALTON AVENUE - Wood Stove Permit 10/06/81 t t
l
TOWN OF BARNSTABLE
HAHBSTr
'oo Y6 9• MASSACHUSETTS
OM A�
Solid Fuel Stove Permit
.?.... .......... � ? FIRE DEPT. ISSUING PERMIT ............................................................S DATE OF APPLICATION
.................................................
NAME (owner) ...:. �......4 C /- /9 A.� v .. NAME (Installer) .........��. :...................... ......................................... .`...........
....................................................... .... ...............
ADDRESS .......�.....'............1v i� < f v r✓ N r.� �" ADDRESS ...... ..°. ........... .A9 Ord ;.`..1...::. . ..... :.:..r.�.r'`..
.............................................................. ......................... .......... .......
STOVE TYPE C- C � CHIMNEY NEW EXISTING................................................................. ......
Manufacturer l''� i N W A & `� A......................... CHIMNEY: Masonry....................................................................................
Mass. Approval ............................................................................................................... CHIMNEY: Metal ...................................................................................................
This is to ,certify that the above installer has permission to install a solid fuel burning appliance at the listed
address in accordance with an application on file with the ........................ 3................................. Fire Department, "
and subject to the provisions�of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof. +r
IssuedBy: .................................................................................................................................Title Date.................................................................. ..........................................
Permit to install expires 60 days after issue date
Stove �J/� �...............: .:.......................i"r....P........................................................... ..........................................................................................................
GT
Stove Clearance ....................
:.............................................................................................................................................................................................................................................................
f
Floor .................................... -� ..� �..'�' ." '...........................................................................................:............................................................�....................
....... ...... .. ....
SmokePipe .................................................®��..."`.:`.....................................................................................................................................................................................................................
. ......................................................................................................................................................................................................
Smoke Pipe Clearance ..............................�`�
Chimney ................................................................ - .,.� �...........................................................................................................................................................................................................
................ ..
SmokeDetector ............................................. ;�c.:::..:. ....................................................................................... ......
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ..... ......S. : has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ' �•'.�"'.. �„ ��
........ .. ......
Installer f
i
INSTALLATION APPROVED • c.rj ........................... Title .� ..
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT