HomeMy WebLinkAbout0518 YARMOUTH ROAD - Obsolete address Wood Stove Permit 12/16/81 TOWN OF BARNSTABLE
1 s6"
a639 MASSACHUSETTS
° ' �
1. �'Q N�`f k• -
s.
rI p Solid Fuel Stove Permit
DATE OF APPLICATION ... .......... Y...................._................................... FIRE DEPT. ISSUING PERMIT ............................................................
�Q
NAME owne � p_ N.0 . a _ i` NAME (Installer,) �..a.�..!.. ..........:....... ��.. .. `-... ...(.':J'j
( .................
ADDRESS /„A-...0 M1!..;�C. ........................ ADDRESS cT ..............................................................�� ............. ............
STOVE TYPE ...f........�.�►.......................................................................................: CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer .......................................r. :..................................................................... CHIMNEY: Masonry .............................................................................................
Mass. Approval,,:..........::.:/"!,ri............................................................................................... CHIMNEY: Metal .................................................................................................;
This is to c re tify 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 ................................................................................................... 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 ...:.;....................................
� a
Permit to install expires 60--days after issue date
r
i
Stove ::.........................................................................................................................................................................................................................................................................................................
StoveClearance ..................................................................................................................................................................................................................................................................
Floor r
SmokePipe .......................................................................................................................................................................................................................................................................... l
SmokePipe Clearance ............................................................................................................:..............................................................................................:..................................
Chimney ..........................................................................................................................................................................................................................................................I...................
SmokeDetector ' ........................................................................................................................ ..............................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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 ........................................................................
Ile
j' Installer
/UB �i
INSTALLATIONAPPROVED ! / `y ................................................................... ..............................,�.................��.:�...t,.:.......... ..... Title: .....................
dater w
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT