HomeMy WebLinkAbout0214 BEARSE'S WAY - Wood Stove Permit 12/24/81 TOWN OF BARNSTABLE
aeaasrest �
' `pp i6;q.39, MASSACHUSETTS
Solid Fuel Stove Permit
DATE F APPLICATION .....1.�.-...f.....� �`� ...1............... FIRE' DEPT. ISSUING PERMIT .....................................................0 C f - ,;.
NAME (owner) ..- .�d. C.t..:-.. .S F 81 Tit tn/5 J.( ,� NAME (Installer) ... -Gn•� `?............�� ,�...7�'.`.';;..���..............
ADDRESS ...... ....f..L/.........)) L" A � 5 S d A V �{.l. ADDRESS ...��.`.�...........l:��Y12 Sk..S...........r^'.�..y.............�/��.....
.................................. ................ ...... . ..................
STOVE TYPE .......... .... ...:. .............0................................................... CHIMNEY. NEW ........................ EXISTING .............
c> S S 1
Manufacturer ......................................................... .................................................... 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 ................................................................................................... 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 .e
.Permit to install expires 60 days `after issue date
Stove `r..:�.�..................................................................................................................................................................................................................................................................................:.......
StoveClearance ...L ...............................................................................................................................................................:........................................................................................................
- 3
Floor1....:-:..................................................................................................................................................................................................................................................................................................
SmokePipe ......................................................................................,.........................................................................................................................................................................................
SmokePipe Clearance L'......................................................................................................................................................................................'..............................................................
Chimneyk-:'. ......................................................."......................................................................... !.:....................................... ...............................................................................................
Smoke Detector t- S.Y:........................................
....................................................................................................................................................................................................
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 ........................................................................
Installer
INSTALLATION APPROVED % �d ! y. , y. �'',,!�'r� .... ............ ...................................... .......................... B _.: ' . .. .: ..... .......... Title
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
•