HomeMy WebLinkAbout0161 BUCKWOOD DRIVE - Wood Stove Permit 09/18/81 4
TOWN OF BARNSTABLE
KUL
DAHH9T i
'o0 6 9• MASSACHUSETTS
0 MAY
j Solid Fuel Stove Permit
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DATE OF APPLICATION .... —.. ...... ................................ FIRE DEPT. ISSUING PERMIT ....9Y :�'A1,1.5..:.............
NAME (owner) .f ...........t S?.` NAME (Installer) ..... � }� �i �^% „ t� IQ C./
.................... .......... / .......................... f. ....
ADDRESS .......... a.I �rl 1Y WDD.? ... ADDRESS ............... ........ �/(�J�'
......... . ............................ ......................... ... ,...... . ........................................................
STOVE TYPE ........c...4..�................................................................................... CHIMNEY: NEW ........................ EXISTING .... ........
Manufacturer .T V s 6 / CHIMNEY: Masonry ....... .... S...................................................:........
.............. .. ................................................. a �.� . ..............
mil/-' ..
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 �- �`>� ' /1 � "'.z�' Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By d f.............................Title ft�t 8 ........................................ Date ............! ..' 1
... ..... ....
Permit to install expires 60 days after"issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance �:"............................................................................................................................................................................................................................................................................
Floor .................................................................................................................................................................. ..........................................................................................................................
SmokePipe .. ........................................................................................................................................................................................................................................................................................
SmokePipe Clearance ."`..........................................................................................................................................................................................................................................................
Chimney '�....................................................................................................................................................................................................................................................................................................
Ur
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 ........................................................................
Installer
INSTALLATION APPROVED ............................................................ By:..................�!.........................tl... ............... Title
date ..... .�. , ................................................
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT