HomeMy WebLinkAbout0124 CAPT CARLTON ROAD - Wood Stove Permit 01/14/81 81, JAN 15 i6 :16
TOWN OF BARNSTABLE'
111"Tr=n
s639 MASSACHUSETTSii
Solid Fuel Stove Permit
Co.) I"
DATE OF APPLICATION .................. FIRE DEPT. ISSUING PERMIT ........................
NAME (owner) ..Om/�/e
........................................................................................................... NAME (Installer) ......................................................................................................
ADDRESS ........�o71-11............ ADDRESS ...........................................................................................................................
STOVE TYPE ............(..............STd.VC CHIMNEY: NEW ........................ EXISTING ...............
k4o'elv -,-(C
Manufacturer -GA"eIR/S a"/ - ,-7/ HIMNEY: Masonry ..................................................................................................................7....... ..................................................................................
Mass. Approval V-1........... ........................................................... 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 /C.,-'�6/1.2: 1: Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued ......... ................. .. ....... . Title ...... ..................... t... . .................... Da Date J
......... .
Permit to install expires 60 days after issue date
StoveA�................................................................................................................................................................................................I.........................................................................................
StoveClearance A`r .......................................................................I.......................................................................................................................................................................................
Floor .........................................................................................................................................................................................................................................................................................
SmokePipe ..................................................................................................................................................................................................................................................I.............................
SmokePipe Clearance A!!: ............. I............................................................................................................................................................................
Chimney ............................................................................................................................................................................................................................................................................................
Smoke Detector &I---
.............................................................................................................................................................................................................................................................................
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�....................................................................................... Title: ........... -V
date .6
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR PINK: APPLICANT