HomeMy WebLinkAbout0128 CONNERMARA CIRCLE - Wood Stove Permit 10/22/81 7
yO�THE
°'��`°• TOWN OF BARNSTABLE
I BARIUM
o9 MASSACHUSE'I"I'S
MAX
Solid Fuel Stove Permit
DATE OF APPLICATION f/� �� .E/....................... FIRE DEPT. ISSUING PERMIT .. t.+.. 'f:'.! �i/,
f "
............................................... ......... .............. ....
NAME (owner) .,n(>/;Y?r� ,`.,r', r�,�x�r� ......................... NAME-(-Installer) J a�.<::� .... _�...r ,�..:f�..........!C. ::.�!%.........
�d„ r'
' h ,r
ADDRESS .l7 ........r' z?nc- � �i`jrr. t� i ADDRESS ... .....1a.4 "'14....I:.�i.:...........fra!� r��. .............
................................................................... ......... ........... f... ............
STOVE TYPE ..1AJ0 .i ` ........................................................:........................... CHIMNEY: NEW ........................ EXISTING
/....
Manufacturer --fi r .sf / 0 �V/.............................. CHIMNEY: Masonry .....1....:..................................................................................
...................... ... .................................. ..r7_ ert l..�
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.
r
IssuedBy: .................................................................................................................................Title .........................`........................................................ Date ..........................................
Permit to install expires 60 days after issue date
Stove . ................................................................................................. . .......................................................................................................................................................................................
StoveClearance '.'....................................................................................................................................................................................................................................................................
Floor
Smoke Pipea.......... ... �.�..•C.� ;L .e.Cs-a-..................................................................................................................................................................................
.. ..................................
SmokePipe Clearance �................................................................................................................................................................................................................................................
Chimney ....................................................................................................................................................................................................................................................:...............................................
SmokeDetector ..............................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ......................................................r has been made in accordance with provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto .................................................I.......................
Installer
16 ZAA�6
INSTALLATION APPROVED ................................ ........................ By:...
........................... Title: ................................................
date/ CJ
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT