HomeMy WebLinkAbout0237 FALMOUTH ROAD - Wood Stove Permit 10/11/80 r7
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TOWN OF BARNSTABLE
31ARIFSTAU
631. MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION . .. . ... ... 0 .'FIRE DEPT. ISSUING PERMIT ............................................................
...... .......... ... ..........................................
NAME (owner) .04460/5- S V VA-A)
................................................................................. NAME (Installer) ...................................;......................................s...........................
ADDRESS .......... ............... ADDRESS ...........................................................................................................................
STOVE TYPE ............ TING
................................................................................... CHIMNEY: NEW ........................ EXISTING
Manufacturer ... ..............I......................................:............... CHIMNEY: Masonry ........... . .....................................
........................ ........... .. ..................
Mass. Approval ............................................................................................................ CHIMNEY: Metal .................................................................................................
This is to certify that the above installer has permission to install a wood 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_BuildingCode and regulations made
under the authority thereof.
IssuedBy: ..............................................................................................................................Title .............................................................................. Date ................................................
Permit to install expires 60 days after issue date
Stove .....................................................................................................................................................................................................................................................................................................
StoveClearance 1'�.......................................................................................................................................................................................................................................................................
Floor..............................................................................................................................................................................................................................................................................;................................
SmokePipe ...............................................................................................................................................................................................................................................................................................
Smoke Pipe Clearance �.......................................................................................................................................................
......................................................................................................
k
Chimney .......................................................................................................................................................................................`
......................................................................................................
SmokeDetector .......1.................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity 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:............................................................................:Xitle: ......................................................
date
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT