HomeMy WebLinkAbout0882 MAIN STREET - Wood Stove Permit 09/20/80 TOWN OF BARNSTABLE :
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Wood Stove Permit
9-zo- Ro
DATE OF APPLICATION .............................................................................. FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) ............�".l.':.... ? �. ! NAME (Installer)
......................................... ..........................................................................
.ADDRESS ..!..�:.. Yi ic'. rd S# .. :... r �c..... :....... ADDRESS ..................................:..............:............................................................................................................
STOVE TYPE ....1.J.... :.. s k`1C ✓ � .... CHIMNEY: NEW EXISTING
.:... ......... ..................
Manufacturer ........:� �' t�r' "i � CHIMNEY: Masonry
- i........ ......... .......................................................... ................................................. . .
Mass. Approval A. ........................................... 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 .........:...1 !.........:................................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: 'me .. Tite ............ Date............... ........ .............................................
Permit to install expires 60 days after issue date
Stove :........":................................................................................:................................................................................................:.................................... ..................................................................
StoveClearance' t r......................................................................................................................................:.....................................................................:...:...................................................
Floor ............................................................................................................................................................................................................
SmokePipe .....}:!:.....................................................:............................................................................... .........................................................................................................................................
SmokePipe Clearance >�..........:.............................................................................................................................................................................................................................
........
Chimney ............................................................................................................................................:..............................
SmokeDetector L,. ....................................................................................................................................................................................................
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 1-1- � 19 By:. ' _,1,( f ' . .-. . ............... x ......... .......... Title:
date :� •WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR PINK: APPLICANT