HomeMy WebLinkAbout0528 MAIN STREET - Wood Stove Permit 10/13/83 TOWN OF , BARNSTABLE
t BARNSTM
-MUL
039. MASSACHUSETTS
Wood Stove Permit
rn-n ,
DATE OF APPLICATION .................................... FIRE DEPT. ISSUING PERMIT .............................................................
NAME (owner) . . .. .................... .................................................................. NAME (Installer) ........ .....A........A....e............................................................
ADDRESS 5' HA �-)E. . kT
ADDRESS............................................. ...........................................................................................................................
\,J 06 n
STOVE TYPE ............................................................................................ CHIMNEY: NEW .......................... EXISTING
ManufacturerCHIMNEY: Masonry ..................................................................................................................... .........................................................................
Mass. Approval J f 1 6 ................ CHIMNEY: Metal ............................................. .............................................4 ...............I..........I.....................
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 Building Code and regulations made
under the authority thereof.
Issued By. ........ itle .......... .............. Date .7. z
..................................................................................................................T ....................................................... .....................................
Permit to install expires 60 da7ys after issue date
Stove ............._................................................................................................................................................ ............................................................................................................................
StoveClearance. ...............................................................................................................................................................................................................................................................................
Floor .................... ........... ...........:............................................. ................................................................................
rt,,
Smoke Pipe .........................................................................................,............................ ............................................
SmokePipe'\Clearance /W.........................................................................................................................................................................................................................................
Chimney4t� &..............................................................................................I.......................................................................................................................................................
V
SmokeDetector ................ ..............................................................................................................................................................................................I...........................................
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 effedt' and pertaining theretoy
Installer
INSTALLATIONAPPROVED hl A.t............. By: ......................................... Title:.......... ........ ............... .......... ..................................
...........7 d,:af-ie-
WHITE; FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT