HomeMy WebLinkAbout0845 MAIN STREET - Wood Stove Permit 11/01/84 c�tx ro
��`* TOWN OF BARNSTABLE
Z 3 ST►M®•
v639. P MASSACHUSETTS
MW
Solid Fuel Stove Permit
J
DATE OF APPLICATION .r ` ......................... FIRE DEPT. ISSUING PERMIT ........4:.... ... �j�
...�. .... ................ .............t............
{�..r�(/ j(�. ...... ././.�/.j�p.. � \ ff///�{�jy ( J (FY � Aar�J[� 1 �•� 1 A j
NAME (owner) .......... ....................................................................................{......... NAME (Installer) ..............................................................................................C:�',vtv1
ADDRESS l� .. lA /l1 S'�''�n.G-w'.:.�! - ADDRESS `? ......l .ft� ........�. .............. :.t ;-�-U+. :t
............................. ... ..... ...... ..
STOVE TYPE ...........at—,j 1 •� a f HIMNEY, NEW EXISTING ...
Manufacturer � � J e y a.� CHIMNEY: Masonry ..................................................'-� 1=T .-.-.�........ ...... .�
.......................... .................................. ................. ....................... ...............
Mass. Approval .............................................................................................................. CHIMNEY: Metal ...................................................................................................
This is to certifys-,that�tlie'.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.
. � ............��.��....��. ............................. or/ /,�'y
Issued By: .............................................................................................. ..............................Title Date ........
Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
i� Stove Clearance V-� :
..................................................................................................................................................:..............................................................................................................................
Floor ...................::....................................................................................................................................................................................................................:...............`... ...................................
SmokePipe .........................................................................................................................................................................................I. .............................. ......................................................
m. '4
SmokePipe Clearance ............................................................................................................................................................................................................................................................
Chimney ✓..........................................................................................................................................................................................................................................................................................
SmokeDetector ......... ....................................................................................................................................................................................................................................................................
The undersigned hereby certifies:that the installation of solid fuel burning stove and equipment made under au-
If thority of permit dated ......... �4: 4....... has been made in accordance with provisions of the C6mmonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto, ..................
Installer
INSTALLATION APPROVED ......... �/� / �s' By:......�............-.. .c;x c-.'.�'�:..' !� Title: �.�' ............
...................... e...
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT