HomeMy WebLinkAbout3341 MAIN STREET - Wood Stove Permit 10/08/81 • TOWN OF BARNSTABLE
1639, MASSACHUSETTS
OM�YM�
Solid Fuel Stove Permit
Gt �.
DATE OF APPLICATION 0(..... { �....... FIRE DEPT. ISSUING PERMIT ............................................................°
NAME (owner) �.. '............ .......�.1............... NAME (Installer) ............ 1` ' ..................................................
.......!
c
ADDRESS ...:.....:..........................................................j................................................. ADDRESS ................................................ .........................................................................
STOVE TYPE ....' -' .........................................................:........................... CHIMNEY: NEW ...... .............. EXISTING ......................:.
Manufacturer ..........: Q'7" :. ............................................................................. CHIMNEY: Masonry .............................................................................................
Mass. Approval ............ �5................................................................................... 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.
Issued B .. ...�et.�... � '., -.. Title i �' `'�T 1 Date .... �.` P.......r
y ... ........a...:................ ................ .................................. .......�9 y... p'.....................................................................
Permit to install expires 60 days after issue date
Stove �.. .............................................................................................................................
........... ....... ................................... ....................................................................... ......... ........
T
StoveClearance ...................... fff..!...................................................................................................................................................................................................................................................
Floor ...........................................................................................................................................................................................................................................................................
SmokePipe ................ ".I..............................................................................................................................................................................................................:..................................
r
Smoke Pipe Clearance ................ ..............................................
......................................................................................................................................................................:............ ...
Chimney ...................................................................... ............................... ............................................................................................................::..................::............................
Smoke Detector ..............Y..u.1971/Q . kF�Jt°'' +' 57
... Elks h Q..
s
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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 f Al �'. 101�
...... .... , �t... .
Installer
INSTALLATION APPROVED By Title .........................................� .... ........ ..date. ... .,V._ ........ . ............. ........... r.- .. ....�:.
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT