HomeMy WebLinkAbout4093 MAIN STREET - Wood Stove Permit 05/01/82r
TOWN OF BARNSTABLE
BABB9TAn i
MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION ................ FIRE DEPT. ISSUING PERMIT ..................... 5............:.
NAME (owner) rs . . ... .................. NAME (Installer) .......E ;j!� '":............................................................................................. .
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ADDRESS �` � l .........�.....` .........!.:... ..................................... ADDRESS .............................. .��. ..........................................................:.
STOVE TYPE ... R. `'`'.................. ............................................................ CHIMNEY: NEW ........................ EXISTING ........................
Manufacturer �A' c,(!(¢ ............................................................ CHIMNEY: Masonry............................................. ....................................................................................
Mass. Approval A5....................................................................... CHIMNEY: Metal
......................................... ...................................................................................................
This is to certify that the above installer has permission to install a solid f el burning appliance at the listed
address in accordance with an application on file with the ...........................el burning
.......................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
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IssuedBy: 4 .................................. ..................... ................................. D .......................Title ate
CPermit to install expires 60 days
after issue date
Stove ..........................................................................................................................................................................................................................................................................................
StoveClearance .................... ..............................................................................................................................................................................................................................................
Floor ` ................ ...........................................................................................................................................................................................................................................................
Smoke Pipe ..........QV......:......................
................................................................................................................................................................................................................................
Smoke Pipe Clearance ....,.............
Chimney ...................... ......... �+ ............................................
:.... _
A�
Smoke Detector ............................................I. e�... ...... ��........ ✓.... ............... ............................!.`.........�.... .. ke&-/
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 BuildingCode now currently in effect and pertaining thereto(-
.............................
Y P g ..... ..................... .........
Installer
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INSTALLATION APPROVED
I .. f............ 1.......................... B,y:...:.1
................-.............. ............. Title
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT