HomeMy WebLinkAbout0400 MARINER CIRCLE - Wood Stove Permit 09/27/80 T
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TOWN OF BARNSTABLE
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Wood Stove Permit
DATE OF APPLICATION ........9....'...:±�� 90 � �..!.:.±.�..... ................................................. FIRE DEPT. ISSUING PERMIT .......... ...................................
NAME (owner) ,..:?......tt............................................... �n.r NAME (Installer) ��" �,J,�rv.,.d........,/......................................
ADDRESS O-� 11.....: �t ..... ADDRESS f' ,n ' '7 ...............................
STOVE TYPE . CHIMNEY: NEW ........... EXISTING ........................
Manufacturer !f�a Sri CHIMNEY: Masonry ..:t,' ''.......................................................................
•..o._ _ ........... ............I......... ................
v . .1 .
Mass. Approval ............................................................................................................ 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 .....................��` : .>....�.............................................................. Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: 4: /...�. . /.�ts� J-P". ( f .�! .............. ....... , �'..7-,f",A
..................................... ...............................................- ........Title ......:.......... ......................: Date ...... .........
Permit to install expires 60 days after issue date
Stove ......... ..........................................................................................................................................................................................................................................................................................
StoveClearance :....,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Floor
SmokePipe ..... ..............................................................................................................................................................................................................................................................................
Smoke Pipe Clearance ..........................................................................................:...............................................................................................................................................................
...
Chimney ......... . .............................................................................................................................................................................................................................................................................
SmokeDetector ........ ...........................................................................................................................................................................................................................................................
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 / rC!....... B �°` --� .: Title: '' .'... -�u`
y:...............7... ....
..................date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT