HomeMy WebLinkAbout0213 OCEAN STREET - Wood Stove Permit 11/20/80 4
TOWN OF BARNSTABLE
9 BARISTABL
639. MASSACHUSETTS
Wood Stove Permit
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DATE OF APPLICATION 1.11U.......::...... ..t1. FIRE DEPT. ISSUING PERMIT ...........................................
NAME (owner) h1„AF±! I i. bill?R LP,, u I r' s:r Moir -....:... NAME (Installer) ...................................................... . ...............
.............. ........................................ ....... ........
ADDRESS .........:'1,�,2 1 C r= r hT`''� 4r`.+s...:. ADDRESS ............................................................................................................................... . ... .... .................................... . .......................
STOVE TYPE h,1r. I�l c< trh • CHIMNEY: NEW ....... ..... EXISTING................................................................................. ........................
Manufacturer ..................................................................................................................... CHIMNEY: Masonry .......................................................................................
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Mass. Approval ............................................................................................................ CHIMNEY: Metal .........! ................................................................................
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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.
IssuedBy .................................................... :.................. ........................................Title,:............................................................................. Date ................................................
Permit to install expires 60 days after issue date
Stove .. .......................................................................................................................................................................................................................................................................................................
StoveClearance .............................................................. ................................................................................................................................................. .......................................................
Floor ..............................................................................................................................................................................................................................................................................................................
1
SmokePipe ................................................................................................................................................................................................................................................................................................
SmokePipe 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
INSTALLATIONAPPROVED ....................................................... By:................................................................................... 'Title: ......................................................
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT