HomeMy WebLinkAbout0022 OLD SCHOOL HOUSE - Wood Stove Permit 10/25/80 �pf tp`
TOWN OF BARNSTABLE
Z BAIL STABL i
t639.` MASSACHUSETTS
Wood Stove.Permit
DATE OF APPLICATION ..........(.Q.../__115- FIRE DEPT. ISSUING PERMIT "............................................................
NAME (owner) .. ...................�......:..............:..:. '. .�... -.:.... NAME (Installer) Q..Qt.�.... G.d...A;,#....... :�i`M.t4..C�x.:.........
ADDRESS 22L......f ...............t.. ADDRESS ..... ../ rya Kt.R:.:. ..K �..... '
STOVE TYPE ....Q.R... l.............:.........................F:..:'.................�:...:......... ....- CHIMNEY: NEW ........................ EXISTING ...... .............
Manufacturer ...f�......r.....................:5.f.9 K.t:.......... ✓:.A:.�.1 ..................... CHIMNEY: Masonry .......................................................................................
' 4.- .,s- •-'ram•. - .
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.
IssuedBy ............Title .......................... Date. .........................................:..........................::............................................ .................................................... ................................................
ti
Permit to install expires 60 days after issue date
Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance .......................................................:.............................................................................. ......................................................................................... ....................................
.Floor .............................................................................................................................................•................................................................................................................................................................
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
!
f.
INSTALLATION APPROVED' / ?' . B .� . Title: � .
........Y..... .date... ........... y .......�,..............................V��;.......... ............ ............ ....................
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR - PINK: APPLICANT