HomeMy WebLinkAbout0329 W MAIN STREET - Wood Stove Permit 11/05/79 TOWN OF BARNSTABLE
Z BAH3lTA8L
'moo Y v F MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION 7 FIRE DEPT. ISSUING.PERMITC1�+�'/►'
.............................................................:............... .... ...:.................................................
l <�.ire rr5 c
(owner) c �
NAME owner ............................................................................................................ NAME Installer .................................../...../..................o.......... .....
ADDRESS ........ ADDRESS ,/'/f �°.................. i
STOVE TYPE ................... c...C.. .....................................................:... CHIMNEY: NEW ...... ......... EXISTING ........................
Manufacturer ........1._.,.:' CHIMNEY: Masonry................................................................................................. .......................................................................................
0
Mass. Approval ... .'":..� {�,2 � ;W �� CHIMNEY: Metal .......:..._/f0 2 ..
... ......................................� 7................... ................................. . .........................
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 � .,4.6 .� ................................... Fire Department,.....................................................................................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
r
Issued By ,/..... ............. ..
t i +/� yfr� Title c. , Date !... ' 9
....................... ................................................`.... ................ ,. .........p... ........�. ........�..
Permit to install expires 60 days after issue date
Stove ....................... ...K....................................................................................................................................................................................................................................................................
StoveClearance ....n..X................................................................................ ................................................................................ ........................ ................................................
Floor .........................................�.................................................................................................................................................................................................................... ..........................................
SmokePipe .............................................................................................................................................................................
..................... .. �.......................................................................
SmokePipe Clearance .�2..... ........................:.......................................................................................................................................................:..........................................................
Chimney ................................... } ....................................................................................................................................................................................................................................................
SmokeDetector ............./.....t•-- ......................................................:............................................
The undersigned hereby certifies that the installation of wood burning stove and equipment made under author-
ity of permit dated ... . ...-. ?... .. ...q.................... 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 WJ' Title: ...... �a
date
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT