Skip Navigation
This table is used for column layout.
On Our Site


Site  This Folder
 


 
Wood Stove Permit Application
TOWN OF TISBURY
BUILDING INSPECTION & ZONING ENFORCEMENT
POST OFFICE BOX 1239
VINEYARD HAVEN, MA 02568

Kenneth A. Barwick - Rhonda DeBettencourt   Phone (508) 696-4280, Fax (508) 696-7341

OWNER’S NAME:_____________________________________DATE:________________

MAILING ADDRESS:__________________________________PARCEL ___-___-____

PROPERTY LOCATION:_______________________________PHONE#:_____________

SIGNATURE OF APPLICANT:__________________________FEE: $25.00

PERMIT
As required by 780 CMR 3610, a permit is required for the installation of any solid fuel- burning appliance

STOVE
A.  New _____  Used _____ B. Type-radiant _____   circulating _______

C. Manufacturer _______________   Lab. No. ______________

D. Name/Model No. _____________ Collar Size ___________

E. Dimensions: - Height ________  Length _______  Width __________

CHIMNEY
A. New _____    Existing _____                B. Size  (flue area) _________

C. Other appliances attached to flue ( number & size )  _____________

D. Pre-fab (manufacturer name & type) __________________________

E. Masonry/lined ___________ Flue liner ___________   Unlined _________

F. Height: ________________  cap ________

HEARTH
A. Materials _____________________     B. Sub-floor construction _____________

C. Minimum Dimensions ____   

Permit # __________________

__________________  Kenneth A. Barwick

 
Tisbury Town Seal
Town of Tisbury  51 Spring St., P.O. Box 1239, Vineyard Haven, MA 02568  Phone (508) 696-4200
Important Numbers and Hours      Terms & Conditions
Virtual Towns & Schools Website