HomeMy WebLinkAbout0079 SANTUIT ROAD - Wood Stove Permit 12/01/80 ��ypf THE To�ye*
TOWN OF BARNSTABLE.
3"IST"L i
'oo 639. MASSACHUSETTS
�O MAY M�
Solid Fuel Stove Permit
DATE OF APPLICATION ...... :..-.... ..'.... .............................. FIRE DEPT. ISSUING PERMIT ...................
NAME (owner) . fi tOiNK. C. �al�i�-Tl_ T7" NAME (Installer) ���..:..� .:.... ��-� ,�15
.................. ............. .........................................................
ADDRESS ...........................y...........................................,:................................................ ADDRESS �q,,�_e4..:....,a,....:...........�,..:�.................................................................
STOVE TYPE .... ...{... .L.................................I...................... CHIMNEY: NEW ........................ EXISTING .�...........
Manufacturer ........ ..........�...... ....................................................................... CHIMNEY: Masonry ....................................................................................
Mass. Approval .... ... ........................................................................................ CHIMNEY: Metal ...................................................................................................
This is to certify that the above installer has permission to install a solid fuel 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: ..c.?� � ` I.......................................................Title .......17 rr>..,,� j nwL CLA ............................ Date .....!:�A �........V ....... ..
Permit to install expires 60 days after issue date
Stove1/ / .......:'.. r, ........��,, ,��...Z'.r.:M........!t/.0.............�r........... .. S..........................................................................................................
StoveClearance ..... ........................................................................................................................................................._...................................................................................................
Floor ..............r..........................................................................................................................................................................................................................................................................................
Smoke Pipe
SmokePipe Clearance ........✓.......................................................................................................................................................................................................................................................
Chimney .................................................................................................................................................................................................................................................................................
SmokeDetector .......Y.....................................................................................................................................................................................................................................................................
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority 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 .................�................. .................... Title. :, ...........�............... ....
date
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT