HomeMy WebLinkAbout0230 SANTUIT ROAD - Wood Stove Permit 11/23/79 TOWN OF BARNSTABLE
I IIA"STLU 51
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639 MASSACHUSETTS
Wood Stove Permit
DATE OF APPLICATION ......................... FIRE DEPT. ISSUING PERMIT ...... ..... ....... .... ..... ......... .. ...... ...... ........mot ".
NAME .......... ... NAME (Installer) ......... .........................................
............ .............................(owner) PAI.IeKu, E A
ADDRESS A !2 ...............�625&.'.. ADDRESS .......... .................................................................
STOVE TYPE 57-Pker 1226-640.1 Z............... CHIMNEY: NEW ........................ EXISTING .............
Manufacturer ve Co'
7*7*'***' "............................................................. CHIMNEY: Masonry .......................................................................................
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 ......................... D:n�� '7— Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By:
Title .......... .............. Date ...........9
7...........................................
Permit to install expires .60 days after issue date
'Stove .....................................................................................................................................i.....................................................................................................................................................................
StoveClearance ................................................................................................................................................................................................................................................................................
Floor .......................................................................................................................................................................................................................................................................................................
SmokePipe ...............................................................................................................................................................................................................................................................................
Smoke Pipe Clearance
..........***.......... ..........'............ ..........Chimney ...... ..............................................................................................................................................................................................................................................................................
SmokeDetector ................................................................................................I............................................................................................................................................!............
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
th provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto .............................................................".............
Installer
7 ? .........................I........... Title:
INSTALLATION APPROVED .......................................... ........... By:e�! ................................
date
WHITE:FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT