HomeMy WebLinkAbout0529 SANTUIT ROAD - Wood Stove Permit 09/10/79 t -
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TOWN OF BARNSTABLE
Z BARNSTABL
16 9`. MASSACHUSETTS
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Wood Stove Permit
DATE OF APPLICATION - `, '� .. FIRE DEPT. ISSUING PERMIT ............................................................f .�
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NAME (owner) J;l/4L47;:�Pc Jr�.. NAME (Installer) l..(...: ...
............................................................ ........................................ ..............
ADDRESS..'Z..c<....S�`r/�/ -t:f t f /144 ( G' Ll/.� ADDRESS .:.:............: '........f.J�'........_��:;4 ,Ni rao ev.
...................................... ................................. .....
STOVE TYPE ,P .4. } '7 f� t r' %..'.i • CHIMNEY: NEW ........................ EXISTING ........................
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Manufacturer 4/ as ca m I) .........................J\/. CHIMNEY: Masonry
............................................................. .......... ...............
Mass. Approval ..... CHIMNEY: Metal ..�Y�........' J'r'
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 ....................................................... i ems. ............................ Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued B � � ....�rR d+ _ '. i�r �A.�� .Z .f �? !
y. �....... .. ............... .........................................Title ..:...;.ram;... ....,... .... ....... ............................ Date . � .. � .. ...
Permit to install expires 60 days after issue date
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Stove .............................................................................................................................................................................................................................................................................................................
StoveClearance ............ . ......................................................................................... ` ..................................................................................................................
Floor ..........................................................................................................................................................................................................................................................................................................:...
SmokePipe ...............................................................................................................................................................................................................................................................................................
SmokePipe Clearance .............................................................................................................................................................................................................................................................
Chimney .....................................................................................................................................................................................................................................................................................................
Smoke Detector
.........................................................................................................................................................................................:.....................................................................................
The undersigned hereby certifies that the installation of wood burning stove and equipment'made under author-
ity of permit dated ....... .AA ''`..................... has been made in accordance with provisions of the Commonwealth
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of Massachusetts State Building Code now currently in effect and pertaining thereto �� �
...............%........................................
Installer t
INSTALLATION APPROVED 1 f-7 (/ By ✓....... ................................................. Title �' .:. --
..............
/ /date` / `..."`
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT
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