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HomeMy WebLinkAbout0561 SANTUIT ROAD - Wood Stove Permit 10/19/82 (2) o�T TORN OF BARNSTABLE S DASa9T68L o�9k�� MASSACHUSEWS Solid Fuel Stove Permit DATE OF APPLICATION en.....T .......1 l� FIRE DEPT. ISSUING PERMIT .......... ......�.-.fitj p NAME (owner) 1"? ,.1'1,e�a f`;. ��en ws � �� NAME (Installer) ......:&13. 1:1'�O ........................................................... ADDRESS ....... f.... ..- (�,r �. �'u• T` .r �.............. ADDRESS .......................... ..................V i'n . .........................................:....... ................ ........... ......... ....... f STOVE TYPE ! � �-.......:r:.�:..�x....................:..:........t.�:...:.................:........................... CHIMNEY: NEW ............. EXISTING ........................ i Manufacturer .....�•1,,•n.��'`..�. :..:�;:..III.-Am:::.:.............................. CHIMNEY: Masonry ............................................................................................. 4 Mass. Approval lC� �...................................................... 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 �...'?' c r ................................... Fire Department, and subject to the,provisions of the Commonwealth of Massachusetts State Building Code and regulations made under the authority thereof. . .......... .......... . 5 '^� IssuedBy: .......... .........._....,......... T.......y.-....f.f.......................................................... tle ....................... i �...... ........ ................. Date .......................................... Permit to install expires 60 days after issue date t Stove .........................................................................................................................................................................................................................................................................I...................... i StoveClearance ..................:f........................................................................................................................................................................................................................................................... Floor ........{; '':":?.:S"T r .o .... ..................................................... ........................................................................................................................................ SmokePipe ....... ..................................................................................................................................................................................................................................................................... SmokePipe Clearance ............4 ................................................................................................................................................................................................................................... Chimney 1 / 1G✓.7l. -.:......-...................................... .................................................................. ........... ............................. . ......... ......................................................... .................. ......................................................... fj 0 Smoke Detector t / •'` The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au- thority of permit dated ...........}..�`......`�1.................. has been made in accordance with provisions-of the Commonwealth f of Massachusetts State Building Code now currently in effect and pertaining thereto .. .... ....:f:'.......Z.......... .'.�. `"" Installer INSTALLATION APPROVED �- —................................. Title: o � , ............................... ......................... By........�: � .....:�.... ...... .................v � .... date WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT A 1