HomeMy WebLinkAbout0561 SANTUIT ROAD - Wood Stove Permit 10/19/82 TOWN OF BARNSTABLE
t BAINSTAU
MASM.
,6g. MASSACHUSETTS
Solid Fuel Stove Permit
DATE OF APPLICATION tT /.flelz.... FIRE DEPT. ISSUING PERMIT
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NAME (owner) ,A.......... Z��Z ZZ)aA�f.... NAME (Installer) .. .. ...
. ..........................................................................
ADDRESS ..........A i.0-A A...................... ADDRESS ....................... -,,q M ......................................................................
........ .. ..... ...... .. .... ....
STOVE TYPE CHIMNEY: NEW ........................ EXISTING ........................
.....................7-...... ..........
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Manufacturer .......................................................................... ........................................ CHIMNEY: Masonry .............................................................................................
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Mass. Approval ....................(j.L.. ............................................ CHIMNEY: Met.al ..................................................................................................
.......... ............
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.
J 1A ,
Issued By: .... .................. Title .................................................................................... Date ............................. .....
....... ..............................................................................
Permit to install expires 60 days after issue date
Stove ...........M�!A_ ........................................................................................................;................................................................................................................................................................
StoveClearance ...... . ...............................................................................................................................................................o.......................................................................................
Floor .......... ZI
......................fA.........................................................................................................................................................................................................................................................................
SmokePipe ......................................................................................................................................................................................................................................................................................
Smoke Pipe Clearance ............ew
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Chimney ......... ......................:.....................................................................................................................................................................................................................................................
Smoke Detector ............... .................................. .............�... —.............—,k
. ......................................................................................... ...............I...................................................................................
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The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ..........LL. \ I fl...................... has been made in accordance with proVisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining theret-o\-'.7. /"/ r /.'�n
.................................................. ......
Installer
........................................... Title:
....... ...
INSTALLATION APPROVED ................................. . ............. By: � fi
date
WHITE: FIRE DEPARTMENT CANARY: BUILDING INSPECTOR PINK: APPLICANT