HomeMy WebLinkAbout1074 SANTUIT-NEWTOWN ROAD - Wood Stove Permit 01/18/83 ,IAN-J 24 16 :25
TOWN OF BXR.NSTABLE
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o 99 MASSACHUSETTS -
Solid Fuel Stove Permit
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DATE OF APPLICATION ZZ2,PVAP.3...................... FIRE DEPT. ISSUING PERMIT ............................................................
NAME (owner) ,!/o.`L'°. ..s..... ....... .u-'� ��_ ................ YNAME (Installer) ....�./..�;�„�z<y...s.......J...�`. ��`�...........................
ADDRESS 1 D /07'c;'lr- ADDRESS ?.%''/��' 70`•^�«a
......... ................... ...................................................................................................
STOVE TYPE c 7T�flnf �afn/5 �!vvr. CHIMNEY: NEW ........................ EXISTING ..............
Manufacturer .........y..........`.........................`.................................................................. ' 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 �U 3: ......................................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
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B ... .............
i /.+Jl..... :.Titles ........ Date ..........................................
Issued'By:. .��. . ............
, ,.f....... ....� ...�...........'......
Permit to install expires 60 days after issue date
StoveI� .............. ,?... �:............................................................................................................................................ .................................................................................
StoveClearance ..... .. ...................................................................................................................................................................................................................................................................
Floor :.... ............................................................................I...............................................................................................................................................................................................
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SmokePipe ...... :...:................................................................................................................................................................................................................................................................................
SmokePipe Clearance .{t?....... ............................................................................................................... ...................................................................................................................
Chimney ..........t_.....::.................................................................................................................................................................................................................................... . .............._..................
SmokeDetector ...... ( ................................................................................................................................................................................. . ..............................................................
The undersigned hereby certifies ,that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ....n �!.� ;.. �. ? .... has been made in accordance with provisions of the Commonw' alth
of Massachusetts State BuildingCode now current, in effect and pertaining thereto ........!f�� -* ���✓�`-�—
y P g �.. .....................� ....... /.
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INSTALLATION APPROVED -.9A J GA f ' --................................ . Title. .... .........,^ ....... .
B .
date �I '
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT