HomeMy WebLinkAbout1456 SANTUIT-NEWTOWN ROAD - Wood Stove Permit 08/23/79 '* TOWN OF BARNSTABLE
Z 33ARISTAU i
1639. MASSACHUSETTS
t Wood Stove Permit
DATE OF APPLICATION � FIRE DEPT. ISSUING PERMIT .... .......!............ ................
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NAME (owner) .... :..... - NAME (Installer)
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,! .4lF ! �,>. , �f`.� �A;,at IAA. A.-.f I+,4ib '4,A.... <� - :�ADDRESS �., . ...... . . .......................� . �.,...� ADDRESS .................... .... ........... .. .... - ......
....... ........
STOVE TYPE ..... ...-............. �........ #....... .. CHIMNEY: NEW EXISTING
Manufacturer ...............`...�......... ...................:....... CHIMNEY: Masonry r.............. . ................................................
........ .............. ......
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 �` %-J'_ �" ........... ........... Fire Department........... _ ..... .....r ,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued B - :.� ! ._�-��.- ...Title ..... - :2 1 r" :....................................... Date '..P)��?..�..
y: .... ... _-- . .... .............................................. t i .
Permit to install expires 60 days after issue date
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Stove. ........" ............................................., G c ( .,r 7G.
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StoveClearance ..............._. .......................................................................................................................................................................................................................................................
Floor .........................^
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SmokePipe ....'.: ! ............................�....... .......................................................................................................................................................................................................................................
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SmokePipe Clearance .... ...:........................................................................................................................................................................................................................................
Chimney ............. f`.::......................................................................................................................:.....................................:.....,::.........................................:............................................................ .r;�.,
SmokeDetector ....................................................................................................................................................................................................... ................................................................
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 provisions of the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto ..........................................................................
Installer
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INSTALLATION APPROVED ....._��J....�..I - B '• X
e:`^- ..: 'lam,• :=Title: `. �.... ....'i.... ✓date.......... .... y............... ................ ....... .
WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT
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