HomeMy WebLinkAbout1519 SANTUIT-NEWTOWN ROAD - Wood Stove Permit 01/23/84 ��yofTxcto�`* _.
TOWN OF BARNSTABLE
SAMSTM i
Na3q MASSACHUSETTS
Solid Fuel Stove Permit
Ct.
DATE OF APPLICATION ........1........��:?..........:..�................. FIRE DEPT. ISSUING PERMIT o
...............................uit.............................
NAME (owner)'�—AJ-1)'ll "/ 1 ''/ / X . ...... NAME (Installer) .:...... .`. ^ :........................................
.............-............ ........................ . ........................
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ADDRESS /...tS/ •/,,, f.�.�if,(�IPa�h �`1I t. ADDRESS ..:................................................... ............ ......................................... ........... ..........................................................................
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STOVE TYPE .......................................��.. -�- ..........a.. ' CHIMNEYu NEW EXISTING
Manufacturer.................. .... ................... ::..........v......................J... CHIMNEY: Masonry .."-........................................
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Mass. Approval .............. -)t--I W 'I- : 1........................................... 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....Q ...................tUit ..:. .................. Fire Fire Department,
...................
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
Issued By: .. 1 � •fi��„ .�..1 �...t::r.::.-.......................................................Title ......LiPUtP— ;�,h ................................... Date ....... `�.��Q..:........
Permit to install expires 60 days after issue date
Stove ....................................................................................................................................... t;...... t�,r.; .....: f.......`�;� I �...--,
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Stove Clearance .... ....................................................................:: �.......�.......................... ....0 ...�1._...�:..:..: ."..'�=__•..�. ` .��...................
Floor ....'..:.'!................................................................................................ !.. .;...c.........:.::....:........r.:::...... ..... :::..'............ ......�..:���:^-.:............ . ................f:... ' :..r?:. :........�...
Smoke Pipe i Ll r J r2 n x i 1 r "+-f. 1 / w.`F
.............................`................................................. ......... v. ..........................................................
SmokePipe Clearance ..� �:.............................................................................................................................................................................................................................................
Chimney .:v......................................................................................................`.................................................. !....... ...s.........
Smoke Detector .............................................................s ............ '�0A A:'?.... ........ a:3 a a .1� �� +. �t .. � r
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:.... .. .. .... i......
The undersigned hereby certifies that the installation of solid fuel burning stove and equipment made under au-
thority of permit dated ............ yE':L..... y��..t.�....... has been made in accordance with provisions,+of the Comb onwealth
of Massachusetts State Building Code now currently in .effect and pertaining thereto � ����,{�;l),.�!,{
Follow up inspection as ordered by 'Chief Dottridge. Installer
INSTALLATION APPROVED ........?........-..1..............L.................. .........................By:. t� . ..;_y...-� ...::-.: ........... �,
............... Title: Lieutena
nt
nant
...........
date �J �`�,. CotU it Fire Dept.
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WHITE: FIRE DEPARTMENT — CANARY: BUILDING INSPECTOR — PINK: APPLICANT