29-496 (5) eA*0
DEPARTMENT OF BUILDIXG INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building .a ,>•`
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER
Page f Plot Zone -�
Location f f3UA--f P1 1 � ✓
Owner or Lessee JaAme.J Oc"L -s
(Name)` Mailing Address) (Tele. No.)
Contractor %�4'� � -i jt- -1,7!'
(Name) (Address)/ (Tele. No.)
RESIDENTIAL NON-RESIDENTIAL
v' One family Home Business
Two or More Other
Number of Units Specify
GL- Stories in Building
Type of Appliance
New Wood burning
Used Coal
Labeled Combination
�J%'X7 Date of Purchase Other
Specify
Model or Type / eclo c- fl_
Manufacturer A,I i,(mot 141r rEl
Purchased From -5'Z;OC, 51 L
(Name of Fi )
4:_ /
(Addyg s)
Cost - Construction & Appliance
Chimney New Metal Bestos
Existing Interior chimney
E/Separate Flue L7 Exterior chimney
Other appliance attached to flue
x/Masonary Lined
Unlined
Notes & Data: '
Signature of Applicant: max,�✓' �"1`""`E � ���
(Address)
Approved By:
Title: Date:
i �
Ab
Z
DEPT. OF BUILDING INSPECTIONS BUILDING
! 212 Main Street oa F `
Northampton, MA 01060 PERMIT
VALIDATION
DATE 19 PERMIT NO.
APPLICANT ADDRESS
(NO.) (STREET)(STREET) (CONTR•S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE Of IMPROV MENT) NO. (PROPOSEC USE)
ZONING
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS:
PERMIT
AREA VOLUME OR ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER BUIL��d �4} l�a.aJ 7E
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P'i p
DEPT. OF BUILDING INSPECTIONS BUILDING ZO ��
212 Main Street °a l 1
Northampton, MA 01060 PERMIT
29 - 496 VALIDATION
DATE September 18_, ,9_$Z, PERMIT NO. 647
APPLICANT James Holeva ADDRESS 581 -Burt.,; Pit. Rnad nwnpr
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wond Mirni nn �t.nVP (`) STORY nnP F�J7 l V DWELLING UNITS
(TYPE OF IMPROY MENT) NO. (PROPOSE USE)
ZONING
AT (LOCATION) 581 R(Irts Pit Road D STR CT I-IRA
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: j1prmit fnr the installation of a -wo.Qd burning S1:O4P
AREA OR
600.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE $
(CUBIC/SQUARE FEET)
OWNER Same as Applicant tI �'�'�3 �" '�-l.
BY'
ADDRESS Same as Applicant's
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY a PINK - ASSESSORS COPY p011fp