29-302 (3) 1
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Grit of Narthamptar
DEPARTMENT OF BUILDDyG INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER
Page 167 Plot 3 Zone
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Location / �d /-I —,<- --, � .Er�� � L� / /ter` � °•- r� � �`/�� ��'/ �/> C,
Owner or Lessee� �;r=..
(Name) ailing Address) Tele. No.
Contractor _
(Name) (Address) (Tele. No. )
RESIDENTIAL NON-RESIDENTIAL
1� One family Home Business
Two or More Other
Number of Units Specify
Stories in Building
Type of Appliance
New Wood burning
_ Used Coal
Labeled Combination
Date of Purchase Other
Specify
Model or Type
Manufacturer
Purchased Frod i ',oL
(N a of Firm)
(Address)
Cost - Construction & Appliance
Chimney New Metal Bestos
Existing Interior chimney
Separate Flue Exterior chimney
Other appliance attached to flue
Masonary Lined
Unlined
Notes & Data: '
Signature of Applicant:� 'kt-. c _ > ` a •, �, �
(Address) . /
Approved By: � (�
a 1-7( /
Title: � ,�� �-�� Date: So
A' DEPT. OF BUILDING INSPECTIONS BUILDING z°
+ 212 Main Street �` c
Northampton, MA 01060 PERMIT <a
29 - 302 VALIDATION
DATE October 19
October 17 PERMIT NO.86 617
APPLICANT Patience Armstrong ADDRESS -22 cre rook Drive Owner
IND.) (STREET) (CONTR'S LICENSE)
Wood Burning Stove One Family Dwelling NUMBER of
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
422 Acrebrook Drive ZONING URA
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 for the installation of a coal bu)lning stove
AREA OR ESTIMATED COST $ 850.00 FEE MIT 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as Applicant. - BUILD)
ADDRESS
Same as Applicant' s BY
.
WHITE - FILE COPY . GREEN - FIELD COPY w CANARY - APPLICANT COPY • PINK - ASSESSORS COPY POP