29-328 (3) O
(City of 'Nort4alliptou
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 2112 Main Street * Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page 2 9-7) Plot Zone Permit Number
Location
3
Owner ev-4.e44.ee- r -21
(Tele. No.)
Contractor
License Number)
Address
RESIDENTIAL NON-RESIDENTIAL
_0ne Family Home Business
Two or More Number of Units Other (Specify)
Floors in Bldg.
Type of Appliance:
New Wood Burning
Used Coal "
Labeled Combination
Date of purchase Furnace
Fireplace Insert
Model or Type of Appliance
Manufacturer
Purchased From
(Name 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:
Building Inspector Approval:
Date:
DEPT. OF BUILDING INSPECTIONS
BUILDING Z°
212 Main Street 'a I �
Northampton, MA 01060 PERMIT .1 `
29 - 328 VALIDATION
J O DATE January 7, �g 85 PERMIT 13
APPLICANT Lorraine M. Weimann ADDRESS Acre Troo Drive /A
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Wood Burning Stove (_) STORY One Family Home -DWELLING°uNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
300 Acrebrook Drive ZONING �,
AT (LOCATION) DISTRICT
INO.) (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 XM the installation of a wood burning stove
AREA OUME ESTIMATED COST $ Alread Th re PERMIT 10.00
(CUBIC/SQUARE FEET)
OWNER Lorraine M. Weinmann
BUIL
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjNT p