29-361 (6) ibembe
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DEPARTMENT OF BUILDING INSPECTIONS -
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page C�Y_ Plot Zone L CA Permit Number Q 0
Location ere hr()o j_ j)r 06 Kefi e,, Iva--
Owner or Lessee �-_ d jarcl !' � Wool—ef r)4 �ll►�i d t < C - 66,
Tele. No.)
Contractor
License Number)
Address
RESIDENTIAL NON-RESIDENTIAL
_ One Family Home Business
Two or More Number of Units Other (Specify)
Floors in Bldg.
Type o Appliance:
New _� Wood Burning
Used Coal "
Labeled Combination
,, Date of purchase Furnace
' Fireplace Insert
Model or Type of Appliance iY —13 WODD S-rd(/F
Manufacturer NjgS; 4-V vA
Purchased From S-f111E S WOP
0iod of Firm)
(Address)
Cost - Construction & Appliance:
Chimney New Metal Bestos
He EXISTIN& Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to lue
---..i�— Masonary/lined
Unlined
Notes & Data:
Signature of Applicant:
Building Inspector Approval:
Date: C� � l` 7,1 /
Department of Building Inspections
3n Street a
ihampton, Mass. 01060 BUILDING Z° 00
2 IL
PERMIT
29-361
VALIDATION
DATE October 17, 19 83 PERMIT NO. 610
APPLICANT Edward & Maureen Mlkucki ADDRESS 227 Acrebrook Drive Owners
(N0.) (STREET) (CONTR'S LICENSE)
OF
PERMIT TO Wood Burning Stove (_) STORY One Family DWELLLRING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
227 Acreooe Florence ZONING
brk Driv r
AT (LOCATION) DISTRICT URA
(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-wood burning stove
AREA OR 630.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE $
(CUBIC/SQUARE FEET)
OWNER Edward F. & Maureen A. Mikucki
ADDRESS Acrecrook Drive, Florence, Mass. 01060 BUI PT
WHITE - FILE COPY GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - /SSESSORS COPY