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29-395 (3) r i• •� iii r of Xart4aniptan � � �Iblassachnsetts - DEPARTMENT OF BUILDING INSPECTIONS —° INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER Page Plot ZoneC . Location SLYyldc! -- Owner or Lessee L" Qv? S 12 11 CAI 141 .5-9-6 -5-57/0 (Name) Mailing Address) Tele. No.) F/Ur�atCe! /Y(/{ Ol G6 0 Contractor Ol e flgalle," lit CyirrrnMNSav,e�s �e• Sb'O Alewsor S3$- 9s-4I.S" (Name) (Address)s' Nagle cJ (Tele. No.) RESIDENTIAL �� s NON-RESIDENTIAL One family Ho � 2 Business Two or More Other Number of Units Specify Stories in Building Type of Appliance New Wood burning he Used Coal Labeled Combination_ Date of Purchase Other Specify Model or Type 5,ht 9arl-cl©ct h 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 Applica rft, SQ A/WD�c�r /0� (Addy ss) Approved By: Title: ��� b/�z Date: .4 DEPT. OF BUILDING INSPECTIONS BUILDING Z° 212 Main Street Oa Northampton, MA 01060 PERMIT 29 - 395 VALIDATION DATE March 7, 19 89 PERMIT NO. 126 APPLICANT 1PCP Kauffman ADDRESS 116 Sandy Hill Rd. Owner (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO (_! STORY fhimney DWELLING UNITS T E O IMPROVEMENT) NO. (PROPOSED USE) ZONING URA AT (LOCATION) Saud Hi l 1 Rdi , F1 or nce DISTRICT fN0.1 STREET) BETWEEN AND (CROSS STREET) (CROPS 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 ITV►EI REMARKS: permit for alterations to existing chimney AREA OR 857.00 PERMIT $ 10.00 VOLUME ESTIMATED COST $ FEE (CUBIC/SQUARE FEET) OWNER Same as Applicant BUILDING DEPT4 J. ADDRESS Same as Applicant's BY � WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY Piaf' P