29-117 (3) r- _ .,
..
�� ��
~; (CitV of Xort4ampton
e �1�4fAChlist«! _
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page 9 Plot '7 Zone C10/24 Permit Number if j
Location Lb
Owner or Lessee (J� 7_ �,
Lo � Tele. No.)
Contractor E141 f � 1T
Address i �� � h ��d License Number)
RESIDENTIAL NON-RESIDENTIAL
One Family Home Business
Two or More Number of Units Other (Specify)
Floors in Bldg.
Type of Appliance:
_ New _1,___�Wood Burning
Used Coal "
Labeled Combination
/1 Date of purchase Furnace
Fireplace Insert
Model or Type of Appliance / � Lam.
Manufacturer
Purchased From cif th
ame of Firm
(Address)
Cost - Construction & Appliance:
Chimney New Metal Bestos
Existing Interior Chimney
_ N,,-- Separate Flue Z Exterior Chimney
Other appliance attached to flue
Masonary/lined
Unlined
Notes & Data:
Signature of Applicant: tL'N�r
Building Inspector Approval:
Date:
N"XX XX Department of Building Inspections
212 Main Streeft
Noithampton, Mass. 01060 BUILDING ZO
ID "D'n
• . PERMIT Oa
a
VALIDATION
December 27 e 83 PERMIT NO. 730
Cheryl Siano Lovett orFrst�rive
APPLICANT ADDRESS
(N0.) (STREET) (CONTR'S LICENSE)
NUMBER OF
Wood Burning Stovq ) STORY Onefamily home DWELLING ING UNITS -
PERMIT TO
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
ZONING URA
88 Forest Glen Drive. Florence DIISTR CT
AT (LOCATION)
(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: permit for the installation of a new with a se2arate flue masonaryllines with an
exterior chimney.
AREA OR 800.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE $
(CUBIC/SQUARE FEET)
Cheryl Siano Lovett and Edward Lovett t
OWNER BUILD
o e ree reen ie
ADDRESS p BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY