35-010 (4) of Nort4unrpton x --
$ f �Glassadpisetts = =-
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building ,
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page 35 Plot /,C) Zone S' t�-- Permit Number
L o c a t i o n PW
Owner or Lessee � �-r,td 6 ry-
Tele. No.)
Contractor ,nLGy�,e... c=c/J (License Number)
Address
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
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
herd '-_X/ST I.v Cr- �� Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to flue
Masonary/lined
Unlined
Notes & Data:
Signature of Applicant:
Building Inspector Approval:
Date:
Department of Building Inspections
212 train Street zp
lorthampton, Mass. 01060 BUILDING I:)- 10 , 0
0
35 - 10 PERMIT OF
VALIDATION
DATE August 18. 19 A3 PERMIT NO. 41 -
APPLICANT HP_l ms ADDRESS_ 59 West FArmc Road _ _/A
- (NO.) (STREET) (CONTR'S LICENSE)
Wood Burning Stove One Family NUMBER OF _
PERMIT TO I—) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING y�yyf
AT (LOCATION) 51 Wect r'lrMr" RnAA _ DISTRICT /a---C`R
(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)
permit to install wood burning stove in garage
REMARKS:
602.00 PERMIT $ 10.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
OWNER Clearance Helems
BUILDIN
ADDRESS 51 West Farms Road, Northampton BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ° APPLICANT COPY • PINK - ASSESSORS COPY