35-192 (6) • f �sss�choetis --
t
DEPARTMENT OF BUILDING INSPECTIONS t =
INSPECTOR 212 Main Street • Municipal Building =
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE 6 CHIMNEY APPLICATION PERMIT NUMBER IA�
Page sue•`; Plot Zone
Location /o7D �n ;("�LLg 1/i' �C�� l /o,E'ENGc,/ ,4
Owner or Lessee � (Mailing
(Name) Address Tele. *o.)
Contractor /Up/UC
(Name) (Address) (Tole. No.)
RESIDENTIAL NON-RESIDENTIAL
One family Home Business
Two or More Other
Number of Units Specify
Stories in Building --
Type of Applianc
New I/ hood burning
Used Coal
Labeled Combination
__ fzZ__ Date of Purchase Other
Specify
Model or Type FjelgfUkl-/Al
Manufacturer 4�ty—faoyg e rz/ (,ja tL, l p—Atok J, ru
Purchased From y DNf4rs ryt �R ci dj4k- G
CfWame of irm)
A)
(Addre(as)
Cost - Construction & Appliance $ Q _
Chimney ,/ New Metal >bestos
Existing Interior chimney
Separate Flue 3/ Exterior chimney
Other appliance attached to flue
=Masonary Lined '
Unlined
Notes & Data:
Signature of Appl Cal
(Address)
Approved by:
Titles Dates
Department of Building Inspections BUILDING ZO
112 Main Street
O< l , ��
Northampton, Ma. 01060 PERMIT <a
a
35 - 192 VALIDATION
DATE October 13, 19 82 PERMIT NO. 582
APPLICANT Cnrden J Colby ADDRESS 1206 Burts Pit Rd.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF 1
PERMIT TO ('h3mnP Wend stave (-) STORY wood-burning_stove DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING SR
AT (LOCATION) 1206 Burts Pit Rd. DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (GROSS 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: Npw mAsonaryllined exterior chimney, wood burning stove installation
6
AREA OR ESTIMATED COST $ 450.00 FEEN'IT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER r-ordon I Colby' BOIL
ADDRESS 1 706 Anrtc 94 t RA Nortamptony_MA_ 01060 BY ai
i
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY