29-107 (5) 552 RYAN RD BP-2017-0877
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Bmck: 29- 107 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: woodstove BUILDING PERMIT
Permit BP-2017-0877
Project# JS-2017-001488
Est.Cost: $3890.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 16683.48 Owner: PENSIVY DARRIN
ZonZ=ne: Applicant: PENSIVY DARRIN
AT: 552 RYAN RD
Applicant Address: Phone: Insurance:
P O BOX 76 (413)478-7239 O
HAYDENVILLEMA01039 ISSUED ON:1/20/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:MT VERNON QUADRA FIRE E2 WOODSTOVE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House/4 Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 1/20/2017 0:00:00 S40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
Massachusetts +-
d� DEPARTMENT OF BUILDING INSPECTIONS
4 � 212 Main Street • Municipal Building
E �\ ,„,t Narthav¢ton, !W 01060 0‘^,C�
a'
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD,COAL,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
Check# [Y70 4%/c-7/0
Please fill in all appropriate information
1. Name of Applicant :jV oJrlft_f43y
Address: SS, hnClx'\ 2rSl. clnrt'flCO MA Telephone: t!/3' 330 1831
2. Owner of Property: 50,1Y\&,
Address: Telephone:
3. Status of Applicant : ✓ Owner Contractor
4. Type or Brand of Stove : PM .\ICA(Y\Of\ QOe.ALXA.-� ba_
5. Estimated Cost '. 3 , &9(..) • 04
If applicant is not the homeowner::
Contractor name
Construction Supervisors License Number Expiration Date
Home Improvement Contractor Registration Number Expiration Date
All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit
6. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE: APPLICANT'S SIGNATURE
DATE: HOMEOWNERS SIGNATURE
APPROVED
DATE: A—•/?:/.7 BUILDING OFFICI -