29-355 (6) 6 AUSTIN CIR BP-2019-0196
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29-355 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catcaory: Wood Stove BUILDING PERMIT
Permit# BP-2019-0196
Project JS-2019-000324
Est Cost:
Fee $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groom Homeowner as Contractor_
Lot Size(su. IT): 11282.04 Owner: LAUREANO LUIS E&PATRICIA A
Zoning: Applicant. LAUREANO LUIS E & PATRICIA A
AT.- 6 AUSTIN CIR
Applicant Address: Phone., Insurance:
116 SANDY HILL RD
FLORENCEMA01062 ISSUED ON.8.114/2018 0:00.00
TO PERFORM THE FOLLOWING WORK:WOOD STOVE
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 N Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation: / bb ,//^
Final: Smoke: Final: B/lslIg L( /� '�
THIS PERMIT MAY BE REVD Y THE CITY OF NORTHAMPTON UPON(VIOLATIION OF
ANY OF ITS RULES AN IONS.
Certificate of Occu c nature: �J /Y"n ou tity-
Feer e: Date P i . Amount:
Building 8/14/20180:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
,,.
Massachusetts
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LEPARI OF RUILDIRG DYBPA'O TWT p
212 lLin at—t am P� ft 11 M
O aysthaeptov, M 0106010
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C6 m= A
s N ti SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
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gFOR WOOD,COAL,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
V Check#.;?C76
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Please fill in all appropriate information
1. Name of Applicant: 141I Ldp+ U l✓&q'V D
Address Cj_A&s-ryA.1 Ct.t1Y�G��G:(o/tw,^9 Tel : y�1' Z3a
2. Owner of Property : IG!rCLL�
Adtlress:G
v/,Y.1- 4f3 Z-4o--t z 4
/QL.19RrAJ Ctt l�'GIf G'(tt(2sti'€ WtQ Telephone: -`-'I
3. Status of Applicant: ✓ O-"ef Contractor
a. Type or Brand of Stove: 546-AJ W Al cf o f fh - (.Jct 57i b(/£_
5. ULUsting: /(/5(L
6. Estimated Cost: ; O U. :) O
7. Email : 1pl477/ kiq clou1 C4407r&Ai:2—
N applicant Is not the homeowner::
Contractor name Email :
Construction Supervisor's 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
8. Certification: I nearby certify that the information contained herein is true and accurate to the best of my
knowledge. ,
DATE: �S / APPLICANT'S SIGNATURE
DATE: HOMEOWNER'S SIGNATURE
APPROVED
DATE: BUILDING OFFICIAL