29-165 (6) 22 GILRAIN TER BP-2019-0838
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:29- 165 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Wood Stove BUILDING PERMIT
Permit# BP-2019-0838
Project# JS-2019-001386
Est. Cost:
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 27573.48 Owner: MACARY HOPE
zoninp,: Applicant. MACARY HOPE
AT. 22 GILRAIN TER
Applicant Address: Phone: Insurance:
22 GILRAIN TERR (413) 221-7115 O
FLORENCEMA01062 ISSUED ON:1/28/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-VT CASTINGS 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# 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 1/28/2019 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
"ON
sC
�f r` Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
y' V
212 Main Street • Municipal Building
Northampton, MA 01060
JAN 2 5 2019
DEPT_OF EUILDING i>i, PONS
z
NORTHAMPTONCTI
. +.1 E
CTI
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATIO
FOR WOOD, COAL, PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
Check# -kA
Please fill in all appropriate information
1. Name of Applicant : A&M-(4
Address: /2- �� �er QC� Telephone: a ( 711 S
2. Owner of Property �^�--
Address: Telephone:
3. Status of Applicant : 1 /Owner Contractor
4. Type or Brand of Stove : V
5. UL Listing : GOC
6. Estimated Cost
7. Email : % Q�Of W10.o �
If 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 hearby certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE: APPLICANT'S SIGNATURE
DATE: HOMEOWNER'S SIGNATURE Q/V\ -
APPROVED
DATE: �' 28- 200 BUILDING OFFICIAL
6
1/9/2019 20190109_144039.jpg
2 z
-�
https://mail.google.com/mail/u/0/?ui=2#inbox?projector=l 1/1