38C-053 (2) 15 SOUTH PARK TER BP- 2013 -0393
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38C - 053 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: woodstove • BUILDING PERMIT
Permit # BP- 2013 -0393
Project # JS- 2013- 000634
Est. Cost:
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 7187.40 Owner: STEVENS ROBERT PHILIP & ANDREA MARY POWERS
Zoning: URB(100)/ Applicant: STEVENS ROBERT PHILIP & ANDREA MARY POWERS
AT: 15 SOUTH PARK TER
Applicant Address: Phone: Insurance:
15 SOUTH PARK TERR (413) 896 -4870 ()
NORTHAMPTONMA01060 ISSUED ON:10/9/2012 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL LOPI INSERT 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 # Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation: ('
Final: Smoke: Final: aI /c -/ d — /U C6//
THIS PERMIT MAY BE REVOKED B . ' " TY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE .. E ►'
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Certificate of Occupanc�f Signature: FeeType:
Date Paid: Amount:
Building 10/9/2012 0:00:00 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck - Building Commissioner
City of Northampton
—rte - - ,
8 Massachusetts � S, .. sl ''-
p . a E EIVED
DEPAR 1rc OF BUILDING INSPECTIONS a' ''
212 Main Street •Municipal Building
\ OCT — te Ncrthampton, MA 01060 SS' 46 8 ` '%;1'
DEPT OF Bli.L.DiN NspEcrioN$
NORTHAMPTON MA 01060
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD, COAL, PELLET, CORN, STRAW OR SIMILAR STOVES, OR FIREPLACE INSERTS
Permit Fee: $25.00 Check #
PLEASE TYPE J OR PRINT ALL INFORMATION
1. Name of Applicant: e0gErr S� �E
Address: f S v 6 lri P pte. 1 T Telephone: + 1 . 9 %- 4-Vv
2. Owner of Property: 54-m
Address: Telephone:
3. Status of Applicant: \'Owner Contractor
4. Type or Brand of Stove: L 0 P I 1 ((S 1't
If applicant is not the homeowner:
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
5. Certification: I hereby certify that the information contained herein is true and accurate to the best
of ATE. nowiedge.
/O - S - Z 2 PPLICANT'S SIGNATURE a
DATE:
DATE: HOMEOWNER'S SIGNATURE
APPROVED
DATE: BUILDING OFFICIAL