32C-265 n(
Cit of Nor haur>rton
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DEPARTMENT OF BUILDD$G INSPECTIONS
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INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLI'ANN,C�Et& CHIMNEY APPLICAT
Page Plot r, Zone, LL41-low
Location �� �� -
Nc. (Street)
Owner or
ease _ M&Tk G L
e lmea�� Sah . 5�4=mat
(Name) (Mailing Address) (Tel. No.)
Contractor _
Name (Address) Tel. No.)
RESIDENTIAL NONRESIDENTIAL
One Family Home __ Business
Two or More _ Other
Number of Units _ Specify �a
Type of Appliance
New _� Wood Burning
Used Coal
Labeled _ Combination
Date of Purchase Other
A Specify
Model or Type
Manufacturer
Purchased From
Name of Firm
Address
Cost • Construction & Appliance $ ` (-Y) e-T
Chimney New ✓ Existing
Separate Flue Other Appliance Attached
To Flue
Masonary/Lined Metal Bestos
Masonary/Unlined
Exterior Interior
Notes & Data:
{I
Signature of Applicant: '�iw .2�+` - / �'r�` AV P
Address
Approved By:
(Title) Date
DEPT. OF BUILDING INSPECTIONS BUILDING z°
(N ! 212 Main Street
Northampton, MA 01060 PERMIT
32C - 265 (� O VALIDATION
DATE November 29, )g 84 PERMIT NO. 668
APPLICANT Mark G. Bibeau ADDRESS 43 Fa-gt1:prn Ave. Mer
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wood Burninz stove (_) STORY One Fami lv HnmP DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOS D USE)
ZONING
AT (LOCATION) 43 Eastern Ave- DISTRICT �C
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS 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: T)ermlt for the instal l ad an of a wand }uxmi lig si- — garage-0esed)
AREA
VOLUME ESTIMATED COST 100.00 FEE MIT $ 10.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
ADDRESS ame as Applicant's Address BYILDI
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY - PINK - ASSESSORS COPY pINT SNP