29-169 (4) � 1 � �blxssxci�iieetts - _=
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
INSPECTOR Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER
Page o1) Plot l 9 Zone (j q 1
Location 7-)
c -
Owner or Lessee T .5 >_iif,-12
(Name) Mailing Address) Tele. No.)
Contractor
(Name) (Address) (Tele. No. )
RESIDENTIAL NON-RESIDENTIAL
One family Home Business
Two or More Other
Number of Units Specify
Stories in Building
Type of Appliance
New 'X _ Wood burning
Used Coal
Labeled Combination
7737 Can Date of Purchase Other
Specify
Model or Type e'61_Fr- ck --P1US
Manufacturer d 0 C/ci�
Purchased From Sr, Im
(Name of Firm
47 1�
(Address)~ ' ��36 C'
Cost - Construction & Appliance $
Chimney New Metal Bestos
Existing Interior chimney
Separate Flue Exterior chimney
Other appliance attached to flue
Masonary Lined
Unlined
Notes & Data:
�-f'ri c7�Li�.,��C-�`- -'�—z-i �✓�il�ll�Lt�.iii � 1..C,Q--C'�Z �
c. y
Signature of Applicant: ��� �
J (Address
Approved By:
Al Title: � Date:
DEPT. OF BUILDING INSPECTIONS z-
212 Main Street BUILDING 0
I IL
i
Northampton, MA 01060 PERMIT
29 - 169 VALIDATION
DATE November 5, 19 86 PERMIT NO. 651
APPLICANT Jeffrey Hoos ADDRESS 80 Deerfield Drive Owner
C (NO.1 (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wood Burning Stove (-) STORY One Family Dwelling DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 80 Deerfield Drive ZONING URA
DISTRICT
(N0.) (STREET)
BETWEEN AND 4 \\!
(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: permit for the installation of a (new) wood burning stove
AREA OR VOLUME ESTIMATED COST $ 700.00 PER $ 10.00
(CUBIC/SQUARE FEET)
OWNER Same as Applicant
BUILDING DEPT.
ADDRESS Same as Appl i rant'-. BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY pjNTS11P