29-228 (6) e +
s Grit of 'Wart ampt"
f f �assacametts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
INSPECTOR Northampton, Mass. 01060
PERMIT NUMBER
SOLID FUEL BURNING APPLIANCE 6 CHIMNEY APPLICATION
Page Plot Zone le AL
Location
No. (Street
Owner or _:? 447
Lessee Name) Mailing Address) (Tel. No.)
Contractor (r, Q..+y�1J �1�, .rte
Name Address " Tel. No.5
RESIDENTIAL NONRESIDENTIAL
One Family Home Business
Two or More Other
Number of Units Specify
Type of Appliance
New Wood Burning -e'" )
Used Coal
abtled Combination
Date of Purchase Other
S ecify
Model or Type
Manufacturer
Purchased From
Nam of Firm
Addres
Cost - Construction & Appliance $
Chimney New Existing
Separate Flue Other Appliance Attached
To Flue
Masonry/Lined Metal Bestos
Masonary/Unlined
Exterior Interior
Notes & Data:
of L„Q .env J .�G�rvC11�r��
Signature of Applicant: 6q 4-4
Address
Approved By:
Ti a Date
�'
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DEPARTMENT OF BUILDING INSPECTIONS
j2A MAIN STREET BUILDING oa /o.tly 11 y
��
NORTHAMPTON, MA. 01060 ya
PERMIT
29 228 Q VALIDATION
DATE August 14, 1981 PERMIT NO. 393
APPLICANT Arthur Hyman ADDRESS Acrebrook Drive, Florence
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO F-i t��gCP_ insert-(_) STORY W00[l-4 L3Wng s Love DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING URA
AT (LOCATION) 168 Acrebrook Drive, Florence DISTRICT
(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:
AREA OR $ �nn nn FEE o
VOLUME ESTIMATED COST
(CUBIC/SQUARE FEET) _
OWNER Art H an _ B 'Pui j4v
ADDRESS 16A ACrahrnok flrivP. nrPnr•a. . 01060 B
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY