32C-289 (8) t
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• f �ssssrkoeth -- _
DEPAR711ENT OF BUILDING INSPECTIONS ' _
INSPECTOR 212 Main Street • Municipal Building Q
Northampton, Mau. 01060
SOLID FUEL BURNING APPLIANCE 6 CHIMNEY APPLICATION PERMIT ptTKBgR�` �r�
Page ''" Plot r yr Zone
Location
1
Owner or Lessee -
(Name) Mailing Address Tele. i�io.)
Contractor _ l,,I/�._„
.(Name) (Address) (Tole. No.)
RESIDENTIAL NON-RESIDENTIAL
One family Hone Business
Two or More Other
Number of Units Specify
Stories in Building —'-
Type of Appliance
New hood burning
Used °foal
Labeled �— Combination
Bate of Purchase Other
Specify
Model or Type
Manufacturer
Purchased From _'., c,
( e off,- Firm)
(Addres
Cost - Construction & Appliance $
Chimney New Hetal 111estos
Existing ,interior chimney
Separate Flue Exterior chimney
Other appliance attached to flue
Masouary Lined '
Unlined
Notes b Data: h
a
Signature of Ap ntt
(Address)
Approved by:
Titles Datet �/�
`'�
t
Department of Building Inspections
212 Main Street
Vrt!lun�sn, Ma. 01060 BUILDING Zo
' 29 - 289 PERMIT
VL
VALIDATION
DATE October 19. 19 82 PERMIT NO.
APPLICANT John C_ Crest ADDRESS 52 pEnr-asal Tlir4vo
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO WQnd stowx STORY mod-hurM5��S )o`fe DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED l)SE)
52 pen A¢al Drive, ZONING
AT (LOCATION) s ive, Florence DISTRICT U.A
(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: Install n/1 bu-m4ng etoye In exis"t'ng chimney own flue
AREA OR VOLUME ESTIMATED COST $ 50000 FEEMIT 10-n0
(CUBIC/SQUARE FEET)
OWNER Tohn C Crest � � 7
ADDRESS 52 penrasal Tr- , Florence- MA• 0106n BY
ILD/GO
/PT
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT C INK - ASSESSORS COPY