34-007 (10) a
Ctp of Northampton
DEPARTMENT OF BUILDIXG INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. O1060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER rl
Page L Plot Zone
Location A t ° f
t �i
Owner or Lessee
-(Nime) (Mailing Address) Tele. No.
Contractor �r%�1 �/11� 11 � ,� ,�%��� i�Wv� < � ,�e�m� •
(Name) (Address) (Tele. No. )
RESIDENTIAL NON-RESIDENTIAL
x, One family Home Business
Two or More Other
Number of Units Specify
J Stories in Building
Type of Appliance VP
New Wood burning
Used Coal
Labeled Combination
Date of Purchase Other
Specify
Model or Type
Manufacturer
Purchased From
(Name of Firm)
(Address)
Cost - Construction $
New Metal Bestos
Existing Interior chimney
AChimney '.
Separate Flue Exterior chimney
Other appliance attached to flue
Masonary Lined
Unlined
Notes & Data:
Signature of Applicant: , _
—+w � /(Address)/
Approved By: �+
- ,
Title: ��� � ��� ��p C �-t �-' (.. Date:
DEPT. OF BUILDING INSPECTIONS BUILDING Z 1.
+ 212 Main Street 0<
IL
Northampton, MA 01060 PERMIT
34 - 7 VALIDATION
DATE 19 _ R oT 220
APPLICANT Gary P. Parker ADDRESS 8 of ey i ad -
(NO.) (STREET) (CONTR'S LICENSE)
One Fami 1 NUMBER OF
PERMIT TO New Chimney (_) STORY y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING RK
AT (LOCATION)
158 Turkey Hill Road DIISTR CT
(N0.) (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: permit to construct new chimney with separate flue --
AREA OR ESTIMATED COST .� 600-00 FEEMIT $ 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER (;amp aq AQnlicant - BUILDI4,12k PO.
ADDRESS Same aS Abnl i ran I S BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I,101P