29-065 (5) �i of Nwa4an pt"
� �assac4us�,ts ,
DEPARTMENT OP BUILDING INSPECTIONS
INSPECTOR 218 Main Street ' Municipal Building
Northampton, Mass. 01060
FEtiltllT
SOLID FUEL BURNING APPLIANCE 6 CHIMNEY APPLICATION
Page T. Plot -.... lL Zone Akh
Location ? �—J— (street)`
Owner or
Lessee Name Mailing Address Tel. No.
Contractor
(Name) Address Tel. No.
RESIDENTIAL 1i0N>r<ESIDENTL*I.
One Family Nome Business
Two or More Other
Number of Units Specify
Type of Appliance
Now Wood Burning
Used Coal
Labeled Combination
Date of Purchase Other
11 11 Specify
Model or Type
Manufacturer
Purchased Fronk
o irm
(Address-)
Cost • Construction i Appliance
Chimney New Existing
Separate Flue Other Appliance Attached
To Flue
Masonary/Lined Metal Boston
_ Masonary/Unlined
Exterior Interior
Notes i Dates
Signature of Applicants / cu�rrrar� / ✓��
Approved Sys
f
c
Title — Dace
,APARTMENT OF BUILDING INSPECTIONS
211
MAIN STREET BUILDING oQ
NORnUMPTONt MA. 01060 pERMIT 7a
29 - 65 VALIDATION
DATE November 2, 19_ 81 PERMIT NO. 611
APPLICANT Lawrence Kimble ADDRESS 23 Gilrain T rrac
r (NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wnnd Rtnye (2_) STORY_ Wn0d bllrnlnn S ayes DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO, (PROPOSED U E)
AT (LOCATION) 23 Gilrain Terrace ZONING
DISTRICT URA
(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 wood burning stove in existing chimney in basement area
To block off fireplace and use same chimney.
AREA OR VOLUME ESTIMATED COST $ 6%()-()0 PERMIT
(CUBIC/SQUARE FEET) EE $ jn-on
OWNER T-awrewia K;mhl e
BUILDIN DEPT.
ADDRESS BY
WHITE - FILE COPY ■ GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY