35-134 (3) i ei#V of Northamptan
• ! �assRCkusetts .
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
P=RMIT
SOLID FUEL BURNING APPLIANCE b CHIMNEY APPLICATIONS
Page . Plot '(191Y IZone i
Location 4j6YT-b/00Tj
(No. (Street) � � 3/
Owner or /V T2 Sa MP
Lessee Name Mailing Address (Tel.el. No."Y-
Contractor
(Name)-
Address Tel. No.
/ RESIDENTIAL NONRESIDENTIAL
V One Family Home Business
Two or More Other
Number of Units , Specify
Type of Appliance / —'
New ✓ Wood Burning
?� Used Coal
_ Labeled Combination
Date of Purchase Other
_ Model or Type
W1NA� cx'6W Specify
Manufacturer
Purchased From
Name of Finn
Address
Cost • Construction i Appliance
Chimney New Existing
_ Separate Flue Other Appliance Attached
To Flue
—Z?Masonry/Lined V/ Metal Sestos
_ Masonary/Unlined
_ Exterior Interior
Notes 6 Data: _
Signature of Applicant:
–� dress
Approved By:
itle Date
,DEPARTMENT OF BUILDING INSPECTIONS
..,,,,DEPARTMENT
' 212 MAIN STREET BUILDING Z_
NORTHAMPTON, MA. 01060 O< .%
PERMIT a
5 - 144'`
ray VALIDATION
/ DATE October 21, 19 81 PERMIT NO. 594
APPLICANT JoAnnp Kat' ADDRESS 14 Wpstwnnfi TPrracp
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO A hiarnino NUMBER OF
W001� StOV@ STORY _.jtjplp StQYS� - -DWELLING UNITS
(TYPE OF IMPROVEMENT) N0. (PROPOSE�USE)
AT (LOCATION) 14 WPStwnnrl Tprranp ZONING lTRA DISTRICT
(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: Tnctnll wn0d htt'rning CtnVP in PXi�tingchimney $amp chimney as nil burn r,
but oil furnace is strut off - will not use
AREA VOLUME ESTIMATED COST $ 'AOO.00 FEEMIT 10.00
(CUBIC/SQUARE FEET) t
OWNER lnannp Katz `�
ADDRESS 14 Wpgtwnnd Tprranp. NarthaT nn, Ma_ 01060 B G(
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY . PINK - ASSESSORS COPY