36-118 (5) r
Tip of XMhunt}rtan
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building _
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER r "
Page ar Plot 9 Zone '
Location ` .
Owner or Lessee
(Name),' Mailing A dress Tele. N6_.)
P
Contractor � ,�r_, -.•.�� -, �
(Name) (Address) (Tele. No.)
RESIDENTIAL NON-RESIDENTIAL
One family Home Business
Two or More Other
Number of Units Specify
Stories in Building
Type of Appliance
New Wood burning
Used Coal
Labeled Combination
Date of Purchase Other
Specify
Model or Type
Purchased From JJ
(Name of Firm)
(Address)"
Cost - Construction A Appliance $ Z12
Chimney
Chimney r New Metal Bestos
Existing Interior chimney
Separate Flue _ Exterior chimney
Other appliance attached to flue
Masonary Lined ,,
Unlined
Notes A Data: r)
Signature of Appli7nts r��s�; /� �`z
/ /�
(Address)
Approved Bys _,
Titles �� _ 1 Dates Mz' �X�'
Department of Building Inspections +
212 Maid Street Z 0
BUILDING
Noxtlikmpton, Ma. 01060 /4
PERMIT <a
36-118
VALIDATION
DATE Sep^. , 19 87 PERMIT NO. 447
APPLICANT Rodney Mackie L ADDRESS _232 Brookside Circle
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF 1
PERMIT TO ( ) STORY wQQd & coal Stove DWELLING UNITS
Y E F I PROVEMENT) N0. (PROPOSED USE)
i
AT (LOCATION) 237 Brnokside Circle 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: rOAStruCt masona3=/tile lined pxtprinr chimney, install wood/coal combination
stove in basement area.
AREA OR PERM)
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER RodneyMack4 a BUIL NG D
'Al
ADDRESS BY "--) -4
WHITE - FILE COPY . GREEN - FIELD COPY . CANARY - APPLICANT COP • PINK - ASSESSORS COPY