36-104 (3) T"i#p >af Nte4amptmt --
fi �sssackasrti. - -_-=
DEPARTMENT OF BUILDMG INSPECTIONS t
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER
Page 3(a Plot /0 Y Zone ue A
Location 0-ek
Owner or Lessee �•rv� .��,.C �_� 12,7- 6
Name) Mailing Address Tele. No.)
Contractor C4,4 aL
(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 tlt.r..�CJ[ ,.
Manufacturer
Purchased From
(Name of Firm)
(Address)
Cost - Construction & Appliance $ 300 -
Chimney _� New Metal Bestos
Existing Interior chimney
Separate Flue Exterior chimney
Other appliance attached to flue
Masonary Lined
Unlined
Notes & Data: p
Signature of Applicant;
(Address)
Approved By:
Title: Date: j° j k-2-
Department of Building Inspections
212 Main Street BUILDING '° 9 Q, oo
Northampton, Ka. 01060 Oa
PERMIT
36 - 104
Q' VALIDATION
DATE September 22, 19 82
. PERMIT NO. 463
APPLICANT Barbara D2iuha ADDRESS_ 931 AUrtS Pit Rd.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Cb imtlPV StAVP (_) STORY rannd-b1lrn�n� Stave DWELLING UNITS 1 _
(TYPE F IMPROVEMENT) NO. (PROPOSE:D SE)
ZONING
AT (LOCATION) 931 Burts Pit Rd. DISTRICT URIC
(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: n onctrnCt masonATV 14nPd PX P for h mn�, install wood burning Stnye
in
basement.
AREA OR ESTIMATED COST $ 10n_TnO FEE MIT 10-00
VOLUME V
(CUBIC/SQUARE FEET)
OWNER W41142m n743tha
BUI I
ADDRESS 931 Rurta Pit Rd■' lliprthamptnn, Ma. 01060 _ BY
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY ■ PINK - A SESSORS COPY