36-166 (5) e` g TitV of Naxt4aniptun
� ,*lassacltnsctts - =_= `
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building ,� - v ,>•`
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER
Page . Plot 7 ,- Zone
Location
y
Owner or Lessee(y��,1 "• g `' 77.9a � �-`�`�
ame) Mailing Address) Tele. No.)
Contractor �441,,,t2-r.J -/
(Name) (Address) (Tele. No.)
RESIDENTIAL NON-RESIDENTIAL
_X One family Home Business
Two or More Other
Number of Units Specify
Stories in Building
Type of Appliance
New ,� Wood burning
Used Coal
Labeled .>�' omb nation
Date of Purchase Other
Specify
Model or Type
Manufacturer
Purchased From 110 - °
(N of,Firm
(Ad dres
Cost - Construction & Appliance $ gQ�(lam
Chimney _ New Metal Bestos
Existing Interior chimney
Separate Flue Exterior chimney
,Other appliance attached to flue
Masonary Lined
Unlined
Notes & Data:
Signature of Applicaut:
(Address)
Approved By: f 6'
Title: Date:
e:
`R
. Department of Building Inspectians
212 Main Street
1�' ,eh1mpton, Ma. 01060 BUILDING Do 0
36 - 166
PERMIT � fit,
VALIDATION
DATE October 18, 19 82 _. PERMIT NO, 59()
APPLICANT Lori J_ Crafts ADDRESS 773 Florence $d.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Chimney Stn1Te (__1�) STORY coallwand_gtove DWELLING UNITS 1 _
(7YPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 773 Florence Road ZONING
DiSTftICT SR
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: ron$trnr =ASonaxy-j1 inPA Axtpripr chimney. install cow/wand hurning stove
in basement.
AREA OR VOLUME ESTIMATED COST . FEE MIT 10-00
(CUBIC/SQUARE FEET)
OWNER i.nri ?_ rrAftst $ennpth Jy IftPach
ADDRESS 773 Flnrencp Rnmi Npt^th}�mrntnn- Ma- ��Q BYI ING PT.
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT (PINK - ASSESSORS COPY