36-203 (3) a• '� Grit of Warthaniptan
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER
Page _ Plot Zone
Location
Owner or Lessee ll Ieti Tz�e t �% LAI S G!7 "h
(Name) Mailing/�Addres/?s) Tele. No.)
AContractor �� C ` tee
(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 Combination
Date of Purchase Other
Specify
Model or Type tee, �v�P
Manufacturer &4/T Cv5
Purchased From 5-ra "e S Hv//p �-{T
S di l-1„ame 17 e, 6f e
(Address) ��-
Cost - Construction & Appliance $ / 00
Chimney X New Metal Bestos
Existing X Interior chimney
_ t Separate Flue Exterior chimney
Other appliance attached to flue
y _ Masonary Lined
Unlined
Notes & Data: '
Signature of Applicant: G � � ��7 °%^ � 3 e�y L '�
(Address)
Approved By:
Title: a " ���' ' " Date: � ��
r DEPT. OF BUILDING INSPECTIONS BUILDING Z°
! 212 Main Street Oa
IL
Northampton, MA 01060 PERMIT c
36 - 774A p VALIDATION
DATE November 18, 19 86 PERMIT NO. 676
APPLICANT Richard Wentzel ADDRESS 47 Winterberry Lane Owner
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wood Burning Stove—) STORY One Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING SR
AT (LOCATION) 47 Winterberry Lane DISTRICT
(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; permit for the installation of a woodburning stove
AREA OR E
PER MIT
ESTIMATED COST $ FEE .�
(CUBIC/SQUARE FEET)
P,
OWNER
BUILDI
ADDRESS Same aS ADpl i rant BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p ONIP