36-199 (10) Vf XVdhAtnTVt=
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building .r
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Pagel >- Plot Zone
Location ,3 4U Ul4-9Y&Ai4WW ,e,D
— (No. (Street)
Owner or Jj 4I//� A 40A1041 J%JR4 �3Pi�Ad�I ZV AI eJ) S;-SY-8-�;z Lessee ( ame) Mailing Address) (Tel. No.)
Contractor As 4 Ad✓d'
Name (Address) Tel. No.)
RESIDENTIAL NONRESIDENTIAL
X One Family Home Business
Two or More Other
Number of Units Specify
Type of Appliance
,k New Wood Burning
Used Coal
Labeled Combination
IffY Date of Purchase Other
Specify
Model or Type 1/cawal f yl the pJ�
Manufacturer
Purchased From
Name o F
Address
Cost - Construction & Appliance
Chimney New Existing
Separate Flue Other Appliance Attached
To Flue
Masonary/Lined _ Metal Bestos
Masonary/Unlined
Exterior Interior
Notes & Data:
Signature of Applicant: � �`�W (su( � S Y7
Address
Approved By:
f-
(Title) Date)
s
a DEPT. OF BUILDING INSPECTIONS BUILDING z° & c').
! 212 Main Street
Northampton, MA 01060 PERMIT
36 - 199 VALIDATION
DATE November 14, 19 84 PERMIT NO. 640
APPLICANT David Aronow ADDRESS 348 Westhampton Road Owner
(NO.) (STREET) (CONTR'S LICENSE)
Wood Burning Stove (_) STORY One Family Home NUMBER of
PERMIT TO DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
348 WIES`THAMPION ROAD ZONING
AT (LOCATION) 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 new wood burning stove
:
AREA OR ESTIMATED COST $ 600.00 FEE MIT 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Same as applicant BUI `
ADDRESS
Same as applicant's above BY E<'N '�
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - A ESSORS COPY PjNT SNP