25A-095 (7) O O _
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DEPARTMENT OF BUILDING INSPECTIONS
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INSPECTOR 212 Main Street ' Municipal Building ,
Northampton, Mass. 01060
SOLID FUEL BURNING BURNING APPLIANCE & CHIMNEY APPLICATION
Page Plot Zone Permit Number `[
Location Jj !j �� � p 'ST
Owner or Lessee
Contractor
Tele. No.)
���f l'�....5?-�.,,_
Address License Number
RESIDENTIAL NON-RESIDENTIAL
V One Family Home Business
Two or More Number of Units Other (Specify)
Floors in Bldg.
Type of Appliance:
L/ New _� Wood Burning
Used Coal "
Labeled Combination
Date of purchase ~! Furnace
Fireplace Insert
Model or Type of Appliance Iva IS � a- N F P -28
Manufacturer NCk
Purchased From
f'
(Address)
Cost - Construction & Appliance: 6c,
Chimney New Metal Bestos
Existing Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to flue
MasonaryJlined
Unlined
Notes & Data:
5 c
Signature of Applicant: 1,
rr
Building Inspector Approval:
Date:
Department of Building Inspections
212 Main Street nMa BUILDING �- ,
Northampton, Mass. 01060 zo , �
PERMIT
25A - 95
VALIDATION
DATE November 4, 19 83 PERMIT NO. 647
APPLICANT Daniel Kibe ADDRESS 354 Bridge Street Owner
(NO.) (STREET) (CONY R'S LICENSE)
Wood Burning Stove One Family UMBER of
PERMIT TO I_) STORY y DWELLING UNITS -
(TYPE OF IMPROVEMENT) N0. (PROPOSED USE)
AT (LOCATION)
354 Bridge Street
ZONING
ISTR CT 1JR11
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CR054 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 wood burning stove(new) .
AREA OR ESTIMATED COST $ 850.00 FEE-
(CUBIC/SQUARE It 10.00
VOLUME
(CUBIC/SQUARE FEET) ,ry
Daniel Kibe
OWNER
ADDRESS 354 Bridge St. , Northampton, Mass. 01060 BUI /
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY - PINK - ASSESSORS COPY