25C-019 (3) (rztV of &Noxt4amp#on
� �lamsachusetts _
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building ,a - �,.•`
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page CR 'C Plot Zone �_ Permit Number
Location I&C 1
Owner or Lessee ���
(Tele. No.)
Contractor
License Number)
Address
RESIDENTIAL NON-RESIDENTIAL
One Family Home Business
_ Two or More rQ1 Number of Units Other (Specify)
Floors in Bldg.
Type of pliance:
V A New k-" Wood Burning
—� Used Coal "
Labeled Combination
Date of purchase Furnace
Fireplace Insert
Model or Type of Appliance
Manufacturer
Purchased From
Name of Firm
(Address)
Cost - Construction & Appliance: $ _
Chimney New Metal Bestos
�ikeped Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to flue
Masonary/lined
Unlined
Notes & Data: �
r
Signature of Applicant: °
Building Inspector Approval: .e?
Date: 4�
Department of Building Inspections
Zo
212 Main*Street BUILDING
Northampton, Ma. 01060 PG�I�r,IT Ia
PERMIT'fir, a
25C - 19
VALIDATION
DATE PPri mbpr A, 19 82 PERMIT NO. 680
APPLICANT Mary Now ADDRESS 186 North
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wnnd Stnyps ( 2 STORY Wood burning Stoves DWELLING UNITS 2 _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING Tt
AT (LOCATION) 186 North DISTRICT�T RB
(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: E, ictina cblmnav Install two 7804 b"Irnin° StnyPS- nnP in first floor
apt. , one in second floor apt. (Same'f lue)
AREA OR $
VOLUME ESTIMATED COST .$ 5QQ.QQ FEEMIT 10.00--
(CUBIC/SQUARE FEET)
OWNER Mat3► Now
BUILDING EP .
ADDRESS 186 Nortb Street NorthamptoasMg. 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY