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23A-012
Stove • n (for qualified installers • ' Top View - Straight Installation e tZN O Measure rear and side i clearances from the (Ul 24"610mm —a+ nearest edge of the stove top. a 5-314"146mm I NOTE: Vent diameter varies depending on brand and model. 23-1/2" 597mm Measure front clearances from the face of the stove (unibody). h k Figure 2 Top View - Corner Installation OMeasure rear and side i clearances from the nearest edge of the stove top. f - - C 24"610mm O NOTE: Vent diameter varies depending on 53/4'146mm brand and model. ----------- a O Measure front 23-1/2 clearances from the face 597mm i of the stove (unibody). h k Figure 3 ©Travis Industries 100-01334 4131122 of Northampton Massachusetts - r r _�tif•' 0Xs iJc i* �- DEPT OF BUIIDXNG I717SP8CT2 -�-`- street a Munlaipal Building �t8 =s pin &Gas ins plum 9 rrir Electric, o� Mti01Q60 orEha - 01060 01HOLE on Two I:aMtLV SOLin F11FL APPLIANCE PERMIT APPLICATION FOR WOOD, COAL, PELLET, CORN, STRAW OR SIMILAR STOVElSr, OrR�FIREPLACE INSERTS Permit Fee: $25.00 Check# )7 1 PLEASE TYPE OR PRINT ALL INFORMATION 1_ Name of Applignt Address: ` f V'`°T > Telephone: 7I� ;2/ 2- Owner of Property_ l'i C k G( rn ' 0/h rh C S Address: ar"'K /GtcnCI Telephone: 111--13 5576 '�S�/ 3. Status of Applicant Owner Contractor 4. Type or Brand of Stove: If applicant is not the homeowner: Construction Supervisor's License Number > Expiration Date Home Improvement Contractor Registration Number Expiration Date T` All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit 5. Certification:I hereby certify that the information contained herein is true and accurate to the best of my Knowledge. DATE: �2 I APPLICANT'S SIGNATURE DATE: �" HOMEOWNER'S SIGNATURE APPROVED DATE: BUILDING OFFICIAL 28 PARK ST BP-2015-0266 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23A-012 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: woodstove BUILDING PERMIT Permit# BP-2015-0266 Project# JS-2015-000505 Est. Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: BERNARDSTON FARMERS SUPPLY 99401 Lot Size(sq. ft.): 6229.08 Owner: HOMMES CHARLES D&VICKI BAUM-HOMMES Zoning: URB(,100)/ Applicant. BERNARDSTON FARMERS SUPPLY AT. 28 PARK ST Applicant Address: Phone: Insurance: 43 RIVER ST (413) 648-9311 O WC BERNARDSTONMA01337 ISSUED ON.91912014 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL LOPI ENDEAVOR WOODSTOVE POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 9/9/2014 0:00:00 $25.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner