28-020 (4) f
(rite of Northampton Z
$ f �lassachasetts w = _—
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building ,� _ V,•�t
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page _ Plot -low_ Zone Permit Number L �J
Location moo Xyoov -?c)
Owner or Lessee ��yU,4t�1� � . ('.�i��QS fi, F In 56(, 1i763
Tele. No.)
Contractor SA,"c
IQ� License Number)
Address 700 A YIifU �GC
RESIDENTIAL NON-RESIDENTIAL
One Family Home Business
Two or More Number of Units Other (Specify)
Floors in Bldg.
Type of Appliance:
r/ New ✓ Wood Burning
Used Coal "
Labeled Combination
Date of purchase Furnace
Fireplace Insert
Model or Type of Appliance PI-7s
Manufacturer SH�It1f}ry DoA+-E
Purchased From
— (Name of Firm
SS-
Address)
Cost - Construction & Appliance: $ _ 3Z.5
Chimney New Metal Bestos
-c heed EX/ST/y G- Interior Chimney
Separate Flue X_ Exterior Chimney
A Other appliance attached to flue
K Masonary/lined
Unlined
Notes & Data:
Signature of Applicant: 'i".�
Building Inspector Approval:
ate, "
Departa)ent of Building Inspections 1
Zit Main Street BUILDING z°
Northampton, =ass. 01060 oa t bo
PERMIT
28 - 20 VALIDATION
DATE August 30, 19 83 PERMIT NO. 433
APPLICANT Donald J. Childs ADDRESS 700 R3( Road, Florence N/A
(N0.) (STREET) (CONTR'S LICENSE)
Wood Burning Stove NUMBER of
PERMIT TO (_) STORY One Family DWELLING UNITS -
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION)
700 Ryan Road D STR CT SR
(N0.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BV FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit to install a new wood burning stove with exterior chimney that is
masonary/lined and existing with other appliance attached to flue
AREA OR 325.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER T)nnal d T_ & Edith M hi l do I
'
ADDRESS . 700 Ryan RAad_ Florence, Mass- 01060 BY
I
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY