17C-082 (4) �• •a Cz#p of Nort4anipton
► � �lassechnsctts = _-_ .
DEPARTMENT OF BUILDING INSPECTIONS q
212 Main Street ' Municipal Building
INSPECTOR Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER
Page ` Plot Zone
Location
Owner or Lessee %�1i /Uz✓ ? �� V 7
(Name) Mailing Address Tele. No.
Contractor
4ame) (Address) (Tele. No.)
RESIDENTIAL NON-RESIDENTIAL
XOne family Home Business
Two or More Other
Number of Units Specify
Stories in Building
Type of Appliance
New X Wood burning
Used Coal
Labeled Combination
/o t Ye Date of Purchase Other
Specify
Model or Type vac-1DSTc-K- SOHa�'Zti� ci cc '� i0:;
Manufacturer Woc'ASttzr� S'Tt7��S > -�) VT-
Purchased From jtyn yeJLQ- Se� -
(Name o Firm)
(Address)
Cost - Construction & Appliance $ ��
Chimney New Metal Bestos
Existing Interior chimney
Separate Flue --- < Exterior chimney
Other appliance attached to flue
Masonary Lined
Unlined
Notes & Data:
Signature of Applicant:
(Address)
Approved By: � c'�r
Title: Date: � � �
Y DEPT. OF BUILDING INSPECTIONS BUILDING Z
�` t
212 Main Street o
Northampton, MA 01060 PERMIT <a
17C " VALIDATION
G
DATE Dec. 8, 19 88 PERMIT NO, 776
APPLICANT Mark Na,ja1TIP P.)III iP k ing ADDRESS 47 High St. , Florence Owners
IND.) (STREET) (CONTR'S LICENSEI
PERMIT TO Wood Burning Stove (^) STORY DWELL
One Family RING OF
UNITS
(TYPE OF IMPROVEMENT) NO. �I (PROPOSED USE)
AT (LOCATION) 47 High Street D ZONING STR CT URB
(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 wood burning stove (used)
AREA OR 500.00 PERMIT s 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET) f�y-
OWNER Same as Applicants ,� '" 4"
Same as Applicants' BuIL .9wr !
ADDRESS BY ;
WHITE - FILE COPY . GREEN - FIELD COPY CANARY - APPLICANT COPY • PINK ASSESSORS COPY P P