17C-191 (5) f �845A[{{I28 ttt5 u _ _
DEPARTMENT OF BUILDING INSPECTIONS _
212 Main Street ' Municipal Building
INSPECTOR Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page Plot � �fT Zone Vr_ Permit Number
Location y,
Owner or Lessee . ,t_c.ta Qo �er� �Qi�y„� - � S (o-3Z-y Z_
(Tele. No.)
Contractor
1 (License Number)
Address 1 i �cl2r �(� tee (d�e��, . � Y� C/6/ e
RESIDENTIAL NON-RESIDENTIAL
G-"One Family Home Business
Two or More Number of Units Other (Specify)
Floors in Bldg.
Type of Appliance:
New 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
Uae4 EX/sT/a'Fr -Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to flue
✓Masonary/lined
Unlined
Notes & Data: q
/ate g- ��P �l- .� � C�L" ,_I
c<
n ti.cE Sc�A-e C_R'f, d'
Signature of Applicant:
Building Inspector Approval: Q
ate: J%// �
< IL
WARNER TREE SERVICE
GARY WARNER TREE FERTILIZING
332 NORTH FARMS ROAD LANDSCAPING
FLORENCE, MA 01060 TREE TAKE DOWNS
STRUCTURAL PRUNING
FULLY INSURED AND CABLING
ARBORISTS LOTS CLEARED
LANDSCAPERS GARDEN ROTOTILLING
5$4-3051 CHIMNEYS CLEANED
1dlr &CIrs Blume - Babcock
11 Idilder Place
Florence Ma. 01060
8/9 clean 1-8"x12" tile lined
chimney X35.00
Northampton building inspector:
the above mentioned chimney
is lined frombelow the first
floor woodburning stove /pipe
entrance up through above the
roof. This chimney is clean
and safe to burn wodd. If they
is any question please contact me
Gary ivi. Warner
TOTAL `a35-00
�e¢dstamps..9nc.
Department'of Ailding Inspections {
2l�"'Main Street BUILDING o° /(q , 6�)
Northampton, Mass. 01060
PERMIT fd
VALIDATION
17C - 191
DATE August 15, 19 83 PERMIT NO. 402
APPLICANT Susan Blume - Babcock ADDRESS 11 Wilder Place, Flo. N/A
(NO.) (STREET) (CONTR'S LICENSE)
OF
Wood SiiM Stove STORY One Family DWELLLR
PERMIT TO DWELLING NUMBER(_)
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
11 Wilder Place Florence ZONING DBB
AT (LOCATION) DISTRICT
(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
AREA OR ESTIMATED COST $ 500.00 FEEMIT 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Susan Blume - Babcock BUILD
ADDRESS 11 Wilder P1aceoFlorence BY
WHITE - FILE COPY - GREEN - FIELD COPY - CANARY - APPLICANT COPY - PINK - SSESSORS COPY