38A-007 (6) ��
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building -
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page > �_ Plot 1 Zone Permit Number L ,
Location '1'gv/GEe- AKK
Owner or Lessee eATdE.e1tiC l.CJ4 f'S Jr Y -7133
�Tele. No.)
Contractor
Address License Number
RESIDENTIAL NON-RESIDENTIAL
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
n Fireplace Insert
Model or Type of Appliance AUTocr-�A 7
Manufacturer
Purchased From
Name of Firm
(Address)
Cost - Construction & Appliance: $ _ `3 - x'lyv
Chimney New Metal Bestos
Existing Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to flue
�— Masonary/lined '
Unlined
Notes & Data:
Signature of Applicant: ����,
Building Inspector Approval:-
Date: ,_
Deaprtment of Building Inspections
212-Main Street
Northampton, Mass. 01060 BUILDING Z°
PERMIT
38 - 7
VALIDATION
DATE January 3, 19 84 PERMIT NO. 3
APPLICANT Katherine Waters ADDRESS 52 Laurel Park N/A
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Wood Burning Stove (_) STORY One Family Home DWELLING UNITS _
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
52 Laurel Street ZONING URB
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 used already existing wood burning stove. Exterior
chimney, masonary/lined, have done part of the chimney over.
AREA OR 400.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
OWNER Katherine Waters
BUIL
ADDRESS G aUre Park BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY PINK - ASSESSORS COPY