30A-024 42 LEXINGTON AVE BP-2016-1246
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30A-024 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-2016-1246
Project# JS-2016-002140
Est. Cost: $1200.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 10410.84 Owner: HINDMARSH,WALTER G
zoninc: URB(100)/ Applicant: HINDMARSH WALTER G
AT. 42 LEXINGTON AVE
Applicant Address: Phone: Insurance:
42 LEXINGTON AVE _ 413) 584-1437 ()
FLORENCEMA01062 ISSUED ON:4/25/2016 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL REGENCY 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 4/25/2016 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
Massachusetts
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T OF BUIZDING INSPECTIONS z
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212 Mai Street • Municipal Building yJy cD�
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SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD,COAL,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
Check#
Plea/se fill in all appropriate information
1. Name of Applicant : Wa �71 t cl- //�f -11 6y411A
Address: q,Z L. e k �'�u vn .�v e. /vt e, c r Telephone:
2. Owner of Property :
Address: S o. y e Telephone: J e-" -e
3. Status of Applicant: Owner Contractor
4. Type or Brand of Stove 11
5. Estimated Cost Z a v , a
If applicant is not the homeowner::
Contractor name
Construction Supervisor's License Number Expiration Date
Home Improvement Contractor Registration Number Expiration Date
All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit
6. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge.
v ,-�ATE: /(, APPLICANT'S SIGNATURE
DATE: HOMEOWNER'S SIGNATURE
APPROVED
DATE: BUILDING OFFICIAL