49-020 (10) 343 GLENDALE RD BP-2016-1402
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:49-020 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 iBP-2016-1402
Project# JS-2016-002418
Est. Cost:
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 43560.00 Owner: BRAKEY SANDRA D
Zoning: Applicant: BRAKEY SANDRA D
AT: 343 GLENDALE RD
Applicant Address: Phone: Insurance:
343 GLENDALE RD
F L O R E N C E M A 010 6 2 ISSUED ON:5/2 6/2016 0:00:00
TO PERFORM THE FOLLOWING WORK 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:
r���QQQ a
Final: Smoke: Final: �•� '1 �p r ;
THIS PERMIT MAY BE REVO TH ITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE L IIS
Certificate of Occupancy / signature:
FeeType: Date Paid: Amount:
Building 5/26/2016 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
' Massachusetts ¢3i ,rr
t i
DEPARTMENT Mains OF BUILDING INSPECTIONS /{!
` ' 212 Street • Municipal Building lg."'
rtrt ` Northampton, MA 01060 . .
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SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
Ill t______N
FOR WOOD,COAL,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
I
int Check# . 05' G '/0
Please fill in all appropriate information
1. Name of Applicant: sancta eral B*9
Address: 3#3 69/c etet-0.. Ie 2C , i/aYem Telephone: (403)3B7- 7636)
2. Owner of Property: �S,47M..,
Address: Telephone:
3. Status of Applicant: ✓ Owner Contractor
4. Type or Brand of Stove : &ne rgJ KetrVeis C
5. Estimated Cost : J
If applicant is not the homeowner::
Contractor name
Construction Supervisors 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. 2
2iyDADATE: 5'2 5'lb APPLICANT'S SIGNATURE Cd''a- d72-17-
DATE:
TE: HOMEOWNER'S SIGNATURE
APPROVED
DATE: BUILDING OFFICIAL