24A-119 (6) 26 CALVIN TER BP-2017-0152
GIS Jr: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24A- 119 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 p BP-2017-0152
Project a JS-2017-000248
Est. Cost:$5000.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: OLD HADLEIGH HEARTH & HOME CENTER 98784
Lot Size(sq.it): 8450.64 Owner: ELKINS NIRA HARPER
Zoning:URA(100)/ Applicant: ELKINS NIRA HARPER
AT: 26 CALVIN TER
Applicant Address: Phone: Insurance:
26 CALVIN TERR (413) 320-3158 O WC
LEEDSMA01053 ISSUED ON:8/3/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL INTREPID II 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 ft 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:
FeeTvpe: Date Paid: Amount:
Building 8/3/2016 0:00:00 $40.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
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Massachusetts c:-
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d ry DEPARTMENT OF BUILDING INSPECTIONS 0
1 212 Main Street e Municipal Building "< ar/�
.,ram Northampton, !A 01060 JyH, \1
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V I __ SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
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FOR WOOD, COAL,PELLET,CORN,STRAWORSIMILAR STOVES,OR FIREPLACES
k= 7 [�
a Check# a
/� Please fill in all appropriate information
1. Name of Applicant
': I Ii ra -/-40 +per cc: 1 S )�
Address: R Q� { c a2i Telephone: q 13 3/5&
No 2. Owner of Property kY}-F\�` W oikc)G`(OCSV a
Address co \VI 1 [-Cr ram kh q%iphbnA: n^e.
3. Status of Applicant : ✓wner Contractor
4. Type or Brand of Stove t
5. Estimated Cost: E)(, co C to
If applicant is not the homeowner::
Contractor name dl ()P, kL4 M 5k -o 41,i *(� iy� (C
Construction Supervisor's License Number 0 55 L OV1 D'7"D (Expiration Date l �2?' /1"
Home Improvement Contractor Registration Number VI g t �,g Expiration Dat(((e 97/,3//
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
knowledgeryJ y_pn/
DATE: 4t 3 APPLICANTS SIGNATUREtil II C ,
DATE: HOMEOWNERS SIGNATURE
APPROVED
DATE: BUILDING OFFICIAL