15-003 (3) 478 CHESTERFIELD RD BP-2017-0206
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 15 -003 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-2017-0206
Project# JS-2017-000346
Est. Cost: $1500.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor_
I.,ot Size(sci.ft : Owner: SCANLAN JOHN B&JUDITH A
Zoning Applicant: SCANLAN JOHN B & JUDITH A
AT: 478 CHESTERFIELD RD
Applicant Address: Phone: Insurance:
478 CHESTERFIELD RD (413) 584-5905 )
LEEDSMA01053 ISSUED O:N:8116/201 6 0:00:00
TO PERFORM THE FOLLOWING !YORK:INSTALL AVALON 900 PELLET STOVE
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 TTS RULES AND REGULATIONS.
Certificate of Occupancy Sipnature:
FeeType: Date Paid: Amount:
Building 8/16/2016(400:00 $40-00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
RECOVE ' t. of Northampton
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i AUG 6 am Massachusetts 4, ®'^
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DEP NT OF BUILDING INSPECTIONS ^
C i 9Y9 Ma Street • Municipal Building
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DEPT OF F.JBGrPa g
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SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD,COAL, PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
Check# 34 (`
Please fill in`all aappropriate information
1. Name of Applicant: �)b� h 1•CC:3 r7 b$n p�( �^�
Address: t I B C ti'$�'11t t K.. twat, Telephone:4-)3-SD'f Ssos
2. Owner of Property :T6��(.1•1 S.C.-011n I tth pI 1,"
Address: 478a CttP2 aid PA , pb'}. `6b Telephone: �l3 SgT'-
3. Status of Applicant : Owner Contract r_,}-
4. Type or Brand of Stove: AlYat` 01�1 OD Pe.\lc wove
5 Estimated Cost: ,T00
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.
DATE: APPLICANT'S SIGNATURE
DATE: HOMEOWNER'S SIGNATURE
APPROVED
DATE: BUILDING OFFICIAL
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