38b-080 (7) 179 SOUTH ST BP-2017-0655
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mau:Block:38B-080 CITY OF NORTHAMPTON
Lot:-001_ PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A)
Category:Wood Stove BUILDING PERMIT
Permit# BP-2017-0655
Project# JS-2017-001068
Est. Cost: $2000 00
Fee: $40 00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
onp Homeowner as Contractor
Lot Size(sq.it.): 161172.00 Owner: GRAVES GREG
Zoning: URBQ00)/ Applicant: GRAVES GREG
AT: 179 SOUTH ST
Applicant Address: Phone: Insurance:
179 SOUTH ST (413)773-1157 f)
N O R THA M PTO N MA 01060 ISSUED ON:11/9/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:SOLID WOOD BURNING 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 Denartment Fireplace/Chimney:
Rough: dl: 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 11/9/20150:00:00 54000
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
f� Massachusetts ,„ r,
t A � DEPARTMENT OF BUILDING INSPECTIONS x
�
212 Main Streeta Municipal Building J 1.
C�'
Northhampmp ton, MA 01060frry To1`v
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U I I SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
)l z0 • FOR WOOD,COAL,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
L__ __% Check# / g7 4647/
Please fill in all appropriate information
1. Name of Applicant GYP y / '/P5
Address:
-19 S_ ii Cr. Telephone. 3`1E - 335-2815
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2. Owner of Property: Grr.°Sory 6 24./PS
Address: 17-) SoviS Si Telephone: 3y9 -535-2SIS
3. Status of Applicant : Owner Contractor y,-�,�5
4. Type or Brand of Stove : So% oi V-h oc1 1 cr'vet
5. Estimated Cost: 4 2 000
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 Nearby certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE: APPLICANT'S SIGNATURE
DATE: Il/aj/(p HOMEOWNER'S SIGNATURE -2-72-,� —� v'-—
APPROVED
DATE. BUILDING OFFICIAL