31A-288 (5) 93 WASHINGTON AVE BP-2017-0875
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Biock:3I A-288 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-2017-0875
Project# JS-2017-001484
Est.Cost: $4500.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
u:e Groan Homeowner as Contractor
Lot Size(sq.ft.): 8450.64 Owner: ROSNER JENNIFER
Zoning: URB(100)/ Applicant: ROSNER JENNIFER
AT: 93 WASHINGTON AVE
Applicant Address: Phone: Insurance:
93 WASHINGTON AVE (413) 695-2917 O
NORTHAMPTONMA01060 ISSUED ON:1/20/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:VT CASTING WOOD INSERT
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 Occu•anc Si•nature:
FeeType: Date Paid: Amount:
Building 1/20/2017 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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DEPARTPENT OF BUILDING INSPECTIONS
212 aain rthamp . MuMA 1l ltling SVA s
..ro+ �' Northampton, WI 01060 ryer l"4
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9 ?Ail ',I SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
LAOR WOOD,COAL,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
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"'L '-'' __-� Check# if[/�q Sub
11 /n1 p Please fill in all appropriate information
1. Name of Applicant SOnn4/ R&wr 3 go l.,oruirn
Address: 95 iDnsfw1/d�1s�-, c "� tAlo.,r rk, Ivy Telephone: i{tj.LAS.;q -7
2. Owner of Property : ,-,4p Fossai 4- €ilI 6n.iin
Address: 93 LLJnsL jan.,t It .e r lar MMA Telephone: `83 655. 2417
3. Status of Applicant: \----6wner Contractor
4. Type or Brand of Stove : VT 6as4,,:9 un i t»Sv.-k
5. UL Listing : `73 j ILIS a J
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6. Estimated Cost: /f L{,
7. Email : 'µ�nni.�/.amyl .rosn.pi<W, (Iran; L. [.sin.
If applicant Is not the homeowner::
Contractor name Email :
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
8. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE: 1 14i/4- APPLICANT'S SIGNATURE—V------ - -� a- 9. ./
DATE: VIII/I La HOMEOWNER'S SIGNATURL24_,'<i C n % v
APPROVED ---
DATE: /—/7-17
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�( �/( BUILDING OFFICIA