17C-166 (6) 48 HIGH ST BP-2017-1191
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C- 166 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-2017-1191
Project# JS-2017-002015
Est. Cost:
Fee: 540.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.fl.): 11804.76 Owner: THORUP MIKKEL C/O THOMAS P HARTLEY
Zoning: URB(100)/ Applicant: THORUP MIKKEL C/O THOMAS P HARTLEY
AT: 48 HIGH ST
Applicant Address: Phone: Insurance:
48 HIGH ST
FLORENCEMA01062 ISSUED ON::4/11/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:VERMONT CASTINGS WOOD 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 ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 4/21/2017 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
.e
. Massachusetts '<<
� f DEPARTMENT OF BUILDING INSPECTIONS �'.
212 Main Street • Municipal Building Sro�D
.. Northampton, MA 01060 NW 1
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\ C: SINGLE OR TWO FAMILY SOLID FUEL APP
APPLIANCE PERMIT APPLICATION
\ FOR WOOD,COAL, PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
Check# 337- Lit
-T Please fill in all appropriate information
1. Name of Applicant : Tehn11l.r Nat--le o7
Address. i 1 TS+ (� or-A A.A O 106) ._1 Telephone. 1413 387 T -8 4g(a
2. Owner of/P/roperty :cleent Q. r a.� e 110 nig 1-10-r fief
Address'. Ng NI�1+ J7 . Flo Veil 'LC /t414 O (O(�2 Telephone% L'{/3 387-0486
3. Status of Applicant : V Owner /Contractor -T-
4. Type or Brand of Stove erm-cpr �O.4 S 4 S I .J ITrt+'ef kok
5. UL Listin 1
6. Estimated` Cost NA
7. Email sc1n4;114-1-ivio, 1ec .& @sw,aiI . con-i
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: APPLICANTS SIGNATURE /�s� y% . . -_
V1 V /
DATE: 7 HOMEOWNER'S SIGNATURE _��a �W- AWZJ
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APPROVED / 1 II
51-01/-/
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DATE: ( 'dl-/ BUILDING OFFICI h /„/ = a