36-224 (9) 64 WINTERBERRY LN BP-2017-1186
GIS a: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 36-224 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-2017-1186
Project ti JS-2017-002005
Est. Cost:$5336.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor_
Lot Size(sq.ft.): 57934.80 Owner: PARSKY PAULA F
Zoning: Applicant: PARSKY PAULA F
AT: 64 WINTERBERRY LN
Applicant Address: Phone: Insurance:
64 WINTERBERRY LN
F L O R E N C E M A 010 6 2 ISSUED ON:4/20/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:H EARTH STONE 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:
FeeTvpe: Date Paid: Amount:
Building 4/20/20170:00:00 $40.00
217 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
It . Massachusetts �' ' io
011111/4.
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kR ,114, DEPARTMENT OF BUILDING INSPECTIONS o �/1 e,
' 212 Main Street • Municipal Building �>2'• ff.
ter* Northampton, MA 01060 4:41-4.Iree
86,- r 71170
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N SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD,COAL,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
L1
- - Check# OK5/
/, Pleas- ill in/inall appropriateptinformattion ,f / //y, /
1. Name of Applicant: t � � Ia{ V V { ' % LX j2Cl/
�� � GSI _ ! ''77 �7
Address: V I v r C 6C , c Vf-�4 , T- _phone: --56- -- /62
2. Owner of Property : L-'�
Address. r Telephone:
3. Status of Applicant: � Owner �-r�' Contractor
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1 t / 1 �i Ot�J �
4. Type or Brand of Stove : �-,t it -'-
5. UL Listing _ 6 ( r
6. Estimated Cost: e > 00 d LJ�lnn Sic 1 (/ ta C S 336-
7. Email : t pi", ( Gr, & /KO 2 0A I a , CO ...
If applicant is not the homeowner::
Contractor name Email :
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
S. Certification. I hearby certify that the information contained herein is true and -cc -.ate to the best of my
knowledge.
DATEAPPLICANT'S SIGNATURE - yr
9 Aga' .
DATE:lad L ZO HOMEOWNER'S SIGNATURE v a t
APPROV/!�CD ` / 1
DATE: ;o —/ 7 BUILDING OFFI' AL �