23D-044 (2) ,. _,,.
1 0ARTHIM OF tOILD=C DISTiCSIOR&
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MAST 0100 BUILDING
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23D W 44 { VALIDATION
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DAT! is Q2 PERMIT NO. `126A
Y
III APPLICANT U3121DtztlemADDRESS �M
�Fy DIY/eS MS Drive
1X0.1 InREFiI ICOXTN'S LICENSEE
PERMIT TOIZ_I STORY CAI L nw/A efaYe HUM LIRNG UNITS 2
1.
AT (LOCATION) 4,111, ei We�d�eytlRF. DISTRICT UM
NO.) lk EETI
BETWEEN AND
ILROl3 STREET) I[ROSF Si REEiI
LOT
SUBDIVISION LOTBLOCK 512E
BUILDING IS TO BE FT. WIDE BY FT. LONG BY IT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
SO TYPE USE GROUPBASEMENT WALLS OR FOUNDATION
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is kit,4ir e1 brat 2teetAREA p
VOLUME ESTIMATED COST q 2SDD-� FPEEEMIT $ 10 00
ILY31[/FOYM!FFETI IP
OWNER YSII�es Gsrfeer i Eli . OYee
BUILDI O
AooiR,Esa Br
`yHgE - FILE COPY 3 GRLU( FIE D COPY 3 CAN RY PLICANT C 3 PI N - ASSESSORS COPY
009) 0
uNSUILDING INSPECTIONS
12 MAIN STREET
BUILDING
itORTHAMETONF MA. 01060 PERMIT
23D - 44 VA LIDArION
DATE SII@tembes 10N 19 Al PERMIT NO. 926
APPLICANT W4114ym re�,�g ADDRESS 100 R4vera4 A. III
V.., ISTPEETI ICONTR'S LICENSCI
PERMIT TO (_2_1 STORY 014""" � F. .gn�A) AtnVP p"'I RING UNITS 1
AT (LOCATION) CI.NO
N CT DRE
(NO.) ISTnEEiI
BETWEEN AND
ICROcs STREET)
SUBDIVISION LOT_ BLOCK EICa
LOT
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SNALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
T110
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in kitchen of first floorARA OR
O.
VOLUME ESTIMATED COST $ 1100.00 FEE MIT R. 10.00
ICYBIC/SOUME RET) W
OWNER William Dertzng & S11en vanes
ADDRESS 1110 Ai varalAP Dr Northampton- Ms. 01060 BDILDI D r
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT CO PINK - ASSESSORS COPY
• e Q4itg Di 'Warthanlp!"
jauu'►melfa V;NUNB DEPARTMENT OP BUILDING INSPECTIONSINSPECTOR 212 Maio Street , Municipal BuildingNorthampton, Mass. 01060PERM
SOLID FUEL BURNING APPLIANCE 6 CHIMM APPLICATION Q
Page plot / ^(� Zone
Location
!vrn (Street)
Lessee
Owner or E�IFGi�RA�.P
Lessee Name) �/JJ Mailing Address) iel, No.)
Contractor pi<-y uL'r , .�V-A v , (�.�,,,,�,vJ„
Name Address fV✓ — Tel. No,
RESIDENTIAL NONRESIDENTIAL
One Family Home Business
Two or More Other
Number of Units _ Specify
Type of Appliance
New Mood Burning
Used Coal
L}beled Combination
'— / Date of Purchase Other
_ Specify
Model or Type �.— __� 'I
Manufacturer
PUTCh&
Purchased From
Name 6f Firm
Address
Cost - Construction 6 Appliance
Chimney New Existing
Separate Flue Other Appliance Attached
To Flue
Masonary/Lined Metal Bestos
Masonry/Unlined
Exterior Interior
Notes 6 Data:
Signature of Applicant
J— zjpddreaa
Approved Bys
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