49-020 (12) 343 GLENDALE RD BP-2019-0469
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:49-020 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-2019-0469
Proiect# JS-2019-000752
Est,Cost:$4532.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sg. ft.): 43560.00 Owner: Shawn Porter
zoningAnlicat: Shawn Porker
AT. 343 GLENDAL9 RD
Applicant Address: Phone: Insurance:
343 Glendale Road (413) 923-2893 Q
FLORENCEMA01062 ISSUED ON:10/18/1018 0:00:00
TO PERFORM THE FOLLOWING WORK:LOPI CAPE COD FLUSH WOOD PLUS 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: FiEg D*pa[jment Fireplace/Chimney:
Rough: O_,,,111 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:
Fee kpe: Date Paid: Amount:
Building 10/18/2018 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton a
/
Massachusetts
EIV E r�
v
I. DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street a Municipal Building
Northampton, MA 01060 rs 3r 1 5 2018
�t DEPT.OF BUILDING INSPECTIONS
0 NORTHAMPTON,MA 01060
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION g 7 "
FOR WOOD,COAL, PELLET,CORN,STRAW OR SIMILAR STOVE
S,OR FIREPLACES Check# CIO
Pleasefillin all appropriate information
1. Name of Applicant: // R7 o�
Address: 3 lT /Y H Telephone: Z3
2. Owner of Property//: i d Z- �—
Address: // (tel �� 6 /�/d•^�'tz r,,—, Telephone:
3. Status of Applicant: Owner Contractor
4. Type or Brand of Stove :�0�Z 1 i1/
5. UL Listing
& Estimated Cost : 7-2 Z (�
7. Email : 0 aul ,
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
8. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE: v / APPLICANT'S SIGNATUR
DATE: O HOMEOWNER'S SIGNATURE _
APPROVED
DATE.--I v l i 6 BUILDING OFFICIAL
Massac,'ILTsetts Department of Public
Board of Building Regulations and Standards
License: CSS L-098784
MATTHEW COX
64 HADLEY STREET
SOUTH HADLEY MA 01076
Expiration
Commissiolher 04/28/2019
CZ�
Office of Consumer Affairs and Business Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Type: Corporation
Registration: 146198
OLDE HADLEIGH HEARTH & HOME CENTER; INC, Expiration: 09/12/2019
119 Wl-LVANSET"T STRE77 RT 33
S HADL.EY, MA 01075
Update Address and return card. Mark reason for change,
7 AticirA-qq 7 RAnewsl Employment E3 Lost Card
Office of Consumer Affairs Business Requintion
HOME IMPROVEM
' NT CONTRACTOR Registration valid for individual use only
TYPE:Corporation before the expiration dale. if found return to:
Expiration, Office of Consumer Affairs and Business Regulation
48198 09/1 2/20 19 10 Park Plaza-Suite 5 170
�ADLEIGH HEAR?H&-HOME CENTER,INC, Boston,MA 02116
E'A, D 11)x C
,,VILLMAN E7T STRETT RT 33
MA 1107-� A
Not valid hout
I - Undersecretary signature
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