22D-103 (3) 46 CLARK ST BP-2019-1011
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map Block: 22D- 103 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categorywoodstove BUILDING PERMIT
Permit# BP-2019-1011
Proiect# JS-2019-001664
Est Cost:$3000.00
Fee:$40.0o PERMISSION IS HEREBY GRANTED TO:
Const Class: Contractor., License:
Use croup: Homeowner as Contractor_
Lot Siae(so.ft.): 43037.28 Owner: FOUDY JAMES&CHRISTINE M
Zoning: URA(100)/WSP(100 Applicant. FOUDY JAMES & CHRISTINE M
AT. 46 CLARK ST
Applicant Address: Phone: Insurance:
46 CLARK ST
FLORENCEMA01062 ISSUED ON:3/18/2019 0:00:00
TO PERFORM THE FOLLOWING WORK:HEARTH STONE 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 N Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:01 3-18-19 ICQ
Rough: Oil: Insulation:/
Final: Smoke: Final: (�K �J'l(3-I�/ ��✓l
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REOUL,QTIONS.
CaMRcn".l !/�///�
Certificate of 6eaeeanc lz Siena[
FeeType: Date Paid: Amount:
Building 3/18/20190:00:00 540.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
(i)xassachueettaDEPARI'116NT OP BUILDING INSPECTIONS212 Nein Street • Nuvicipal Building
Nerthangton, Na 01060
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD,COAL,PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
Check# 1&5
Please fill in all appropriate information
1. Name of Applicant: � �✓in p1
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'j II__ n Sfi � (OyfhCC v_t3 c
Address: V �,Y ��— Telephone: _
2. Owner of Property : �"'✓�
Address: Telephone.
3. Status of Applicant: Owner lI Contractor
4. Type or Brand of Stove �1 AL2 r I ^ e-
5.
5. UL Listing :
6. Estimated Cost:' 3, DdJ
Z Email : C nJ � OU 8 � (0), �QYYL
N applicant Is not the homeowner::
Contractor name Email :
Construction Supervisor's License Number Expiration Date
Home Improvement Contractor Registration Number Expiration Dale
All Applicants must complete a Workers Compensation Insurance Affidavit belong we can issue a permit
8. Certification: I hearty certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE'. APPLICANT'S SIGNATURE
DATE: HOMEOWNER'S SIGNATURE
APPROVED
DATE: 3B' �y BUILDING OFFICIAL /