30C-027 (2) 99 CLEMENT ST BP-2019-1427
GIS#: COMMONWEALTH OF MASSACHUSETTS
Meu:Block:30C-027 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category: Wood Stove BUILDING PERMIT
Permit# BP-2019-1427
Proiectk JS-2019-002310
Est.Cost:81399.00
Fee:$30.011 PERMISSION IS HEREBY GRANTED TO:
const.Class: Contractor. �License.
Use croup: Homeowner as Contractor_
Lot Size(sa.B.): 19209.96 Owner: METRAL CHRISTIANE
zoning: SR(100 Applicant: METRAL CHRISTIANE
AT. 99 CLEMENT ST
Applicant Address: Phone: Insurance:
99 CLEMENT ST
FLORENCEMA01062 ISSUED ON.•611 71201 9 0:00:00
TO PERFORM THE FOLLOWING WORK.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:
FeeTvpe: Date Paid: Amount:
Building 6/1720190:00:00 $30.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Tili3 of xorlllttmplon
A ussarilusrUs
DEPARTMENT OF BUILDING INSPECTIONS mss.
212 Main Street • Municipal Building
Northampton, MA 01060
3QG — O.;) 7
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD, COAL, PELLET,CORN,STRAW OR SIMILAR STOVES, OR FIREPLACES
Check# a'l3
Please fill in all appropriate information
1. Name of Applicant:
C-41 .9 tc Iri
q`l U�VN e.y�Y S h ��iler. CA_ Telephone:
Address: __
2. Ownerof Property: C.% C-t„l qx._ . MCFrC1k
Address: 4 ° Telephone:
3. Status of Applicant: -1k—Owner Contractor
4. Type or Brand of Stove: V�e.k s h re—
5. UL Listing : tlL7-
6.
6. Estimated Cost: A q --
I
7. Email : Cwt et It t CAL)
H applicant Is not the homeowner::
Contractor name Email :
Construction Supervisor's License Number Expiration Date
Home Improvement Contractor Registration Number Expiration Date
Aft Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit
8. Certification: I nearby 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: BUILDING OFFICIAL