01-001 (4) 710 NORTH FARMS RD BP-2020-0179
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:01 -001 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Wood Stove BUILDING PERMIT
Permit# BP-2020-0179
Proiect# JS-2020-000293
Est.Cost:
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sc. ft.): Owner: BATES ROBERT H
Zoning: RR(100)/WSP(49)/WP(14)/SR(7)/ Applicant: BATES ROBERT E &
AT. 710 NORTH FARMS RD
Applicant Address: Phone: Insurance:
710 NORTH FARMS ROAD
FLORENCEMA01062 ISSUED ON.8/12/2019 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 Deaartment 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:
FeeType: Date Paid: Amount:
Building 8/12/2019 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building sssxy1�
o Northampton, MA 01060
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INGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
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S6 R WOOD, COAL, PELLET, CORN,STRAW OR SIMILAR STOVES, OR FIREPLACES
Check#
Please fill in all appropriate information
1. Name of Applicant : O
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2. Owner of Property
Address: ��� � a�L— �� V Telephone:
3. Status of Applicant : Owner Contractor
4. Type or Brand of Stove
5. UL Listing :
6. Estimated Cost :
7. Email : Tt3wt 1 /i9S I �'✓2� / �0� • C&�`�
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: / APPLICANT'S SIGNATURE
DATE: HOMEOWNER'S SIGNATURE
APPROVED �
DATE: 2(�pIZ"20�� BUILDING OFFICIAL /