25-061 (3) 101 OLD FERRY RD BP-2020-0613
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:25-061 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-2020-0613
Proiect# JS-2020-001037
Est.Cost:
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sa.ft.): 13677.84 Owner: MINOR MANDENG
Zoning: Applicant: MINOR MANDENG
AT. 101 OLD FERRY RD
Applicant Address: Phone: Insurance:
101 OLD FERRY RD (413) 230-4729 0
NORTHAMPTON MAO 1060 ISSUED ON:11/12/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-VIGILANT 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:
FeeType: Date Paid: Amount:
Building 11/12/2019 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
_ City of Northampton
Massachusettsw
5 DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
c�a�C� /3 � ��/
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD, COAL, PELLET, CORN, STRAW OR SIMILAR STOVES,OR FIREPLACES
Check#
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Please fill in all appropriate information
1. Name of Applicant : 1-1,+/J06A).i /UI/4/a1_, /p reC:�Le l All A)o/z—
Address: /y/ Old./ y A,0, /1/x;4711 �Ta.�r%aiTelephone:
2. Owner of Property : /L f-
Address: A/6a-11AA1/�A) i`'/A • Olee o Telephone:
3. Status of Applicant : X Owner Contractor
4, Type or Brand of Stove :
5. UL Listing :
6. Estimated Cost
7 Email : 1leirc°. miiwr -13 11-41 Gcm
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: I -I Z"ZOI BUILDING OFFICIAL