23D-127 (5) DEPNI
T OF
.. f21'� MATINNSTREETUILDING INSPECTIONS BUILDING �Q
g/o. DO /° �./
NORTHAMPTON, MA. 01060 fa
• PERMIT a
23D - 127
VALIDATION
DATE October 1, 19 81 PERMIT NO. SS9
APPLICANT Linda G. Gaffney ADDRESS 14 Winsl OW Avenue
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO New chimney (_) STORY For wood burning stove DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE
AT (LOCATION) 14 Winslow Avenue ZONINGDISTRICT URB
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Congt uct new masonary/lined exterior chimney and install wood stove (future)
//hW S7 '�� &i�. 59 H
AREA OR
VOLUME ESTIMATED COST $ 190.00 FEE
$ 1n.nn
(CUBIC/SQUARE FEET)
OWNER Linda f:affney
ADDRESS 14 Winslnw Avenue, Northam Ptnn, MR. n1n6n BYIL45
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
F
.•1•—�+rti)-10,#/ef: (ri#� v# oxtliacmn ►� .t
:�,:�: I. f �assar4asrtts ! :1 F e.:4
_3
DEPARTMENT OP BUILDING INSPECTIONS a ',`il.
r. La:
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
PiRMIT NUM. R
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION -- /
Page -?)) Plot j ZoneG(,
Location %c-,- / �--, .G ig'
( o.) treet)
Owner or . R'(� 1z"c 9
Lessee Name Mailing Address (Tel. No.) '
Contractor �„,, ,U 1a4./e %. , ,�e i
( ,,- �
alit) (Ad ress ` (Tel. No.)
RESIDENTIAL NONRESIDENTIAL
17 One Family Home Business
_ Two or More Other
Number of Units Specify
Type of Appliance
New _ .. Wood Burning
Used Coal
�'— Labeled Combination
TtA_ E- Date of Purchase Other
Specify
Model or Type
Manufacturer
Purchased From
(Name of Firm)
(Address)
Cost - Construction 6 Appliance $ 3 --6 6",/f
Chimney _ New Existing
Separate Flue Other Appliance Attached
IIIIIMEIMININ
To Flue
A Masonary/Lined Metal Bestos
Masonary/Unlined
Exterior __ Interior
Notes & Data: l V�-y,_ / �1
C. ll� $ a te-7 �,t;..1 p_ !- -v o ,1--vl /"�(l� - L jP_,
/ J „.
Signature of Applicant: oyc.-i„_Iit1 t__e_
(Address)
Approved By: ag,„.......,0
(Title) it/i,'/// 1/