24D-124 (2) 21 HOOKER AVE BP-2014-0709
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24D- 124 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-2014-0709
Project# JS-2014-001195
Est. Cost:
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 5096.52 Owner: SKOWRONEK EDWARD S&ANN C TRUSTEES
Zoning: URC(100)/ Applicant: KEMP JUSTIN
AT: 21 HOOKER AVE
Applicant Address: Phone: Insurance:
21 HOOKER AVE (608) 397-9910 ()
NORTHAMPTONMA01060 ISSUED ON:12/6/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL WONDERWOOD CIRCULATOR
WOODSTOVE
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 12/6/2013 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
7:50-6 �
/7:50-6-!1-
•' Massachusetts
J.
*--1" 4, D DEC EPARTMENT OF BUILDING INSPECTIONS '
44 CI� 212 in Street • Municipal Building b
Northampton, MA 01060 s6i- P0
Electric F
coons
SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD, COAL, PELLET, CORN, STRAW OR SIMILAR STOVES, OR FIREPLACE INSERTS
Permit Fee: $25.00 Check # �� 0
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: c.1 V 7 4..A '.Q P
Address: it ft e At Telephone: OS 157 `lifo
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: / Owner Contractor VV
4. Type or Brand of Stove: O Pt kA,Wee G i rGlt 44-or. ((Nadel "11
If applicant is not t'-At homeowner:
Construction S-upervisor'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
5. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: if/Z67f3 APPLICANTS SIGNATURE
.4Z1,
DATE: I((2...6(t; HOMEOWNER'S SIGNATUR-
APPROVED
DATE: BUILDING OFFICIAL