32C-156 (2) _�__
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"t-:1� :';i't.i, f±L�ItI Iltii; tif'f''l.I,¢lvC1: c5 CHIFiNEY Al'R'1ICATION
7.
Permit Nu.-Ist,er
LO(bticlr J
Owner o a 1,e s s e c` _ _t `f— G/Z -1:�F-
Contrka( tot t< <. ? (Tele.. No. )
.A.�cire;>s
>III)E'h`IIfi.1 hC11—Kf SIllENTIAL
—t-,-,-Ont: Fbil!i l y Foil!( E axzinesw _
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Two or Nor,. _ Nurr;f,ei cf :=scix<: Other (Specify)
.�_...._ Floors in h14-
Type of Appliance:
New Wood Burning
✓ Used Coal "
a Labeled Combination
--=--�--
! A Date of purcliase Furnace
Fireplace Insert
Model or Type of Appliance
Manufacturer
Purchased From
of Vi r'tdi
Address)
Cost - Construction & Appliance:
Chimney New Metal Bestos
" Existing Interior Chimney
_ Separate Flue Exterior Chimney
CA L/ Other appliance attached to flue
Masonary/lined
Unlined
Notes & Data:
J 1
Signature of Applicants
Building Inspector Approval: �;. r � -!�'�'�°
Date: /� ��
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DEPT. OF BUILDING INSPECTIONS BUILDING
212 Main Street 0
Northampton, MA 01060 PERMIT <a
32C - 156 VALIDATION
DATE January 10, 19 86 PERMIT NO. 18
APPLICANT Ernest & Carol Plourd ADDRESS Kin�sTey Ave. Owners
IND.) (STREET) (CONTR'S LICENSEI
Wood Burning St ovp One Family UMBER OF
PERMIT TO g 't_) STORY y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) TTTTpp
AT (LOCATION) 31 Kingsley Ave. ZONING CT URC
(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
ITYPE)
REMARKS: permit for the installation of a wood burning stove
AREA OR 100.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
Same as Applicant's . " .
OWNER as pp lcan s BUILDIN
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY p-16 P