29-417 (4) O --
a V,itp of Xart4anip#nn
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
Page Plot Zone Permit Number
Location At tirC'✓ °� %C_% .�� n� CC., H4.
Owner or Lessee Pfeox )^a '- A j y
Tele. No.)
Contractor
License Number)
Address
RESIDENTIAL NON-RESIDENTIAL
XOne Family Home Business
Two or More Number of Units Other (Specify)
Floors in Bldg.
Type of Appliance:
New Wood Burning
_ Used Coal "
Labeled Combination
Date of purchase Furnace
Fireplace Insert
Model or Type of Appliance Fr_Ay1(t611 'S-rGilC
Manufacturer
Purchased From
Name of Firm
Address)
Cost - Construction & Appliance: $ _ c 6 - `,
Chimney New Metal Bestos
Existing Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to flue
Masonary/lined
Unlined
Notes & Data:
Signature of Applicant: I + _-" 0 M
Building Inspector Approval: Z- /
Date: L / gf-73
Department of Building Inspections
212 Main Street
amp ton, Mass. 01060 BUILDING o° .
PERMIT
29 - 417
VALIDATION
DATE December 12, t9 83 PERMIT NO. 687
APPLICANT Terrance & Lynne Moore ADDRESS 88 Brookwood Drive Owners
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Wood Burning StOVe (_) STORY One Family NUMBER OF _
DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
88 Brookwood Drive. Florence ZONING URA
AT (LOCATION) DISTRICT
(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: Permit for the installation of a wood burning stove (used)
AREA OR 300.00 PERMIT 10.00
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
Terrance & Lynne Moore
OWNER
Brookwood rive, Plorence, Mass. UIU60 By
ADDRESS L T
WHITE - FILE COPY • GREEN - FIELD COPY a CANARY - APPLICANT COPY - PINK - SESSORS COPY
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1212- Street '
mass. sc BUILDING D k
PERMIT
40. 41 a VALIDATION i
t
DATE DB$ r l2, 19 83 PER )V O. 687
APPLICANT Ty�ctesLGa & xu� Moore ADDRESS 99 lyoo d Drixo flrlvrt�>ars
(N0.) (STREET) (CONTR'S LICENSE)OF
„• PERMIT TO WOt�d � � (� �? STORY DWELLING UNITS —�
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE) -
ZONING
AT (LOCATION)
Brookwood }Vivo• Flor#nag D STR CT nA
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
t
LOT
SUBDIVISION LOT BLOCK SIZE
1
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)
1pesmit for the installation of a wood 'b is s stove (used)
REMARKS;
r
AREA OR 300,00 PERMIT
VOLUME ESTIMATED COST FEE
(CUBIC/SQUARE FEET)
T8 '78°3@ p Lynne, Moore
OWNER .-
SS r00 V_Sq en e' • BUIL T
ADDRESS BY
WHITE - FILE COPY GREEN - FIELD COPY CANARY - APPLICANT COPY PINK SESSORS COPY
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