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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 .. a ,g a :a`".. P 4;v+:x i C dy '. .^�a"} 9F AM r x q. ae 4'� L,:a4... _ 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 i