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29-251 (11)
f� Citf of Xorthantptn DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building — ,r ATorthampton, Mass. 01060 SOLID FUEL BURNING APPLIANCE 6 CHIMNEY APPLICATION PERMIT NUMBER Page Plot Zone 4 . Location OVE LOOE IR -FLOR�0L,6- ; m7N- Owner or Lessee PAS(L_ J-, MA `T ,61 nyz R love _ DR (Name) Mailing Address— Tele. No.) Contractor (Name) (Address) (Tele. No.) RESIDENTIAL NON-RESIDENTIAL t/One family Home Business Two or More Other Number of Units Specify Stories in Building Type of Appliance New V/ Wood burning _ ' Used Coal Labeled Combination Date of Purchase Other rr © Specify Model or Type �I4l-' Lou 4plA01- Manufacturer AAAREW 252*, 4 kk�&Cc, - FUOR�001 A-U,, Purchased From AjW C##1u 4Awa) (Name of Firm) SATES U� (Addr�ss) Cost - Construction & Appliance $ on Chimney _New Metal Basfts Existing Interior chimney p Y Separate Flue Exterior chimney Other appliance attached to flue Masonary Lined Unlined Notes Data: Signature of Applica (Address) Approved Drs f Title: Dates ' _„ INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS AND REMARKS INSPECTOR FIELD COPY 21 ��t of ftildia Ya�eetims Stmet blar�th"tes, a. 01060 BUILDIN G 4 J • �D !Q 24-251 PERMIT DATE August ', 19 A2 PERMIT NO. jail[ APPLICANT Pant J. Ha'gt4lm ADDRESS 61 (hMrlflA�� 'pleb e (NO.) {STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO �fffi8 1�A+� At"M STORY for _stow* DWELLING UNITS (TYPE O IMPROVEMENT) NO. (PROPOSED USE) ZONING AT (LOCATION) 61 Overleak Drive. Flsr uca DISTRICT =A II (NO.) (STREET) rn BETWEEN AND w (CROSS STREET) (CROSS STREET) f a LOT m SUBDIVISION LOT, BLOCK SIZE i I ¢ u 0 BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION m O Z TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION � (TYPE) I p LL REMARKS: stow* in Useamt i AREA OR j VOLUME ESTIMATED COST $ FEE MIT in 00 (CUBIC/SQUARE FEET) OWNER _ � t 11 BUI IINGPT ADDRESS �A1 �= Ot�1C D''iVel, jtl*vg=&_—M&� Ot060 BY 7