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29-065 (5) �i of Nwa4an pt" � �assac4us�,ts , DEPARTMENT OP BUILDING INSPECTIONS INSPECTOR 218 Main Street ' Municipal Building Northampton, Mass. 01060 FEtiltllT SOLID FUEL BURNING APPLIANCE 6 CHIMNEY APPLICATION Page T. Plot -.... lL Zone Akh Location ? �—J— (street)` Owner or Lessee Name Mailing Address Tel. No. Contractor (Name) Address Tel. No. RESIDENTIAL 1i0N>r<ESIDENTL*I. One Family Nome Business Two or More Other Number of Units Specify Type of Appliance Now Wood Burning Used Coal Labeled Combination Date of Purchase Other 11 11 Specify Model or Type Manufacturer Purchased Fronk o irm (Address-) Cost • Construction i Appliance Chimney New Existing Separate Flue Other Appliance Attached To Flue Masonary/Lined Metal Boston _ Masonary/Unlined Exterior Interior Notes i Dates Signature of Applicants / cu�rrrar� / ✓�� Approved Sys f c Title — Dace ,APARTMENT OF BUILDING INSPECTIONS 211 MAIN STREET BUILDING oQ NORnUMPTONt MA. 01060 pERMIT 7a 29 - 65 VALIDATION DATE November 2, 19_ 81 PERMIT NO. 611 APPLICANT Lawrence Kimble ADDRESS 23 Gilrain T rrac r (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Wnnd Rtnye (2_) STORY_ Wn0d bllrnlnn S ayes DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO, (PROPOSED U E) AT (LOCATION) 23 Gilrain Terrace ZONING DISTRICT URA (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: Install wood burning stove in existing chimney in basement area To block off fireplace and use same chimney. AREA OR VOLUME ESTIMATED COST $ 6%()-()0 PERMIT (CUBIC/SQUARE FEET) EE $ jn-on OWNER T-awrewia K;mhl e BUILDIN DEPT. ADDRESS BY WHITE - FILE COPY ■ GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY