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29-064 (21) s a (City of Nort4auip tau Massachusetts 1 - DEPARTMENT OF BUILDING INSPECTIONS s INSPECTOR 212 Main Street ' Municipal Building Northampton, Mass. 01060 SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Page Plot Zone . Permit Number Location Owner or Lessee - J Ii Tele. No.) Contractor ,I//v'/ Ay/i License Number Address ��!%;� �l s�f>fk 1''f'f RESIDENTIAL NON-RESIDENTIAL One Family Home Business Two or More Number of Units Other (Specify) - Floors in Bldg. Type of Appliance: r New 1f Wood Burning Used Coal e' Labeled Combination Date of purchase Furnace Fireplace Insert Model or Type of Appliance A Manufacturer Purchased From L Name of Firm (Address) Cost - Construction & Appliances Chimney New Metal Bestos Existing Interior Chimney Separate Flue Exterior Chimney Other appliance attached to flue Masonary/lined Unlined Notes & Data: Signature of Applicant: Building Inspector Approval: Date: 1S �_ __•EPT. OF BUILDING INSPECTIONS BUILDING ZO 212 Main Street 0< CC) I IL Northampton, MA 01060 PERMIT 29 - 64 VALIDATION DATE February 15, 7g 85 79 APPLICANT Doanld A. Scagel ADDRESS 1 ferr.T NO. UWLIUL (NO.) (STREET) (CONTR'S LICENSE)OF PERMIT TO Wood Burning Stove (-) STORY One Family Home D ELLRING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 31 KKKM Gilrain Terr. ZONING URA 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. AREA OR 50.00 PERMIT d. 10.00 VOLUME ESTIMATED COST FEE (CUBIC/SQUARE FEET) OWNER Same as applicant ADDRESS Same as Antil icant S BY WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY POP