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36-097 (4) r r r- s r s - ul u a VtR of 'oxtt��lni}� an DEPARTMENT OP BUILDrNG INSPECTIONS INSPECTOR 918 Main Street ' Municipal Building Northampton, Mass. 01060 F�MIT SOLID FUEL BURNING APPLIANCE 6 CHIMHEY APPLICATION Page Plot Zone jU kA Location 99 I No. Street Owner or 7 A r Lessee Name (bailing Address) (Tel. No. Y Contractor 4M41,j N j 3�6 r (Name) (Address)� Tel. No. RESIDENTIAL NONRESIDENTIAL V/ One Family Home Business Two or More Other Number of Units Specify Type of Appliance —"-' New ✓✓ Wood Burning _ Used Coal Labeled Combination Date of Purchase Other Specify Model or Type Manufacturer � (`A ,�,�./� � • Purchased From Lh}{� masse of Firs (Address) y' Cost • Construction i Appliance $ 60D . Chimney New ✓ Existing _ Separate Flue -i Other Applianc Attached To Flue vv ACAC- y/ Masonry/Lined Metal 34820 Masonary/Unlined Exterior Interior Notes & Data: —' Signature of Applicants Nil (Address) D106 0 Approved By: Title Date DEPARTMENT OF BUILDING INSPECTIONS 212 MAIN STREET BUILDING _ // q( //I1 NORTHAMPTON, MA. 01060 PER I a ll yk A - 97 VALIDATION DATE December 14, 19 81 PERMIT NO. 6A7 APPLICANT Sandra Russell ADDRESS_, 997 Burts Pit Rd. (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Wnnd ctnvp (_) STORY Wnod b$ ino stnvp DWELLING UNITS 1 _ (TYPE OF IMPROVEMENT) NO. (PROPOSED US�f�_ ZONING AT (LOCATION) 997 Burts Pit Road 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: TnRtall weed burning stove in existing chimney Wood stove connection to be minimum of 6" below gas furnace connection AREA OR VOLUME ESTIMATED COST $ 60-00 FEEMIT lO•QO (CUBIC/SQUARE FEET) OWNER RnC4P11 Damt+l3n BUILD ,+' I G PT. ADDRESS 997 Burts pit Rnad Nnrthamptnn, Ma. 01060 BY WHITE - FILE COPY . GREEN ^ FIELD COPY . CANARY - APPLICANT COPY . PINK - ASSESSORS COPY