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25C-019 (3) (rztV of &Noxt4amp#on � �lamsachusetts _ DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street ' Municipal Building ,a - �,.•` Northampton, Mass. 01060 SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION Page CR 'C Plot Zone �_ Permit Number Location I&C 1 Owner or Lessee ��� (Tele. No.) Contractor License Number) Address RESIDENTIAL NON-RESIDENTIAL One Family Home Business _ Two or More rQ1 Number of Units Other (Specify) Floors in Bldg. Type of pliance: V A New k-" Wood Burning —� Used Coal " Labeled Combination Date of purchase Furnace Fireplace Insert Model or Type of Appliance Manufacturer Purchased From Name of Firm (Address) Cost - Construction & Appliance: $ _ Chimney New Metal Bestos �ikeped Interior Chimney Separate Flue Exterior Chimney Other appliance attached to flue Masonary/lined Unlined Notes & Data: � r Signature of Applicant: ° Building Inspector Approval: .e? Date: 4� Department of Building Inspections Zo 212 Main*Street BUILDING Northampton, Ma. 01060 PG�I�r,IT Ia PERMIT'fir, a 25C - 19 VALIDATION DATE PPri mbpr A, 19 82 PERMIT NO. 680 APPLICANT Mary Now ADDRESS 186 North (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF PERMIT TO Wnnd Stnyps ( 2 STORY Wood burning Stoves DWELLING UNITS 2 _ (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) ZONING Tt AT (LOCATION) 186 North DISTRICT�T RB (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: E, ictina cblmnav Install two 7804 b"Irnin° StnyPS- nnP in first floor apt. , one in second floor apt. (Same'f lue) AREA OR $ VOLUME ESTIMATED COST .$ 5QQ.QQ FEEMIT 10.00-- (CUBIC/SQUARE FEET) OWNER Mat3► Now BUILDING EP . ADDRESS 186 Nortb Street NorthamptoasMg. 01060 BY WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY