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: Uf,a33 ti?t.i„ E,�It,t.iNG APPLIANCE & GtiIMNEY AFF'LIC:.�+TIO?
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Pict �°"" [c�BiE: � 11t rrs it NultaC.er
Location G ��� �c�i�175
0wraer or Lessen 1 %:� • ,:?% -7°/l!'/�.`y�
—�Tele. No. )
Contractor �' �'�
Lice
Address
RESIDENTIAL NON-RESIDENTIAL
4---One : la fc;E business
Two or r-Goi c tkr �E,t�� f tIziitu Other (Specify)
Floors <i�
Type of Appliance-
New Wood Burning
Used Coal "
Labeled Combination
Date of purchasc Furnace
Fireplace Insert
Model or Type of Appliance Y '/"y®✓f �� f� �
Manufacturer _
Purchased From
Name of FiW
Address)
Cost - Construction & Appl lance:
Chimney New Metal Bestos
4" Existing Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to flue
L,-' Masonaryflined °
Unlined
Notes & Data:
Signature of Applicant: �� �ti ti
Building Inspector Approval: , /
Date:
R.
DEPT. OF BUILDING INSPECTIONS BUILDING o°
212 Main Street `.J
Northampton, MA 01060 PERMIT
VALIDATION
28 _
85 639
DATE 31, 19 PEp�� T NO.
APPLICANT William & Kathryn Lingner ADDRESS 2 y nester Ltd. OWMers
(NO.) (STREET) (CONTR'S LICENSE)
PERMIT TO Wood Burning Stoyf One FAmil) STORY y NUMBER OF DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
320 Sylvester Road DINING RR
AT (LOCATION) 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 650.00 FEE
VOLUME MIT s 10.00
ESTIMATED COST
(CUBIC/SQUARE FEET)
OWNER Same as Applicants
-----Same as pp scan S BYILDIN*��nfo
ADDRESS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY p.NT NP