17A-291 (4) Z - 4
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street " Municipal Building;
Northampton, Mass. 01060
SOLID FUEL. BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER .L_._!_
,Page Plot .j2qL. Zone
Location
Own e r or Lessee
COSM�dleigh Chimney(§W�Jyd1g Address) (Tele. No.)
Contractor and Stove Works, Inc.
AA H6,K U(xIq j ��'�nansettS'f.; te.
��`�A Hadley, MA 0 fess) (Tele. No. )
RESiD*,0tA§8.9545 NON-RESIDENTIAL
One family Home Business
Two or More Other
Number of Units Specify
Stories in Building
Type of Appliance ,,
r✓ New Mood burning
Used " � Coal
v"Labeled *"Cxtq �tNI�L Combination
i tY Date of Parchase t��✓� Other
U►r73I n Specify
LGt�
Model or Type C ��Vn n sy l00f J'Dyk-?
Manufacturer �v>r,.•v,� �711
Purchased From and Stove Works Ine.
11§NWA1iMfinVJtVr61., Rte. 33
South Hadley. MA Q107s
(Ad d(445p N38.9845
Cost - Construction & Appliance
Chimney New _ Metal Bestos
✓Existing ,/Interior chimney
(Separate Flue Exterior chimney
_ Other appliance attached to flue
Masonary Lined
Unlined
Notes & Data:
��dl-F/Lf- •i 1..�{ilSfCb�Cl��--� CC`2�-� ��� t,��,E.�
h k4t wy)s-s '
17-131
Signature of Applicant:
(Address) UlOGD
Approved By:
Date:
Title: i ? •;
��oro City of Northampton REQUIRED INSPECTIONS
$
1 . Footings and Walls
BUILDINGDEPARTMENT z . Structural Components in
Place
3 . Complete Building
No. 711 Office of the Building Inspector
Date November 27 19 90
BUI DING P RMI
THIS MAY CERTIFY THAT James Czekalski Insp. on Site — Foundations
has permission to install wood stove Insp. of Plumbing — Rough
situated on 78 Hillcrest Drive Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE N THE PREMISES
Certificate of Occupancy
' r
City of Northampton Q
RE UIRED INSPECTIONS
$
1 . Footings and Walls
BUILDING DEPARTMENT 2 - Placetural Components in
3 . Complete Building
No. 711 Office of the Building Inspector
Date November 27 19 90
BUI DING P RMI
THIS MAY CERTIFY THAT James Czekalski Insp. on Site — Foundations
has permission to install wood stove Insp. of Plumbing — Rough
situated on 78 Hillerest Drive Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. /� 1
Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BFjISP AYE IN A CONSPICUOUS PLACE PN THE PREMISES
Certificate of Occupancy
Building Insp
PLAINT 511 P