17C-074 (9) ' t'itr Vf Nedhamptni
DEPARTMENT OP BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE d CHIMNEY APPLICATION PERMIT M MBER
Page 17 f- Plot 7 Zone &P,C
Location 3-3 ... y
flamer or Lessee �ca°��w.+-�-° `may-qSAs-
N e) Mailing Address Tele. No.)
Contractor c ��,
(Name) (Address) (Tele. No.)
RESIDENTIAL NON-RESIDENTIAL
One family Rome Business
Two or More Other
Number of Units Specify
Stories in Building
Type of Appliance
K 41lew Wood burning
• Vsed Coal
Labeled Combination
Date of Purchase Other
Specify
Model or Type ✓j,P y
Manufacturer
Purchased From q/,t_._'�.
(Name of Firli )
(Address)
Cost - Construction i ,Appliance
Chimney 4Iew !fetal Bestos
lExisting Interior chimney
^� Separate Flue Exterior chimney
Other appliance attached to flue
_ Masonary Lined '
Unlined
Notes & Data:
Signature of Applicant:
(Address)
Approved by:
Title: Dates ///
rtment of Building Inspections
Main Street BUILDING Z0 /0 o
Northampton, Ma. 01060 PERMIT fa
a
17C - 74 VALIDATION
DATE ortnher 25, 19 R2 PERMIT NO. 604
APPLICANT Ray mind Fnurni er ADDRESS 33 Garfield Avenue -
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO chimney .0 snood stove (_) STORY DWELLING UNITS 1 —
(TYPE OF IMPROVEMENT) NO. (PROP. D USE
ZONING lTR r
AT (LOCATION) 33 Garfield Avenue 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: New maannAry lined exterior chimney and wood burning stove
AREA OR $
VOLUME ESTIMATED COST 500.00 FEEMIT 10.00
(CUBIC/SQUARE FEET)
OWNER jRxT and Fournier BUILDI
ADDRESS 33 ('Arfield Atfentle� NOrthAintnn� Ma- 01060 BY
WHITE - FILE COPY • GREEN - FIELD COPY ■ CANARY - APPLICANT COPY PINK - ASSESSORS COPY