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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