17A-284 (8) M
CC titr of Worth,anytor
$ e Massachusetts
DEPARTMENT' OF BUILDING INSPECTIONS -
INSPECTOR 212 Main Street ' Municipal Building ,
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER
Page j! H Plot Zone W/2/T
Location 2q( -8 C ;,, j
Owner or Lessee
Name) Mailing Address) Tele. No.)
Contractor
(Name) (Address) (Tele. No.)
RESIDENTIAL NON-RESIDENTIAL
�i
,-One family Home Business
7 Two or More Other
Number of Units 2 Specify
Stories in Building
Type of Appliance
New Wood burning
sed Coal
Labeled Combination
Date of Purchase Other
Specify
Model or Type J,� l4
Manufacturer
Purchased From tom®
(Naafi Firm)
Address)
Cost - Construction & Appliance
Chimney / New Metal Bestos
Existing �/ Interior chimney
Separate Flue Exterior chimney
Other appliance attached to flue
Masonary Lined
Unlined
Notes & Data:
Signature of Applicant:
(Address)
Approved By: t �
Title: Date:
_. _ _ � r
., .. �- �
Department of Building Inspections
; 2 Main Street BUILDING r oq
+ `Northampton, Ma . olo6o � �'/0� 00 3/,S/9-Z
PE RMIT
17A - 284 VALIDATION
DATE March 5��19 2 PERMIT NO. 84
APPLICANT Sheryl A. Grabon ADDRESS G'1V� Chestnut
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF 2
PERMIT TO Wood Stove I—) STORY GhimneV & wood Stove DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
J�
Q ZONING U
AT (LOCATION) 246-8 Chestnut 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 masona_ry lined interior chimney & wood stove installation
AREA OR ESTIMATED COST $ 500.00 FEEMIT 10.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER
ADDRESS 216 Chestnut Streets Northampton, Ma. ByI LLS
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - AS ESSORS COPY
-„'..,.,�.,3-a"'�?.naswa.,_. , ._.. ..rrny�.r.-:.�,y a.,r'-vaf'.'e'-Sr M'^�rx .,-,e..,yP...,.��.� �y-. ;-,gym.<»k
�`.
�:
w
De tment of Building Inspec$ ion:
Alftkain Street BUILDING
Worthamptor,4 YA. 01060- 1 PERMIT
17A 284
VALIDATION
DATE arch 1 PERMIT NO. 84
APPLICANT Shed A. Grako F ADDRESS" hes not
' (NO.) .(STREET) (CONTR'S LICENSE)
PERMIT TO Wood stove (_) STORY_Chimner & wood stove DWELLING UNITS 2
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 246®8 Chestnut D STR CT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
`s
BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGMIT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP _BASEMENT WALLS OR FOUNDATION
f�
(TY PE)
REMARKS: Now Mammta y lined nteri ar chimney & wood stove Instg E lati n
AREA OR I PERMIT q �q
VOLUME ESTIMATED COST . FEE .i0 00
(CUBIC/SQUARE FEET)
OWNER Ohm m, amban
BU M
ADORES t' nat Street'+, Northampton,$ W. BY'
WHITE - FILE COPY GREEN FIELD'COPY ■ CANARY ^ APPLICANT COPY PINK ^ A ESSORS COPY
NJ