17D-047 (6) l
� � �Iassacl�mctts ,_
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building _
Northampton, Mass. 01060
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION �3/
Page 170 Plot --�'-- Zone
Location '7-1 f't,,s- tom•-�•�--�-t_
No. (Street)
Owner or i' _ 7-f-�- C,�.,�r 0-4— � _c° 3
Lessee (Name) (Mailing(Mailing Address) (Tel. No.)
Contractor &Z s,, 1, c �,ow. �a,O..:�
Name (Address-) Tel. No.)
RESIDENTIAL NONRESIDENTIAL
One Family Home Business
Two or More Other
Number of Units Specify
Type of Appliance
New Wood Burning
Used Coal
Labeled Combination
7-4 / <y 5-/ Date of Purchase Other
Specify
Model or Type �1 -
Manufacturer
Purchased From
—T (Naffe off-Firm)
Address
Cost - Construction & Appliance $ 6;;L :0' c.
Chimney New Existing
Separate Flue Other Appliance Attached
To Flue
Masonary/Lined Metal Bestos
Masonary/Unlined
Exterior Interior
Notes & Data:
�.� 4: 1
Signature of Applicant:
Address
Approved By:
T e) Date)
DepArtment of Building Inspections BUILDING
212 MaS� Street O° �
NC;rthampton, Ma. 01060 PERMIT Qa
17D " 47 VALIDATION
DATE_ Mav 18, 19 81 PERMIT NO. 211
APPLICANT John H« Haydpn ADDRESS 74 Straw Ave.
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO Woo StAVB ( 9 STORY DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED US
ZONING
AT (LOCATION) �# Stra6T Aver DISTRICT TIRR
(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: Trl.atell2-t;nn 4D:E w hurning ratoye in n
A Jct4ng g , h4c, y
AREA OR PERMIT
VOLUME ESTIMATED COST $ fi Sinn FEE 10.00
(CUBIC/SQUARE FEET) .�
OWNER Tnhn a. Ha:gdpn BUIL
ADDRESS 74 Strain LAnttp. FlI nrAnne. Ma 01060 BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY ^ APPLICANT COPY ■ PINK ASSESSORS COPY