17A-019 (3) 120 BRIDGE RD BP-2017-0067
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A-019 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:woodstove BUILDING PERMIT
Permit# BP-2017-0067
Project# JS-2017-000121
Est. Cost: $1200.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
ConstClass: Contractor: License:
u:e Group: Homeowner as Contractor
Lot Size(sq. ft.): 14984.64 Owner: PIZIALI AARON A&KATHRYN V SWAIM
Zoning: RI(100)/URA(100)/ Applicant: PIZIALI AARON A & KATHRYN V SWAIM
AT: 120 BRIDGE RD
Applicant Address: Phone: Insurance:
120 BRIDGE RD
FLORENCEMA01062 ISSUED ON:7/20/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL MORSO 1210 WOODSTOVE INSERT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 7/20/2016 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
MassachusettsA+ Pr
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1tt �� ,r DEPARTMENT OF BUILDING INSPECTIONS c
_ R� 212 Main Street • Municipal Building ZL
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SINGL a: U FA ILY SOLID FUEL APPLIANCE PERMIT APPLICATION
FOR WOOD, COAL, PELLET, CORN, STRAW OR SIMILAR STOVES,OR FIREPLACES
Check#
Please fill in all appropriate information
1. Name of Applicant : AA gr) � k r{Lt ILS SYN 3ln>14\w\
Address: 1 Zr) 2A t Eck ,, 204LCh Telephone: 4 l3 ' 320 - (.°L.( 2_0
2. Owner of Property : Wv?t'N PI2lALA -- VGA'C7k(Z‘1N S'v01A1vv'
Address: 12 ci' LSC-C Telephone: -32c, ( L1 2 0
3. Status of Applicant : ✓ Owner Contractor , ,J�
4. Type or Brand of Stove : 11\A 09---S l7I O :vis c', c -k- L V"Q
5. Estimated Cost: W CA S
If applicant is not the homeowner::
Contractor name
Construction Supervisor's License Number Expiration Date
Home Improvement Contractor Registration Number Expiration Date
All Applicants must complete a Workers Compensation Insurance Affidavit before we can issue a permit
6. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge. 2
DATE: .7• 2G - I (c APPLICANT'S SIGNATUR' ,� ° — y� ; L�(,l
DATE: `7 - 2 C • I HOMEOWNER'S SIGNATUR a �f �
APPROVED
DATE: BUILDING OFFICIAL