38B-183 (9) 27 FORT ST BP-2018-1265
GIS n: COMMONWEALTH OF MASSACHUSETTS
Mao'Block:38B- 183 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category Wood Stove BUILDING PERMIT
Permit BP-2018-1265
Project 4 JS-2018-002247
Est. Cost$3000.00
Fee $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor_
Lot Size(su.ft.): 14069.88 Owner: SMITH CATHERINE
Zoning:URB(100) Applicant: SMITH CATHERINE
AT: 27 FORT ST
Applicant Address: Phone., Insurance:
27 FORT ST (413) 522-2391 ()
NORTHAMPTONMA01060 ISSUED ON:5/29/2018 0.00:00
TO PERFORM THE FOLLOWING WORK:KILN
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 q 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:
FeeTyoe: Date Paid: Amount:
Building 5/29/2018 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
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DEPARTMENT OF BUILDING INSPECTIONS „oc�
212 Main Street • Municipal Building
Northampton, MA 01060
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o cn m SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION
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v FOR WOOD,COAL, PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES
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//�1 Please fill in all appropriateinformation
1. Name of Applicant: 04T*��.(�L"' � ( I Il
Address: �C � /� /��r(�-I%7 /� � V� T— —Telephone. V!3 � ZZ
2. Owner of Property : 1. 4 ,I, / r -(ie ( ✓ r, �� I _
Address: 7 (e �,7 Telephone:
3. Status of Applicant: Occwner Contractor
4. Type or Brand of Stove : L ZI/' �1W
5. UL Listing :
6. Estimated Cost/:
7. Email : K� ! ( c% Ski
If applicant is not the homeowner::
Contractor name Email :
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
8. Certification: I hearby certify that the information contained herein is true and accurate to the best of my
knowledge.
DATE: APPLICANT'S SIGNATURE
DATE:= HOMEOWNER'S SIGNATURE
APPROVED
DATE: BUILDING OFFICIAL