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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 Qiiitg of Xart4amplun 90.assart(usr#ts v� ��'� DEPARTMENT OF BUILDING INSPECTIONS „oc� 212 Main Street • Municipal Building Northampton, MA 01060 o 'h _ 00 M >_ 0 60-19-12,0 �- o cn m SINGLE OR TWO FAMILY SOLID FUEL APPLIANCE PERMIT APPLICATION z v FOR WOOD,COAL, PELLET,CORN,STRAW OR SIMILAR STOVES,OR FIREPLACES M o p Check# S� N //�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