23D-017 (3) Depat.tment of Building Inspections
212 Main Street BUILDING D°
Werthanlpton, Ma. 01060 PERMIT
*d.
m.G'a47 yid 22
23D - 17 VALIDATION
DATE May 74, 19 PERMIT NO. 2 )7
APPLICANT Fred Hayden ADDRESS 542
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO tined 3Y1,:"" ( .y) STORY Wood blllninc; stove
DWELLING UNITS -1-
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 542 1'" DISTRICT 1.1413
(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: 1),j stirig chinmey• instAli wood }miming Rfove in fi repl Ara
AREA OR
VOLUME ESTIMATED COST $ 425.00 FEEMIT $ 10.00
(CUBIC/SQUARE FEET)
OWNER I'redetiC(C A. & Nancy L. Leyden BUILDING DEPT. ��' // ,r/ AT ^�'
ADDRESS 542 Elm Street, Northarspion, Ma_ 0106(' BY - ( - ",f_.`f `
WHITE - FILE COPY . GREEN '1 FIELD' COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
Dftvertment of Building Inspections
:+ 1 Man Street BUILDING °
`Korthampton, Ma. 01060 PERMIT a
- 4ba.d6s/ayx2
23D - 17
VALIDATION
DATE May 24, 19 R2 PERMIT NO. 217
APPLICANT Fred Maydon ADDRESS 542 Elm _
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
- PERMIT TO wood stove ( 1 I STORY Wood burning stove DWELLING UNITS 1
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING
AT (LOCATION) 542 Elm DISTRICT IIRB
(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: Existing chimney' install wood burning stovp in firpplaro
AREA OR
VOLUME ESTIMATED COST $ 425.00 FEEMIT $ 10.00
(CUBIC/SQUARE FEET)
OWNER Frederick A. & Nancy L. Hayden
BU DIN/DEPT.
/C___
ADDRESS 542 Elm 5frppt, Northampton, Ma. 01060 B —6,-e _ IFF�"'111
WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY
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1i DEPARTMENT OF BUILDITjG INSPECTIONS 14-11_--1-1-:1--- S"
INSPECTOR 212 Main Street ' Municipal Building ••,a ,>•`
Northampton, Mass. 01060 U I
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION PERMIT NUMBER _142
Page 4.3 n Plot 1 7 Zone C( R J
Location ya, ,
F- Eoe- ickf . sy.2 SLn, sT
Owner or Lessee NA A.)cy L, /-1 ht ,e) i- �� "/lAb�T ' J2i) 3 S e-
g7 67?
(Name) / (Mailing Add4ss) (Tele. No. )
Contractor
(Name) (Address) (Tele. No.)
RESIDENTIAL NON-RESIDENTIAL
XOne family Home Business
Two or More Other
Number of Units Specify
I Stories in Building
Type of Appliance
)( New X. Wood burning SaLiii F.6.6/26 r.
Used Coal /'fed/.t-
Labeled - Combination
s 36 2 Date of Purchase Other
--- // Specify t-
Model or Type Li rad•2 7 era,>;'C,- , 1`i cNLr3C/z, �,,�- r 41 G 3'1 •2-7`/
Manufacturer PJC L DS f G n) /0 FG;� "�[ . /4:2./Pc/co A. tuczrI,4,i
Co Ai/U 6 6//b
_
Purchased From Tiff 6 /J 6 c 4Nap
(Name of Firm)
E../eIc) k OR . ,4,0 Zy_1 A 5 S. O!) 3
(Address '
Cost - Construction & Appliance $ / 2+5'0 d
Chimney New Metal Bestos
Existing Interior chimney
( Separate Flue +, Exterior chimney
Other appliance attached to flue
&. Masonary Lined
Unlined
Notes & Data:
CIL-.,42,. .eti4 AI ..-4.-"' _l .--/-4-.I;pit.--.L.--C_e
2
Signature of App1 nt: .;�c,;07, ' .,� .. T1 L-,.w, i/ -0-,./
Q77 , (Address)
c________
Approved By: �-
Title: Date: tcA 1//aFo2J