23D-130 (5) Deaprtment of Buildinm„ Inspectors
212 !ain 45reet
Nort1lamp' a!i, Mass. 01060 BUILDING zQ
23D - 130 PERMIT4
VALIDATION
T`,,.c—
DATE 19 PERMIT NO.
APPLICANT rnp-,- A rr:g,7 ADDRESS
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
ZONING i
AT (LOCATION) DISTRICT
(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)
permit for the installation of a wood burniking stove with a interior cnimb
REMARKS:
06,
AREA OR 500.00 P RMIT 10.00
VOLUME ESTIMATED COST $ F E $
(CUBIC/SQUARE FEET)
Henry A. 'err:is
OWNER BOIL‘PeolepT
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY
Deaprtment of Buildinmg Inspectors
212 Main street I-
Northampton, Mass. 01060 BUILDING D°
PERMIT04
$10.00
23D - 130
VALIDATION
DATE N December 1, )g 83 PERMIT NO. 673
APPLICANT Henry A. Perras ADDRESS 20 Winsolow Ave Owner
(NO.) (STREET) (CONTR•S LICENSE)
Wood BurningStoveOne FamilyNUMBER OF
PERMIT TO (_) STORY DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
Z
NING
AT (LOCATION)
20 Winslow Avenue DIOSTR CT URB
(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)
permit for the installation of a wood burnining stove with a interior chimney
REMARKS:
AREA OR 500.00 PERMIT 10.00
VOLUME ESTIMATED COST $ FEE
(CUBIC/SQUARE FEET)
Henry A. Perras °
OWNER
20 Winslow Ave. BUIL PT
ADDRESS BY
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK ASSESSORS COPY
I, c gig (City of No.rt1 eimpton �_ **_ ,_
,.,
r
• ,s J .�• �/� ° Jla5s1 1pusetts l
ve#'�� ave DEPARTMENT OF BUILDING INSPECTIONS 1 ,
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 UP
SOLID FUEL BURNING APPLIANCE & CHIMNEY APPLICATION
i )
1!5
Page cP--3 ND Plot t 3 t) Zone teQ..P Permit Number (0 / -
Location c„2. 0 "1t C "C
Owner or Lessee 91 477 Q����4a.
(Tele. No. )
Contractor
(License Number)
Address
RESIDENTIAL NON-RESIDENTIAL
)/ One Family Home Business
Two or More Number of Units Other (Specify)
Floors in Bldg.
Type of Appliance:
New X Wood Burning
Used Coal "
Labeled x Combination
Date of purchase Furnace
Fireplace Insert
Model or Type of Appliance
Manufacturer
Purchased From
(Name of Firm)
(Address)
Cost - Construction & Appliance: $ . 6—(0() )
Chimney New Metal Bestos
Existing / Interior Chimney
Separate Flue Exterior Chimney
Other appliance attached to flue
}< Masonary/lined
✓ Unlined
Notes & Data:
Signature of Applicant: _ I
Building Inspector Approval: /
Date: (�i/ ! F