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23d-162 (6) DEPAFTMENT OF BUILDING INSPECTIONS , 12' MAIN STREET BUILDING I- Za NORTHAMPTON, MA. 01060 D a '��,Q d // 3 8 PERMIT a /� 23D - 162 VALIDATION DATE November 13, 19 Al PERMIT NO. 637 APPLICANT Jamac Ri ecegli a ADDRESS 135 Maps ewood. Terrace (NO.) (STREET) (CONTR'S LICENSE) NUMBER OF - PERMIT TO ' Chimney xc wood stove (_2-) ' STORY( t- DWELLIING UNITS Fo wood-burning stove 1 i (TYPE IMPROVEMENT) NO. (PROPOSED USES I ZONING AT (LOCATION) 119 Maplewood Terrace DISTRICT UR (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: rovstrl'ct exterior mesonery/lined chimney, install wood h»rninC—StOirp in separate flue. j �) ©il z- (/ AREA OR VOLUME ESTIMATED COST $ 700_00 FEEMIT 10.00 (CUBIC/SQUARE FEET) / OWNER ;Jim Ri Scagli a/ NanCy Rana ,„ ADDRESS ' 1 35 Maplewood Torras B , Northampton, Mai 01060 � �t/ WHITE - FILE COPY • GREEN - FIELD COPY • CANARY - APPLICANT COPY ■ PINK - ASSESSORS COPY > T h.. 4 ' -1'-'• Al k ;� ':., t jRasaacMasetts =� i' DEPARTMENT OP BUILDING INSPECTIONS '~ '1 '` 4' INSPECTOR 212 Main Street . Municipal Building ',% •:.Y; E r • Northampton, Maaa. 01060 '.m• "` PHQMIT - , ►. a SOLID FUEL BURNING APPLIANCE & CHDQIEY APPLICATION _64., Page Ti-,-1) Plot pd ./4� Zone �.�( h' 13. Location j35 M&--),L`2wovat- -1--.e,rva (--<_ (No.) N (Street) Owner or 3 ` 1 S c_Q_3( -( l66t v(-t- Sci ► - j 8 6- S t a"L Lessee (Name) f (Mailing Address) (Tel. No.) Contractor DL t 13-e-tt (Name) (Address) . Tel. No.) RESIDENTIAL NONRESIDENTIAL A .� One Family Home Business _ Two or More Other Number of Units __ Specify Type of Appliance I New �/ Wood Burning Used _ Coal Labeled Combination S Date of Purchase _ Other • Model or Type G 3 0 3 Specify • Manufacturer - t-c N 9-Z.-. ( p.e h ,w,.A.1- .0 Purchased From S-1-c v--e- S (- ,-d l& (Name of Firm) • Cost - Construction b Appliance '7 o(aAddress) . Chimney / New _ Existing t Separate Flue ,_ Other Appliance Attached . To Flue Masonry/Lined _ Metal Bestos _ Masonary/Unlined ...j4 : Exterior Notes & Data: C12,4 --4--1---P-,•••',4-7;4;tiril. 2-..?), il,..-4/1./ / Ail / _ Interior A:I l 3 S M a p 1 r-d-¢z6 re,-v,.'u. Signature of Applicant: • ��� A,0„+-ka n-,l, i err M' / • (Address) Approved By: 4w2u2 , Jil (Title) (Date