18D-004 (27) OLPAirTMENT OF PUSLOC SAFETY
COMMONWEALTH 1.
OF
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Miscellaneous Additions, Repairs, Alterations, etc. Tel. No. G � s 7-7 S � Alterations
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2 00%. "Pr • NORTHAMPTON, MAS . 3 / /L 19 ,PG Additions
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. 41 APPLICATION FOR PERMIT TO ALTER Repair
b Garage
1. Location 1 Li) 6 I/ kYl4444! rq U ; Lot No.
2. Owner's name 141' /11 a ,, f4i .M2 c /t Address . ‘e 01 c /
3. Builder's name /'i,'� 7 / Sc ,,,, Address 6‹ z - ,-..., 4 i%(
Mass. Construction Supefvisor's License No. 0/(6 3 V Expiration Date
4. Addition l /
5. Alteration of < =, i�vet ! l > L ft , ” , t I LA /7 J e / <i,, -4 0....e _0 o.-9-1L /t-,c�'C
6. New Porch
7. Is existing building to be demolis
8. Repair after the fire s R
9. Garage No. of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- lie it On ,
- } C �l The undersigned certifies that the above statements are true to the best of his, her
�" knowledge and l belief.
A c belief.
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Signature of responsible applicant
Remar /f..40 -# .►', „ /4' ,L'C .
PHINUSHOP
„Amp,. 65.1. o� City of Northampton
�, _, REQUIRED INSPECTIONS
'” "' ►'� 1. Footings and Walls
'P -s BUILDING DEPARTMENT 2. Structural Components in
Place
3. Complete Building
No. -282- Office of the Building Inspector
Date May 18, 199D
BUILDING PERMIT
THIS MAY CERTIFY THAT McwrY & Schnidt Insp. on Site — Foundations
has permission t - Rs'nval of Interi°r ball Insp. of Plumbing — Rough
situated on 106 anon Rd• Insp. of Plumbing — Finish
provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough
spect conform to the terms of the application on file in this office,
and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish
to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks)
the City of Northampton. Any violation of any of the terms above
noted is an immediate revocation of this permit. Expires six Building Insp. — Rough
months from date. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon
return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.)
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
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Certificate of Occupancy Ci ,, ,-- _ -
Building Inspector