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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
AS A HOMEOWNER I UNDERSTAND THAT I MAY APPLY FOR AND RECEIVE
A BUILDING PERMIT FOR A HOME OR ADDITION I INTEND TO LIVE IN. ►%
I ALSO UNDERSTAND THAT I AM RESPONSIBLE FOR KNOWING THE STATE
BUILDING CODE AND ZONING ORDINANCE OF THE CITY OF NORTHAMPTON.
BEING A.HOKOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY
ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH. �-
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �' K- l 7 Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location L-E S- pE-e. < Lot No.
2. Owner's name —^;.T-1 47'Ll Address
3. Builder's name R 7 d�r-z E 1 i Address � 2 k4z�L-L-`f Mass.Construction Supervisor's License No. PC Expiration Date �� f
4. Addition
5. Alteration 6X 1 S r 1 N 6 0 -t-S t 'U E
6. New Porch i
7. Is existing building to be demolished? i
8. Repair after the fire r'
9. Garage l No.of cars Size
10. Method of heating S�''� E-
ll. Distance to lot lines '
12. Type of roof 4 C f`�
13. Siding house
14. Estimated cost:' f v C, C)
The under ned certifies tha e above statements are true to the best of his, her
knowJ119e and belief.
Signatur responsible pplicant
Remarks
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