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29-478 (2)
O KilA1lA� 8+� (Sft� of wort 11ttl ptail 4 76 � +B �xaancl�uaetta � '= DEPARTMENT OF BUILDITjG 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. y loo J � o "r v tv ` p O c�i� a r z air o o �b �xC) s w CD d � y IrD Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. `}� E� Alterations NORTHAMPTON, MASS. 19 Additions APPLICATION FOR PERMIT TO ALTER Repair 1. Location `i I k , 4� P©C k C �' I a Lot No. 2. Owner's name n��P v� ��Cj^I i e E' �� 1 V,\ Address 1 l 3. Builder's name ee C P. Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition 5. Alteration 6. New Porch 7. Is existing building to be demolished? 8. Repair after the fire 9. Garage No.of cars Size 10. Method of heating 11. Distance to lot lines 12. Type of roof 13. Siding house 09 1 14. Estimated cost:` The undersigned certifies that the above statements are true to the best of his, her knowledge and. elief Signature of responsible applicant Remarks PH1INyhSHOP `� ti CA eD �io Ch eD O � O n A O � °-►, ��•! O n .a A to to I r cr " ° _� fD fe ►s p ^' CD p, k C tD ''* O• rD M... rL Cet, � C vAi w �• rte•► et CA UOQ � its eoD O� UOQ rD rD o � y _ tTl eD n (D x ro A C C �•* UQ � O O � � 7 O• O Q' a• I W N 1—+ H W I I ^ UQ UQ `CS ►r� '17 7 f° ° '� o �• O• 't7 Oil I I eD C O• fD M H ►may 'C � �• QQ O � � O /'� e-r x � � y � O a• V1 4-D v