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29-195 (7) o�w+ar To gftt of 'NortlYamptell � ,d Am$$Rd)miOIts X 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.HOMEOWNER AND NOT A PROFESSIONAL CONTRACTOR IN NO WAY ABSOLVES ME OF ANY RESPONSIBILITY TO INSURE THAT ALL FACFTS OF THE RULES AND REGULATIONS ARE COMPLIED WITH. O z b Z d O d � a.t VN Zoning- Miscellaneous Additions,Repairs,Alterations,etc. Tel.No` ' ` ' Alterations go NORTHAMPTON, MASS. ' 19 ; � Additions APPLICATION FOR PERMIT TO ALTER Repair Garage -7 1. Location fl��e' ©� ov SC Lot No. 2. Owner's name C/0 m7�` `t=: ./� Address 3S e�GEIC)612e D12 3. Builder's name -S fN►7 Address Mass.Construction Supervisor's License No. Expiration Date 4. Addition /l X 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 �fre 12. Type of roof 13. Siding house 14. Estimated cost:- The unde signed certifies that the above statements are true to the betof his, her kn=dbelief;_ Signature of responsible applicant Remarks PRINT"SNRP 6 CIO CN cn tj (v W a E ' A � � � o •� �r,A � F .o ,� A c. W � � -- b � f� � ° s0. � � � a � � C4 w °• fx � G� F °' d cis a, V w c c cn .a 1a cn „ w rA rA W o, a ci ci a a o O p IWO � C Q' CJ � a, s, ca ca � •� -- � ' C > eo u Cd Cd as V� F w � y +� � •O CtS � �+ .F; "d V O N (, rte'+ .,. Q+ ++ CIO V p U..