29-265 (5) �. .® (%ifs of 'Nort 1jamp tall
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building „ Y
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 HOMOWJNER 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. ' Alterations
��tTti NORTHAMPTON, MASS. • 19 Additions
e Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location Lot No.
2. Owners name Address f
3. Builder's name = 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 ;- Sizes
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
kno ledge and belief.'`
dJf,
Signature of responsible applicant
Remarks
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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No.,:2-4—0 S Alterations
�troti NORTHAMPTON, MASS. � � `�'`C° 19 Additions
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' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location A Lot No.
2. Owner's name Address q -L
3. Builder's name ___, !i w P`- _k Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition V\\A-
5. Alteration Q 0 WlU6C L,
6. New Porch Y-��A-
7. Is existing building to be demolished? Lti
8. Repair after the fire Y\
9. Garage _ No.of cars Size
10. Method of heating_ �d
11. Distance to lot lines
12. Type of roof 'V 1
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
kn ledge and belief.
Signal? o responsible applicant
Remarks
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