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-, DEPARTMENT OF BUILDITNG 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 FACETS
OF THE RULES AND REGULATIONS ARE COMPLIED WITH.
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 02 Alterations
NORTHAMPTON, MASS. 19 C/ Additions
APPLICATION FOR PERMIT TO ALTER Repair
a Garage
1. Location 0 A1 ,2 Lot No.
2. Owner's name E Y 6-F1/Z' JA)-2)0 Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition I C W �T /Jf) n AAI-4f
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— V c L
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
knowledge and belief.
�ignalure of responsible applicant
Remarks
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