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�-, DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
Northampton, Mass. 01060 Y
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 HOMErOWNER 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. ' '� �'�� r' 1 Alterations
NORTHAMPTON, MASS. - J` 19 ` �7 Additions
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APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location / ,/� ,-, �� .< ~f�/� e C L/ >J� Lot No.
2. Owner's nam L e� L1l / ✓ 'fir , , ddress.
3. Builder'sname z, Address
Mass.Construction Supervisor's License No. — Expiration Date
4. Additions° C
5. Alteration
6. New Porch
7. Is existing building to be demolished?.
8. Repair after the firm
9. Garage-' c No.of cars Size
10. Method of heating.. a z r--„
11. Distance to lot lines
12. Type of roof - c
13. Siding house
14. Estimated cost:-
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks—
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