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05-016 (4) b � o f c Y O b _ O a. ^ v' Z �s 5 =° ~ O y �a � J( Zoning Miscellaneous Additions,Repairs,Alterations,etc. Tel.Nd'� J qg `f Alterations NORTHAMPTON, MASS. � 19 % ' Additions 4S pT s _ e 67 Repair ' APPLICATION FOR PERMIT TO ALTER Garage 1. Location 3 124),o-o Ze e-0 f 1"e, Lot No. 2. Owner's nam 4/,ncR� ✓_ �/e 11 p2j 1 Address 3. Builder's name Address Mass.Construction Supervisor's License No. ©�! 3 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 J'1.Je 7j- �� `7 ��`"'T- � g-"O'e- 12. Type of roof if /GAx�Oe - - I/ - 13. Siding house 14. Estimated cost:-tX//, j,V The undersigned certifies that the above state ents are true the best of his, her knowledge and belief. - ignature of responsible a lic t Remarks - p Ze t �.e PN YN, T±SHOP City of Northampton REQUIRED INSPECTIONS $ 1 . Footings and Walls BUILDING DEPARTMENT 2 . Placetural Components in 3 . Complete Building No. -295- Office of the Building Inspector Date M' 23, 19 90 BUI DING P RMIT THIS MAY CERTIFY THAT Fhqmif C'rrstnrtinn Insp. on Site — Foundations has permission to add pi4md sheathing&ngdfWle roof, nZIme rotted sill Insp. of Plumbing — Rough situated on 12 At 3 rihm Rd- Ipais Dears. Insp. of Plumbing — Finish provided that the person accepting this permit shall in every re- Insp. of Wiring — Rough spect conform to the terms of the application on file in this office, and to the provisions of the Statutes and the Ordinances relating Insp. of Wiring — Finish to the Construction, Maintenance and Inspection of Buildings in Insp. of Health (Septic Tanks) the City of Northampton. Any violation of any of the terms above noted is an immediate revocation of this permit. Expires six Building Insp. — Rough months from date. Building Insp. — Finish Note: A certificate of occupancy will be issued by this office upon return of this card signed by the Plumbing, Wiring and Building Smoke Detectors (Fire Dept.) Inspectors. Gas Inspection THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE Certificate of Occupancy Building Inspector P DINT 0 P