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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. � Alterations_
NORTHAMPTON, MASS. J-C) �� 19 2—/ Additions
i
APPLICATION FOR PERMIT TO ALTER Repair
1 Garage
1. Location .5� CR£st/I�y�` �5�� F(c�/Z E� Lot No.
2. Owner s name 2td ylo k L/, I W 6— Address ZQ-5-- C S O- 6T F-Zo 2f47 C f,
7— t A V '3. Builder's name MZI i.IS/AIL,
Address f 36I\C STT d?7'I fffAJ�
Mass.Construction Supervisor's License No.�5���' Expiration Date 51Z 3 % y J-
4. Addition
5. Alteration �SFZ LC C,6446< 77L5 IU-10 RAISE L/yI•V G�� C'� I L/it/ �-'
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
12. Type of roof
13. Siding house
14. Estimated cost:- t q o O
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief. ,
II nature of responsible applicant
Remarks
R
PR P
City of Northampton REQUIRED INSPECTIONS
• a
1 . Footings and Walls
BUILDING DEPARTMENT 2 . SStrructural Components in
Place
3 . Complete Building V
No. 311 Office of the Building Inspector
Date ,TUNE 20 19 91
BUI DING P RMIT
l •
i
THIS MAY CERTIFY THAT THOMAS PELISSIER Insp. on Site — Foundations
has permission to INSTALL COLLAR TIES & RAISE CEILING IN LIVING Insp. of Plumbing — Rough
situated on ROOM 105 CHESTNUT STREET 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 of issuance, if not started. Building Insp. — Finish
Note: A certificate of occupancy will be issued by this office upon Smoke Detectors (Fire Dept.)
return of this card signed by the Plumbing, Wiring and Building
Inspectors. Gas Inspection
THIS CARD MUST BE DISPLAYED IN A CONSPICUOUS PLACE ON THE PREMISES
Certificate of Occupancy
Building Inspector
P INT SFI P