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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building '
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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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Miscellaneous Additions,Repairs,Alterauion s,etc. Tel.No.. Alterations
a Garage NORTHAMPTON, MASS. 7� 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
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1. Location a
Av
Lot No.
2. Owners name Address 1616 a /`t`l
/ 2
3. Builder's name � -t Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition C h(")rm e r
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
12. Type of roof
13. Siding house
14. Estimated cost:- �
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The undersigned certifies that the above statements are true to the best of his, her
know and belief.
Signature of responsible applicant
Remarks
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REQUIRED INSPECT I j +1S
$ e J 1 . Footings and Walls
BUILDING DEPARTMENT 2 . Structural Components in
Place
3. Complete Building
No. -157- Office of the Building Inspector
Date Nmrd1 28, 19 90
BUI DING P RMIT
THIS MAY CERTIFY THATRobert Tobin Insp. on Site — Foundations
has permission to tip domer wm�hz to be celled to the frcnt of hatise. Insp. of Plumbing — Rough
situated on 105 Stria Ave. 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)
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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 ON T PREMISES
Certificate of Occupancy
Building Inspector
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