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No. 1. Owner or C/ Q Lessee 2 Builder's License No. Contractor 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. L re of applicant Address Application date - DO if NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans Fee Started y Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Date Number B Obtained y pp Obtained Y BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER II. VALIDATION Building / FOR DEPARTMENT USE ONLY Permit number <� Bui(ding. Permit issued lq Use Group Building Fire Grading Permit Fee $ lei, Live Loading Certificate of Occupancy $ Occupancy Load App d by: Drain Tile $ Plan Review Fee $ TITLE CITY OF NORTHAMPTON MASSACHUSETTS $ OFFICE of the INSPECTOR of BUILDINGS Page ?ate Plot APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 ^ ZONING fib( I• AT (LOCATION) �tJ � � i DISTRICT(_�� LOCATION INO•) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 New building Residential Nonresidential 2. Addition(IJ residential, enter number 12❑ One family 18❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 ❑ Two or more family — Enter 19❑ Church, other religious number of units— — 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 l Transient hotel, mote , ❑ 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (11 multifamily residential, of units ——————— — -- 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 Hospital, institutional Part D, 13) 16 Carport 24❑ Office, bank, professional 6 Moving (relocation) p 17 Other — Specify 25❑ Public utility 7 ❑ Foundation only ( 26 ❑ School, library, other educational B. OWNERSHIP 1 A ! 'ryl�t"/� 27 ❑ Stores, mercantile 8 Private (individual, corporation, ��'�'� f� 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other — Specify — 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food _ processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,•••..,........ school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical..................... b. Plumbing ..................... c. Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 48. Number of stories............... 30❑ Masonry (wall bearing) 40 ❑ Public or private company 41 Private (septic tonk, etc.) 49. Total square feet of floor area, 31 F--] Wood frame ❑ p all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY ❑ 50. Total land area, sq. ft. ........... 34 Other — Specify 42 ❑ Public or private company 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors........................ 36 ❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45i No 53. Number of bedrooms.............. 38 ❑ Coal 39 ❑ Other — Specify Will there be an elevator? Full.......... — 54. Number of bathrooms 46 ❑ Yes 47 No Partial........ DEPT. OF-BUI DING INSPECTIONS BUILDING I-° + ! 212 Main Street Oa /' � Northampton, MA 01060 PERMIT <° 35 - 63 VALIDATION DATE June 26, 19 _85 - - PERMIT NO. 361 - - APPLICANT Rebecca Makofsky ADDRESS 909 Rv an Rond -- er (NO.) (STREET) (CONTR'S LICENSEI OF PERMIT TO Addition (_) STORY Above Ground Pool DWELLLRING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT (LOCATION) 909 Ryan Road - --- DISTRIC R (N0.) (STREET) BETWEEN AND (CROSS STREET) (CR033 STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: permit for the installation of an above ground swimming panl 24' r1i ampt-pr AREA OR 24' diameter ESTIMATED COST $ 12500.00 FEEMIT $ - - 10.00 VOLUME (CUBIC/SQUARE FEET) Philip & Rebecca Makofsk OWNER yan Road, orence, ass. 8Y" /,/ ADDRESS WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY I,1 IIP mulmonow