30A-084 (6) 11rM�r'*
04.,,,," DEPT. OF BUILDING INSPECTIONS Z �° /)C)
+ 4 212 Main Street BUILDING o° (-
: - 4..1%
;;" Northampton, MA 01060 PERMIT
30A - VALIDATION
ILE March 19, 19 87 PERMIT NO. 136
APPLICANT Mitchell Kosh ADDRESS I High Meadow Road Owner
(NO.) (STREET) (CONTR'S LICENSE'
Alteration One Family NUMBER OF
PERMIT TO �_) STORY Y DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT (LOCATION) 7 High Meadow Road ZONING DISTRICT
URA/SR
(NO.) (STREET) .S {`.j•U T/)
BETWEEN AND /
(CROSS STREET) (CROSS 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 to add partition XMXX and closet in basement area
AREA R
VOLUME ESTIMATED COST $ 5.000.00 FEE $ 20.00
(CUBIC/SQUARE FEET)
OWNER Mitchell & Anne Kosh
BUIL �T
Y '� r (917,,ad
ADDRESS 7 Hi9h Meadow Road. Florence B
WHITE - FILE COPY . GREEN - FIELD COPY • CANARY - APPLICANT COPY • PINK - ASSESSORS COPY PAINT SIIP
r;r
3'T` t. CITY OF NO RTHAMP TON
MASSACHUSETTS
VIII. ZONING PLAN EXAMINERS NOTES
_8.,%..; ra OFFICE of the INSPECTOR of BUILDINGS
DISTRICT sJ'�>. t(--
r
sliv. , Page S O !=} Plot ' "1
�� _> APPLICATION FOR
USE ZONING PERMIT AND
INSPECTOR
BUILDING PERMIT
FRONT YARD
IMPORTANT - Applicant to complete all items in sections: I, II, Ill, IV, and IX. O
SIDE YARD SIDE YARD /� /AZONING
I. AT (LOCATION) 7 //O�'` /etd,� Rel DISTRICT u��/S
REAR YARD LOCATION (NO.) /�1 (STREET)
OF BETWEEN -7(Of 2l1C11-- AND
NOTES BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE _
H
II. TYPE AND COST OF BUILDING — AI! applicants complete Parts A — D -4
73
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use In
rn
1 I I New building Resident' Nonresidential
2I I Addition(If residential, enter number 12 One family 18I I Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13 I I Two or more family - Enter 19 L__I Church, other religious
IX. SITE OR PLOT PLAN - For Applicant Usenumber of units— — — — -� 20 ❑ Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,
serso: :■_ I I 21 Parking garage
: s 4 I I Repair, replacement or dormitory - Enter number
•ettieee
MOO iva■•aaa�ti=ii�i".ai:a•: ::_:::•.�■•■�:i:.•�:si::::•■■•■Nit _ _� ' ofunits - -� 22 Service station, repair garage
:.a•N•a• ••■ 5 I Wrecking (If multifamily residential,
N■■•:..a •••r•• a enter number of units in building in 15 I I Garage 23 Hospital, institutional
ii■■=iaN■:erieee:su�ageiai ■■•NN■■OOOC:•=::ai:•■•• :i■�• ■UUN • • : Part D, 13)
:::::a■:u•�_...�. •er•N•N■N......•••N: I:■■N•a■:■•■■: =■■■:■:■:■■a= 1 6 Moving16 I I Carport 24 Office, bank, professional
a.a..s■a..p....$...i:::::::ps.....i:.N•::::::::::::_a...a •a•N•i:::: r :an: I I (relocation) 17I Other - Specify 25 Public utility
•as••sa• • aaa• ••:•••s�••sslielie eOOOOO. a. •• : 7 I I Foundation only
••i as■= •• �• aa• ..si • ■a. •• :N?i.■iaaNN■s...N•.a = 26 School, library, other educational
■::a•= u ::.a�ii=i:•N: Nia:N.:..::•••e. •■N ......a•aN:..ae.•aa•::N•aa••.••: 27 Stores, mercantile
?:s:::s1s::•N a:i.. . .............sa :::: : :::: .
::=' a-_ �a aa• um say ■■■ a : : : _ : B. OWNERSHIP
:a'ii l::iiiii 111Eii=s• i=....i==■s=N:__:::::::i■a::a :ala..r:a: = 8 Private (individual, corporation, Other28 s-towers
Specify i:i ���� ss�� a • _ _ nonprofit institution, etc.) p fy
is. :.....as S::::....a..::••i=.•:iii••
i� •■•• p=■•• ese
• • 9 I I Public (Federal, State, or
N NNa••N■au■■...■ ■ a.•a :•.■:...■.�:UNa NNNa•=•� _ : local government)
Be: N:::::NN=l:a.....=.a aa'z•:s:::....:a.: __••....•_: _..sr;UU:.'N: s r : C. COST (Omit cents)
Nonresidential - Describe in detail proposed use of buildings, e.g., food
_ a•N•■.••N.N.a.■ .a processingplant, machine shop, laundrybuildingat hospital, elementary
NN ■■faaw_.i::.NnOOOO: ::::::•••:•NI:NN :�::: N:: N■■M.■:u■�■•NN■:::::: N p school, secondaryschool, college,e, P
N .. ■ ••� U•__ • • N Z •• : 10. Cost of improvement $ g parochial school, parking garage for,
a•. . NNneesOOa•■ N.■N.NaaN■N.a• aa...e..•.NN000OOOaa..a deportment store, rental office building, office building at industrial plant.
sue ■ NN : •a■■ •
� • � i!■=aa■==�==r�aN�• :■:■_ _ : �i■■= : To be installed but not included If use of existing building is being changed, enter proposed use.
a... : N a ••• a• • •• in the above cost )
a:: : ::wia as memos
::aa'•a::::Naa•.N• :a•• : N a. Electrical "�j/ 1,i. v� n,r
10
..I..::::i::i� :e•i:■■•■a...n:::::_ •a. : : _ _ •a b. Plumbing �l /t/�d� �{/V
go; ::::::!:::::::_s:::a...N..as:s:aalia••s Si l//`/ �.t
� ii a.as..aas.aa.aa • •• aaasa. •a N■•■N■■•N:u�:::aNMOSO a■a■■••a•a••N■naa•.aiaa c. Heating, air conditioning
in!se: ::as:.:s::...aaan.. :::_...a.n..::::.•r■s••r : : : s .
011itliiss:i ::l:sslsli::::sii: =iN::::::: = r : _ I. d. Other (elevator, etc.)
4n• • •• a s nee :::::::es
� �•••��� ■•a I :■: _ : :si ' 11. TOTAL COST OF IMPROVEMENT $ 5;000.
: L•: ■. ::h==�=•i i::� ECS■!!_ �•■•:..•�..■... ! III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
:..: S aa:• N • . i ••...
:sinsit:I IOOO :::::::::i= aN:::•ia:a:iai:: ::•N•••s s•s:s::s •i4' s
:. .:: for wrecking, complete only Part J, for all others skip to IV.
•ia:::::::::in:: H�.N UL...:: i ::A■::: :•
=i• ::::::sii=ifli=i is iisiilaiiiials:;;::i...•N••a•••.saU•a:N: ::::::::=Naar = i s E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
aid:SIMS.i • •:•iaa1i===■.N..... a�■■�i,■••= . = 48. Number of stories
■ •• a•■ ■ • • ■i•Na• • ••• .• • 30 Masonry (wall bearing) 40 ublic orprivate company
• ••_ =:: ai:sa S==tea=••ii:::•:::r:::::: :•••■ ■■ _ : : a•= : I 9 P Y 49. Total square feet of floor area,
ieffi :�i a tUnfin iiilin ■ trah _ =■N:eelee �.a= : :: _ : 31 [ " d frame 41 I I Private (septic tank, etc.)
• • • •••••••• •' all floors, based on exterior
• •.a ■NN. • • • • .N
e : :: sss s:: ssi s::s.i .. : :.s ; .;_ . .. : as::m::::•:;is=:ri:r:i I I
is : :::!■�■::_::■: • ■ .N•aaaNaN•aa.::■a ._...: :. ::•a: :• : 32 Structural steel dimensions
.s s:a asas:a::sa .• sa■. a■ . ::9 ! ! _: s::::a■_e_ __ s....s..s=...:..:
� i i:::i::: i iiiai ::::::::: _�i•: •:s:��irua ■. a a=:: :: : :: ■ N■■ ::: Name a::::: •■.a 33 34 I I Otherorc Specid fy
H. TYPE4 OF WATER SUPPLY
inn!!! WOW
�a : :: ::: :: : :■a •!!a■.a■ .■■■ : :: :: :: :: : _ : :::: : : : I I - P fY I .4ri biic or private company 50. Total land area, sq. ft.
: •:••= : i:�: �ii: ii a as=: i :i ..•aaaa :: :::::■i• ■■.::::::::::::•■:■■ i•::::::::::::::::■■ \\■•N•■■■N■■a 43 I Private (well, cistern) K. NUMBER OF OFF-STREET
�. N. i s .s � isu _:sits i .. •. ..sa.s • • . . ::s::s ._ . _. _ : _
a •• •N • • •:N : ::■ ::: _ : ::■::.■ati ::■:.::a:::::. r PARKING SPACES
IIIIIIIIIIOIIIII
■�. • t,+1 :::• ia�� ■iiiii: iiiiiii:i : a =a:a:i:=: : •■a' ■ a■isi ■•••/11 • F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
; iiii i� :::iii ifi� i.: ia..i..:•::a::::::::::::: : : sass::ss::.: I 51. Enclosed
N ■a $ t r asi :a :•: ::a•a:: i:C=NN=• :: .. iN •:i •: :: :• ••■ 35 I os Will there be central air 52. Outdoors
i " i ! ss _ : sets s is i sisss_ a...��..: _
(4 +5.1 ,j* i ♦ *f-i :a'.a::a:iiia:u■iuN:iaa�i:a::.a:a: ii:aN:■:ii•NN.�NNiiN.: conditioning?
,. 4 r`-• •I '-ti• t,+ +`I1, '- 1' ;+s • ss iu�ssu:;n s�eea ai : ii:::u•:i::=::i==:ii:a.•.N■ 37 I I Electricity 44 1 Yes 45 No L. RESIDENTIAL BUILDINGS ONLY
+ }! `' r '' ' LJ 53. Number of bedrooms
`,. .* ,r`Y . r. ti ;:; rti. ;f. 1r, a �'N ::s1�aa:sss:nigfs id2e�s�■saa%a iN:!r_ •;;••:_: :: :
::,1:r r ) r$ r} ._. • ... _ Z i��iilii�i i::fit::::raN::: ::N■a•: i ■ :N:::■i:■■aI I Coal
2 t +{:r 1
.'11111 rat
;y �� t++ ? i ' ••. :N::: _:�•::::: . • NN ■_ =NN=N.N= 39 I I Other - Specify will there be an elevator" Full
t itialli �lNFI ■■ II • INCI�iaTAIR:i■ Na• 54. Number of
46 n Yes 47 Pi No bathrooms
r'ixf Partial
IV. IDENTIFICATION - To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1, il/tl -C-Kei,-A.... 7 �AS� �cPd NOTES and Data - (For department use)
Owner or
Cop Z14,
Lessee KOS , Q'C�
Builder's
"L GJI ( r p
.
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 � �'4
make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction.
?AC.°
Signature of applicant (4/c
Address Application dote/ mac ) 7 AL-/C-ft /k eA 3//,/,
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALSDate Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
1
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD _ _ -
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building + FOR DEPARTMENT USE ONLY —
Permit number
Building 1( r Q� Use Group
Permit issued 1�1 � 19 C) _ _
Building �/j \ Fire Grading
Permit Fee $ C96 'l''vv0 Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $ :? 64.4,74it /J
Plan Review Fee $ jj �1
TITLE