25C-055 (5) DEPT. OF BUILDING INSPECTIONS BUILDING Z°
212 Main Street Oa
Northampton, MA 01060 PERMIT Qa
25C - 55 VALIDATION
DATE/ 1 _q19 PERMIT NO. 249
APPLICANT Teddy Bear Pools ADDRESS 41 �t• Chicopee
(NO.) (STREET) (CONTR'S LICENSE)
NUMBER OF
PERMIT TO
Swimming Pool/Deck (_) STORY Two Family DWELLING UNITS
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
41-43 Lincoln Ave. ZONING URB
AT (LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
yy��//yyPO((6yLy��p(yy pp
4�g4+ID91/\ X TO BE 15 FT. WIDE BY 2`► FT. LONG BY FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION
/TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: permit for the installation of an above ground pool with a 81 x 141 attached_ deck
AREA OR 360 sq. ft 112. s ft. deck ESTIMATED COST $ 3.935.00
PERMIT $ 16.00
VOLUME
(CUBIC/SQUARE FEET)
OWNER Edward Osepowicz BUILDIN
ADDRESS 43 Lincoln AvP BY �� �
WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - ASSESSORS COPY P ." P
ZONING •
DISTRICT
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
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NOTES and Data — (For department use)
c
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, stmt, city, and State ZIP code Tel. No.
D 3 IA1601 J L ,S -
I. ar w cc rr
Lessee 05COW/m �0 ��!I'�O� a/00. gf"
j S T S.r. Builder's
i � License No. r
Contractor �� rF
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.
Signatu of applicant Address Applicatio date
D 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
royal Check Date Date
Permit or A
pp Obtained Number By Permit or Approval Check Obtained Number By
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
VII. VALIDATION
Building v ;j(� FOR DEPARTMENT USE ONLY
Permit number
Building ! ` 19 l Use Group
Permit issued c:�
Building Fire Grading
Permit Fee $
Live Loading
Certificate of Occupancy $ Occupancy Load
Approved by:
Drain Tile $
Plan Review Fee $
TITLE
i CITY OF NORTHAMPTON
�• �+� MASSACHUSETTS
$ OFFICE of the INSPECTOR of BUILDINGS
Plot
,YT Page C}�__i�-� - -3. `� APPLICATION FOR
INSPECTOR ZONING PERMIT AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONING k j-�j
I• AT (LOC ATIO� DISTRIC t1
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - Dom+
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m
M
--I
1 E] New building Residential Nonresidential
2 Addition(!/residential, enter number 12 One family 18 1 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 Industriol
3 � Alteration (.See 2 above) 14 � Transient hotel, motel,
21 Parking garage
4 Repair, replacement or dormitory - Enter number -
5 ❑ Wrecking (1l multifamily residential, of units ------- - -- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 n Hospital, institutional
Part D, 13)
6 El Moving (relocation)
16 Carport 24 Office, bank, professional
7
17X Other - Specify 25 Public utility
Foundation only 26 n School, library, other educational
B. OWNERSHIP ' " 27 Stores, mercantile
_l
8� Private (individual, corporation, 28 Tanks, towers.K`
nonprofit institution, etc.) 29 Other - Specify
9 Public (Federal, State, or
loco( government)
C. COST (Omit cents) �sidential - Describe in detail proposed use of buildings, e.g., food
3�9� processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, 1 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 ` j /� y
a. Electrical.......................
JAI/j 6 OrOd t / PECK
b. Plumbing ...................... V J: GRa v ND
c. Heating, air conditioning.......... MW '
A
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ 37 3S 8 , "`X , • , P�M
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
30❑ Masonry (wall bearing) 40 Public or private company 48. Number of stories................
Total square feet of floor area,
31 Wood frame 41 Private (septic tank, etc.) 49. all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other - Specify 42 Public or private company
50. Total land area, sq. ft. ...........
43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning?
37 �J Electricity 44 n Yes 45 '�I No L. RESIDENTIAL BUILDINGS ONLY
- 53. Number of bedrooms..............
38 Coal
39 Other - Specify Will there be an elevator
Full..........
54. Number of
46 F] Yes 47 IJ No bathrooms
Partial........