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35-070 SunMasterAboveGroundSwimmingPool - Johnny WeissmullerPools Page 2. 012- 7"Bullnose Coping with Slip-Resistant Finish Limited Lifetime Warranty Semi-inground Installation Available Swimming Area: 18'124' 27' 30' Available Wall Color: Champagne with Sienna Frame (click to enlarge) Your Johnny Weissmuller Sun Master pool can be customized with a wide range of features, including a Promenade Walk,Sun Deck,Grand Entrance Staircase TM, Pool Fence, and underwater lighting.To learn more about these options,please go the Accessories section. Above Ground Pools are non-diving pools. �'.,_� � .irr: http://www.johnnyweissmullerpools.com/jwsumnaster.htm 6/15/2008 SunMasterAboveUroundSwimmingPool- Johnny WeissmullerPools Page 1 of2 <4<:Agi x.A'lat A��+f`E ra2f.?t"ML IXX u PRODUCTS Y Lecend of excellence Products Titan 0 Sun Master Sahara Oral 13 Sahara Round 13 Safari 13 �I f (j (f ,?t� Photo features optional Porthole, Promenade Walk with Fence,Sun Deck and Grand Entrance Staircase'. Features Include: 52"Wall Height Coral Sea Liner Heavy-Duty Extruded Aluminum Interlocking Walls Extruded Aluminum Top and Bottom Clips Straight Side Support System http://www.johnnyweissmullerpools.com/jwsumnaster.htm 6/15/2008 THIS PLAT NOT FOR RECORDING PURPOSES PL Q K, 4 3, pr-,29 I So © D 1-CA< I 0 L oT #9°O a 0 z do — T-o: APPLtED NAOR-TGAGE � coMMO'iwG!-A.LTI-1 LAND TIT .1>JS,co . I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES,AND BASED ON EXISTING MONUMENTATION,ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED IN A FLOOD PRONE AREA AS SHOWN ON FEDERAL INSURANCE MAPS FOR COMMUNITY NUMBER 2 ©1(0 7 DATED: NOTE THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES SURVEYOR: NOT CONSTITUTE A PROPERTY SURVEY. MORTGAGE LOAN INSPECTION PLAT EZH DF RICHARD td O KT ►-k A M P-C O N ) M A S S J. OWNER ca LABARGE.Sp, 134605 TI ODD 4�' 5U SA N k J 1vG `�� 30, Richard J. LaBarge,Sr., Registered Professional Land Surveyor 110 King Street, Northampton, Massachusetts 01060 � ♦ � Q HOvS cL • � ' � DEG�c � r DRIVEWAY IV lG Lexei-�io&j off- tSE� Poo( r X x I< . r / IL x x +L x x x /t x m x x x k x fR•N�` pow X x i i _ i - The Commonwealth of Massachusetts Department of Industrial Accidents Office efMrestigaffens 600 Washington Street, 7rh Floor Boston,Mass. 02111 Workers' Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors Applicant � IN information: Please PRT leeibly A name: (v(A-tt R%tQ Q N —1 address: o() + yaxs- gJ city fr'0 CtnGt. state: M 4 zia: O IOG at phone 4 N 11 3 3 7 a 3 work site location(full address): qO O R yC�L '�Mcc /Y7,)- O t 0 6 I am a homeowner performing all work myself. Project Type: E]New Construction[]Remodel I am a sole proprietor and have no one working in any capacity. ❑Building Addition f3 r Oo ❑ I am an employer providing workers'compensation for my employees working on this job. company name: address: city: phone#- insurance cu policy# ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers'compensation polices: company name: address• city' phone# insurance co. policy# company name: address: city: phone#: insurance co. policy# Attach additional sheet if necessary Failure to secure coverage as required under Section 25A of MG),152 can lead to the imposition of criminal penalties of a fine up to$1_400.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may he forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains andyenaftqies of perju ry that the information provided above is truce and correex Signature Date G �� /I S Print name tM a-� r Fw N 1 E OZ/ ELS`G( Phone» H 1'3 3(-If 3 3 official use only do not write in this area to be completed by city or town official city or town: permit/license# F]Building Department E]Ircensing Board ❑check if immediate response is required Selectmen's Office ❑Health Department contact person: phone#; ElOther (ie—d S*t 3W3) SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable Name of License Holder: License Number Address Expiration Date Signature Telephone 9.Realstered Home ImprovementCoMactor, Not Applicable Company Name Registration Number Address Expiration Date Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c.152,g 25C(6)j Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... K No...... ❑ 14. - Home Owner Exemption The current exemption for"homeowners'was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CN1R 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liabilit} of Employ ers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for}au under this permit. The undersigned 'homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Locat Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning Tbis column to be tilled nt by Building Department , a Lot size a� A�� 'got S t Fronta e o 5 A me Setbacks Front l Side L: R: L:06 R: `6 16 Rear C to / Building Height ? A,%LO Bldg. Square Footage t11 36 % sjainc Open Space Footage % (Lot area minus bldg&paved 377 7771 arkin ) �� #of Parking Spaces SitM Fill: /V N Af volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW VY YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO � DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO Q IF YES,describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES NO fQN IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks IM Siding[01 Other[(Q Brief Description of Proposed Work: w O y wiO— S F!t- ck Alteration of ebsting bedroom Yes 7k No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes _Y. No Plans Attached Roll - hee 6a'.If New and or addition to existing housing,`complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date i as OwnertAuthonzed Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. A( t J 1V l Z lK 1 Print Narpe /7 0� SidKature of Own eri Dat Department use only City of Northampton Status of Permit Biding Department Curb Cut/Driveway Permit !21 Main Street Sewer/Septic Availability Room 100 WaterNVell Availability v U N 1 8 2008 Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify_.. APPLiCAT104 TC!CONOTRUCT,.ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address:! This section to be completed by office 7� Ry"'L t ,,K�1� Map Lot Unit .� to oen cp— /'`� O l 0(,a Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: j 1148111-PIQ Il)l l:D2l F_f.5kt 90v J� a,1 Rd ��o�rencp_ r✓Iq- o►oG a. Name(Print) Cu ent di Address: Ad � ►�3 3 Sao- s33d ' Telephone ig ature 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building t (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=0 +2+3+4+5) /o fp0 Check Number orw This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2008-1140 APPLICANT/CONTACT PERSON NIEDZIELSKI MATTHEW ADDRESS/PHONE 900 RYAN RD FLORENCE (413)320-5330 Q PROPERTY LOCATION 900 RYAN RD MAP 35 PARCEL 070 001 ZONE SR THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: INSTALL ABOVE GROUND POOL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9RMATION PRESENTED: Approved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning&Development for more information. s BP-2008-1140 GIs#: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2008-1140 Project# JS-2008-001677 Est. Cost: $10000.00 Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 11979.00 Owner: NIEDZIELSKI MATTHEW Zoning: SR Applicant: NIEDZIELSKI MATTHEW AT. 900 RYAN RD Applicant Address: Phone: Insurance: 900 RYAN RD (413) 320-5330 O FLORENCEMA01062 ISSUED ON.612012008 0:00:00 TO PERFORM THE FOLLOWING WORK INSTALL ABOVE GROUND POOL POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType• Date Paid: Amount: Building 6/20/2008 0:00:00 $25.00545 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo