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24B-004 (7) NOTE: This plat is compiled from other plans, deed dimensions and other sources of infor- mation, is not to be construed as an accurate survey, and is subject to changes as a more accurate survey may disclose. PLAN FOR MORTGAGE PURPOSES ONLY N /f /4 47HAw'A/ /YU. /S' /1/ Jos Eph T \ KA 01 /NSkr�S 33' ' ET: a X \ A — n767214. lAREL v I I I 1 _ 4. (� V 1 I ' ,i �P� jNOFMgss o ti `/ / \ Z DAVID L. A w/F Ir5e. o BEAN 29280 "' C 9F�/S i hry0 S �J _ 73 /FRE 7 -STIP P roperty Reference: f 110'1,&Zh'.PeCounty To the Northampton Institution for Savings D ee d Bk.e /29 Pg.(g /Plan Bk.3Z_Pg.16: and the Chicago Title Insurance Corporation To the best of my knowledge, information and CITY /TOWN: Narf17A/7 - 6 tl , 17,9.6_5 belief, I hereby report that I have examined,- the premises and that this inspection plat Owner: ,.. T AF. • 'shows the buildings as located on the premises Address: 83 ARP CT .c 7 described, that the buildings are entirely AA1r/h/InIP tad / /n1 within lot lines, and that there are no en- croachments upon the premises described by' Date: - 2/- �$'tcale: / � r4 / buildings of any adjoining premises except as indicated. I further report that' the best of my knowledge there are no easements of re- cord affecting the tract shown hereon, 'except D. L. BEAN, INC. as noted. I further certify that this property is not located in the established flood hazard LAND CONSULTANTS area. �: 1 . 83 Main Street Westfield, Mass. 01085 02/20/03 THU 14:14 FAX 2604362375 FWP POOL ORDER DEPT (J005 Page 5 of 5 ER -4984 C .. REAR LEVELING �) STAKE TOP dP ., YKCE ' RELIANCE BRACE FRONT LEY ELMO 1 ANGLE NIT i ll STARE WEDGE t le ulteNtiM ' POLYSTYRENE .714Ip PANEL FASTENER OP OF PANEL PANEL NERVES • 4.24 PANELS 3,4'{S' LLNSTN$ TYPICAL ANGLE , CORNER ASSEMOLY • IIII / iti ' / f / WALL PANEL III 4 � BULK LK / PANEL FASTENERS ! / i / / • f • ORMAN ANGLE KIT / / / BRACE LiANCE 1 / • t / I / t 1 /t )10. Nal WCOCES I II , • 14 / gi ii ./ F - , .1.'" 1 ..,' ..,,,,•* r ,,,f.t..... .... --„-_,..4i. - 1 ,, • , , e , ��i .4 � f r / te �. � " �Q �' r _ +_ li, l ee � :ter r' / �� � 'I h �� j / III fr r � ge , .i / , / i, i AOJUST P INS I y 1. . l . O /i ./ AKts I ote IN. , , i i i ,i ' ife ,I t0, ' ..�- - � WALL PANEL Ati il .,1)....1 o e 1 O FIGURE 3 • a 3anDid mina 031Yatl7S P i0 97ttl3E —• V" • "• .. „1e ; . X10 LN1NaWrw - ' i ff 0 •. , f � dd / 1NS arOV� alsvia � \< f I 4 + T — 4Nn1A31 � ,.....• a ■ i .�" iMpl ! 17NVd � r � -. ti, ;„ • 3 0 s3iN3S • � / r A 4 041 1 1 . i oill1 11 40 ,ILrA-.- r y 1F / ~ � i zg "iiitr-.. - lior_40. , .. , ....4„4,,,,. 1 ,,,,,, !1/4:::..,.4 4 � I 1 11111:01 ,wi - 30NVi138 V S.� , I , 1 0 �� ' � L 14 , I !" P :;1 1 ~ ____i: )414,11W41 i4e i 1 ,V_ „„ , L s , ,i j pp, i illp tollip... ' 'NII owl ni10.011111 WPIOgria OftY '1vi1121100N "V71107A xiu 4 4011101 4 111011111 17x4 ' 11V#4 1Y01tL011a1i 4 00 IIIIV 1NId 1N]NNg1V 1'S61R1$ v N01177NNO3 1SNVd 1V3Id.il RHI Ifl1 s � ,► ;12 •� • /"'��ilaN i I Div.! 1111"141 J ' 31113 a J•1S114d 7 3§1211 1,7— linvilw in WI L'1 - , 01/1310,0 Nte LN7riNeinv .� ..... 12,1141 701 —a7U •� aNYL 30V11S 3amet130 f� o,roA31 LNO 3t1Vli 1srii 1 a+na � tl4 73 i0 d01 196$01:13 g 4.0 IT abed roo fp] J4 U HHUHO 'IOOd dMd SLEZ9CI709Z TVA ITT 11X0, mw./±(1 UZ /CU /U3 au 14:14 FAX 2604362375 FRP POOL ORDER DEPT t]003 • Page 3 of 5 ER -4984 4 "CONCRETE C K 21-1 sso` —j . . S R X 6 wwllTTHH 4 WF � ALUMINUM COPING 1/4" MIN. � ti �< ,:t �` ;7 �. POLYSTYRENE t .63S ' s.3ss + --T 1fPR L !i t / Y 2 K x I THICK 4 2 " LENGTHS i ' PANEL '" _ RELIANCE BRACE 3 4, 6 �- ' TM. 1 �eCi -«� 1 � ��' ` \ � URAYEL 1ALM- ND I P IIOR :T- . I.Sd- -1 ••• > CF�CK SUPPORT TUBE r 3/8 2 SA BOLTS ` ( CONCRETE FILLED) 2.130 j r' F ` "� VINYL LINER `' r _ re. � .* , UQD j EXPPANSIVE H ALUMINUM COPING • , �„ I•1‘''' f MATERIALS FOR BACKFILL " SANQ BOTTOM OR ,•4' r N f ,, " • 1 ,, ' �F '• ■ "!'' ADJUSTMENT PIN SLOPE 1'2' ■ MAXIMUM - � ' 1 CONTINUOUS C /� p .� ONCRETE CDN7I '. \%' USE IN G0NTI NUDUS 3/�3 REBAR gBpp X Et 1/9 WIDE X • PROGRESSION AROUND V LENGTH OF POOL'S PERIMETER THROUGH PERIMETER BOND BEAM AND INTO THE EARTH STAKE 4' -8 t • f SERIES Or 4 QUICK -LDC I glI PANEL FASTENERS SONO -TUBE � 7 3.480" I.D., 3.868.0.0. / „A I 1 BRACE IS WF SHAPED :MI 2" X 2" X 1/4" THICK - - !:1 F,I REAR LEVELING STAKE t f elm, I .. "0_1 krali ADJUSTMENT PIN ELEVATION A RELIANCE BRACE FIGURE 1 F 0 2 / 2 0 / u 3 '1'HU 14 :14 FA% 2604362375 FWP POOL ORDER DEPT 14j 002 Pa • e 2 of 5 r ER - 4984 . 2.3. Materials: Uniform Building Code', subject to the following Wall panels are Dow Chemical Company high- impact conditions: polystyrene while braces are Mobil Chemical Company high- 4.1 Materials, manufacture and pgol installation comply density polyethylene. The PVC liner is a Borden Chemical with this report and the manufac's instructions. • Company vinyl product. The aluminum coping is extruded by 4.2 Electrical and plumbing installation comply with the Excel extrusions and temper coated with acrylic respective codes in effect at the construction site. manufactured by Pittsburg Plate Glass Industries. Concrete for the footing is designed for a minimum ultimate 4.3 Pools are installed by an installer approved by Fort compressive strength of 2,000 psi in 28 days. Concrete for Wayne Pools, Inc, walk deck has a minimum compressive strength of 3000 psi 4.4 Pool setbacks comply with Section 1806.4.4 of the - in 28 days and requires no special inspection. code. 2.4 Identification: 4.5 Barriers are required where pools are on premises Components are palletized which are identified by of Group R, Division 3, occupancies. The barriers manufacturer's name, address and evaluation report number. must comply with Appendix Chapter 4, Division I, of 3.0 EVIDENCE SUBMITTED the code. Reports of weatherometer tests, plans, calculations, This report is subject to re- examination in two years. specifications and manufacturer's installation instructions. 4.0 FINDINGS , That Fort Wayne Pools Inc., vinyl -lined swimming pools, as described in this report, comply with the 1987 TABLE 1 PE - O•L < r 'TV 1 M DE H {feet, in es) •N CAPACI Rectangle 14 by 28 " 15 by 32 8' 17,798 18 by 36 8' 21,148 20 by 40 8' 6" 27,670 .Grecian 16' 6' by 32' 6" . 6' 1 7,85 18'6 "by36' 8' 21,818 Grecian Lazy-i. 18 • 6" by 39' 6' 20,134 - Grecian True 16' 6" by 39' 6 22,348 4-foot Radius Lazy-I. 1$'by 8'55" • 8' 20,011 18'by38' 8' 21,249 20' by 43' 8" 8' 26,655 Oval 15'6" by 30' 5" 6' 11,790 18' by 28' 4' 6" 9,197 • 18' by 38' 8' 18,980 22' by40' 8' 25,692 ' Figure "8" 1 5" by 30' 5' 6' 10,980 • 22' b 37' . 8' 22,912 Kidney - 1 y 0' 4" 6' i8,4mr 22' 37' 8' 22,516 Rounds ' 8 sam*ter " 4' 6" 6,650 22' Diameter 4' 8" 9,948 Marquis 8 2' • 31' 11' 16,419 18' 10" by 34' 11" 8' 19,309 21' 5" b 39' 10' 8' 25,044 4 - oot Radius rue 8' 2, 14 18' by 43' 8' 28,096 20' by 48' 8' 6" 33,104 The Riviera 37' 5" by 22' 3" 8' 20,E Lap Pool (4 - foot rad. comer) 10' by 40' 4' 6" 10,993 6-foot rad. comer) 10' by 4D' __. 4' 6" . 11,521 O ct eon 24'2" 4' 6" 11 006 an u s ' ey 1 . • 1- 8' . -70 Ca „ anario Series 17' 9" b 34' 2" 6' 15 900 an ' 1- " Campanario Series 16' 4' by 32' 0" 6' 13,692 San Luis Oblsbo 17' 10" by 36' 8" 6' , i Cam anari Series 15' 10" by 32' 6" 6' 14,583 _ r-- ante Barbara 18' e' by 38' 6" 8' 21,8 Campanario Series 16' 6"t932' 6' 6' 15,082 _ I, San Buenventura 14' 0" by40' 0' 6' 14,700 Cam -- nario Series n uan piaeano •y ` _ 1 , tamp nallo'serles • -_ Santa Inez 16'10" by 29' 8" • 8' 14,084 Camoanarlo Series - ---- . - Lit, zU /Us '1'Hi.i 14:13 FAX 2604362375 FWP POOL ORDER DEPT 14001 REPORT' ER -4984 Reissued March 1, 2002 ICBO Evaluation Service, Inc. • 5360 Workman Mill Road, Whittier, California) 90601 • www.icbeezorg Filing Category: SWIMMING POOLS AND SPAS FORT WAYNE VINYL -LINED IN- GROUND RESIDENTIAL 2.2 Installation: SWIMMING POOLS The pool site is initially excavated to required grade below the vertical wall, the top of which is to be at least 6 inches FORT WAYNE POOLS ", INC. above surrounding grade. The excavation , extends 6930 GETTYSBURG PIKE approximately 2 feet. beyond the vertical wall line. This FORT WAYNE, INDIANA 46804 permits the installation of panels and brace systems, and allows for an 8-inCh -thick continuous concrete footing with 1.0 SUBJECT two 3 4-inch rebar at the bottom of the panels. The two 'l -inch Fort Wayne Vinyl -lined In-ground Residential Swimming rebate are located at mid height of the footing and continuous Pools. around the perimeter of the pool. This also encases the lower 2.0 DESCRIPTION end of polypropylene braces that resist horizontal pressures imposed on the walls. Fine grading of the subgrade at the 2.1 General: bottom and side slopes of the pool utilizes three Inches of The swimming pools consist of various sizes, shapes and fiber mesh reinforced Concrete for the bottom and a hardpack depths and are intended for use as residential in- ground made of concrete, water and sand or fiber mesh reinforced swimming pools as noted in Table 1. The general concrete minimum 2 inches in thickness for the side slopes construction entails excavation, installing polystyrene wall or minimum 1 inch -thick layer of sand or 2 -inch vermiculite panels and lateral back braces (Reliance brace), inatalfrng which is tamped and troweled. Sand should be kept damp pumps, filters, electric fighting, etc.; placing a one -piece vinyl with a fine water sprey until the liner is installed. The side wall liner and pouring an 8- inch -thick concrete -bond beam and panels are leveled, plumbed and attached using the bracing deck around the pool perimeter as shown in Figure 1. The system shown in Figures 1 through 3. polyvinyl chloride liner is fabricated by Fort Wayne Pools * , Backfill placement and the filling of the pool are to be inc., and has a 20-mll minimum thickness with a special top accomplished concurrently. The finished deck must slope edge bead for connection to the extruded - aluminum coping Away from the coping et least ' / inch per foot. The vinyl liner . of pool walls. is installed in compliance with the manufacturer's instructions Each pool type relies on the natural soil or grade to support to assure a smooth waterproof surface conforming to the pool the weight of the water and a top -side wall structure around wall and bottom profile. As an option, wall and bottom profile the perimeter to resist lateral pressures from the water and can be covered with 1 / 5 -inch open cell foam attached with backflll. spray adhesive. Plumbing and electrical equipment are The polystyrene panels are reinforced by vertical, horizontal installed in the immediate pool area and must conform to the and diagonal ribs and are typically 3 feet 6 inches high and appropriate codes in effect at the construction site. available in 3, 4 and 6-foot lengths. Panels are joined The pools may be installed without a soil investigation by a together with four Quick -Loc panel fasteners that are part of qualified soils engineer, provided none of the following the Reliance brace. conditions are encountered and the site is approved by the Polystyrene back braces (Reliance brace) are attached to local building of iciel: the back of the panels with four Quick-toe panel fasteners 1. Existence of ground water within the depth of the pool and/or four angle kits which are inserted through four 2 -inch- excavation. by -2 -inch square cutouts which connect adjacent panel 2. Existence of any uncompacted fill in contact with any flanges and are secured with four polypropylene serrated portion of the pool. wedges. See Figures 2 and 3. Maximum spacing of back 3. Existence of any expansive or adobe -type soil. braces is 6 feet. Radius pool panels ere attached with four a. Existence of any soil which will not support the walls of Quick -Loc panel fasteners and Reliance braces at variable excavation at the desired slopes. spacing. The pool must remain full of water at all times. A permanent 5. Location of the proposed pool excavation that sign attached to the pumping equipment is to read as follows; endangers adjacent structures. "Notice: Pool Is designed to remain full of water at all if any of the above conditions is encountered, the excavation shall cease until the specific conditions at the site times. Pool may be damaged if water level is allowed to drop below the pool inlet. When appreciable drawdown have been reviewed and er. The engineer's made by a is noticed or if It becomes necessary to drain the pool, qualified soils engineer. report of this review and recommendation must be submitted to the building contact Fort Wayne Pools, Inc., or its agents for official having jurisdiction for his approval prior to resuming instructions." work. The pools are intended for installation only by factory A permanent label is installed adjacent to the above sign by trained and approved distributors and in strict compliance the manufacturing licensee giving his name, address end with the requirements of this report. telephone number. . i ' RaaoRTS are MI to he construed OA repre.ver hPg mikado or my other ands„ tee not Apeclfcaiy addrax rrd oar are Jury le he contetrned ur an enrk,rserxeot oJthe sebfact of the report or o recommendation Jor 11.1' UM. There Lr no warranty by ICBO livalnwwan Service, /PM, es,Prcxs or ANSI implied, ac lo amyl/Wing ur� iller mailer b, MN NON, or taw any product covered by the report. rdr Copyright C2002 Page 1 of 5 i , I 34 '' 9 ' POINT TO POINT I 4E 9'R "x -2 = 7'- 10" 36- x91 4' � 6' 6" Filler -3 = 14'- 11 1 /2" Panel -4 = 22'- 6" 9'R ':>---- ' 3 ' /0 - = 28' 5" / TTP \ 9'R - 6= 28' -10" Y-0 \ ►1 1= 27, 31/2" 9'R 7 ° zo o o 0 9 R 8 =23' 101/2 s i, t t I I -I -9 = 21' r_3" .0 F. sD 32 Eo F. � ", 2Y —V2' - 4 '-9 ; . 7^ - , 3'-6 "� -5' - 1" - 4 1-10 = 17'- 31/2" 1-11 =14' -1" 9'R ' � ' -ii" N© . , 1' s" © 9 R 1-12 = T 9 1 /2" 2' -8 1/2" ' N 9'R , \ 0 © 6' � � 6' ,, 1.-31/2 O 8 -1= E R 8 -2 =18' 10" 9'R----,11-....—...-- 9'R R R \N_ qR►j 83 =17' 9" 9'R 6 ' 9'R ' 9'R it, 8 -4 = 21'- 2 RR 8 -5 =19'- 8 8 -6 = 13'- 5 8 -7 = 9'- 6" 8 -9 = 6' -11" 8 -10 =14'- 8" 8-11 = 20'- 9" 8 -12 = 24'- 6" PIE PURPOSES ONLY. ns which are staled in its written warranty. My other acts node by the denkr /builder /conhoctor to the _ oduced by FWP ore attributable a the deokr /builder/ ® FORT WAYNE PO�S®r INC tutor who sells or installs your Paul is an independent T H E BUILDING THE [ > Iployee of FWP The construction methods illustra ���l -1 \\ Ci\ii , 6930 Gettysburg Pace ■ a normal ground conditions. There may be oddirionol l E FOLLOWING POOL FT WAYNE, IN 46804 USA st atrtion. The responsibility is the contractor's. D ( ❑ ELI - • . Notional Spa and Pool Institute suggested minimum P00 ' 1 s 1 ' (260) 432 - 5731 ing boards or slides ore a be used with these pools ❑ PREMIUM !1 4' www.S�EIFb (gEt It manufacturer's inshuctions and the Notional Spa 8 PREMIUM G NUMBER mior a i nstalling diving boards or slides on these pools. DATE I TITLE DRAWING JANUARY 18'X 34'9" SP -0496 n imum stand ards, write: National spa 8 Paul institu mss- KIDNEY ia, VA 22314 • 703/838 -0083 2002 • COPYRIGHT 2002, TORT WAYNE POOte®, INC. 18' X 34'9" KIDNEY ADDITIONAL PLAN VIEWS t ,„ : " 7, . v 2' -9'_ 3' -11' .•, - ....7'- 9'.-- ._..6'- 10'- -' --3' -1 - 43'-5'-- II . r 1' -Y 3'- 8 . / 10'-9' 10'- J2' } \ 3'- 7 \ 6' -1 1/2' 2V-1/2' 1 3--0' \� T -3' \, 6,..r 7'-3' T•9' 7'••11' 9' -11' ,L 8' -7 1/2' 9' -9 1/2' 7 y 9' •11' 1 6' -4 1/2' -7-9' 7'- E'- 7'-6 1/2' -4Y-11' 34' -9' ADDITIONAL NOTES THIS DOCUMENT IS FOR LLLUSTRA FWP makes only those representatio representations, stotements, or conk customer regarding any materials p contractor only. The dealer or contre contractor and is not an agent or en • 7' -8'/i' Oval Hardware Kit. Kidney left shown. hens are suggestions and apply anti precautions and /or methods of com GENERAL NOTES EXCAVATION NOTES These dig dimensions comply with It standards for residential pods. IF d'n 1. All vertical dimensions are from liner 1. Soil to hone minimum bearing capacity of 2000 P.S.F. 3. Excavation shall be 2' larger than pool all around. please consult the original equiprne extrusions on all pools. 2. Locate top of pool at least 6' above surrounding Fill voids under base of panels and tamp well. Pool Institute's minimum standards F - land devotion. 4. Racial with non - expansive material. For i t information n cenu nre Alez i 49B , , . E 1 Board of Building Regulations and Standards 1- One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 113833 Type: Private Corporation Expiration: 7/19/2003 LANDMARK POOLS INC JOHN WILLIAMSON 234 HARTFORD RD MANCHESTER, CT 06040 Update Address and return card. Mark reason for change. Address Renewal Employment Lost Card E /ie e'omvnwiuuea(e (1.-Azdaaciwie,1,4 - r Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: -�- Board of Building Regulations and Standards Registration: 113833 One Ashburton Place Rm 1301 Expiration: 7/19/2003 Boston, Ma. 02108 Type: Private Corporation LANDMARK POOLS INC JOHN WILLIAMSON 234 HARTFORD RD MANCHESTER, CT 06040 4 dminktrntnr Not valid without ,siE ature ACORDTM CE "TIFI.CATE. ;LI A °I.LITY rN S1 1 A.. /` ylrx ° ,84" DATE 4b/YY) • M -1 03/03 /04/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bogino & DeMaria, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 200 Fisher Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Avon CT 06001 COMPANIES AFFORDING COVERAGE rOt COMPANY Phone No. 960- 677 -4691 Fax No.860- 676 -1325 A CNA Insurance Companies INSURED COMPANY B Landmark, Inc. and COMPANY Landmark Pools, Inc. C 234 Hartford Road COMPANY Manchester CT 06040 D COVERAGES • THLS ID TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY RFOUIREM ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY DE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MMIDDIYY) DATE (MM/DDlYY) GENERAL LIABILITY GENERAL AGGREGATE $1,000,000 A X COMMERCIAL GENERAL LIABILITY 81.17486469 02/03/03 02/03/04 PRODUCTS _COMP/OP AGO 51,000,000 CLAIMS MADE L2 PERSONAL FADVINJURY 11,000,000 OWNER'S Q, CONTRACTOR'S PROT EACH OCCURRENCE $1 000 , 000 FIRE DAMAGE (Any one fre) $ 100,000 MEDEXP (Any uric person) S 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 5 1 0 0 0, 0 0 0 A X ANY AUTO 8117486472 02/03/03 02/03/04 X ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per peraonl S X HIRED AUTOS BODILY INJURY NON-OWNED (Per accident) 5 ]{ PROPERTY DAMAGE 5 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: . . •y • _ EACH ACCIDENT $ AGGREGATE 5 EXCESS LIABILITY EACH OCCURRENCE $1,000,000 A X UMBRELLA FORM 8128740167 02/03/03 02/03/04 AGGREGATE $1,000,000 OTHER THAN UMBRELLA FORM gT 5 WORKERS COMPENSATION AND X ORY LMIrS O ER • EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 100,000 A THEPROPRIETOPJ INCL wC117486469 02/03/03 02/03/04 ELDISEASE- POUDYLIMIT $ 500,000 PARTNERSIEXECUTNE — OFFICERS EXCL EL DISEASE .EAEMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS ILOCATIONSNEHICLESISPECIAL ITEMS Re: Mr, & Mrs. Joseph Leahy, 83 Barrett Street, North Hampton, MA 01060 ;CERTIFICATE HOLDER' CANCELLATION NORTHHA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of North Hampton 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, North Hampton Building Dept. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY North Hampton, Mp, 01060 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R R SENTATIVE •ACOR17.25-S.(1/95) " ACORD CORPORATION 190 E'd SEEti92.9 098 DNI dIaUW3I '8 ONI90H Wd9P:80 CO, S0 dIN Feb 24 03 12:29p p, • • • � �� 4 fl (r,S 1dr Dlj31Y�Ji7It ; °'t=� Q w� sir% 18 Jigitssarlinnens ` male= '— - DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street Municipal Building Northampton, Mass. 01060 WORXCER'S COMPENSATION rNs R.A.NCE AFFIDAVIT • f., (Liperunttee) with a principal place of business/residence at: • • • •(phone #) (str t/city /statthip) do hereby certify, under the pains and penalties of perjury, that: ( ) I am an employer providing the following worker's compensation coverage for my employees working on this job: � lJ� (Insurance Company) (Policy Number) (Expiration Dare) ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) _(Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (E iration Date) (attach additiomi theca if n<or:ury to include information pertaining to ell oocracioss) ( ) 1 am a sole proprietor and have no one working for me. ( ) 1 am a home owner performing all the work myself. NOTE: please be aware that vihile homeowners who employ persons to do (171 •_.__. =_n construction repair wind( an a dwelling of not nacre than throe units in which the hotoorrunser aside or oo the grounds appurtenant thereto an not wally oomidcred to be employers tinder the s ccarmansalion Act (G1,152,1:11(5)), application by a hom:owaner for a license or permit may evidence the legal statue of an ornployw under the W orkar's Campaaation Ace. 1 undast+nd that a. Dopy of this any bo forwarded to the Dcpanaim2 of:notuatriel Amide OfSoa of laas<'aoce for the coverage verifittlion and that failure to seatrt coverxgo under section 25A of MOL 152 can lead to the imposition of criminal penalties oomistmg era fmc of up to SI „S00.00 and/or imprisounseat of up to ono year and civil penalties is the form of a Stop Work Ordes and a find of S l00.00 a day against tae. For departodecstsI won OolY permit Number Mapg 1 11 Feb 24 03 12:27p p.4 =qs ^ uG _.3 "� f .' 4 ,�cr'+,�t'��`i �`f,.i'Y� -;'�, '.F.• — p ti. i� "� `��'�+ '' � ' y i � G ,fit, � p A �- ;,o ,+ �� ,Ci atilii 11 6, 1��'i oiit� ! ......L..^�..�1C f ^ r " '".r +F"'f-',,," ,-�-. .,4 ra'AT'+`7 ran, f ^ "..- ..•`f"- '��t^_ _'" 2' - sue �..,1._. ° _ . . . a •., rvn a 'fib -� , .11 744 MY_ ca`�� =�a- �' . e «.,•� -„ ka i_.�3_.a,�a � ;;w: I,�I.. rte: ,� , �Fu. - fa} New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other)(] Brief Description of Proposed Work: wit' / 0PA. 4 f oc9L ax.3 Alteration of existing bedroom Yes ' No Adding new bedroom Yes _ K No Attached Narrative ❑ Renovating unfinished basement . Yes K No Plans Attached Roll u . Sheet ❑ 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. Mascheck 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 r 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 °`a.0.1 e4 , a -a fi r, Art 0 t 1 _ ' 4 `r f fa, v to I , ar I, _ eiPc 41-; as Owner of the subject proper hereby authorize i-7,// � 4.:,(.,G�/ G1 to act my bet', f ,i i in n all atters refa to work authorized by this building permit application . nature of Owner Date I, , as Owner /Authorized 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. Print Name Signature of Owner /Agent Date Feb 24 03 12:28p p. 5 .......... ....... _..... - - --- _. = v ll °; "" 6/0;4 i 41 14 " 111 t" 8.1 Licensed Construction Supervisor: Ll ND� rig-z_ Not Applicble ❑ Name of License Holder : J D tf t 14 / ` I I V1 1 ` ' al i P AS . f l '3e,, License Number 2 Z( N A R P IA ivt icti p` CT , _ t(v Z CO 3 Addres 7 / Expiration Date /4/0 e le .-3 - 2 770 a ure Telephone V r - ii. i .il Pla _ic &lifP.'s.t(=:1'� , i6eLaa o. _ci, i4 • Miter , _ : t l .ii Not Applicable ❑ ` A u T ) V14(4 2 K, 7vtt S 1 1 3 3 Company Name Registration Number 'r a. . i ( HO V Rd- 7 - Z ©Q 3 Adress � 0 Expiration ate 9( in 9y 4 Do c11e)kbc Lt , 0 ` Telephone /0 3 "ra -�70 1 T er' a a .,WOR)ERS' COMPENSA11Qt1 1 >. F1ptAVIT(M�G�L c 25'2, §.25C()) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affida will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ `°'— d L/ 43 OA c i 14 Svr c 44 t The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) familie and to allow such homeowner to engage an individual for hire who does not possess a Icense, provided that the owner acts as supervisor. CMR 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 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(: you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature Feb 24 03 12:27p p,3 .:.: • • Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN-BE DENIED DUE TO LACK OF INFORMATION Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size G l Frontage Setbacks Front aL 420.2 / - Side L: R: L: (� R: '7" Rear Building Height Bldg. Square Footage a Open Space Footage (Lot area minus bldg & paved parking) 8 # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO ) DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO k DON'T KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES NO 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: Feb 24 03 12:26p p.2 "- , � Cit f Northampton y of `� 4s, , i Y . —, Building Department [,.t.,,:',:_,...,.-,.,,,, ki £' v - - 1�, x, , Street 2 12 Main Street .�i`fr 4 '4 b� ,,,9A4 d�(IF ;, 2003 � Room 100 p l<� ,� .1€ J .. f4 - -A toll t' .. 1 tijif t.i' �.�� I �'k19 , : Northampton, MA 01060 phone 413- 587 -1240 Fax 413.587.1272 � c` , � 1 ?t .., A H APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING n '1 ~ $il tNKOR tAIfI0-N 1.1 Property Addr ss: i , ,, r J/y�' ..([ 'r�'� ��jj J �1 / 1 -/( L '"J t l i ,r te . *r, + ..�, { i' x_ : (J '4J +--� /� hF�•l�� / 1 _�e l , ° ' ' T ` t -i r -rl ,ti A1 r 4 4. �� ,) /kL - ,r e a t - pa .,, --rBp a z L , t _ t , � � l�• t /�1�� � D�O 1 _ / ''r ( u�� t`' " ' t -` rte r z Ut' - gEC.3',4N' 2 r PR:;QPERTY OWNERSHIP /AUUTRQ, IZR A51 c 2.1 Owner of Record: n'�\� Lci f FK iv cl :.S L - go�t Leq-A t� i �E'f i � ten,' Name int) Cu�� ailing Or s �, 0 /A ,/i"e'� t T S nature x .2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone e _ ., 4,t SE tiO 3 ESh'I'u • TED CONFTRUC� CA N d Item Estimated Cost (Dollars) to be Official Use Only =* completed by permit applicant _ , ?- r�� 1. Building 111 3 (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 = (1 + 2 + 3 + 4 + 5) Check .Number f3 3 - 5 x c Use,;{ nl ��h�s 5'�dt�n F �r Offaiel Il, ng lumber 1 Da mi : ed , ' 6 r a, ,s?' . y - P )3 o Ii r r'i! R a1_ c 1e d ': r i - i""� �1 11 x,u,.,, ,, } 3 ' "• r - ,„ File # BP- 2003 -0774 APPLICANT /CONTACT PERSON LANDMARK POOLS ADDRESS /PHONE 234 HARTFORD RD (860) 643 -2770 PROPERTY LOCATION 83 BARRETT ST MAP 24B PARCEL 004 001 ZONE URB THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid /�3c.,3 (To Typeof Construction: CONSTRUCT 18 X 34 INGROUND POOL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 113833 3 sets of Plans / Plot Plan THE F LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ATION 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 Stree mmission ,,,,./ ' ‘,....4 1 ,c„.ve .3 L • 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. 4 � g3 BAktertgr BP- 2003 -0774 GIs #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit # BP- 2003 -0774 Project # JS- 2003 -1275 Est. Cost: $30000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: LANDMARK POOLS 113833 Lot Size(sq. ft.): 57107.16 Owner: BROWN FRANCES LOUISE Zoning: URB Applicant: LANDMARK POOLS AT: 83 BARRETT ST Applicant Address: Phone: Insurance: 234 HARTFORD RD (860) 643 -2770 Workers Compensation MANCH ESTERCT06040 ISSUED ON:3/27/03 0:00:00 TO PERFORM THE FOLLOWING WORK: CONSTRUCT 18 X 34 INGROUND 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 SiEnature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 3/27/03 0:00:00 1323 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo