35-302 (4) *PLEASE READ CAREFULLY*
STEP-BY-STEP CHECKLIST OF YOUR NEW POOL INSTALLATION
CUSTOMER RESPONSIBILITIES
THREE WEEKS FROM CONSTRUCTION:
APPLICATION FOR FINANCING-Please make all final arrangements with your hank 3 weeks prior to Teddy Bear's arrival for excavation of your pool.This
will assure no delay,and provide for completion on time.
TREE REMOVAL-Make arrangements with a tree.specialist in the event trees must he eliminated to make room for your pool.At your request,we will be glad to
refer you to local companies.
REGARDING STUMPS:Any stump that is approximately 3"to 4"in diameter within a pool area will be gladly removed by Teddy Bear Pools.In the event a
stump must he excavated,a nominal fee will he assessed.i.e.machine time and/or extra materials needed.We do not remove stumps from the job site,If you can,have the
stumps ground U below ground level.
SEPTIC SYSTEMS/LEACH FIELDS&DRYWELL-In the event your present septic system or arterial leach field lines are going to interfere with pool
construction,arrangements should he made now,through it septic contractor.to address this concern.Teddy Bear Pools is not equipped to remove such systems,be we are
available to assist you in the handling of this matter. II-our tank is nonfunctional,please make sure it is pumped I week in advance.
ACCESS-The first step.of course,is excavation. Please make sure that entry to the yard is clear from fences,wood piles,swingsets,bushes.etc This will he
greatly appreciated.Teddy Bear Pools cannot he responsible for the removal for any of the above.Delays could occur if this has not been taken care of in advance If access is
across a neighhor's propert} it will he your responsihility to obtain their permission and it will he understood that you,not Teddy Bear Pools,will assume the responsibility for
the finished grade of your neighbor's yard.
TWO WEEKS FROM CONSTRUCTION:
BUILDING PERMITS-Please ohtam your building permit two weeks in advance of excavation-where local codes apply. Usually these firms will he mailed by
your town w you upon rcqucst.Our Home Improvement Contractor License#'s are:MA#11189 and CT#520951.
ELECTRICITY--AVOID DELAY-HAVE POWER SUPPLY READY."Power must he supplied to the excavation area.A 20 amp outlet will suffice in most cases.
WATER-Please make sure that your installation crew has ayailahility to water and hose.For insurance purposes.we are unable to allow any of our employees to
enter vour home.
AT TIME OF CONSTRUCTION:
DRIVEWAY/SIDEWALKS-If the point of entry for trucks or equipment is oeer your concrete or hlackurp driveway,we regret to say,it is at the owner's risk
since we have no way of knowing how firm such individual driveway will he.We will take ecery precaution,or listen to any,suggestion you might have,to minimize any
problem that may arise.Once again,we cannot accept any liahility fordarnages of any kind
SITE WORK-"THINGS YOU SHOULD KNQNNV�
SHALE i ROCK-Expense could yarn significantly depending on the circumstances.therefore,this cost will he discussed on an individual hasis.
WATER TABLES/GROUND WATER/CLAY/REDPAN-Teddv Bear Pool charges the customer fix direct costs only.Usually one or two loads of crushed
stone will suffice for an average water problem.The cost per load is 5200.00-S300.00 delivered.(Extra cxcuvution fir this work and stone will he hilted with labor.)
NON-.APPARE:NT UNDERGROUND OBSTACLES-If underground debris(i.c.stumps.Large rocks.etc.)are encouruered.it may he necessary to use material
such as gravel,concrete and/or Sono tubes to rectify an% voids created by the removal of such obstacles.Any charges for this type of extra material will he collected with your
excavation payment.
EXTRA FILL.-It may he neccssary for us to haul dirt away from your vard to create enough work space.If this is the case,it will be your responsibility to have
additional fill brought in for grading,if necessary.It you have clay soil,it will he necessary for you to have the rough grade top dressed,as clay cannot be spread as effectively
as other types of ground material.Teddy Bear Pools will leave you with a rough machine grade around the pool area.Fine grading will he your responsibility.
DRAINAGE-Occasionally a site may require a drainage system due to irregular landscape and soil conditions.Drainage is used to prevent.surface run off and
upper seepage toward the pool.Water is directed away from the pool to a lower point on the site.Gutter downspout should also he directed away from the pool.
RETAINING WALL-If a retaining wall is necessary,please arrange for construction and hack fill if the wall is to he constructed after the pool installation.Please
see that it is constructed promptiv to avoid soil erosion.
LANDSCAPING-Teddy Bear Pools does not provide this service.When landscaping,he sure to maintain a pitch away from the pool and concrete.Crushed stone
is an aesthetically effective way to provide proper drainage.
WATER TO FILL,POOL.-Normally your pool is filled through your garden hose. If water needs to he trucked in,please inform us and we can make the necessary
arrangements.
REFUSE-Debris,mainly from the packaging of equipment.will he packed up neatly and left for your curbside trash collection.
AFTER INSTALLATION OF POOL STRUCTURE:
CONCRETE DECKING-Teddy Bear Pools utilizes the highest quality materials along with the most qualified craftsmen to ensure that cracking of concrete is
kept to a minimum.Unfortunately,given the Northeast climate,cracking of concrete is it tact which cannot be avoided.Your concrete deck WILL crack.In some instances,acid
rain,leaves,dirt and other debris that may come in contact with vour deck could discolor concrete decking.Please keep your deck as clean as possible from foreign debris.
Within the first month of deck completion the ground will settle around it.It will he your rc.sponsihility to regrade to mid-deck height.
FLOATING LINERS-Excessive rainfall may cause flooding around your pool much like it does to it basement.The result of this may he a floating liner,which at
times may leave wrinkles in the liner.We can attempt to remove these wrinkles by resetting it.The cost of this service will he covered by most homeowner's insurance policies.
SEASON All,SERVICE:-Pool opening and closing services are provided through our Service Department.We pro-ide several services to cater to each customer's
individual needs. Please do not endanger vour warranty by not having your pool properly opened and closed.Our Service Department is staffed by professional Service
Technicians who are equipped with factory authorized parts and training.The Teddy Bear Pool Service Team will open and close your pool professionally.
CHEMICAL TREATMENT-Teddv Bear Pools urges our customers to use only the Teddv Bear Pools recommended chemicals in you swimming pool.These
chemicals have been specially formulated to ensure the life long quality of our products without the risk of fading or wrinkling caused by interior grade chemicals or chemical
imbalance.Such disorders are not covered under your warranty.A detailed outline and booklet on water chemistry will he provided to you upon completion of your new
swimming pool.Please read this booklet carefully.Do not endanger vour warranty by using inferior chemicals.
IN CLOSING.......
Teddy Bear Pools is honored by your confidence,and will do everything within our power to keep that trust.A swimming pool is a long term investment.
Finally.you will be giycn complete instructions as to the operation of your new Teddy Bear Pool when your pool has been inspected and passed your electrical
requirements.This must be done by a licensed electrician.
Thank you once again from all of us at Teddy Bear Pools& Spas
THIS MUST BE SIGNED AND RETURNED BEFORE EXCAVATION CAN BEGIN ON YOUR POOL.
DUE TO INSURANCE REGULATIONS.
THANK YOU.
Owner Date
Please sign one copy of this page for Teddy Bear Pools and keep the other for your records.
•
TEDDY BEAR POOLS, INC. O�� MA Home Improvement Cont.#111889
41 East Street y R� CT Home Improvement Cont.#520951
'Chicopee, MA 01020
01P W Fed. I.D. No. 04-2583701
(413) 594-2666
MA/CT: (800) 554-BEAR 0
Fax: (413) 598-8823 At! 4110 O
www.teddybearpools.com A ^ �1
qqmmpl "Romp,
TEDDY BEAR POOLS & SPAS
EXTRA WORK COST ESTIMATE
TO: '1` "` ' '4°`" `' PHONE:H ' t' DATE: f
W
JOB NAME/LOCATION:
JOB DESCRIPTION:
s.' i
t
r
4
{ P
7 ..;
7",
Not Included: Dry: n Yes 71 No Loam
rZ] Fencing 'f 3/4" Stone... :'
Water Tanker: O Yes J No
,-Cl Chemicals Clean Fill .....................
A ' Bld. Permit Trucking: O Yes O No
Pump. ......................... ..........................
71 Water Stumps: I Yes 71 No Labor......................
BackHoe ... ,............................................................
Job Description:
Excavator .................................................................
Stump Removal ... ......................................................
Other
See wording contract for signing back.
ESTIMATED
THIS ESTIMATE IS FOR COMPLETING THE JOB AS JOB COST:
DESCRIBED ABOVE. IT IS BASED ON OUR
EVALUATION AND DOES NOT INCLUDE MATERIAL ESTIMATED
PRICE INCREASES OR ADDITIONAL LABOR AND BY: - r '
MATERIALS WHICH MAY BE REQUIRED SHOULD
UNFORSEEN PROBLEMS OR ADVERSE WEATHER CUSTOMER
CONDITIONS ARISE AFTER THE WORK HAS STARTED. SIGNATURE:
WHITE COPY: OFFICE YELLOW COPY: OFFICE PINK COPY: CUSTOMER
g'StU►MP�.
O 4
Griflr of Nart4amptan
9. � �tgassxchusetts
3 -
` DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street • Municipal Building
Nordi,unpton, MA 01060 ,
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as i:is/her construction sup„: ,isor. The state defines "Homeowner” as, " Person(s)
who owns a parcel on which he/she resides or intends 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
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work(electrical, plumbing& gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date a�1D G
Address of work
location
G/o✓ ,mac-t yyt.� o� o -z
A E (iTi 3 of �,Tcrfljalii:pfail -
Q C' .51 RChnLrlta _
p DEPARTMENT OP BUILDrN!C INSPECTIONS
212 Main Strcct Municipal Building
?Northampton, MASS. 01060
`'�'ORIQIZ'S COi`MEIiSASIOI�t L'iSL1TtAI�C� :�I' T
,'' (li ansxlpctm�tTcc)
vVith a pii cipal place of business/residencc at:
(phone')
�I — (sr�,Ud tyislaic/rip)
do hereby certify, under and penalties of pegury; :hat
( ) I am an employer providing die following; tivorher's comocnsado, cove mgt for my
etuplovecs tvorldng on tilis job:
(Inner-� Conr m) (Pc1,c: ?:u r_
ar) --- ( :-pIruor, Dzt^}
I am a sole propr-Ittor, genera] contractor or homeowner c c:e one) and have hired
the contra tors tested below who have the '10bo .,iDg, workers comper.�aon pclicies:
(Na Oi Coe t^czor) (Insunlicc COrnpan)•/obc-i T�tt1II1LC:) f1=-':JIiJ::O� D.Itc)
i
r • ` ei-oir6on Due)
err
(N,.mc of Coo>raor) (Insura.nc:. Comoan)'/PO.1C_+ . tun ) (- .
(Name of Couincio:) (Insw-lacz Compan)•/PoUq I`i=bc.r) (Expiraon Datc)
(NP-Me of Contractor) gnsurmcc ComcauyRoUcy hiumbc-r) fExpirz6on Dart).
(awcb 6cci dncca ry to Ldo,�oo pc-ia;. to..11
( ) I am a sole proprietor and have no one worlang for me.
( ) I am,a home owner performing all the work myself.
NOTE:pl==be aware is—�J c bem�u-bo cmplay pcsom w do c=—_zc,00 c rgau Woric on.d..cll_:`of
afx mocc then 'ter.tare in«!n6 the bomoowv-r rd=or oa the PVUXIdi z,��tbee �- o:x C-a-Dy co=.d=-td to be
e--rploycs unc'.c the..uSds-=;s n At=(GLt 52,=t(S)),zpptisarioo by n bo=o--Da fm a 6c=----cc Pamn st7`d—tLK
Ie�al r-:x-of as =ployx under dao Work ceL Cnmpem.tio Act-
I u-daztand db d s copy of tbi. % tc may b•f---,-ded to tbo pcyortmcca of lndur-ri.J Ac do&Offio•oC isa+r�w for Iba
ooverxse ve-i(•t3lioa mnd ttu r:d=c to axur boveTaso tai%cc:ioa 25A of MGL 1572 oa led to the i__ wi ioa of a-=ia-1 peniltio
ooasiriag of a fiDC orup to S 1_�oO.0o xr.No anpruo=Dczd of up to oae y=r aJd C\zl pca,.rjO in d> ronn of a Swp W wr OrSc nod a
C=oC SI09.00.d y ap ina me
Far bey.rem=al use m1y
L�— pCftlUt Number ;
`y/.1 104 t•�p:_- Lot " s
" Late
St�,-ttuic of Lic=IscclPcrrzuucc
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
3.A`46 stered Hom`erlmaro�ienierit ont[actor• �. A '" N a Not Applicable .❑
Company Name Registration Number
Address Expiration Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M'.G.L.c.152,§:25C(6))
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....... ❑ No...... ❑
11 �rne; ? ner Imu
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.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-vear 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 buildine 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(s)
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,Stat d Local Zoning Laws and State of Massachusetts General Laws Annotated.
-'Homeowner Signatur
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition E3` Replacement Windows Alteration(s) Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[1--3] Other[O]
Brief Description of Proposed
Work:
JV
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa if°New4hause`a ' ;nd or.a ditid t& 'Atlng housinrrmP Lit"K f6lI' ing:
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-TOBE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES,FOR:BUILDING PERMIT
I T'eP{jam„/ lw,F v4-e,,L- as Owner of the subject
property J
hereby authorize ZR iii Ale140�
to act on y behalf, in all matters relative to work authorized by this building permit application.
`.� -- y 2 o
Signature of Owner Date
5 TH' ffe'r" /f-f,4 v z 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 Linder the pains and penalties of perjury.
�Z f'�,0, .� /tiles vi2,Pvt
Print Name
446—nature of Owner/Agent "D Ate
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
yy
Side L.Y , R:" L: R: =F-`f --2--
Rear iF'�v= `/S
Building Height
Bldg. Square Footage -- %
i l
Open Space Footage �_ %
(Lot area minus bldg&paved —sb�/fj
azkin
#of Parking Spaces
Fill:
volume&Location
A. Has a Specjajl Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO l DON'T KNOW 0 YES 0
IF YES: enter Book Page: and/or Document#;
B. Does the site contain a brook, body of water or wetlands? NO (D'DONT KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 Date Issued:
C. Do any signs exist on the property? YES 0 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:
E. Will the construction activity disturb(clearing,grading,excava n,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES NO jio
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
i y of Northampton
I u in Department
- -----_ - i 2 Main Street
Room 100 � � �
Northampton, MA 01060 � =
t?hone 41; 1587-'240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE,INFORMATION
1.1 Property Address: This sectiorE,to be completed by ofece
�D Vj/booL�.r%o b/l• Map
l0���1 p 1pG Z Zone i Overlay D1strtct'
Erin St.District � - :,CB Disfcct ..
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
5 repfle.*- - 16A-sk£G/C `Ni4lJ��C/L �o f✓oo�LA.yp hic , dart t v��e /�tA
Name(P lint) Cu nt M iling Address:
5W SSA- 7°2 3 C/32 5 27-//.z 7
i� Telephone
Signature
2.2 Authorized Agent:
.f7-l19lA'-v
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 b0 (a)Building Permit Fee
v v
2. Electrical {b).Estimated- otal Cost of
O ° ° Construction from fi
3. Plumbing Building"Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(,1 +2+3+4+5) 6 0_ v O Check Number
This Section For Official Use Only
Building Permit Number
' Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2006-1 159
AP11LICANT/CONTACT PERSON MAURER STEPHEN C&PAMELA
ADDRESS/PHONE 80 WOODLAND DR FLORENCE (413)584-7023 Q
PROPERTY LOCATION 80 WOODLAND DR
MAP 35 PARCEL 302 001 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: CONSTRUCT 18 X 36 INGROUND 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 LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
q7Approved ATION PRESENTED:
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 Co ion
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.
WOODLAND DR BP-2006-1159
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map-Block:35-302 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-1159
Project# JS-2006-1709
Est. Cost:$36600.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sy.ft.): Owner: MAURER STEPHEN C&PAMELA
Zoning:iR Applicant. MAURER STEPHEN C & PAMELA
AT. 80 WOODLAND DR
Applicant Address: Phone: Insurance:
80 WOODLAND DR (413)584-7023
FLORENCEMA01062 ISSUED ON.51512006 0.00.00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 18 X 36 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 Signature:
FeeType: Date Paid: Amount:
Building 5/5/2006 0:00:00 $50.00231643
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo