Town of Lakeville Building Department 346 Bedford Street Lakeville , MA 02347 Robert Iafrate Building Commissioner Phone : 508-946-8804 Fax: 508-946-8812 Swimming Pools Public & Private Swimming Pools shall conform to the requirement of 780 CMR State Board of Building Regulations & Standards under special uses Chapter 421.1 General uses – copies of pertinent sections attached. Pools shall not be located in the required setback areas and must maintain the required setback to septic systems components as approved by the Board of Health. A swimming pool or appurtenances there to shall not be constructed, installed, enlarged or altered until construction documents have been submitted and a permit has been obtained from the Building Official. No pool shall be filled or placed in use until all safety requirements have been put in place and an inspection has been satisfactorily completed. • Note that if the privately-owned pool has a water design depth greater than 24 inches (regardless of the pool’s surface area and regardless of whether the pool has a water circulation system), then the pool is classified as a private pool for Building Code purposes and barrier/fencing requirements of Section 421 are applicable even if the private swimming pool, is an on ground swimming pool. Permit Fees Above Ground Pools In Ground Pools $40.00 $60.00 Fees voted by Board of Selectman July 10, 2006 effective July 17, 2006 (Adopted under Section 31, Chapter 111 GL) A WIRING PERMIT IS REQUIRED ALONG WITH (OR PRIOR) TO A POOL PERMIT BEING ISSUED. Any installations or alterations done without the required permits will be charged at twice the fee as required by General by Law Chapter III Section 22 adopted May 10, 1982. Pool Info. 2008 TOWN OF LAKEVILLE – BOARD OF HEALTH – RESIDENTIAL SWIMMING AND WADING POOL REGULATIONS Effective June 21, 2007 A residential pool shall include every artificial pool of water having a maximum depth of two (2) or more feet established or maintained for swimming or wading purposes by an individual for his personal or family use or for the use of guests for his household. No person shall construct, install or maintain a residential pool unless a permit has been granted by the Building Commissioner. Only a person who complies with the following regulations shall be entitled to receive and to retain such a permit. A pool shall be located no closer than twenty feet (20’) from a dwelling, and ten feet (10’) from the septic system or any soil absorption system component. Pools shall not be located in a front yard without written approval from the Board of Health. No pool shall be so maintained that its condition shall be considered a health hazard. An on site inspection and approval of proposed pool location shall be made before a permit may be issued. A plot plan shall be a prerequisite for this inspection. (The plan should clarify the distance requirements from all aspects of the septic system and components) The Building Commissioner shall be notified when a newly installed residential pool is ready for inspection. No such pool shall be filled or placed into use before an inspection has been conducted and a permit granted by the Building Commissioner. Existing pool facilities shall comply with these regulations on or before June 21, 2007. The fee for each residential pool permit shall be $40.00 above ground and $60.00 in ground per the Building Department. Any person who shall violate this regulation shall upon conviction be fined per Section 24 (a) & (b) Non-Criminal Civil Disposition. Pool Info. 2008 PLEASE COMPLETE IN INK The Commonwealth of Massachusetts Abv. Grd. Pool $ 40.00 (__) In Grd. Pool $ 60.00 (__) Permit # ___________ TOWN OF LAKEVILLE 346 BEDFORD STREET LAKEVILLE, MA 02347 PHONE: 508-946-8804 FAX: 508-946-8812 APPLICATION FOR POOL PERMIT To the Inspector of Buildings: Date: ___________________ 1. OWNER’S NAME_____________________________________________ 2. OWNER’S ADDRESS__________________________________________ 3. ASSESSOR’S MAP/BLOCK/LOT # ______________________________ 4. ADDRESS OF POOL LOCATION (if different)_______________________ 5. COMPANY / INSTALLER_______________________________________ 6. CONSTRUCTION SUPERVISOR’S LICENSE #_____________________ 7. HOME IMPROVEMENT REGISTRATION #_________________________ 8. SIZE OF LOT (plot plan required)________________________________ 8. SIZE OF POOL___________ 9. In-ground _____ Above-ground _____ HOW MANY FEET FROM STREET________________________________ 10. HOW NEAR PROPERTY LINE: Right_____ Left_____ Rear_____ 11. ESTIMATED COST OF POOL____________________________________ _______________________________ Signature of Owner/Applicant ________________________ Telephone # _______________________________ Approved By ________________________ Date NOTE: Wiring Permit # ________ Insufficient information will delay issuance of the permit. Pool Info. 2008 Town of Lakeville PLEASE COMPLETE IN INK APPROVAL FORM To be filed with the Building Permit Application Date: ____________ OWNER’S NAME __________________________________________ ADDRESS _______________________________________________ MAP/BLOCK/LOT_________________________________________ ADDRESS OF PROJECT: ______________________________________________ TYPE OF WORK PROPOSED: __________________________________________ * Take this form to all Departments listed below (that are applicable) for their review and have them sign off. * Return it to the Building Department with the required Application and Plans plus any other pertinent information. 1. Tax Collector – All Applications 2. Board of Health – All Applications (submit building plans & plot plan) (exception: shed less than 120 sq ft. & roofing/siding) 3. Conservation Commission – For determination if near wetlands 4. Board of Selectmen – For a driveway curb cut on a Town Road SIGN –OFF: Tax Collector ______________________________________DATE__________ Board of Health ____________________________________ DATE__________ Conservation Commission ___________________________ DATE__________ Board of Selectmen _________________________________DATE__________ Returned to the Building Department Date: ___________________ Note: All Forms must be completed in full. If not, this will delay the processing of your application. Pool Info. 2008 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, Mass. 02111 Workers’ Compensation Insurance Affidavit Application Information: Please PRINT legibly Name: Location: City: □ □ □ Phone #: I am a homeowner performing all work myself I am a sole proprietor and have no one working in any capacity I am an employer providing workers’ compensation for my employees working on this job. Company name: Address: City: Phone #: Insurance co. 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 policies: 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 MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one year’s 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 be forwarded to the Office of Investigation of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature Print Name official use only Date Phone # do not write in this area to be completed by city or town official city or town: permit/license # □ check if immediate response is required contact person: Pool Info. 2008 phone #: □ □ □ Building Department Licensing Board Selectmen’s Office □ Health Department Other ____________ TOWN OF LAKEVILLE 346 Bedford Street Lakeville, MA 02347 Phone: (508) 946-8804 Fax: (508) 946-8812 Wetland Affidavit I understand that it is my responsibility to file with the Lakeville Conservation Commission if designated work is within the 100 foot buffer zone of a delineated wetland. The granting of a building permit does not indicate compliance with the Wetlands Protection Act. I certify that no work will be done within 100 feet of a bordering vegetated wetland. Subsequently, if work is found to be within a wetland or buffer zone area, a Cease & Desist Order will be issued resulting in a mandatory filing with the Lakeville Conservation Commission. PROPERTY LOCATION __________________________________ OWNER’S NAME ________________________________________ _______________________________________________________ OWNER’S SIGNATURE ( or Authorized Agent) DATE: ______________ Pool Info. 2008 PHONE # _________________________