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' ''--'4"V''' -•.'-' 599 Coles Meadow Rd., Northampton, Ma 01060
Property Address
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Pioneer Valley Pools
PD. Box 2 2
Greenfield , MA 01 302
Mr. Scott Coles
599 Coles Meadow Road
Northampton, MA 01060
April 4,2013
Dear Scott,
It was nice to have visited and talked with you and your family the other night,and I think that
you have found an acceptable location and shape for,and of,an in-ground swimming pool. The
L shaped pool may be a very good choice for that particular area.
Enclosed is an estimate for an 18 x 37 x26 90 degree L shaped pool. Nothing is written in stone
and can be amended by you at any time. This will give you a basic idea of cost of product but
does not,however include excavation and landscaping.Those things can be estimated at a later
time. You can reach me at(413)325-3835 anytime. Here's the pool estimate
18 x 37 x 36 L shaped in-ground Swimming pool
Pro Rac Aluminum Coping
Deck support bracing
28 mil liner
8' Fiberglass walk in step
DE Vertical Grid Filter/I hp super pump or variable speed pump
1 —3 step stainless steel ladder with anchor sockets and escutcheons plates
2—Stainless steel handrails
Deluxe maintenance and vacuum kit,test kit,etc.
Chlorine,chemicals, automatic chlorinator, etc.
LED lights with transformer
Flex pipes,fittings,valves,etc.
Solar cover and reel
6' Diving board
Vermiculite pool bottom
Approximate labor
Footing mix
8x8x6x12' concrete reinforced patio
Electrician $ 34,000.00
City of Northampton • -
74:1,?.,,x-t4,‘
s tti ` Massachusetts ,'e:-•s,
'` �'{c.
Px 1t 1
,'z DEPARTMENT OF BUILDING INSPECTIONS w �`: !q" m
*'�► 212 Main Street • Municipal Building �°, , a.
Northampton, MA 01060 X" Z7
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
construction supervisor. 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/footinqs (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 insp ctions as required can DELAY the project until such time as the proper permits
and ins,,-,..n are ade
K. I, '� 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 7/3/(3
Address of work location -C4`1 CO LES AM rya,. 4 itt
MO:271{ !A M Prd MA 61060
•
The Commonwealth of Massachusetts
•
Department o f Industrial Accidents
°~ € Office of Investigations
_
imil= • 600 Washington Street `
mem.66
"-� Boston, MA 02111
.�y
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information P Please Print Legibly
Name (Business/Organization/Individual): t\ i4 - ` a LE
Address: S�°i Co t ES M E/ ��
City/State/Zip: 62714AMP7e, s� , 61060 Phone #: 664
Are you an employer? Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction
listed on the attached sheet. 7. [I Remodeling
2.❑ I am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. El Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.$
u•ed.] 5. n We are a corporation and its 10.0 Electrical repairs or additions
3. I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] t c. 152, §1(4), and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins. Lic.#: Expiration Date:
- Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certi`. u1 er he pains and penalties of perjury that the information provided above is true and correct.
---
Signature: Date: 7/ //
Phone#: .'®7-740C Co 66 3
Official use only. Do-not write-in-this-area;to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
SECTION 8-CONSTRUCTION SERVICES -
.
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address - / Expiration Date
Signature Telephone
-9711.e-•i ste—erd Home m 'r ovement •ntractor, : _ _ _ f ' Not A pp licable ❑
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 buildin I .
Signed Affidavit Attached Yes No ❑
11._ -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.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(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, State a,d '.c Zo • g Laws and State of Massachusetts General Laws Annotated.
j, ‹
Homeowner Signature
i
SECTION 5--DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing IT
Or Doors 0
Accessory Bldg. n Demolition ❑ New Signs [0] Decks [[] Siding[0] Other[
Brief Description of Proposed .Z / / x,Imo,K 3 4 1. S�� /
Work Q eacm,sl ! d f
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa If New house and or addition to'existing housing, comp ete the:followinq:
a. se of building : One Family Two Family Other
b. Numbe • rooms in each family unit: Number of Bathrooms
c. Is there a garage a : ed?
d. Proposed Square footage of n- onstruction. 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 con ction 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
cI, �.�Cz J4 C� lE ,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.
5c67r . CO (Z7
Print Na e d.
ignature of Owner/Agent Date
. ..
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
b i
Existing Proposed Required by'Zoning
This column to be filled in by 1 !:. ,.'t
Building Department
Lot Size 1 H! —_ I
,yi Frontage
Setbacks Front ; I I
' `
Side L:` R: L:+` !
Rear
ee
Building Height t g t
Bldg. Square Footage 7-1 7 % f ¢ i
- - - Open Space Footage
(Lot area minus bldg&paved E I I . . I
parking)
#of Parking Spaces I N
Fill: 11
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW Cs YES 0
IF YES, date issued::
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW 0 YES 0
IF YES: enter Book Page; i and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES
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 f$
IF YES, describe size, type and location: ' E
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 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 0 NO
Ath
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
,(p o_
Department use only
�
Tov vu NotaweFUaoN City of Northampton Status of Permit
stuo,lo3asrv,omm,nadoia3a Building Department Curti Cut/Driveway Permits
212 Main Street Server/Sept c Availability. .
LIf,C Room 100 Water/1Nell Availability
Northampton, MA 01060 Two Sets of Structural Plans
nn phore 413-587-1240 Fax 413-587-1272 PlotiSlte Plans
®3Al2 0 3 Others eci
•
e_ P
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 _'SITE INFORMATION =
This'section to'be completed by office
1.1 Property Address:
.. CO ES M EA O J Q01k- Map Lot Unit
?'JO (AMPT,J 010 66 Zone Overlay District
EImSt-District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED.AGENT - _
2.1 Owner of Record:
SCCii • ' CO LE s�M
Name Pri Current Mailing A ss:
Sog'9 — 0.�
6S �6
Telephone
Signature
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 permit applicant
1. Building (a)'Building Permit Fee
3�j o00. oo =
2. Electrical (b)Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) 777 7:77- •-• 7;" 'r..1 :;,7; :7.__7777",:7: 71:777_ =
5. Fire Protection
6. Total=(1 +2+3+4+5) 3L{, 6°0 •6d Check Number
-
= This Section.For Official Use Only Per -
- --
Building mit Numb Date Number-4. = Issued.
Signature_ .. : .,. -
Building-.Commissioner/Inspector of Buildings Date r_ =
599 COLES MEADOW RD BP-2014-0019
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 03 -028 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Inground Pool BUILDING PERMIT
Permit# BP-2014-0019
Project# JS-2014-000078
Est.Cost: $34000.00
Fee: $60.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): 104936.04 Owner: COLE SCOTT&LISA
Zoning:RR(100)/WSP(100)/ Applicant: COLE SCOTT & LISA
AT: 599 COLES MEADOW RD
Applicant Address: Phone: Insurance:
599 COLES MEADOW RD (508) 965-6663 0
NORTHAMPTONMA01060 ISSUED ON:7/16/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL 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 7/16/2013 0:00:00 $60.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner