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03-027 (6) Man I by 0 L4 Tr- / � 0 J / a ,4r��•. IY f ' i .. n 0� 1 J �9$ Napa �, yak,;��� � -� �:I ''�:••--�� / J 1�'i.,-,1dS3 a AVIA zo it � J 1( / r c• i L 0011, l a 60 - Scanned I/V ulyluzeu Checked rF _ �� d � /y'�� ,;� ,f,�' � / � �� � V k..•l s� ��� 1j �', is �{(; PLAN OF LAND IN NORTHAMPTON, MASSACHUSETTf ) SGAL, / PREPARED FOR BERCUME BU ILDERS, INC. lie 0/'/t� Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 113981 Type: Public Corporation Expiration: 07/23/2003 AQUA POOL & PATIO, INC. -- - RONALD GIANNAMORE 53 NEWBERRY RD E WINDSOR, CT 06088 Update Address and return card.Mark reason for change. (-1 Address'><Renewal ;-1 Employment n Lost Card n ' � ✓ter 'P w.awuwa/�r off✓kiausu4.�a.Qa BOARD OF BUILDING REGULATIONS Ucense: CONSTRUCTION SUPERVISOR Number CS 038393 Birdhdab:12/15/1935 Expires: 12/1512003 Tr.no: 9641 Restricted: 00 r RONALD J GIANNAIMORE - �.�....� 87 ROSEMARY LN SO WINDSOR. CT 06074 Administrator � •t ACOA CERTIFICATE OF LIABILITY INSURANCgjy2D CAli'Oio3 MDUCCR THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION Evans, Pires t Leonard ONLY AND CONFERS NO RK3HT6 UPON THE CERTIFICATE Michael W. Evans HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 121 Roberts street ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. East Hartford CT 06108 Phone: 860-289-6816 Fax:860-291-8848 INSURERS AFFORDING COVERAGE D INSURERA: CNA Insurance Companies INSURER e� A a Pool 6 Patio, Inc. INSURER C: 5-New. ry Road INSURER D: East Win or CT 06088 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUW"EM,TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITM RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFOROEO BY THE POLICIES OUCAISED HCRCIN IS SUBJECT TO ALL THE TERMS,EXCLU30ONS ANU CONDITIONS OF SUCIt POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL TYPE OF INSURANCE POLICY NUMBER ipA-E" ftyppM MWyO LIWTS GENERALUAWLM EACHOCCURRENCE S1,000,000 A X COMMERCIAL GENERAL LIABILITY C500234321 02/01/03 02/01/04 `FIREDAMAGE("meore) S 100,000 CLAIMS MAUI D OCCUR MED EXP(Any ono onion) S 5,000 PERSONAL 6 ADV INJURY IS1,00 O'000 _.. GENERAL AGGREGATE S 2 000,000 GEN'L AGGREGATE LIMIT APPLIE3 PFR: PRODUCTS-COMPIOP A00 i 1 O00 1 000 POLICY ACT �LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANYAUTO 0700234317 02/01/03 02/01/04 (EsecYirlad) LIMIT S 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEOULEDAUIUI (Per POracn) S X I HIRED AUTOS BODILY INJURY �S X NON-OWNED AUTOS (Per ocppo-A) PROPERTY DAMAGE i .. ..._..- (Per aco"nq GARAGE LL*AUTY .AUTO ONLY.EA ACCIDENT i ANYAUTO ._ ..._. OTHER THAN EA ACC _ AUTO ONLY: AGO`f EXCESS LIABILITY EACH OCCURRENCE i OCCUR CLAIMS MADE AGGREGATE f DEDUCTIBLE t RETENTION f i WORKERS COMPENSATION AND X I TORY LIMITS ER EMPLOYERS'LIABILITY A WCC500234237 02/01/03 02/01/04 Et EACH ACCIDENT 3500,000 E_L-DISEASE-EA EMPLOYEq i 500 000 OTHER E.L.DISEASE-POLICY LIMIT i 1,000,000 0 Property Coverage C 5000234321 02/01/03 02/01/04 Leased 115,000 Equipment DMFJFrTIOM OF OPERATKMMOCATIONSIVEMCLE&T.XCLUSION$ADDED BY ENDORSEMENTWECIAL PROVISION$ RE: In-ground Swimming Pool 595 Coles Meadow Road, Northampton, MA 01060. CERTIFICATE HOLDER N AOOITIONAL MUREO:INSULAR LETTER: CANCELLATION DENHART SHOULD ANY OF TINS AROW DESCRIBEO POUCIES OE CANCELLED BE FORA THE UIRRATKIA DATI;THEREOF,THE IWUING INSURER WILL ENDEAVOR TO MAIL .1L_DAYS WRMIN NOTICE TO T11E CERTIACAT11 HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 30 SHALL 5 95 Brett Coles Meadow Road t t C_ Denham IMPOSE NO OBLIGATION OR UASILJTY OF ANY KIND UPON THE INSURER,Rs AGENTS OR 595 Northampton MA OID60 ROW439WATIM. AUTHORIZED REPRESENTATIVE ]Michael W. Evans ACORD 25-4(I/9T) CACORD CORPORATION 1588 6/Z a6ed •I14dZl:9 £O-ZG-ADN •t9V99 W? 098 `0VVN031V83UIdI8NVA3 :A9 1LIaS WET / System Should Yom- Di-iuking Water Be T17is Clean Available in sizes to 400 sq. ft. to handle almost all pool and spa applications. Systems are engineered and built for optimum efficiency and hydraulics. Internal air relief for safe operation. High flow air relief with pressure gauge Deep pleated cartridges provide long cycles between cleaning. ^ Modular cartridge assembly easily removes for cleaning or service. F[ 1 Heavy duty clamp with hand knob, means no tools required. t . Pumps avail- Motor protected from elements able with 2 provides longer life. speed motors and up to 2 H.P. Insulated skirt reduces pump noise. Vacuum/pump to waste option unique to cartridge filters. Adjustable feet to com- pensate for uneven pads. Shown here in optional tan color 2°suction for efficient hydraulics. Pump is backed by a 5 year limited warranty. Filter is backed by a 20 year warranty.See your dealer for details. Manufactured for WET Institute.by:WET Industries Capital LLC 3741 East Telegraph Road • Piru, California 93040 Toll Free: 800.524.5550 • Fax 805.521.1018 • Email: info@wet-institute.com Part No.70-050-009 Wet Institute Modufilter Rugged • Efficient • Reliable • Durablc fi .h • High efficiency cartridge filtration in a compact system. Designed to make pool care and operation simple. a "' • High quality deep pleated cartridges pro- v vide the finest water clarity available in car- tridge filtration today. • Large capacity cartridge saves time and money with longer filter cycles between cleaning. --- Balanced flow design maximizes effective- ness of filter cartridges. a • Pump mounted under the filter skirt virtu- ally eliminates noise. • Built to last. Built like it is our own because it is. We Care Enough To Build It Better www.wet-institute.com WET W-A Series Bronze Pump Ruggedly Built * Advance Design Energy Efficient • Quiet • Durable Bronze Volute & Impeller For Long Life • Exclusive Top or Side Discharge Model �tP MSC clamp —skew WA-500 - WA-750 314 Pi— WA-1000 , atit h(] ,,.,. Boa; �K a } WA-1500 pox. 5 O _![ WA-2000 2 2 . _itYa - —J 2% - n l•-sw—•I Electrical requirements:115/208 230 sOR 6Q cycles 50 cycle and 2 speed also available. _0 s� High performance energy efficient motor for long life and reduced energy cost. Shown here in optional Tan color ..� Bronze volute with unique side discharge option. Stainless steel clamps with E-Z single knob release. a - �__� See thru lid. E— Large capacity basket. Extends cleaning cycles. Locks in place e to grevent float. y �— 2 inlet port. Adjustable clog resistant brass impeller assures C. continued operation regardless of conditions. ° Backed by a limited 5 year warranty. See your WET Institute dealer for details. Manufactured for WET Institute by: WET Industries Capital LLC 3741 East Telegraph Road • Piru, California 93040 Toll Free: 800.524.5550 • Fax 805.521.1018 • Email: info@wet-institute.com part No.70-050-012 4 Wet Institute W-A Series Pumps Rugged • Efficient • Reliable • Durable R _ • A high performance, high flow swimming pool pump combined with an "oversized" hair and lint strainer. • W A series pumps are built for heavy duty use incorporating exclusive advanced design and corrosion proof features. • Available in sizes to fit every residential pool. • For more than 25 years, WET pumps have pumped billions of gallons of water in swimming pools throughout the world, quietly, efficiently, flawlessly. • Built to last. Built like it is our own because it is. We Care Enough To Build It Better www.wet-institute.com i .**top* .� w i s F 1 r I Laars Jandy []FIBERSTARS I LAARS, JANDY AND FIBERSTARS PRODUCTS Jandy Pumps •Jandy Filters •Laars Heaters•Jandy Controls •Jandy Valves Jandy Water Features•Fiberstars Fiber Optic Lighting •Jandy Pool Cleaners•Jandy Pool Accessories I I i waternik 1 USA: 800.227.1442 •CANADA& INTERNATIONAL: 905.844.3400 • www.jandy.com • ©2001 Water Pik Technologies, Inc. Mat 40621 Rev n PND 1 S'jall(I� O9,` �(�� \I /TI CONFORMST. /T� • * I sTe`o ULSTD15G3 CI e, c-TIF 1. 'NFL II 1oJ ava inbie S CAN/CSA C22.2 NO.218.1 v11h 1 Laars XL-3 Laars Lite2 Laars Hi-E2 �w.. " ?'?., � r U ' NDY I 3YST E� Laars LX Laars LT Laars Heaters A HEATER FOR EVERY POOL With our vast selection of energy efficient designs, we have a heater to suit every pool and spa application. POOL HEATER SPA HEATER Model 125 175 250 325 400 Model 125 175 250 325 400 Number Number Temp.Diff. Maximum Pool Surface Area(Sq.Ft.) Spa Size(Gal.) Time to Heat Spa 30'F(Minutes) 15°F 667-889 933-1244 1333-1778 1733-2311 2133-2844 200 30 21 15 12 9 20'F 500-667 700-933 1000-1333 1300-1733 1600-2133 400 60 43 30 23 19 25°F 400-533 560-747 800-1067 1040-1387 1280-1707 600 90 64 45 35 28 30'F 333-444 467-622 687-889 867-1556 1067-1422 800 120 86 60 46 37 35°F 286-381 400-533 571-762 743-990 914-1219 1000 150 107 75 58 47 HOW TO SELECT THE RIGHT POOL HEATER HOW TO SELECT THE RIGHT SPA HEATER 4 w t , a ." V �.w :. eR +y 1 I`r a - • x . r lift Rl r R . . . " mp Laars , tr ay aters � n� M �o � h u Advanced digital controls and simple operation make this the heater of the future. Plus, it's the first Laars Heater that can talk directly to a Jandy AquaLink RS controller. aanasL� f 1 Provides automatic pool-to-spa switching with the addition of the EZ Wireless Remote Control �NOr Automation Kit. and} 2 User-friendly Graphical User Interface(GUI)lets you s ys T 041 make precise adjustments and perform complete diagnostics with the touch of a button. 3 Corrosion-resistant polymer construction produces greater flow capacity, longer heater life and improved pool circulation. ., 4 Fan-assisted,controlled combustion provides „x consistent efficiency in any weather condition. 5 tow-profile design and small footprint make this heater ideal for locations with limited space. � t Jandy �k f is -, rv. � � ,• YSTE 7, Aqual-ink RS �a COMPATIBLE I Jandy System compatible products interface seemlessly �ai F with Jandy AquaLink RS Control Systems to make F equipment operation effortless! NFY � rd; � d ty4 w �t ., . I to 4 � �. b �ak r a f t� _ ar Laars Hi-E2 Quality Laars Pool & Spa Heaters Meet Air This ultra-efficient, low-maintenance heater is the perfect choice for pools and spas where L Emission Standards. 2411 economic operation or an extended swimming season are a major consideration. 1 An impressive 95%heating efficiency rating— the most efficient available. 2 2 A unique forced-air system makes this the ideal heater for use in extreme weather and in difficult or unusual locations. 3 Dual thermostat controls make this an excellent choice for pool/spa combinations. 3 4 Safe and easy to maintain,the Hi-E2 employs our hot surface ignition system,completely eliminating the pilot light. 4' 5 High-tech composite materials and quality construction 5 make this a very durable unit. e ¢ ° Laars XL-3 � Laars is the recognized leader in oil-fired pool heaters. The XL-3 is the preferred choice for those applications where an oil-fueled heater is a must. 1 Safety controls automatically protect against flame failure and unusual variations in water temperature and flow rate. � II I �Ni pp��'^iT1��'�����l�l�q'�'l'�,�����i�ri�'�p'.Rr.r•�.. 2 Stainless steel heat exchanger provides efficient energy transfer and eliminates corrosion. `�. 3 Reversible setup maximizes convenience and installation flexibility. 4 Stainless steel exchanger and precise controls assure quiet, economic and reliable performance year after year. 4 Get • that ar Heaters so simple and efficient just selectin g one makes you f warmer. HIGH-TECH HEATERS THAT ARE MORE CONVENIENT The Laars name has long been associated with quality pool and spa heaters. But if quality alone isn't reason enough to select a Laars heater, you should know that they're also setting new standards for durability and ease of installation! ADDED RELIABILITY AND SMALLER TOO Improved high-tech insulation, newly patented designs, simplified operational systems and a 24-point quality check system have all contributed to making Laars heaters smaller, lighter a and more dependable. The new low-profile designs will fit just about anywhere. Plus, they're easier to maintain. MORE EFFICIENCY THAN EVER BEFORE Laars has heaters for pools and spas of every size, za " operating indoors and out, in any kind of climate. And they're all designed to pay for themselves through greater energy efficiency. IMPRESSIVE LAARS WARRANTY Laars heaters are backed by a highly trained technical support department, and by some of the strongest and most inclusive warranties in the industry. Extended warranties are also available. See our written warranty for complete details. ! s53 NEWBERRY ROAD Buyer acknowledges that he has read and received two complete legible copies of this Contract EAST WINDSOR, CT 06088 including co s contained on th verse side hereof,and two legible"NOTICE OF U V� TELEPHONE 860 623-9886 CANC A e, ent . ,.: Dated t is _day of )��; 20(�3 , �nG. FAX (860) 292-1033 (Buyer's Signature) AQUA POOL r1r,PATIO,I b,¢io RHIC # 503482 113981-MA By t PC 679 WC-5600-H-93 (Buyer's Signature) P I signer Up (D 17 7S5 -Z s0 AQUA POOL & PATIO, INC., 53 Newberry Rd., East Windsor CT 06088 herein termed "Contractor", hereby agrees to construct for and sell .n to h -S- (Owner/Prime Contractor) herein termed "Buyer", whose residence is S 0 O CityIJ State Zip I afJ0 Home Phone - - - Office Phone - - ve swimming pool and related equipment described below (herein collectively called the "work") to be installed at AM.( A-2 A43J1'0 -- -- City State Zip Lot. No. Block No. Subdivision Section for the cash price of $ �, and Buyer hereby agrees to purchase the work for said cash price. Buy r has paid $ �y receipt of which is hereby acknowledged, upon signing this agreement and agrees to pay $ V113�00.0o inlCrogress payments, as follows: o nl e; an o co ter. Contractor shall carry out the work on the terms and conditions set forth on the reverse side hereof. 3lo°l.� le l�(p��fi� °�.� COL avi rt i k lI yolo 131 1 1 OL1 1 A. PLANS AND SPECIFICATIONS - indicate with an "X" in proper O which calls for yes or no. a . Max. Width ( O i x Max Length 3(01 Depth to to Drawing No. h -- c) 10nq Shape w GENERAL CONSTRUCTION SPECIFICATIONS 15. Contractor to install exclusive safety-grip coping �No❑ AUTOMATIC POOL EQUIPMENT Type-Deluxe Color-Travertine. . . . . . . . . .Yes 1. Contractor to supply pool layout plans and specifications Grey. . . . . . . .: .. . . . .Yes❑No Wo" 30. Heater: . . . Natural ❑ Propane O and to layout pool for approval by Buyer. . . . . .. . . . . .Included 16. Other type of coping:Concrete pavor O B.T.U. . . . . . . . . . . . . . . . . . . ....Y4s O No I-V 2. Contractor to obtain swimming pool construction perm•ts for One row of brick El,Bluestone❑, Stone❑, Yes❑No[J/ 31. Gas permit, gas ho up 8 venting. . . . . ... . .By nel Buyer . . . . . . . . . . . . . . . . . . . . .Yes V No ❑ 17. Install deluxe pa, shape: Freefor ❑, Rect. ❑, Semi- 32.Auto p I cleaner. Xes�o❑ 3. Permit 8 survey fees . . . . . . . . . . . . . . . . . . .by Buyer Round 0,Round Il�Kidney G 'Jets Yes Vlo❑ � i q r10Z2 Wa- 4. Access wall or fence to be- 18. Sanitation and water supply systems, Drainage Pipes,and ELECTRICAL AND OTHER FEATURES Removed by: Contractor❑ Buyer❑ Not Applicable IV, utilities (overhead and underground) to be rerouted where Replaced by: Contractor O Buyer❑ Not Applicable CN required by Buyer or by Contractor at additional cost. 33. FIAer pump time clock TD220❑spa switch❑, Ele Aronic 5. Ex vated debris to be removed(on day of excavation only)l./ 18. Rough Grading Clean Up. Up to _Hrs. Control ❑ . . . . . . . . .T��Cp� . . . . . . . Yee 0 No ❑ i-i Per truck hour(dump fees by Buyer). . .Yes❑No(9 With Bobcat: (Not Landscaping) Yes No❑ 34, Electric hook up of all equip on this contract and grounding of 6. Normal water condition max. extra charge$ 2-ZW•V pool . . . . . . . . . . . . . . . . . . . . . . . . . Yes ❑ No V ($k`Aonof stone) Pump charge$__Z 0.Q7 HYDRAULIC AND FILTERING SPECIFICATIONS 35. Electrical panel change, or reroutes, if required by local 7. Framing If required ZY, $/FT ........Not Included Code. . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . By Buyer 8. Buyer to water-cure gunite shell, fill pool promptly after 19. Deluxe filter (Model m ) Included 36, Heavy-duty underw_rr marine light(30'cord.) plaster,and brush plaster after pool Is filled . . . . . ..by Buyer 20, pump. . . . . . . . . . . . . . . . .(Size�V )Included Yes VNo❑In Pool d (i) , In Spa W L 1 00- 9. 6ne set of deluxe shallow end steps custom formed. . . . 21. Pool equipment to be installed within Inc}l ided feet of deep end skimmer or spa. . . . Included OTHER FEATURES 10. Contractor to Install bench ft.long Yes ad No❑ 22,�eturn inlets to pool. . . . . . . . . . .Included 11. Install swimoutAove seat R.long Yes 47 0❑ 23;Deluxe skimmer including self-adjusting wier and leaf 37. Air blowier for spa. . . . . . . . ... ... . . . . . ... ..Yes ONo lo❑ 12. Contractor to finish of infer r with hand-troweled, basket.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Included 36, Rope rings. . . . . . . . . . . .. . .. . . . . . . . . .....Yes O water-proof,(See note below and Initial) 24. For equipment installed below water level no. of valves/ 39. Rope and floats. .. . .. . . .. . . . . . . ... . . ....Yes❑No V marble-white plaster. . . . . . . . . . . . . . . .Yes Vi o U required Yes❑No Ell 40• Deluxe cleaning tools(18"curved nylon brush,hand leaf marble-grey plaster. . . . . . . . . . . . . . . . . . .Yes U No QV' 25. Backwash line � --ft. If required Included skimmer.16 pole and test kit,vacuum hose)....,.Yes Ao❑ marble-black plaster. . . . . . . . . . . . . . . . . .Yes❑ No '` P Backwash to:Irrigation❑, ewer❑,Dry well❑ 41.Contractor's public liability,negligent property damage,`'-----• marble-green plaster. . . . . . . . . . . . . . . . . Yes❑ No 6Y, 26. Water to fill pool . . . . . . . . . . . . . . . . . . . . . .By Buyer and workmen's compensation Insurance. . . . .....,.Included/ _ .. vee n Nn a�f' O,L 2� o 00 s b J .c, !v \r•� "�Ogs 6� -co o rn Ln to e d % p rw � p,�' w/�����, ,orb ix 2 rho O S S 5� 1i sS °O� �� co Gj�M "90.0 S O9 222 26 ��. 0 0 '0°• r,9�h' �' X56. 38 9 ' ►��O• Z S6 " VII tee" ' 0 o a o �' 08 �N ¢ �o co �'� "90 � L =7 7. 1 1' 05 51 1 �`��° ;°�•z� N S 21'4 lb C4 R=1 22. oo Li LU 1 00 uD z �O S O� ,� if1 � h N M �Ln Ln o tx 4'StU►MP'O �O . (r of Wart4aluptan Z � � �Tassacl�usctts '- y DEPARTMENT OF BUILDING INSPECTIONS /? INSPECTOR 212 Main Street • Municipal Building Northampton,MA 01060 r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supc,:-,,i sor. 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 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 Address of work location • •S ttAl-f/'�. ��- � 6 &icssucflasctts ' � —"- � Glail) of L)l�r��t�zzltLrrr OF LUILDI?�G INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mnss. 010GO WORKER'S COMPENSATION IINSURANCE t' FFIDAVIT vrith a prizlcip-d place of business/reSidence rz J3 �� Y �- t�1 CJ►�G��`�l C 'l (ph:�nc �(f� `(�2 3 ° �� � CIO hercby CerLll}y, Un:'c1 L11e 1) :nS 3ii� pCil 1 ICS C1i 7C:1�U111, '_!l:!' (� I am an employer providing the allo.r;nc '.:orr_crs cotnpenstion cover--.e or In)' employees worlddng on t}lis job: C bc C'� �� 71 1 1 (1=1 c:2 Compam') non Date) ( ) I am a sole propnttor, genPrai c-Dntra'c`Ur c- homcollvoer (circle one) and t;a,-e lured t.11` COII7�ctOrS llStt d be10�% «i;0 il�.'c ll, i0} ' �OritP S COIIIp°II4i 0rl `0!1�'. S: (,T;ame of Contnetc*) (ins Inc Corrn.:.r;;Pclic� Nusnbcr) (��: ray on Date) (Dame of Conractor) OILSarince N t m br) (Fxpir;tion Date) (-Name of Coancto,-) Clnsr�nc� Com an�,�Yol;c: Nuri)�_r) � _�,.ir< oa Date) - (Name of Contractor) — - (fnsllra-tict- Comm >y llol.icr Numb, r} (E;:r::-::ioa Date) (^tL�C41:.d'�i�CYtil SE--Ct:°t._._.- '�.__....c....cK�..a_,,, ^—._... r.i).�.-¢-_.-_...•) I 'rL11 is sole })l Oprlf tUi" r.l11 have I10 QIIC .,'C;r :iii` for mc- I t1iI1 i j 11011)C plc-se Lc n%s-:uC t!:at .11•iic kR C,ar::n C-m or::pair _.. not uicee tk—z t!iroo ruins ir.::i di he Zr rn c x«; cxaloycs uar'-cr tfx:wa,a s cc i m.'•s (GLl52�s1(Sil,r.y:,•iir..:ic::'ova hot-nnow-xr for r lice c c-� legal natiic of an anplo}-a unur tL�Vlcv?td.Co,2;:+er:.aiiva J.ci. I undcct.-ad dlL-cry of tti,=late r�ruy bo fo,wddJ to tl,IYtw v rry of It�LZri l hctiJ t�Clfiao of i.--for Ux oovcrnsc vaific!ioo nod that f ifurc to c c m�,Yr_3.,ut 3;sc�.icn 25A ad MG1,152 cw Ic_d to tfx imposition pasL::s comistLng of a fur of up to S1.500.00 at�lcr ir;itr.,r. iti:1 cf up to cr.:)-tr r.-.'1 civil perultia in de form Of`SIC',' fair o(SIt?�.QO a dsy arr_in-t m:. i uG� jsol t Akfi z' j'YL� - - 1 icx cfrx%+:vzrrtsl u.c cnty Pcrrnrt Numlz:r ______------•---___--� i �iO3 . Si ;natnrc S€CTON 8 10N:SERVICES . 8.1 Licensed Construction Supervisor: Not Applicable ❑\ Name of License Holder : r ' `�" �n n�l Yl a► S 3 P 39-3 License Number rte-- 1 c1AA1 cJ o AI AO.- C;T` I Z I � —� Addr ss d Expiration D to (.L'A Signature Telephone Reg s e =, mpro�e ent-°o0Factor Not Applicable ❑ Compa Name Registration Number e,4jT' cil nd 3nr, CT" 7 Address 000ev Expir tion Date Telephone _ (p TCANCE AFFIDAVIT(M G:L..c. 152, § 25G(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 o he building permit. Signed Affidavit Attached Yes....... No...... ❑ 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 acecptable 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 fb_r 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 and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature I SEG tON P OT O PROPOSED¢WORK check�a3{a Ocatile � � 1 i 1 New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [✓]� Brief Description of Proposed Work: C1,[�a�r(Yl C" 1 �✓� ( vnGl� $t,(�`1 f� f'- T(. '�I [d' ��Cw� Alteration of existing bedroom Yes_ tGo Adding new bedroom Yes �No Attached Narrative 0 Renovating unfinished basement Yes _ No Plans Attached Roll D- Sheet Gy 5a. .. o:° a � "��i:tionto.exis�'in>�o>'�ISin-��cop e e�� e�fol�,ow,fng: 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 No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . 1. Septic Tank City Sewer Private well City water Supply r SECT N 1 NER lIORIZATtON TO BE COMPLETED VYHEN OWN S� E O�CONTRACTOR APPLIE5 FOR BUILDING PEftM(T 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 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 Warne 11 11L[03 S 7ip—aW o LoNuKeVA ge nt Date 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 Frontage 1 Setbacks Front -f S-D ' r r Side L:f'6D R: 'F '79 L: ,SD R: --25, Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DON'T KNOW V rb YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DON'T KNOW V YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 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 Isusue/d: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are t re any proposed changes to or additions of signs intended for the property?YES_ No IF YES, describe size, type and location: City of Northampton � Building Department 212,Main Street Room 100 ` a I Northampton, MA 01060 hone 413-587-1240 Fax 413-587-1272 NUV 2p, 3 v APMCAnON TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMAITON � T i ecti s. on A e acoOpleY I ic"e 1.1 Pro Pert)L Address: � U � 5,fir FEE ig.-a g ,s an9 A w ate r 12 L, Wor Y ►erlaY D>slc SECTION 2'-PROPERTY°UWNfRSHIPIAUTHORIZED AGENT 2,1 Owner of Record: (t-4- DeM ha,,+ Name(Print) Current Mailing Address: Lit 13 SS Telephone Signature 2.2 Authorized Agent: i GJ I -)dJ j0 r i T�.I I t a X, dpi ,,f A--- + /.)a fi `-, S 3 IV Name( nt) Current Mailing Address: Signa re Telephone SE 3--ESIIMATED'CONSTRUCTIONLCOSTS Item Estimated Cost(Dollars)to be Official-,Use Only completed by rmit applicant 1. Building )=Via Bujping,Permit Fees 2. Electrical (b)Est�nrated_ otal Cost-of Construction from:.G 3. Plumbing Building.iPermit Fee' 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 +4+ 5) '-5 9 2 L 10,E 1-,Chkk-Numb6r` This Section'For Official Use'Oril Building Permit Number: Date issued: Signature: Building Commissioner/Inspector of Buildings Date File#BP-2004-0636 APPLICANT/CONTACT PERSON AQUA POOL&PATIO CO ADDRESS/PHONE 53 NEWBURRY RD EAST WINDSOR (860)623-8374 PROPERTY LOCATION 595 COLES MEADOW RD MAP 03 PARCEL 027 001 ZONE RR/WSP 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 038393 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INYO,KMATION 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 Commis Signature of Bu mg 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. 595 COLES MEADOW RD BP-2004-0636 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 03-027 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2004-0636 Project# JS-2004-0895 Est.Cost: $54793.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AQUA POOL & PATIO CO 038393 Lot Size(sa. ft.): Owner: DENHART BRETT Zoning:RR/WSP Applicant: AQUA POOL & PATIO CO AT. 595 COLES MEADOW RD Applicant Address: Phone: Insurance: 53 NEWBURRY RD (860) 623-8374 Workers Compensation EAST WINDSORCT06088 ISSUED ON:1215103 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• Receipt No: Date Paid: Check No: Amount: Building 12/5/03 0:00:00 844 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo