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03-037 BP-2024-0550 41 LINSEED RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 03-037-001 CITY OF NORTHAMPTON Permit: Swimming Pool PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0550 PERMISSION IS HEREBY GRANTED TO: Project# INGROUND POOL Contractor: License: PIONEER VALLEY FIBERGLASS Est.Cost: 89350 POOLS &SPAS LLC 064314 Const.Class: Exp.Date: 11/05/2024 Use Group: Owner: LLC TNT PROPERTIES Lot Size (sq.ft.) PIONEER VALLEY FIBERGLASS POOLS & SPAS Zoning: Applicant: LLC Applicant Address Phone: Insurance: 3 WESTERNVIEW RD 413-221-8358 WWC3637047 HOLYOKE, MA 01040 ISSUED ON: 05/07/2024 TO PERFORM THE FOLLOWING WORK: 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: f/0 �� Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner File #BP-2024-0550 Z-o, ' APPLICANT/CONTACT PERSON:PIONEER VALLEY FIBERGLASS POOLS &SPAS LLC 3 WESTERNVIEW RD HOLYOKE, MA 01040 413-221-8358 PROPERTY LOCATION 41 LINSEED RD MAP:LOT 03-037-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $75.00 Type of Construction: INGROUND POOL New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: I/ Approved Additional permits required(see below) For all projects that need additional reviews t+:.}7 � as checked below,please see the Office of Planning& Sustainability Permit page or scan here PLANNING BOARD PERMIT REQUIRED UNDER:§ T.- Intermediate Project: Site Plan AND/OR Special Permit With Site Plan Major Project: Site Plan AND/OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay ///72 5-1a- 20 2 V Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public oorks and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning& Development for more information. ' 1 is' C.c6'; ,,., / '�4y ~``''4� {` f , The Commonwealth of Mas�ach s Board of Building Regulations and eku.ri. Massachusetts State Building Code, 70, /�MUI 4ICIPALITY FOR q�,xo4y� c9Q�Q �' USE Building Permit Application To Construct,Repair,Renovate-C$`� h Devised Mar 2011 One-or Two-Family Dwelling ' Qo/aVs This Section For Official Use Only ---;\J Building Permit Number:Q 1- 2-c/-•�� Date Applied: 14011-> &oss //42 rj-G-ZOZy Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 41 Linseed Rd Hatfield, MA 01088 03 030 1.1 a Is this an accepted street?yes V no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Residential Swimming Pool 138085.2 376 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 100' 50' 100' 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public 0 Private ErCheck if yes[' Municipal 0 On site disposal system 1St SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Timothy M.Paciorek Hatfield&Northampton,MA 01088 Name(Print) City,State,ZIP 41 Linseed Rd. 413-563-7724 tom@paciorekelectric.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other clf Specify:inground swimming pool Brief Description of Proposed Work': Installation of one piece inground fiberglass pool shell SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 89,350.00 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 0 2. Other Fees: $ 4. Mechanical (HVAC) $ 0 List: 5. Mechanical (Fire $ Suppression) 0 Total All Fe O 4 4i1 5 6. Total Project Cost: $ 89,350.00 Check No. heck Amount: Cash Amount: 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 064314 11/05/24 Clarence Kaye License Number Expiration Date Name of CSL Holder List CSL Type(see below) 3 Western View Rd No.and Street Type Description Holyoke,MA 01040 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R Restricted l&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-221-8358 info@pvfpools.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 198975 07/06/24 Clarence Kaye - HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 3 Western View Rd. info@pvfpools.com No.and Street Email address Holyoke,MA 01040 413-221-8358 City/Town,State,ZIP Telephone SECTION 6: 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 Ca/ No .Cl SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Clarence Kaye to act on my behalf in all matters relative to work authorized by this building permit application. Timothy M.Paciorek 04/30/24 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Clarence Kaye 04/30/24 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton Massachusetts .� CV DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building as;E. Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: 1090 Southampton Rd.Westfield MA 01085 Location of Facility: The debris will be transported by: Name of Hauler: Pioneer Valley Fiberglass Pools and Spas Signature of Applicant: Clarence Kaye Date: 0 30i24 • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC Registration: 198975 PIONEER VALLEY FIBERGLASS POOLS AND SPAS LLC; Expiration 07/06/2024 3 WESTERN VIEW RD HOLYOKE, MA 01040 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 8.Business Regulation Registration valid for individual use only before the • HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:LLC Office of Consumer Affairs and Business Regulation RcgfstrAti9Q ExptratiQn 1000 Washington Street -Suite 710 198976 . O7i06/2(i 4 Boston,MA 02118 >IONEER VALLEY FIBERGLASS POOLS AND SPAS LLC ;LARENCE KAYE - AAA WESTERN VIEW RD v"� ,.A % fOLYOKE.MA 01040 Undersecretary Not valid without signature Irit, , Commonwealth of Massachusetts Division of Occupational Licensure _ Board of Building Regulations and Standards 440, Cons l 1 Ian . rvisor r w CS -064314 , i empires : 11 /05/2024 S 4 CLARENCE EKAYE 3 WESTERN VIEW RD -� HOLYOKE MI 01040 1#?1, atP 4).„ tr i :i ll, re r\i1'1 -'N • ! /\ Y1/"P i ./i Iv . S 7, ii t vvtiiiri1J.1v • it. • +.Jiid / 1. *.. wi -:.� �. PIONVAL-06 BROOKE A�ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDD/YYYY) - — 4/30/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Christine Sullivan Phillips Insurance Agency,Inc. PHONE Fax 97 Center Street (ac,No,Ext):(413)594-5984 wc,No):(413)592-8499 Chicopee,MA 01013 AIL ADDRESS:christine@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:Atlantic Casualty Insurance Co INSURED INSURER B:Selective Ins Co Of South Carolina 19259 Pioneer Valley Fiberglass Pools and Spas, LLC INSURER C:EVANSTON INSURANCE CO. 35378 3 Western View Road INSURER D:AmTrust Holyoke, MA 01040 -- - INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR ADDL SUBR POUCY EFF POUCY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER IMMIDDmm IRMIDD/YYYI) UNITS A X COMMERCIAL GENERAL LIABILITY ! 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE X OCCUR L31100027-4 5/1/2024 5/1/2025 PREM sEs(Ea o r ence) $ 100,000 MED EXP(Any one person) $ 5,000 N L AGGREGATE1,000,000 { LIMIT PERSONAL 8 ADV INJURY $ GE ' APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY INF LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY (EaMacddent)INGLE LIMIT $ 1,000,000 ANY AUTO _ A 9107191 5/1/2024 5/1/2025 BODILY INJURY(Per person) $ AUTEO�S ONLY X SCHEDULED BODILY INJURY(Per accident) $ X AUTOS ONLY X AUUTOSONLY (PerraEadent)DAMAGE $ $ C UMBRELLA LIAB , ';OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAR ,CLAIMS-MADE 11 XOBW9651923 5/1/2024 5/1/2025 AGGREGATE $ 1,000,000 1 DED ! RETENTION$ i $ D ,WORKERS COMPENSATION Y/N X PER I OTH- 'AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEE WWC3637047 3/25/2024 3/25/2025 E.L.EACH ACCIDENT $ 500,000 OFFICER/M MBER EXCLUDED? ' N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ I 1 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Hall 210 Main St Northampton, MA 01060 AUTHORIZED7 REPRESENTATIVE , / `-`7Y 1-11' ITh.,' ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ------"INI PIONVAL-06 BROOKE A`ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 4/30/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Christine Sullivan - -- NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (NC,No,Etta:(413)594-5984 (NC,No):(413)592-8499 Chicopee, MA 01013 MI6,christine@phillipsinsurance.com '_ INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:Atlantic Casualty Insurance Co INSURED INSURER B:Selective Ins Co Of South Carolina 19259 Pioneer Valley Fiberglass Pools and Spas,LLC INSURER c:EVANSTON INSURANCE CO. -__ 35378 3 Western View Road INSURER D:AmTrust Holyoke, MA 01040 - - INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE IADDL SUBRi POLICY NUMBER POLICY EFF I POLICY EXP LIMITS LTRINSD WVD (MM/DD/YYYY) (MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE X ' OCCUR L31100027-4 5/1/2023 5/1/2024 DAMETO EdNcaTEnDe n ) $ 100,000 MED EXP(Any one person) _ $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 -- 0-- _GEM.AGGREGATE LIMIT APPLIES PER: I I GENERAL AGGREGATE $ 2,000,000 X POLICY ENT J LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER' $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 _LEe accident)--- $ ANY AUTO A 9107191 5/1/2023 5/1/2024 BODILY INJURY Leer person) $ AUTO ONLY WNED ' X SCHEDULED SWULED pBRODILY INJURY(Per accident) $ X AUTOS ONLY i X AUTOS ONLDY (Perr a Eo Cent)AGE $ $ C UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE XOBW9651923 5/1/2023 5/1/2024 AGGREGATE $ 1,000,000 DED ! RETENTION$ - $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY _ STATUTE ER _ Y/N WWC3637047 3/25/2024 3/25/2025 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N� NIA E.L.EACH ACCIDENT $_ _ (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE' $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below - - E.L DISEASE-POLICY LIMIT $ I I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City HallACCORDANCE WITH THE POLICY PROVISIONS. 210 Main St -- Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �'....N PIONVAL-06 CHRISTINE A`c„oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°°"YYY) 4/29/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Christine Sullivan NAME: Phillips Insurance Agency,Inc. tac,N,Eat):(413)594-5984 FAX No):(413)592$499 97 Center Street EMAIL Chicopee,MA 01013 ADDREss:christine@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Atlantic Casualty Insurance Co INSURED INSURER B:Selective Ins Co Of South Carolina 19259 Pioneer Valley Fiberglass Pools and Spas,LLC INSURER c:EVANSTON INSURANCE CO. 35378 3 Western View Road INSURER D:AmTrust Holyoke,MA 01040 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR :ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER _IMM/OD/YYYYI IMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 j L31100027-4 5/1/2023 5/1/2024 DAMAGE TO RENTED ? CLAIMS-MADE X OCCUR 100,000 _... � PREMISES(Ea occurrence) $ 5,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 j OTHER: $ 'i COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (_Ea accident) $ ANY AUTO A 9107191 5/1/2023 5/1/2024 BODILY INJURY(Per person) .$ OWNED SCHEDULED AUTOS ONLY X AUTOS pp BODILY INJURY(Per accident).$ X,I HIREDT ONLY X_AUUTOS ONELY (per accident DAMAGE $ $ C I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE' XOBW9651923 5/1/2023 5/1/2024 AGGREGATE $ 1,000,000 DED RETENTION$ I $ D WORKERS AND EMPLOYERS'LIABILITYIX H STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE WWC3637047 3/25/2024 3/25/2025 500,000 AFFICER/MEMBER EXCLUDED? N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE___ $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hatfield THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 59 Main St Hatfield,MA 01038 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD /....4,11 PIONVAL-06 _ CHRISTINE 4 CORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) 4/29/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Christine Sullivan NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (ac,No,Ext):(413)594-5984 (A/C,No):(413)592-8499 Chicopee,MA 01013 ADD"R'ESS:christine@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE _ I NAIC# INSURER A:Atlantic Casualty Insurance Co INSURED INSURER B:Selective Ins Co Of South Carolina 19259 Pioneer Valley Fiberglass Pools and Spas,LLC INSURER C:EVANSTON INSURANCE CO. ,35378 3 Western View Road INSURER D:AmTrust Holyoke,MA 01040 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH H POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMJDD/YYYYI IMM/DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED CLAIMS-MADE X OCCUR L31100027-4 5/1/2024 5/1/2025 pREM(SES(Ea_9ccurrence) $ 100,000 MED EXP(Any one person) ,$ 5,000 _... PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY j �f LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident)_ $ i ANY AUTO A 9107191 5/1/2024 5/1/2025 BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident):$ AUTOS ONLY _AUTOS r_X_i AUTOS ONLY X AUTOS ONLY P erao DAMAGE $ 1 ) $ C _ UMBRELLA LIAB I OCCUR EACH OCCURRENCE _ $ 1,000,000 X EXCESS LIAB CLAIMS-MADE XOBW9651923 5/1/2024 5/1/2025 AGGREGATE $ 1,000,000 DEC RETENTION$ $ D WORKERS COMPENSATION y AND EMPLOYERS'L ABILIITY Y!N I , X PER II STATUTE A , ER ,_. ANY PROPRIETOR/PARTNER/EXECUTIVE WWC3637047 3/25/2024 3/25/2025 500,000 OFFICER/MEMBER EXCLUDED? N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Hatfield THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 59 Main St Hatfield,MA 01038 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents c ads 1 Congress Street,Suite 100 -.�..:� Boston, MA 02114-2017 l,,j Wwlx.mass.gorldia 1lurkers'Compensation Insurance AlTidasit:Builders/Contractora/'ElectriclansfPlumbers. it)Hi. FILED N 17 n I Ili.PERNI1't 1NG Al THOR17%. Annlicant Information Please Print L.c'tirl+ Pioneer Valley Fiberglass Pools and Spas Narinc iHusmess(lrkaniranon.indt+ Address: 3 Western View Rd City/State'Zip:__.Holyoke MA 01040 phone#: 413-221-8358 err you an employ, ('heck the appropriate tot: Type of project(requked). t an,a entpioya with 4 «rgtiUtirea((udl amine pit-tins t.' 7. New construction I am a sure proprietor or putinrnhtp and have au employers walling for me m 8. O Remodeling ant carioca) P.la worker.'comp.uaaw uiee required] 101 am a hunkam net doing■tl work myaelf.(Ain w or►as'cutup assurance minced] 9. ❑Demoliutm 10❑Building addition in I am a homeowner and will ltr hunug,amiracki s to conduct all w ork uo my property. I will ensure that all conrr:ctort cutter ha+e wuakcm coknsation tnuranea at Ott colt 11 Electnca I repairs or additions propnahm with no employers 12.0 Plumbing repairs or additions 50 I am a general contractor and 1 Iris a hired the rob-contractors hated am die attached sheet. These sub-cuntracturx hasc employ ccs and has c w�nirr�'camp.ire I .t 13�Roof r n gra n-ground Swimming Pool 6.0 we art evaporation and its officers has t,exert.imed then right tit exemption per MGt.c 14. Other 152 it tl4).and we hate no employers.(No workers'cutup. insurance required.] 'may applicant that cheeks hot a 1 Inuit Aix,fill out the sews belu%showing then wsrke'rs'cutup iv:Qum policy infurmaoan. tionieuwneis who subunit thus affidas,st indscating they are doing all woil and then here outside emstraeturs mite►ukraut a new afrwfav it initiating nick t e ntra.ta.ts tti tit ehe...k this bit!Host attached an additional sheet show in the Hank of the sub-:antra,tors and state whether at not those entities have e`trrplutiee•s If the su -.0 td bntracrs Lase etrplo y�ces.the t morale their wotken clomp.puke!. mamba t am an employer that is providing workers'compensation insurance fur my employees. Below is the policy and job site information. Insurance Company tam:: AM Trust Policy#or Self-ins.Lic.#:WWC3637047 Expiration Date: 03/25/25 Job Site Address: 41 Linseed Rd city stagezip: Hatfield,MA 01088 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date}. Failure to secure coverage as required under MGL c. 152. *25A is a criminal violation punishable by a fine up to S1.500.00 and''or one-year impnsonmcnt.as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DR for insurance co%erat e'.entication. I do herein certify under the pains and penalties of perjury that the information provided above i_s true and carreef. Signature. L � � '/ Date: 04/30/24 Phone c 413-221-8358 Official use only. Do not write in this area.to be completed by city or town official ('its or Town:n: Permit/license Issuing Authority (circle one): I. Board of Health 2. Building Department 3.City(town Clerk 4.kliertrical Inspector 5.Plumbing Inspector (b.Other ( (intact Perron: Phone 0: ..... ._—__..-__-- —_._. gt� uig R aw5V31•F 662,76•. 8 i Ic vAonru ?P 8�„- APE PLAN R040 67PAGEGE06(lOT A) :L;I i X 1 R : / E „ �Iyy —s'nor w.n>.Np AS 6I • (YEW LOT ow) q u I# Y% •w Ae5E55gs uM o3 i.I: #§ PUN R00K 255.PACE 75 �, PARCEL 030 \ 8 Nae91W31T•EF _——— �t ,a„.laE ....Paolo® M Jo, ... XXX • —ul.n• ` % —a anrr•w ton• o $ j an.sy u �r 1 .. a1 PLAN ROOK 28e.PAGE n 'l• -_-_ -_f v` ' RYO11y.PACKARflC E YPoSIEH Qg it ] .''"' SCE:PIAN BOp(73M'PAQ 121� w2��I �+' , GEMS "18 I IA � (LOT 1) b$ E- Itnj — (— --SYl3!—7� /NN1VJ1'E-- s 8 � t..ee 36e4r 111K)MT 4.PAfAC2RK ,� / , 8 PLANB 15GE2.PAGE tle ` AN eoo11 K 255.PAGE 76-PARCEL c\ _ ip t� a 1a/ SEE:PLAN BOPt]Z.W.CE 50 0f 2) 11� I II L IA i 6•A. ti As v50075 yAP oil j% { '{,4•b Q GEL o1] 1 A sT• \a is 1 / 4 iF 's.% , O 1 I WI \ YD I \. I I I ASSESSORS MGM 21C PARCEL 5 it --_6--_ OIL p4.1 b,...Y z i 0 mom'--S ar35'11'W 1'A29O 3zn4Y 4 l\ 3 r 'qY• f % II t CUM STAM y RIONARO R.AND JOAN f:KOREA / BOOK 12970•PAGE N q Ii0I2(]]S6.PACE 114(Pg1TI0N) I S. SEE:PLAN ROOK 184 PACE 7(LOT 7) 4 SEE;PL N 60CM 245,PAGE 50(CDT 2) $IN A ASSESSC2t5 YAR° 8 g POR11W OP �• PARCEL 01T xI ASSESSCPS YAP 219.PARCEL 5 5 0. • — 5 84'41'46'•A 287.60• — 5 64Y1'40.W 244.90' s esiWlr r 9 • Bea PETER BACK AND MNWAH RY9IWAY <II= R, LEGEND BOOK 135n•PAGE 221 �I< ASSESSORS MAP 21q PARCEL 4 I PLAN OF LAND IN SEE:PLAN ROOK 146.PAGE 54 ,.I 0 HATFIELD AND NORTHAMPTON. MASSACHUSEITS • FOUND IRO!PIN ASSES MAP.4 =I6 PREPARED FOR • IRON PIN TO BE SET PARCEL me y. •Y TIMOTHY M. PACIOREK O FOUND CONCRETE BOUND S i I at NI SCALE. 1'=50' APRIL 18,2024 A UNMARKED POINT $ REMOL EATON DL NDYI HEOPEESIALA SURVEYORS ti 235 RUSSELL STREET-HADLEY-MASSACHUSETTS 413-584-7599 413-585-5976(1..) Email - hlsalonOod.00m V 5V W' 150' 2 .RRgz t: N 591e•31•E wE.Tr— b ifiul ? TAWINYY i.PAOOROI ?e$ :'0P lw NE BOOK M.PACE ewe(Lor A) ¢•XBB& RIt linii M y —s e7wrlr n W J .1e' m x p g a u b fuIE:IIjIi __ : 4 S EL colaysln4T'f� ♦ Z. o il a).5e' u= gg: 38g I�wPLv PAe::i% _ __ 1rnPNnnr:: - - _ -T_ 1�CXyYAl 0 y& i..y PLAN SOCK(ri4 PACE 7e TMOINY M.ZKCIORD(•KRI CELUGO 4 I N. t{ i t�N)Ay, / ` '• SEE.PLAN 1100.774.7.1fE 30(LOT 1) G b g N. 3tl) — NM1eSTE --- ._1. NI�9 6�g \ If ` ,1 JQy-r ,N ee19•Jt•E- I I i lit l t• �i a.Js• • F6py ,, 1h� TOMO'M.PACIORN % ` i KR5150 PACE I / 8001(150e2 PAGE 11e „ w305.41E vQ RICHARD R AND AIAN G KORxA �— �w ,y se w SEE:R.Vi 90gf x15,PAGE lOT(LOT x) K. n ASSESSORS MAP 03 /PARCEL 017 I / •w- III I 8I \ ' • 1 I \.N I I SE a I ASSSORS YAP 4 x, PARCEL 5 T 7'"•w Mt.PPW*WwaY . sl� 4 1 40.3E -s won,.w 170.90' `dL Tak ve.sY R QA\ \ o II e00KMIN STAS N RICHARD R AND MAN G KOR)A / SOON 775e.PACE 111(PORRON) / I p SEE PLAN KII0 1e4 PAGE)(LOT 7) I SEE RAN SOX 115.PAGE 50(LOT x) / R y�i Y ASSESSORS MAP IH I# P4287 0, y0. PARCEL 017 I ASSESSORS MAP Ile.PARCEL 5 0.( S E1'11'15'VIxe).W f s MYl'aC TON.xW' s eJ,r11•W o I� a>z < Ig PETER ELACR ANO HANNAH BUSNWAY PLAN Cr LAND IN ASSESSORS LEGEND SEE:PLAN OOK 115•PAGE 5a I= MAR 21e PARCEL{ e HATFlELD AND NORTHAMPTON, MASSACHUSETTS 0 FOUND IRON PIN ASSESSORS MAP OJ ZIQ PREPARED TOR • IRON PIN TO BE SET PARCEL me �.AAA+++++ TIMOTHY M. PACIOREK A FOUND CONCRETE BOUND O .OIIO SCALE: 1'-50' APRIL 18.2021 UNMARKED POINT 9 it O HAROLD L.EATON AND ASSOCIATES.INC. U 235REGISTERED SSEL,STREETSSSIONAL-HADLEY-oMSURVEYORS ASSACHUSETTS 413-584-7599 413-585-5976(fox) Pm02 - Mealon0001.0om r s0' mr Lir -- 8 7 6 5 4 I 3 j 2 1... 6'-4" - 6'-8" 3'-3" 4'-0" 4'-0" 4'-0" 4'-0" 2'-2"1'-1 1_1' F 4'-r - F 1'-10" - - - �� -1 'C COI jM' �! ;hI N 1're"' -4" E II E in 10"TYP r o D 2%4". D 1 . —7."--- '19- IIPW 000 I , o I , C `o C ao by I 1 ..._ : _ _ i , ,._ . I T ^I� RICO^ M ggO e —B t "' v .- .-IC° P B 'ti o ;o En 18'-2" 1 Leisure Pools and Spas Manufacturing North America Inc. Area: 462.5 sq ft 1.2901 Leisure Island Way,E Knoxville,Tennessee 37914 Ultimate 30 AVolume: 11,346 gal . I PROPRIETARY AND CONFIDENTIAL Rl THE INFORMATION CONTAINED IN _ c�� O THIS DRAWING IS THE SOLE LEI U H E: FaOOL9 PROPERTY OF LEISURE POOLS.ANY OWN ro. _.. REVISION A •.u>Y•no,...„ REPRODUCTION IN PART OR AS A WHOLE WRHOT THE Perimeter: 90' 10" lin ft PERMISSION OFLEISU ERITTEN POOLSIS 30' LONG X 15' S WIDE ' 3/6/16 PROHIBITED. 1 8 I 7 I 6 5 4 I 3 2 _ as1i, a I i snaisaspi ssapi OW 1111 q 'oBI :::: �OJ tl 994Y9': ` 1� t JHL 4 4 1 q 1444441 i . [-1 ii..ji ii 9� 1 E q 91 A w A A A A W 1 ....., AAA 1 9 9 4 9!W R 9'q 9 9 9 q q q gp - -- 9 9 9 9 g 4 g q q pp 44� 49 9Y9 R4R� :!40 l v [ ; ;: lg ! Jl 41 . >£ - 9 q q I — J 1 li ::::; 9 1 ///— 9 4 ' II ____ 4949 7 4� ___ - p 1 pp ' -� 9 7 4 9 J ,,' ■ 1„.1 q,-.—.-.., iii !Y� .ter � 99 1,10 . q i yig r �� _ III ■ sp M—iIMIN q 9 3 AA1 • 4Y. ,iA q Im 1Y1 199 93 e1 tl AIMS S f �'I elf F391 M g 1 P $� tlffiISYffi � J 44Y tII a a'aQ� y P5 94199 - 9 9 9 9 4 4 4 9 9 q — i - N N N N y g q 9 R 99 4 q NNW 4 9994 4� 9999 yg? 11111 A F 9A1 A A A A4444/ ..AAA 1 .� 9 9 g 9 pp 9 pp / 4 q q 9 p Y; A A.A 9 R sss IICI fr.ialli 1 " ,11 t [1. `, a :;::: tP9 9 1[1 /, I( 4 t 9 1 frill 4441 ,t1 A A A 99119 9 9 9 9 9 q q q q q g w q q q 9 qqt .i _R9 _- - 4 wq �. JAMES A-MARK" a` 0000 Shams sr,cmr,SnAYE a PIIOPaS[IONt,tillwwlt SH OF Alq pi TYPICAL POOVIPA CAAWINSS O = l' r0 v LEISURE POOLS' ss. R.NW= edema__ ~ C) v r _- ' �� Iooe-la nox-wot � D �M.`�'�e.d� j o Ii SA MMXJR. IgIM � U W mew Mr du _. NO 36365 >«/bI/= AS SWAMI •\1`cO/51 0°." James • - MA_'.n ' ••neer 36365 f mil_=__-1 I rT 1— INSJ TIE REFLECTION.INCLUDING SPLASH DECK GE RIVERA. TIEROWWw THE SUMT• TE SUPREME. MON, 1.0011. worn MUM IMP MODEL UMW WON NWOI OW jOWL MOM MOM RUM OUP N®. MUM WOM M41OW OW 11006 LOOM WOM MOLLOM 018 E 31 31•r 17V 4.2. or a1 34.1• 1rr r11• Fir a 38.r 11•r sr rr a are wr rr rr 40 Orr W5' rr rr , IS 76 7T11. 17r sr or a303• 1T11• T1V rr a VC WV 4.I. rr 36 are Wr 4'4• rr a arr we rr rT R fl MA.MR MOM rr I arm W V 26'7' 174. T11• rr a6 are r r IC 4' 11• W £ i 31 Z Ig-1R7 I i il' ,____ _.....) 01) 01) 7111 � lC Ii 1 j# TIETUSCJNY' ME ULTONTEt GUA SPILLOVER MU.06LOMA , 1000. LOOM WODI 4W01611 OEB ow_ TORN MOM DWYOW OUP a we sr !r or 40 Orr we 4•r rr UN TIE SORRENTO.SPA-ROD GESORRENTO"SPA-SQUARE If OPAL*'AND THE TOPAZ.TANNING LEDGES z !bd in \ a Kr is 7r or 36 are Inc Or 16• MOILIMOM OM W MW110W OW ow, M M LEWIN woWuW Ms,a MOM WOW M..M OUP `�JScTTS b 30 are Ire 4.3• rr ROUND I rr I or I 71r I TW SQUARE rr I rr I or I rrOPAL IC fr ?Ur hr &+ o 44* TOPAZ 10r fir rr 1'r y y y e gg * 4- 3 m i ••/L a t d GENERAL NOTES' 1 a- *4•00,GVOO I) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS. d .... 1, 2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY, GRADING,FENCING,WALLS OR OTHER SITE INFORMATION. - 3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITH ALL LOCAL AND STATE REGULATIONS. UJ I 4) CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF INSTALLATION AREA. 0• o= I1 POOL COMPLIES TO NSPI-5 W c ADDITIONAL NOTE 31 ! IF POOL IS FURNISHED WITH DRAINS OR SUBMERGED SUCTION OUTLETS,THAN (I)1 ill COMPLIANCE TO THE VIRGINIA GRAEME BAKER POOL AND SAFETY ACT IS REQUIRED: W DRAIN COVERS ASME Al 1219.8 2007 AT 3'-0"MIN APART J AND ENTRAPMENT AVOIDANCE MUST BE INSTALLED. CODE COMPLIANCE A MASSACHUSETTS COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE TYPICAL 780 IINTTERRNNATIONAL)RESIDENTIAL CODE-2015 POOL/SPA INTERNATIONAL SWIMMING POOL&SPA CODE-2015 DRAWINGS THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING,GROUNDING AND BONDING,AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO THE CURRENT ADOPTED NATIONAL ELECTRIC CODE REQUIREMENTS. SHEET ALL PLUMBING MUST COMPLY WITH THE CURRENT ADOPTED STATE CODE. HOC A AS REO'0 BY LOCAL CODE !! X 1'-Y (])!•RILL D W/O!4 TIES D 2'INTERVALS IN I �• BERM W//4 TES AT 2' PRE-GRILLED HOLES MOUND FLANGE INTERVALS IN PRE-DRILLED HOLES X MOUND RANGE . -F •1•111F 8 v ` a SW 11W K X 11 ys• • ••• _nu'Tie 6 •• d . SAC E_sI_-_ib - _ L ' BACKEHL SEE NOTE!6 CANTIS EV R COPING DETAIL Y ,, d 4' 6'aMIN•,- ' N•WA 1'-2• I u MANUFACTURED I\ MANUFACTURED 4• F ! FIBERGLASS ERCIASS POOL \FTB ERGlA55 POOL I IS i B AC KFlLL SEE NOTE N BAL KFlLL SEE NOTE Ill y1$ (■E� BED SEE NOTE!4 :i:: 2-4' NEC SEE NOTE/4 + 2-4• • , • Ti, i. '')------, TYPICAL WALL SECTION``^ OPTIONAL WALL SECTION A B I cut II —• SCALE N T S SCARE N TS —�I—�rg;W PI. P ' PAVER COPING DETAIL -,1 G,VSETTS SCALE NTS (3Jl4 REBM W/!4 TIES AT -�a k' 24.'- ze-,k o �2y 2'INTERVALS IN PRE-DRILLED 1-2• o I Z, �'W y HOLES MOUND FIANCE . I . • . z < BEDDING SEE NOTE 10 0 ii: i:. • • IC. • 3' I 1 L lOY BK KFlLL ........... SEE NOTE!10(b) 4. �- N _ yj WATER .. —•jIr yt t 0_ EXPANSIVE SOIL TOP—DOWN VIEW EXPANSI E SOIL DETAIL 0_ SCALE NTS SCALE NTS SCALE NTS d. �' Et it FIBERGLASS SHELL MANUFACTURE NOTES CELEVER/ryPICAL Q 11 N 1 L M RMot. 1. Th.FLentenerylma pool hell be manufactun i by Len Pool. d Spa.Manufacturing North (o).The 1'-7 rrid.coping MON be 11W thick*Rh tea layer.of MO mbar with!4 Br CO 3 2-I ().Rosins.hall be vp.N payed.,or Nnyl wler(UM)). Americo Inc and Indeed by a puv0M.d d d licensed pool contractor at 7 Interest In In pew-dried hakew and Dango ortondh Min g 0 Morn e -edge and —3 1 I (b).Reinforcement.hall to elms 4`dam fiber,min slaw bonded to bending grid Nth#e.cad copper 3,D00pN concrete mN. content of total shell Weimer-3o r by*eight 2. Pool.Iwo conform to requirements w shown In design ellMa [,[) (W.Commis.frog be min.3.000pe at 28 day. ]. The Pool.hell a damaged N the pod eater le dropped below normal operating i.v.i. J A. Shot.hall M.prey molded k hand Old MIN: �� PAVER ()..�Gel coal(NPO). Caned the dare pitar to implying the Foal Mel (a). 17 teenier coat(Nrryl ester) 4. Pool.hall be robed compacted 2-4.thick bad of nand,1/C-1/7 gravelOm pea gravel e (a).TM 1'-2.Wide mpi g.hall be C thick Mho *Rh of[544 rotor h#4 ties at e Structural layer wi ma t at Ms total border/ chi other n-abmsM compoctable material.Bed.hail Its placed on undistorted 7Intsrwle N pre-drilled hole around R ete flange ndlngratan w'from ma -.doe omd i rt u N ral kr lm nominated drawing eeii Am a minimum bearing eapadly of 1,000p.I. banded to banding grid eth/B mild coop.3,000paI concrete In. (a)..WR TO coat 6. 'Falls.mug be backfed With.and,Or-3/4•pea grove.lime dapr other no (b).Canute.halt be min.3,000pel at 25 day. III. All l l•n.hall bo rolled out to complete bond rolnforcing It abrasive compacts 1.matelot.Baai161 shall 6e hutalled In I'TO..Maintain Rotor and (e).Me admen to b.u..d to metre tOe to beam min..spel air. boor/Al level whin I'or oath dim. TOP-DON WY( INSTALLATION IV. Struehnl IamInats shall have: B. Steps or ladders shall be proMdod per local cod.. (a).X on dmeng denote.mandatory Nell On Ind koaRon NOTES .E.rot. el 11,000r.i 7. Imfolloe mnttortar.hob proMde pod deck and pod bonier...rpulied by Vocal ode. E]IPMSNE SOU Tsnee e.1, al 6,100p Maaale of tn2.000p.I 6. to r.lmwdmg Mee nap maw minimum 0 yield et-mothof eo!!, p and elms a banded (a).Pnarkle a If track boom.g layer l non-cabmennI/a'- /V pab4 sod,nth to grounding grid.ah approved IA.a Row to n.aton and a nand keeper Win. (b).PrvNtle a r Nltk baddi Oyer or.ant Vr-3/Y pea yawl, p bon chip or other non-abrades canpaaw material (e).The t'-7 Wide tephlo Ma U.11Y(thick Wah eta kW.of(3)43 rah.Mh!4 tN. SHEET OR 7Tntennt In pro-dried holm and Bang..etendin4 7 from*atom-edge end 3 OF bonded to b N!N bonding grid WI solid rapper 3,oOopN n4 te ova min. (d).Prwlde M,dbla coupang•to plumbing. DIAGRAM 3 MER I[O V GROUNDWATER ACCESS PIPE fINBN DIAGRAM 1 j POOL PLUMBING E if� NS �� tperLR Y PVC PIPE ''� Ii 2'6lDTTE0 90Ti0M • SPA L SPA RRNS 4 AWN ID `. :` `' �... 5 2'WRAPPED BOTTOM . O j � wrrH mrea faaac �p5 N ,11111*.r\/J BACKPI[L MATERIAL.� 12' :_ • i,_: ti " < ol N‘ , -1.' I RE.)RN DIAGRAM 2 M • MAAYB OMRTEED ENTIRELY SUCTION OUTI.03 c VACNS UUM x Nilii . te -f'A�ANS :A112.19 007ANTS NMAPMENT COVER, O sSTT$TRUNK SUCTION �i N'' PIPE LZE MIN AT 6FP5 i O� ANSI 16 GtDW 6F BRANCH LSWM'I MIA%6 m. i W W c HOUR TURNOVER W N1 •Hhilli14.1i'olr14 �` 'yY D h tie �J MNN 4� g Z a' �" �pp1%00 N `U 11111, 1 �($ I SUMP[ � A 0 q„ A11219 E2007 I P UJ OR covv0R , � 01 l WMIN S J UPS SPECS OR 1 IN WALL r I o_ UI NOTES T ora fendng e be totalled d dntolned until 4. NlnIrn m 1C etn'ght(horizontal or verticol)for future solar nolt R Rog Nlea f the r feria hen,theI Thle pbn Y MemaBc red pipin9 shall be connected to t child col batons an and prior to bedew or.ors fat0 pp of half mplvopith II ecllon. _ II provide a funatlonln9 sYetem. Thin Mell be a padng Yetriml and child wlely Rnai 6. Rednulatlon octane Mnlmum titre N19 16}b1T of 6f f N BC 6th EdIB -Resta sal, a 11 Ins ectian to flli tie d a IN w % ors WI Building.Nechoniml,Plumbtny and Gas e Pool��ipptr9 shall hdd a elatic talr Ir prwun owls Iw P ono. rp po spa• e Skimmer suction minimum size ANSI 16 flow a 6/q jY• is n Codeb0e oppSwbls roopect0y and w Nan 36 p.l for 16 Mnotee,per R4601.121 Pool hall set the applicable criteria In AN9/AP69 3�4,6,e,7 Y amended. PooY shall bare Isaed fo rvdde minimum 12hr and 16 standards 7. Surfea skinner I zt� ppuvom n rr1)AMnimum per 6O0sa/t y t, See Information attached to th^attached 'J tumavvu and mmdmum a hour tumawr A Recirculation realm epitt AN a 16 flor a Bfps b.Sudlon minbhum N e AN9 16 flop at sips P MI 31T [rotes tNe Der'nfl,oAaNdmge fir, or Rs CPKIII Deteredne pipe string tram chart[SEE RICHE] c C.War be emitted If negative edge or other weir aced f w >m tleta0e ehoMlna 51]k 16 B. Hain drain ANSI 16 Bat at etps comp0ana.l aormation thY Mot The dual men dndne Mall have a mMimum separation of 31t. C. Vacuum suction ANSI 6 floe at efpe 6. Wa MN sand copper bond Min around pool/s a 4•-e'below mwilw Mth eth ED 2017 FBC. unisex n I.located on Si.vertical Mall or Ingle unblodtobY b grade 1&-24•from Moll and banded at 4 paint All volumes.Inch/Ong 2017 FBC energT drain b used D. Spa section ANSI 6 flor at elw Inimum to pool per altemath means ee03�(9)(2)(b) Mu, coneervatian code. All suction more shall meet AN9/ASIIE Aii219.e-1007 E Spa let soppy(ow.)ANS 6 Roe a Ohm NEC 2011 �'"` ^Tax�� fit' PLUMBING F. Spa soppy(au.)ANS 5 flow at elm u1aW1 9. If no no weir mediae to pool a!Sammy-must be mod In spa Te01a•A'10`�r NId p NOTES plplrl BWidnp to bs CodNSF-Pal approved and meet Si.requinmerds 'Ms to AV oleo q a 10. Suction outlet.ANS 7 flow Olvia Or an Oectrtdai I 1. Minimum fitter elm at ANSI 16 flow artat FLOW not Nu prnont,elrin9 d Installation shall conform to tie 11. Drain branch piping minhnum else ANSI 16 flop at a fps National Daclrkd Code 2014 edBbn 2. Mar diameter minhnum straight Pipe sized by ANS 16 co rtq Bondlr4 at tied etnd d Oght to footle sled Moe ba 1bM at Mps 12 Optlorwl w um/Mlinq moat haw epMq boded tour 1 OR 011el 8nm0M van,01 continued to nd induct.ail pomp.and neaten 3. Pump shod yy a N 16 ds0Yd}rem cpep astlng a AN9 13. Oroln branch minimum size ANSI 16 11aA at We[p/alW 23 16 11Rrvuan flop n(at far ep«e) 14. Vacuum motion ANSI 6 row a e?pa SHEET 40F4 ES ICC-ES Evaluation Report ESR-1732 Effective Date: May 2020 This listing is subject to re-examination in one year. www.icc-es-pma.orq I (800)423-6587 I (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 13 00 00—SPECIAL CONSTRUCTION circulated through a filter in a closed system. The pools Section: 13 11 13—Below-Grade Swimming Pools comply with APSP/ANSI-5 as Type 0 or I pools. REPORT HOLDER: 3.0 DESCRIPTION The fiberglass pool shells consist of one-piece fiberglass LEISURE POOLS AND SPAS MANUFACTURING construction shop-formed over a mold. The material is NORTH AMERICA minimum 5/16-inch-thick (7.9 mm), fiberglass-reinforced www.leisurepoolsusa.com plastic (FRP), composed of vinylester resin and fiberglass roving. The surface finish is a vinylester resin—based gel EVALUATION SUBJECT: coat. FIBERGLASS ONE-PIECE SWIMMING POOL SHELLS The overall dimensions, depths and capacities of recognized models are shown in Table 1. 1.0 EVALUATION SCOPE Notice: The pool shells are designed to remain full of Compliance with the following codes: water at all times. The shell may be damaged if the water level is allowed to drop below the skimmer. When ■ 2021, 2018, 2015, 2012, 2009 and 2006 International appreciable draw-down is noticed or if it becomes Building Code®(IBC) necessary to drain the pool, Leisure Pools or its dealers • 2021, 2018, 2015, 2012, 2009 and 2006 International should be contacted for instructions. Residential Code®(IRC) 4.0 INSTALLATION • 2018 and 2015 International Swimming Pool and Spa The pool shells must be permanently installed in-ground in Code®(ISPSC) accordance with this report and the manufacturer's • 2019, 2016, 2013 and 2010 California Building Code® published installation instructions. All plumbing and (CBC) electrical installations must comply with the applicable codes in effect at the construction site. • 2019, 2016, 2013 and 2010 California Residential Subject to the code official's approval, the pool shell may Code®(CRC) be installed without a soil investigation by a registered • 2020 and 2017 Florida Building Code®(FBC) design professional, unless any of the following conditions is encountered at the site: • 2020 and 2017 Florida Residential Code®(FRC) 1. The existence of groundwater within the excavation, ■ 2013 Abu Dhabi International Building Code®(ADIBC)' where the pool floor will contact the soil at the time of For evaluation for compliance with codes adopted by Los installation. Angeles Department of Building and Safety (LADBS), see 2. The existence of an uncompacted fill in contact with ESR-1732 LABC and LARC Supplement any portion of the pool or spa shell. 3. The existence of any expansive-type soils, unless the pool manufacturer has provided specific instructions Compliance with the following standards: regarding expansive soils within their installation instructions. • APSP/ANSI 5-2011, Standard for Residential Inground 4. The existence of any soil types with an angle of repose Swimming Pools that will not support the walls of the excavation at • AC274, ICC-ES Acceptance Criteria for In-ground, 5. Da dasiged slopes. Danger to adjacent structures posed by the proposed Residential, Fiber-reinforced Plastic Swimming Pools pool location. and Permanently Installed Plastic Spas, dated December 2006(editorially revised July 2017) If any of the above conditions is encountered, excavation 2.0 USES must cease immediately. The site conditions must then be reviewed, and recommendations made, by a registered The fiberglass pool shells are permanently installed design professional. The code official must approve the in-ground and are intended for recreational use as registered design professional's report before work is swimming pools in residential applications with water resumed. Listings are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the listing or a recommendation for its use. There is no warranty by ICY'Evaluation Service,LLC,express or implied,as to ,; any finding or other matter in this listing,or as to any product covered by the listing. Copyright©2020 ICC Evaluation Service,LLC.All rights reserved. Page 1 of 4 ESR-1732 Most Widely Accepted and Trusted Page 2 of 4 Details specifically for installations in expansive, clay, or 6.0 IDENTIFICATION adobe soils apply only when supported by the registered 6.1 The pool shells are identified adjacent to the skimmer design professional's recommendations and approved by with an imprint that includes the words"Leisure Pools the code official. USA," the model designation, a coded serial number The pool excavation profile must coincide with the and the ICC-ES evaluation report number (ESR- contours of the pool. The overexcavation is approximately 1732). 6 to 12 inches (152 to 305 mm) on the sides and ends. A permanent sign, bearing the following statement, The overexcavation at the pool bottom is approximately must be attached to the pumping equipment: 4 inches (102 mm). The backfill for the pool is a layer of minimum 3-inch-thick (76 mm) bedding sand matching the Notice: The pool shell is designed to remain full of pool or spa profile. This sand layer is compacted using a water at all times. The shell may be damaged if the manual tamper and water. The pool shell must sit firmly on water level is allowed to drop below the skimmer. the sand and be within 1 inch (25.4 mm) of level. When appreciable draw-down is noticed or if it Simultaneous waterfill and sand backfill operations then becomes necessary to drain the pool, contact Leisure commence. The sand is compacted with a tamper and Pools USA or its dealers for instructions. water. The installer must ensure that the backfill level and A permanent label must be attached adjacent to the water level are approximately the same throughout the above sign indicating the Leisure Pools USA filling procedure. distributer's name, address and telephone number. After completion of the backfill, the bond beam and 6.2 The report holder's contact information is the decking must be installed in accordance with the following: manufacturer's published installation instructions, and as approved by the code official. LEISURE POOLS AND SPAS MANUFACTURING NORTH AMERICA 5.0 CONDITIONS OF USE 2901 LEISURE ISLAND WAY The fiberglass pool shells described in this report comply KNOXVILLE,TENNESSEE 37914 with, or are suitable alternatives to what is specified in, (865)219-2880 those codes listed in Section 1.0 of this report, subject to www.leisurepoolsusa.com the following conditions: 5.1 The pool shells must be constructed and installed in accordance with this report and the manufacturer's published installation instructions. In the event of conflict, this report governs. 5.2 Electrical and plumbing installations must comply with the applicable codes in effect at the construction site at the time of construction. 5.3 Clearances of the pools from slopes set forth in IBC Section 1808.7, CBC Section 1808.7, CRC Section R403.1.7 or IRC Section R403.1.7 must be observed. 5.4 A barrier must be installed in accordance with IBC Section 3109, ISPSC Section 305, CRC Section AG105 or IRC Section AG105, as applicable. 5.5 Slip resistance is outside the scope of this evaluation report. Reports of slip resistance tests that demonstrate compliance with Section 8.1 of APSP/ANSI-5 must be submitted for approval by the code official. 5.6 The pools are classified as either: Type 0 pools:not intended for use with diving boards or other diving equipment; or Type I pools: maximum height of stationary diving platform or diving rock above the waterline shall be 42 inches 5.7 Pools located in flood hazard areas established in accordance with Table R301.2(1) of the IRC must comply with Sections AG101.2 and AG103.3 of the IRC, Section AG101.2 of the CRC or Section 304 of the ISPSC. 5.8 Suction outlets must be designed and installed in accordance with IBC Section 3109.5, CBC Section 3137B, CRC Section AG106, ISPSC Section 310 and IRC Section AG106.1. ESR-1732 I Most Widely Accepted and Trusted Page 3 of 4 TABLE 1 MODEL SIZE MODEL LENGTH WIDTH MAX.DEPTH CAPACITY POOL TYPE ABBREVIATION (feeUinches) (feet/inches) (feet/inches) (gallons) Allure 30 ALL30 30'0" 14'9" 6' 1" 8,247 0 Allure 35 ALL35 35'0" 14'9" 6'4" 11,174 0 Allure 40 ALL40 40'0" 15'8" 6'8" 14,637 0 Caribbean 40 CAR40 40'0" 16'0" 6'4" 16,535 0 Courtyard Roman 20 R20 19'9" 11'6" 5'1" 5,122 0 Cube 23 CUB23 23'0" 10'10" 4'11" 6,262 0 Cube 26 CUB26 26'3" 10'10" 4'11" 7,323 0 Cube 30 CUB30 29'6" 13'1" 4'11" 10,567 0 Cube 34 CUB34 34'4" 13'1" 4'11" 12,616 0 Cube 39 CUB39 39'5" 13'1" 4'11" 14,665 0 Eclipse 30 ECL30 30'0" 14'9" 6'1" 8,624 0 Eclipse 35 ECL35 35'0" 14'9" 6'4" 11,593 0 Eclipse 40 ECL40 40'0" 15'8" 6'8" 15,045 0 Elegance 20 E20 19'8" 11'6" 5'6" 5,361 0 Elegance 23 E23 23'0" 12'6" 5'7" 7,113 0 Elegance 26 E26 26'3" 14'6" 5'9" 10,012 0 Elegance 30 E30 29'7" 14'6" 5'9" 11,282 0 Elegance 33 E33 33'0" 14'6" 6'0" 12,837 0 Elegance 39 E39 39'4" 14'6" 6'2" 15,301 0 Esprit 19 ESP19 18'8" 7'4" 4'5" 3,064 0 Fiji Plunge 10 FU10 9'6" 6'11" 4'5" 1,219 0 Harmony 16 HAR16 16'5" 9'6" 5'2" 3,574 0 Harmony 20 HAR20 19'8" 9'6" 5'4" 4,559 0 Harmony 23 HAR23 23'0" 9'6" 5'7" 5,397 0 Harmony 26 HAR26 26'3" 9'6" 5'9" 5,906 0 Horizon 23 HOR23 23'0" 15'9" 4'0" 4,038 0 Icon 40 ICO40 40'0" 15'5" 8'0" 20,113 I Infinity 40 INF40 40'0" 15'6" 8'0" 29,009 I Limitless 26 LIM26 26'0" 12'6" 5'7" 7,173 0 Limitless 30 LIM30 30'0" 12'6" 6'0" 9,003 0 Mediterranean 40 MED40 40'0" 16'0" 8'0° 20,826 I Moroccan 27 M27 26'11" 13'6" 5'5" 8,972 0 Moroccan 31 M30 30'10" 14'6" 5'8" 11,854 0 Moroccan 34 M34 34'2" 14'6" 5' 11" 13,658 0 Moroccan 38 M38 38'5" 14'6" 6'2" 15,777 0 Opal Tanning N/A TL 10'5" 7'10" 1'0" 425 0 Palladium Plunge 16 PA16 16'0" 8'0" 5'0" 2,742 0 Palladium Plunge 20 PA20 20'0" 8'0" 5'0" 3,889 0 Pinnacle 30 PIN30 30'0" 15'5" 6'0" 11,267 0 Pinnacle 35 PIN35 35'0" 15'5" 6'6" 14,356 0 Pinnacle 40 PIN40 40'0" 15'5" 7'0" 17,890 0 Precision 23 PRE23 23'4" 10'8" 4'11" 6,350 0 Precision 27 PRE27 26'4" 10'8" 4'11" 7,052 0 Reflection 23 REF23 23'0" 12'6" 5'5" 7,418 0 Reflection 26 REF26 26'3" 12'6" 5'8" 8,744 0 Reflection 30 REF30 29'7" 12'6" 5' 10" 10,114 0 Reflection 33 REF33 32' 11" 12'6" 6' 1" 11,589 0 Reflection plus 23 REFC23 26'0" 13'4" 5'5" 8,068 0 Cover Box Reflection plus 26 REFC26 29'3" 13'4" 5'8" 9,410 0 Cover Box Reflection plus 30 REFC30 32'7" 13'4" 5'10" 10,793 0 Cover Box Reflection including 28 REFD28 27'11" 12'4" 5'5" 8,363 0 Splashing Deck Reflection including 31 REFD31 31'1" 12'4" 5'8" 8,535 0 Splashing Deck ESR-1732 I Most Widely Accepted and Trusted Page 4 of 4 Rivera 27 RIV26 26'7" 12'4" 5'5" 6,665 0 Rivera 30 RIV30 30'3" 13'11" 5'7" 9,255 0 Rivera 34 RIV36 34'1" 14'6" 5' 10" 11,363 0 Roman 23 R23 23'1" 11'6" 5' 1" 5,586 0 Roman 28 R28 28'3" 11'6" 5'6" 7,332 0 Sorrento Spa- N/A SQS 7'S" 7'5" 3'2" 567 0 Square Sorrento Spa- N/A SSQ 0 Square with Spill 7'5" 7'5" 3'2" 567 Over Sorrentor Spa- N/A SSR 8'0" 8'0" 2'10" 583 0 Round Sorrento Spa- N/A SSS 0 Round with Spill 8'0" 8'0" 2' 10" 583 Over Summit 30 SUM30 30'0" 14'0" 6'0" 10,106 0 Summit 35 SUM35 35'0" 14'0" 6'6" 12,913 0 Supreme 30 SUP30 30'0" 15'5" 5'11" 13,724 0 Supreme 35 SUP35 35'0" 15'5" 6'3" 16,320 0 Supreme 40 SUP40 40'0" 15'5" 6'7" 18,948 0 TopazTanning N/A TLR 10'5" 6'10" 1'0" 456 0 Ledge Tuscany 23 T23 23'3" 12' 1" 5'0" 5,408 0 Tuscany 29 T29 28'6" 14' 1" 5'8" 9,157 0 Ultimate 30 ULT30 30'0" 15'5" 6'0" 11,346 0 Ultimate 35 ULT35 35'0" 15'5" 6'6" 14,438 0 Ultimate 40 ULT40 40'0" 15'5" 7'0" 17,690 0 For SI: 1 foot=304.8 mm, 1 inch=25.4 mm, 1 gallon=3.785 liters. ES , ICC-ES Evaluation Report ESR-1732 LABC and LARC Supplement Reissued: May 2020 This report is subject to renewal May 2021 www.iicc-es-pmg.org I (800)423-6587 I (562)699-0543 A Subsidiary of the International Code Council DIVISION: 13 00 00—SPECIAL CONSTRUCTION Section: 13 11 16—Below-Grade Swimming Pools REPORT HOLDER: LEISURE POOLS AND SPAS MANUFACTURING NORTH AMERICA 2901 LEISURE ISLAND WAY KNOXVILLE,TENNESSEE 37914 (865)219-2880 www.leisurepoolsusa.com EVALUATION SUBJECT: LEISURE FIBERGLASS ONE-PIECE SWIMMING POOL AND SPA SHELLS 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Leisure Fiberglass One-Piece Swimming Pool and Spa Shells, described in ICC-ES master evaluation report ESR-1732, have also been evaluated for compliance with the codes noted below as adopted by the Los Angeles Department of Building and Safety(LADBS). Applicable code editions: • 2020 City of Los Angeles Building Code(LABC) • 2020 City of Los Angeles Residential Code(LARC) 2.0 CONCLUSIONS The Leisure Fiberglass One-Piece Swimming Pool and Spa Shells, described in Sections 2.0 through 6.0 of the master evaluation report ESR-1732, comply with the LABC Chapter 31B, and the LARC Section R326 and Appendix V, and is subjected to the conditions of use described in this supplement. 3.0 CONDITIONS OF USE The Leisure Fiberglass One-Piece Swimming Pool and Spa Shells described in this evaluation report must comply with all of the following conditions: • All applicable sections in the master evaluation report ESR-1732. • The design, installation and inspection are in accordance with additional requirements of the 2020 LABC, as applicable and the Information Bulletin P/BC 2014-014. • The pool must remain full of water at all times.A permanent sign shall be attached to the plumbing equipment to read as follows: Notice: The Pool and Spa shells are designed to remain full of water at all times. The shell may be damaged if the water level is allowed to drop below the skimmer.When appreciable drawdown is noticed or if it becomes necessary to drain the pool, contact Leisure Pools or its dealers for instructions. • Pools shall not be installed in a"Grading Area"if the direction of the bedding planes is such that the water used to puddle the sand fill may lubricate the bedding planes and cause earth movement. A pre-inspection of every pool located in a "Grading Area"shall be made by the grading inspector to verify this condition as well as other potential geologic hazards. Listings are not to he construed as representing aesthetics or any other attributes not specifically addressed, nor are they to he construed as an 91 ANSI endorsement of the subject of the listing or a recommendation for its use. There is no warranty by ICC Evaluation Service,LLC,express or implied,as to Mk any finding or other matter in this listing,or as to any product covered by the listing. Copyright©2020 ICC Evaluation Service,LLC.All rights reserved. Page 1 of 2 ESR-1732 LABC and LARC Supplement I Most Widely Accepted and Trusted Page 2 of 2 • The pool shall not be located where it may be surcharged by an existing building footing or other superimposed load on the same property or possible future surcharge from an adjacent property. • The structural capacity of the pool wall has been verified by test and shall be assumed capable of supporting either expansive or non-expansive earth banks with the pool empty. • The reinforced concrete pool deck,which shall have a minimum width of four feet, shall be designed by a California licensed civil or structural engineer to take the reaction from the pool wall assuming a triangular load distribution on the wall. The reaction will be dependent on whether the soil is expansive or non-expansive.Where the soil is expansive,the minimum assumed equivalent fluid pressure shall be 45 pounds per cubic foot. Proper consideration shall be provided at construction joints, if any, in the pool deck to assure that reinforcing steel is continuous and that shear reactions are provided for. Proper coverage shall be provided for the reinforcing steel. • Pool lighting fixtures shall be specifically"listed"for use in plastic pools and shall be supplied by a circuit protected by a ground fault interrupter. • Diving equipment may only be installed on Type I pools and must meet the minimum requirements of, and be installed in accordance with, Section 5.8 of APSP/ANSI-5. • During installation, pool protection fences and gates shall be in place and operable when the depth of water exceeds 18". • The main drain line and its connection to the pool shell are assembled during the fabrication process and no on-site inspection of that line is required other than the pressure test required by the Plumbing Code. • Pools will be supported by at least 6"of puddled sand placed over the excavated area and between the pool wall and the earth bank. • Public swimming pools(i.e. accessory to multi-family dwellings) require approval from County of Los Angeles Department of Health Services prior to issuance of permit for the swimming pool or spa. This supplement expires concurrently with the master report, issued May 2020 � r UL DATA: Swimming Pool and Spa Cover Operators, Electric Integra Pool Covers 2901 Leisure Island Way Knoxville, TN 37914 United States E514973 Pool cover operator, Model(s): IPC-KTN2001 MODEL: IP �CTN20�1 !magma MFG. DATE: C 4:71) « rOOt CoVtas U� 4Kx �M 1741 SERIAL #: c°81"94 ..,_ „33 120v, ao�tz 7.7A CSA ENCLOSURE 3 c° -t r '► ' 1130401 /314/73 ASTM F1346 - 91 Standard Performance Specification for Safety Covers and Labeling Requirements for All Covers for Swimming Pools, Spas and Hot Tubs ASTM F1346 -91 Standard Performance Specification for Manual Safety Covers. ASTM INTERNATIONAL developed this standard to reduce the risk of drowning of children under five years of age. This standard is used by many States and Cities as the mandated pool barrier code, as well as referenced nationally by day-care, adoption and fostering agencies. Some of the qualifications for the ASTM specification F 1346 - 91 include: • The static load test for weight support. The cover should be able to hold a weight of at least 485 lbs (the estimated average weight of 2 adults and one child) to permit rescue operation. • Perimeter Deflection Tests for entry or entrapment between the cover and the side of the pool. The cover must demonstrate that any opening is sufficiently small and strong enough to prevent the test object being passed through. • The Surface Drainage Test that safeguards against a dangerous amount of water collecting on the cover's surface. • Labeling requirements must include basic consumer information such as the warranty information, the appropriate warnings as described in the standard and acknowledge the product as a safety cover. CHAPTER 1: SCOPE AND ADMINISTRATION (Unique to Massachusetts) Chapter 1.Delete in its entirety, and replace with the following: PART 1 - SCOPE AND APPLICATION SECTION 101 GENERAL 101.1 Adoption and Title. The Board of Building Regulations and Standards ("BBRS") adopts and incorporates by reference, the International Building Code-2015 ("IBC"), as periodically amended by errata, the following chapters, as well as 110.R1 through 115.AA.These, together with modifications as set forth, shall collectively comprise 780 CMR, otherwise known as the Massachusetts State Building Code,Ninth Edition, Base Volume. 101.2 Scope. 780 CMR shall be the building code for all towns, cities, state agencies or authorities in accordance with M.G.L. c. 143, §§ 93 through 100. 780 CMR, and other referenced specialized codes as applicable, shall apply to: 1. the construction, reconstruction, alteration, repair, demolition, removal, inspection, issuance and revocation of permits or licenses, installation of equipment, classification and definition of any building or structure and use or occupancy of all buildings and structures or parts thereof except bridges and appurtenant supporting structures which have been or are to be constructed by, or are under the custody and control of the Massachusetts Department of Transportation, the Massachusetts Bay Transportation Authority, the Department of Conservation and Recreation, or the Massachusetts Port Authority or for which said agencies have maintenance responsibility; 2. the rehabilitation and maintenance of existing buildings; 3. the standards or requirements for materials to be used in connection therewith, including but not limited to provisions for safety, ingress and egress, energy conservation and sanitary conditions; and fire prevention and protection practices; and 4. other powers and duties found in M.G.L. c. 143, §§ 93 through 100, but not listed herein. EXCEPTION: Detached one- and two-family dwellings and multiple single-family dwellings (townhouses) not more than three stories above grade plane in height and their accessory structures, and other buildings as described in 780 CMRmay comply with 780 CMR 51.00:Massachusetts Residential Code. 101.3 Intent. The purpose of 780 CMR is to establish the minimum requirements to safeguard the public health, safety and general welfare through structural strength, means of egress facilities, stability, sanitation, adequate light and ventilation, energy CHAPTER 31: SPECIAL CONSTRUCTION 3104.4 Revise section as follows: 3104.4 Contents. Only materials and decorations conforming to 780 CMR 8.00 and 527 CMR, and approved by the building official in consultation with the fire official shall be located in the pedestrian walkway. 3109.1 Revise section as follows: 3109.1 General. The design and construction of swimming pools, spas and hot tubs shall comply with the International Swimming Pool and Spa Code. Swimming pools shall comply with the requirements of this section and other applicable sections of 780 CMR. See M.G.L. c. 140, § 206 for enclosures to public and semi-public outdoor in-ground swimming pools. See also: 1. 521 CMR 19.00: Recreational Facilities; 2. 105 CMR 430.00: Minimum Standards for Recreational Camps for Children (State Sanitary Code: Chapter IV) and 105 CMR 435.00: Minimum Standards for Swimming Pools(State Sanitary Code: Chapter V). SECTION 3112 TEMPORARY OVERNIGHT SHELTERS 3112.1 through 3112.14 Add sections as follows: 3112.1 Scope and Purpose. The purpose of section 3112 is to establish reasonable standards for the use of facilities designed for other purposes to be safely occupied temporarily as places of overnight accommodation. In this regard, 780 CMR is not intended to serve as a barrier to those seeking to assist individuals in need, but instead to offer a means to ensure that a reasonable degree of life safety is provided. 3112.2 Temporary Overnight Shelters - Defined. For purposes of section 3112, a temporary overnight shelter shall be defined as any building, facility, or space therein designed and used primarily as a church or house of worship for religious services or instruction or related activities which is owned or operated by a religious organization and qualified for exemption under 26 U.S.C. § 501(c)(3) (the Internal Revenue Code). The primary use of the building, facility, or space therein is for religious services or instruction but may, on occasion, provide temporary overnight accommodation to a limited number of individuals for a limited period of time as provided for section 3112. Other groups or organizations wishing to offer overnight accommodations in buildings designed and constructed for other purposes shall file an application for change of use in accordance with section 105.