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37-101 (2) 63 ICE POND DR BP-2021-1270 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:37- 101 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Inground Pool BUILDING PERMIT Permit# BP-2021-1270 Project# JS-2021-001901 Est.Cost: $61600.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: TEDDY BEAR POOLS & SPA 111889 Lot Size(so. ft.): 64904.40 Owner: KIRCHEN NICOLE Zoning: Applicant: TEDDY BEAR POOLS & SPA AT: 63 ICE POND DR Applicant Address: Phone: Insurance: 41 EAST ST (413) 594-2666 () Workers Compensation CHICOPEEMA01020 ISSUED ON:5/7/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:I N G RO U N D POOL POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 5/7/2021 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner z-1©K File#BP-2021-1270 APPLICANT/CONTACT PERSON TEDDY BEAR POOLS&SPA ADDRESS/PHONE 41 EAST ST CHICOPEE (413)594-2666 0 PROPERTY LOCATION 63 ICE POND DR MAP 37 PARCEL 101 001 ZONE 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: INGROUND POOL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 111889 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INVORMATION 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 Commission Permit DPW Storm Water Management Demolition Delay � n s 4 'JUN, wi',61(‘ Sign ture of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of Planning&Development for more information. i< i R c•k-ve J / The Commonwealth of Massachusetts ,q Board of Building Regulations and Stand �9 c� \FOqtsREkLITYR Massachusetts State Building Code, 780 C ,� 9 re) c'p Building Permit Application To Construct, Repair, Renovate lish a\ Rev ed Mt /2011 One- or Two-Family Dwelling "o r>,• s This Section For Official Use Only �yo oi• Building Permit Number: 6 P- .1J4! 2`70 Date Applied: ° vs t i f b 1 ►"/ - _l Building Official(Print Name) 1 Signature 1 1 Da SECTION 1: SITE INFORMATION l.1drQpeirty ce_ Poop OR , 1.2 Assessors Map& Parcel Number s/ 1.la is this an accepted street?yes K no Map Number Parcel N!ber 1.3 Zoning Information: 1.4 Property Dimensions: 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 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public di Private 0 Zone: _ Outside Flood Zone'? Check if yes❑ Municipal CIOn site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: NJ1coL-t ktr3CNe.J FLoP&C'e MA 01o6a Name(Print) City,State,ZIP G3 tce PO,JO DR, y13 3067 ZGG! 1CIRCS-AK Fail ilk' (lb Grps1t;,ray, No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition Cl Demolition 0 Accessory Bldg. 0 Number of Units J Other 0 Specify:a, suubi4p4I'%J P( 2L Brief Description of Proposed Work2: J-- l 9 7C 3Ca oval_ OOL SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All es;�� Check No..Fee, , heck Amount6: Cash Amount: 6. Total Project Cost: $ V I GOO 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu. ft.) R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 1 i g g 9 0111 Tep OW QeoR Pont. -1-5PF.-5 HIC Registration Number Expiration Date HI Co any Name or HIC Registrant Name Li A5-T ST 10 410 a1,1-t-f) TO l5`i'B-ecl .(o4 Nopoi StreePtt. M 06()Z O I 9 �G(,6, Email address City/Town,State,ZIP Telephone >(1 S 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 0 No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIIT tX I,as Owner of the subject property,hereby authorize -- ' POd in a_ to act on my behalf, in all matters relative to work authorized by this building permit application. /V ICOL-e K1RC e J b3 Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER' 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. e �J fO�l� C ale-6 -I tail 11 Print O n '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. I42A. 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" The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,ll'L4 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH TIIE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/organization/individual):Teddy Bear Pools & Spas Address:41 East Street City/State/Zip:Chicopee, MA 01020 Phone#:413-594-2666 Are you an employer?Check the appropriate box: Type of project(required): 1.0✓ I am a employer with 100 employees(full and/or part-time).* 7. [II]New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.0 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10 0 Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 50 I am a general contractor and I have hired the sub-contractors listed on the attached sheet 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.t 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. ✓[]Other P001 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:HUB International New England Policy#or Self-ins.Lic.#:WC 8665063 Expiration Date: 04/01/202 2 Job Site Address: 63 ice pond dr City/State/Zip:Florence Ma 01062 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature:JOHN SHEA X145 C 2Z� __Date: 4/23/2021 Phone#: 413-594-2666 Official use only. Do not write in this urea,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: _,.--.4,1 TEDDBEA-04 MPROULX ,4CORIf, CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YVYY) `.__.---- 3/23/2021 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). CONTACT PRODUCER NAME:HUB International New England 1070 Suffield St (A/C,N,Ext):(800)243-8134 FAX No):(413)731-9539 Agawam,MA 01001 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC t! __ INSURER A:AII America Insurance Company �'20222 INSURED I INSURER B:Central Mutual Insurance Company 20230 _ _ Teddy Bear Pools Inc. INSURER c:_ _ 41 East St INSURER D: Chicopee,MA 01020 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. LTR 1 X COMMERCIAL GENERAL CEBILITY INSD WVD 1 POLICY EFF POLICY EXP INSR TYPE OF INSURANCE ADDL SUBR' POLICY NUMBER LIMITS ALI (MM/DDIYYYY) (MMIDD/YYYY) EACH OCCURRENCE 1,000,000 -- DAMAGE TO RENTED 300,000 1 i MED EXP(Any one person) -IPREJ CLAIMS-MADE XJ OCCUR CLP 8665062 4/1/2021 4/1/2022 _ $__... MISES(Ea occurrence) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 _GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE____,$ _ 2,000,000 POLICY JECT n LOC PRODUCTS-COMP/OP AGG I$ 2,000,000 OTHER General Aggregate $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY _(Ee accident) $ X,I ANY AUTO BAP 8669261 7/1/2020 7/1/2021 BODILY INJURY(Per person) $ ''- OWNED SCHEDULED 'I__ ;AURTEO�S ONLY AUTOS BODILY BODILY INJURY(Per accident)_ $I �_H AUTOS ONLY AUTOS ONLY 'I IJPerr PROPERTY DAMAGE $ B X UMBRELLA LIAB X I OCCUR I EACH OCCURRENCE $ 1,000,000 EXCESS LIAB [CLAIMS-MADE ICXS 8669257 4/1/2021 4/1/2022 AGGREGATE $ 1,000,000 1 DED I X RETENTION$ 01 $ B 'WORKERS COMPENSATION X STATUTE OERH AND EMPLOYERS'LIABILITY YIN WC 8665063 4/1/2021 4/1/2022 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT___ '$ OFFICER/MEMBER EXCLUDED? PI NIA 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT i$ I : 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 For Verification of Insurance Purposes OnlyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f.?"...:2,,7:?.4.7:-T- ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation Registration: 111889 TEDDY BEAR POOLS,INC. Expiration: 02/07/2023 41 EAST ST CHICOPEE,MA 01020 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Businoss Regulation 111889 02/07/2023 1000 Washington Street -Suite 710 TEDDY BEAR POOLS,INC. Boston,MA 02118 ,,- 91• ,...1.1':'; . yr z,: ,T " ...rt;. •.r:./ ''-,...i� {1:4.. .,x.ir., .<:;': ,5 r , 'i5; ,,,A .�lt"'.•' f!'�.�hti';•�RI�{ /\{\yY���f�'V �`�'r'n hr�ryit. '.rv�ST/`r ..jjE ,/� �. ..f. �\,•!T �ti' .( f� F �+ "N. 'S0/4)4:�� fA tk, is a'IA v! ,g,1i15.'r. `.%iFp`+. {,�'+rC+�\Y:>', yr,{.c+•fi^ 5 C ,`�. �'tt/!i¢ . 54 � ,; ,,,, E`L % �p i. CM•••• ��f ' 'f�..G.,,,�k. Gr3r41,114...'' yF 1 '' �1 '41 n V .41r �"dt y, , ( , `C.,.. ? �.it`. : x • a „ . ,,3 1 �1 � ,`,� :u Nylr� .f �rh.' a� ..� .a a.` 'k. '7 'S� 'S r. �..4,a .Y. i5 .' 'v+i71 pia _- %t a•�'A STAT7E; O�� CON11``v EC lIC U1' C DEPARTMENT OF:CONSUPv.>MEE,R 1'ROT ECTIOI : a 13e it lcnown that 1 4, ` TEDDY BEAR POOLS INC /4i,� 41 LAST ST � o •:.rig. , < .. y CIIICOI?J�I., ':M 01020-2605 _?i ,\. ��� has satisfied the qualification. t cqutt ed by law and is hereby registered as a I[t ,' sHOME IMPROVEMENT CONTRACTOR � 'r ram., j`Y Registration # I.TIC.0520951 ss -,.cd....e..)• r'. 4/A, i h. �' I ffectivc 12/01/2020 1 t l :xjytratioz.: 11 /.30/2021 • ,t.,,,vfl, �, ,� „„ MicLeIle Seagull,Commissioner I °''' t II • 1 i r:;.t:. fii. - ••-- _ - — - • • X' Y'1"1 �,. +� ' '' S r 4!d-%,,t�!7,ff} if/Ark.,,,, '9yeiliA7 -'',,,'GC S,..\- , a :KRd figs..�`:lV�} , ". �`� ' '"�` y y� o``'.wF , rif. ,'}, , . J �P. Y� i�f y;Ti\4. � ' _, :„ 'r .' G, Ff�'k.•.. : YY p,� • 3L. �y i (), aAL '..t ..::::,I,,v44.K4..::A4-1rn; .,.,.;;SR' ��.n.4.1 -:. �.�5 S lJ'6 ;.tiNN"'..;-.. .:�I.TA d.r�. i, '^, tray % l'' ,ro iy,. •�h. City of Northampton sF �,, 1 ' , Massachusetts a -- tl 1f .' ' DEPARTMENT OF BUILDING INSPECTIONS S -- � 212 Main Street • Municipal Building Jf -'" "'� Northampton, MA 01060 s - ��.'' HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, N ( CO Le K1 rc J (insert full legal name), born (insert month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this ..).1 day of APrn L , 20 ).1. 1 .) I C (< i,2 6 (Signature) City of Northampton _ r ,, j Massachusetts ��? - <<�.. DEPARTMENT OF BUILDING INSPECTIONS �'•212 Main Street • Municipal Building J J�. any Northampton, MA 01060 sl'IN ).0 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: Location of Facility: --r ,o c V b� ( PODS tike)CU^lOOSt 9 1.1Dugiti2 i t')L i ue. S 0-0(.- y4c) The debris will be transported by: Name of Hauler: TED aeof- FOL Signature of Applicant: Date: L(1 D l boa. I CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE IN ACCORDANCE WITH ANSI/APSP/ICC-S 2011,THE INSTALLER IS RESPONSIBLE FOR PLACING ONE SKIMMER FOR EVERY 800 SQUARE FEET OF SURFACE AREA AND ONE RETURN FOR EVERY 300 SQUARE FEET OF SURFACE AREA. 8 611RX1'61' e, L` 1 6' — 4' 4' — 6' .o 60T b,S3 ' I S er ,,// 8'6'IRx1'611 ck tit 1 I Rq'6\ 0 I 4' 1.1. 6' 19'-2211 11'-221 II\ +' —SAFETY aNDFF ROPEOT LIGHT 4.r � R 7 0 � 1 � ` • B6 �o 8'61143'101' -- 0 i 4 `.,.� } 8 611 Rx 3 101� II u r--- ,)‘\o SKIMMERI II— 6' 4' 4' 6' % 8'6"Rx3'10" I I _ 3'-411 6"WATERLINE r 3'-411 8' -ff 7 4'-81I ICC 1 4' I---- 6' I 14' 12'-711 361-7" CERT#ESR-2450 GRAPHEX AA WAY' DIVING/SLIDING WIMMIENTSHALLBE CUSTOMER:JURCSAK/KIRCHEN SHALL BEMODIFIED OVAL 1 9-3 x 36-7 I EF2 E•:Ic:" DESIGNED FOR SWIMMING POOLS AND IN ACCORDANCE POOL SYSTEMS tr NSTALLED WITH THE IDIVING/SLIDING EQUIPMENT JOB NAME.SCP/WINDSOR- 42" FIXED POLYMER PANELS PERIMETER: 97.-9" VOLUME(US Gal): 21200 > MANUFACTURER'S SPECIFICATIONS. TEDDY BEAR POOLS DWG#: SURFACE ft� 80200 PLEASE CONTACT THE DIVING/SLIDING ( ): 647 VOLUME(Liters): EQUIPMENT MANUFACTURER FOR ): 2021-PPL-16090 LINER(fey 703 DATE: 3/16/2021 DSR: Feet Firsi* THEIR SPECIFICATIONS KIT#: CUSTOMKIT COVER(ft'): 818 SCALE: 1/8"= 1'-0" ALLASPECTSOF THIS DR COMPLIES WITH ANSI/APSP/ICC-5 20111 AND 2015 2075 IS1SPSC , MODIFIED OVAL, SHEET: 1OF2 Center To Center Si toH 1 14'-0" 5 to 12 19'-21/2" 6 to 14 29'-1/2" 8 toll 16'-1 1/4" 10 to 12 29'-1/2" 1 to 2 20'-0" S2toH2 14'-0" 5 to 13 15'-1" 7 to 8 8'-3/4" 8 to 12 31'-2" 10 to 13 36'-7" \<Pcs\ 1 to 3 20'-1 1/2" S1toH2 23'-91/4" 5 to 14 10'-71/4' 7 to 9 9'-4 3/4" 8 to13 36'-101/4" 10to14 37'-3/4" 1 to 4 2'-21/2" Hi toS2 23'-91/4" 6 to 7 1'-6" 7 to 10 14'-2 1/2" 8 to 14 36'-1 1/2" 11 to 12 20'-0" Part number Description QTY 2 to 3 2'-2 1/2" 5 to 6 20'-0" 6 to 8 9'-4" 7 toll 19'-1 3/4" 9 to 10 6'-0" 11 to 13 29'-1/2" GPG-ST0720000X 6' 5 2 to 4 20'-1 1/2" 5 to 7 21'-5 3/4" 6 to 9 10'-7 1/4" , 7 to 12 28'-8 3/4" 9 toll 15'-1" 11 to 14 ,30'-11 3/4" GPG ST0480000X 4' 4 3 to 4 20'-0" 5 to 8 28'-31/4" 6 to 10 15'-1" 7 to 13 32'-31/4" 9 to 12 30'-11 3/4" 12 to 13 10'-71/4" Diagonals 5 to 9 29'-1/2" 6 to 1 l 19'-21/2" 7 to 14 30'-51/2" 9 to 13 37'-3/4" 12 to 14 15'-1" GPG-ST0480000* 4'LIGHT 1 SltoS2 19'-21/2" 5 to 10 30'-11 3/4" 6 to 12 27'-8 3/4" 8 to 9 1'-6 3/4" 9 to 14 36'-7" .13 to 14 6'-0" GPG-ST0120000X 1' 2 H1toH2 19'-21/2" 5 toll 27'-8 3/4" 6 to13 30'-11 3/4" 8 to10 7'-6" 10toll 10'-7 1/4" GPG-RA0461020X 8'6"Rx3'10" , 8 GPG-RA0461020' 8'6"Rx3'10"SKIMMER 1 GPG-RA0181020X 8'6"Rx1'6" 2 Brace Brace 29 PPC-WG03-42 2.5 Degree Wedge 2 PPC-WG05-42 5 Degree Wedge 4 PPC-WG09-42 9 Degree Wedge 4 PPC-HWNFP03-25 QUICK LOCK FASTENER PKG(25) 7 36 PPC-HW381625-15 HDR PKG N/B/W 15-318"X16X21/2"ZP G2 1 PPC-HW101 HDR PKG NIB(35)3/8"x16x1"ZP G2 1 1'8-1/2" 1 1'8-1/2"�{ !PC-STKPK25 REBAR STAKE 18"25PC 3 A H1 I �1 �/ ; ST8050B THICKSHEET STEP CURVED S N S 8'CANT 1 „, 1" 7 1 -8z --- ` . ___,-- —R,- co ir, _ / ,p , 8 rn N 14 6% 9 T 1 R4'_6� o r �: _ r N I �. - ch I'� ' r 3 7 y. \ I r if A B C D 13 t``` 'c? •b 'P8 6,, 10 1 11'-101/2" 29'-61/2" 30'-3" 13'-61/2" —1-4- 2 29'6112" 11'-10 1/2" 13'-6 1/2" 30'3" r` �-.�� 3 30'-3" 13'-6 1/2" 11'-10 1/2" 29'-6 1/2" -cy. —_ _` 4 13'-6 1/2" 30'-3" 29'-61/2" 11'-101/2" 5 8'-3 1/2" 28'-31/2" 34'-2114" 20'-111/4" 6 28'-31/2" 8'-3 1/2" 20'-111/4" , 34'-21/4" 7 29'-91/4" 6'-9 3/4" 20'-31/4" 35'-41/4" j ,,....,,...:.12 1 11 8 36'-5 1/2" 5'-1 3/4" 14'-1 1/4" 38'-9" r� 1 9 37'-2" 6'-71/4" 12'-71/4" 38'-81/4" p 92 H C 10 38'-8 1/4 , 12'-71/4" , 6'-7 1/4" 37'-2" 1'8-1/2" I 12 1'8-1/2" 11 34'-2 1/4" 20'-11 1/4" 8'-3112" 28'-3 1/2" 12 20'-111/4" 34'-21/4" 28'-31/2" 8'-3 1/2" 13 12'-7 1/4" 38'-8 1/4" 37'-2" 6'-7 1/4" 14 6'-7 1/4" 37'-2" 38'-8 1/4" 12'-7 1/4" S2 30'-9" 22'-111/2" _ 12'-7" 24'-0" Si 24'-0" 12'-7" 22'-111/2" 30'-9" H2 21'-8" _ 32'-91/2" , 26'-7" 10'-0" H1 10'-0" 26'-7" 32'-91/2" 21'-8" A - _ 36'-7" 41'-3 3/4" 19'-21/2" MODIFIED OVAL 19-3 X 36-7 DWG# 2021-PPL-16090 DATE: 3/16/2021 SHEET: 2OF 2 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: Co 3 1C e poi..) 9 VIZ The debris will be transported by: -,vt g'Q,aS" PcOL� The debris will be received by: � ,Dl711 pocAs (,vlv���1o'S'e, Building permit number: Name of Permit Applicant :::10 1J\_) E Sew (C)i Kt K C 4 J3 LWal W.&/- C Date Signature of Permit Applicant G)3 , C\ °o1\-)D 3D R._,(_.) R,__NiC--e__, 1 1--7___ I 3 I _ ' c ) I •9/ \ 9 + 10 WILLIAM A. /t a „ / \- - �MOM A a nMeE txm — F W� Yz N OMMMO.t i `� • , a toa.ua.mu..a. �.,.aa. W CANON LOT I1A il li... —- _____., r r.u6 S / -.%•/.. .3.„S3'` \_ LLrl[.an ow I , p POI ®• �� .... 1Lsr`\- �.....›. _ aosrz.r p b MI CeP1 / / ? ♦ �- .awae Wm. a.w.nn.wG •sr.I. sr "S f,',o -04000 r 10 / ♦ .taw. rr « min G w.. ' / OO I� .. ..s 1 r y >,..Y. nea .\ ssa. s�' /O�i' V ® /KM.m.tw 1 tor+A.a.s WO / 0r 0 wna. .0a Dace WM..s p .n Kos Tpa �/ // / p. ... %O.� �� �1�. �' \ I ` �'[.�..v+n..6 ACM.KM p ra .— • "'w. / d' a' ¢ c, -'�•. �S �� ,naanla way, 1 r\ RA IP SKrtn.mnt'p . . . NC MOOCAM M • i • ' POI /O• ra_'aci roa R'/,� ( i . � I}!; n rwm Nava w.a w,.ow-watt ar.wrxa a a. .000 t aRA, \� / o PLPMI, NOTES sR �/ ��� "• �►- \ ,.L r.'"..u"t�u oYofu oi0w.'P. aa.acoa�w iK "r..p,i a `\ 7 I CA �- . ``14 W x .O.�...0 I..t..mm..t....n: c•OM ,..n Erb . rot 1 - / c.aa 1 LOT 10 .. V MO cox L p t u. �.� a �[m a..uw.s L °T / ar p Sae¢.r.aof • �4 ,'ty\ , as f .. ' '..Jo 1 \ Foci,.a..a.m u ---� . r QO d MA o.a ao-nna[I.a.: 0+to ar.0 mul — _ / r o a SY 8 S �,u an.a.a+s —� — a g $ n 3' LOT 11A A +wut 0100 510/0300 wa.wa '`,. I • 01 C .ma,.w......t...Aa. t MO B.I,Cb PDX s� L - A_!s o.rr, :-.0.L. C M MA lft a.ay - _ • �— \\\� _._ 04041111111,21 • ` W 5tl1W Aa.War /a.t• / a GRAP.K Kn - -~ ——` _ :e ICE POND DRIVE ————P.M a. — ^� -- '• —— t rasa (CUL DE SAC) Lm.e 5.wane lla..o,a.00 Pssl L 3' — _ 9 B .—r���l m¢a.ans ac s.tK �\\ IF �i'4 ..� IB cp, 4 taL4 tlaAfa YO gvfn •'�. �/ I as nl use a n.n euryr MN tree \\\ 0 a.rs.Ass .• ta.,n. bl.+�v.a Coo. m.a.raa \\ em-an s¢P.C. r a+.aw.. B :g r.au.In, - I Slls Su awn iT 1 _ .n esere • Al A O SITE PLAN LANDSCAPING _10 t A PLAN \ L-2.0 1 l 2 I / 3 I 4 s\ I 5 I 6 I 7 I 8 I 9 A 0 ran a , a / TEDDY BEAR POOLS, INC. �(_q' 1 fur R MA Home Improvement Cont.# 111889 41 East Street p "). a CT Home Improvement Cont.#520951 Chicopee, MA 01020 QQ 6 0 VP 1 40011. Fed,I.D.No.04-2583701 (413)594-2666 0_ q� � MA/CT:(800) 554-BEAR O r,. � . Fax (413) 598-8823 ORDER 99•_. 0 916 www.teddybearpools.co 0 rn SALtSRtP...,2 _ lt 064 a , , I TEDDY BEAR POOLS & SPAS INGRGUND POOL PU ' C ASE AGREEMENT Name: Icats..._r-1 ..S.kerJ_. .ghltJ:,Sul,.--, *INCLUDES* Address:_ i _ �JDDRPOOL SHAPE& SIZE: 19 X 3(�, ��lC La� City/State!Zip: FLvi kg ?y 0., La.; X Starting Price: Li(, ____.-_. .- ?t '; Email: ,1 R IlK_EtMi.,c`i.v_ m_ li_..-- - Steps: ?d R AD]0 J 5 i_tP ti41{T tN C Phone:___`A_(S_,i (0_. t,.st'13.__ .i- J i. ._ I Heater: .1 ( :0Q Pt_R e .rj T 3 Phone:..__913._Za.. 1 tQUY( I ).‘Co_(....(-),, Op. J Slide: -r_ Date: LI Vb„c) Sales Rep: _10B,�__NC-' . Diving Board: _ _.___-____._____.__.___. . N� --... . Estimated Start Date: _ Q ^J Si-lei x.._1 `i -_._. ... 1 Filter& Pump:_ 6/_01,,'J ._ ...1JC. t 1it N\c i' D0D.I i Witteretwer& Closing: 'L•i ''' LIMITED WARRANTIES . j SafetyCovpr � { '' '• Lifetime on Pool Walls11 Concrete: ,.._ ��� _ 1 / {)1. -._. ,L�%; __:,• 20 years on Pool Liner Stamped Concrete: _.._ _ .__M_. ..-.., SG�rt • 25 years on Pool StepskS _ Additional Concrete: Q . .{� 1: not • 5 years on Labor f Eeo-Smarte:.___.__.__ _. ,..ANC_. All Limited Warranties are Transferable ; Lighting: ___10'I ":1:00. kJM C ppp• i Ladder& Rail: S 1 rjLtiJi �S i _� Electrical: _.��.,_ PACIFIC I Permits: POOLS yk-.. _1 NOT INCLUDED: I I Auto Vacuum: PO&J I.jC tick(. JC Water to fill the pool. , Temp Fence' '.[N Perrnane;if Fenc OIhE;,. & Finish Landscaping Ot`Ier, PAYMENT SSCHF,DULE , - Other -. '-- - -.___ ._.. . 30% Deposit Down L( _1 ry _ TOTALS 30%Walls j I Subtotal $ ' L G D O 30°a Liner r/A/ 0 Sales Tax$ i 10%Completion l (!, TO TAL$ 1___--_-6 D cp TENMS AND CONDITIONS THE DEALER WARRANTS THAT ALL LABOR AND WORK PERFORMEC TINDER THIS AGREEMENT SHALL BE PERFORMED IN A GOOD ANO WORKMANLIKE MANNER AND THAT THE DEALER SHALL REPLACE OR CORRECT ANY DETECTS IN MURKMANSHIP WHICH APPEAR WITHIN FIVE i5I YEARS FROM DATE OF INSTALLATION NO IMPLIED OR EXPRESSED WARRANTY ON CONCRETE PATIOS. I ACKNOWLEDGE RECEIPT OF TWO COMPLETED COPIES OF THIS NOTICE OF CANCELLATION AND CONFIRM THAT I HAVE BEEN ORALLY INFORMED OF MY RIGHTS. MASSACHUSETTS BUYERS ONLY:THE REQUIRED PERMITS FOR THIS CONTRACT ARE AS FOLLOWS:IT SHALL BE THE OBLIGATION OF THE HOME IMPROVEMENT CONTRACTOR TO OBTAIN SUCH PERMITS AS THE OWNER'S AGENTS OWNERS WHO SECURE THEIR OWN CONSTRUCTION-RELATED PERMITS OR DEAL WITH UNREGISTERED CONTRACTORS WILL BE EXCLUDED FROM THE GUARAN?I F FUND PROVISIONS OF MGL.C.142A.OWNERS SHALL BE RESPONSIBLE FOR THE COST AND EXPENSE OF PERMITS OBTAINED BY DEALER. THE DEALER AND THE BUYER MUTUALLY AGREE IN ADVANCE THAT 'rHE EVENT THE DEALER HAS A DISPUTE.CONCERNING THIS CONTRACT, THE DEALER MAY SUBMIT SUCH A DISPUTE TO A PRIVATE ARBITRATION SERVICE,WHICH HAS EN APPRI 1 BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS .,_ +"�8 . .0 1 2A. AND BUSINESS REGULATIONS AND THE CO uMER ALL BE REQUIRE()T MIT A1TRATION CL 1 f 3 WZ 1 i ,s,1,,, I,,,,ik 1,,,,,p..,,,, „„ - .. •4 Ces,„) � r ,ern 3 „IS�a net .. NO ICE OF CANCELLATION YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION.WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE. IF YOU CANCEL.ANY PROPERTY TRADED IN.ANY PAYMENTS MADE BY YOU UNDER THE CONTRACT OF SALE.AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED wyrinu Tr',allyILICCV Hove rni 1 nunur DtPrIDT DV TUC on I r.0 O,r vnun r,uru,Ar,nu unnrr Ain Auv eeriIDiry Iurr,oter nommen nor sir TUC