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44-139
BP-2022-0603 258 OLD WILSON RD COMMONWEALTH OF MASSACHUSETTS FLAG LOT Map:Block:Lot: CITY OF NORTHAMPTON 44-139-001 Permit: Swimming Pool PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0603 PERMISSIONISHEREBYGRANTED TO: Project# IN GROUND POOL Contractor: License: Est. Cost: 53570 WRIGHT BUILDERS 115196 Const.Class: Exp.Date:05/31/2024 Use Group: Owner: KELLEY GILLIS,BETH & Lot Size (sq.ft.) Zoning: Applicant: WRIGHT BUILDERS Applicant Address Phone: Insurance: 48 Bates St 413586-8287 MCC20020005342021A NORTHAMPTON, MA 01060 ISSUED ON:06/06/2022 TO PERFORM THE FOLLOWING WORK: 15X40 IN GROUND 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: . >2( ) . d 1 • Fees Paid: $75.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner File #BP-2022-0603 APPLICANT/CONTACT PERSON:WRIGHT BUILDERS 48 Bates St NORTHAMPTON, MA 01060413W-8287 PROPERTY LOCATION 258 OLD WILSON RD FLAG LOT MAP:LOT 44-139-001 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: 15X40 IN GROUND POOL New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: � Owner/ Statement or License 3 sets of Plans/Plot Plan TH FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN RMATION 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 Penn its 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 i 0 may, Ir : j . ` : i 6 �/ Sis,ature 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. The Commonwealth of Massachuset .q). Board of Building Regulations and S dspF c9 FOR y Massachusetts State Building Code, 780 C R4,..oaf2ivisyar,2O11 MUNI ALITY Building Permit Application To Construct,Repair,Renovate Or r eL� a One-or Two-Family Dwelling Too,4pso,€ / This Section For Official Use Only '�o7 060 C. s Building Permit Number: P Z A.—0(Q 03 Date Applied:I 4 :I) I, JL. r Building Official(Print Name) Signature *Loig, Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 258 Old Wilson Road 44 139 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: SR Single Family 125,497 50 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 60 120+ 30 31+ 60 108 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Lid Private El Municipal Outside Flood Zone? Municipal 0 On site disposal system 181 Check if yes® SECTION 2: PROPERTY OWNERSHIP1 2.1 Ownerl of Record: Beth and Kelly Gillis El Granada, CA 94019 Name(Print) City,State,ZIP 222 Paloma Ave 917-843-7427 livefromsf@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction Gd Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units Other ® Specify: Pool Brief Description of Proposed Work': 15'-6"x 40' in ground pool installation at 258 Old Wilson Road SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 50100O 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 3570 ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ $ S 7 O Check No.(�35 heck Amount: f Cash Amount: 6. 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-115196 5/31/2024 Ryan J Crandall License Number Expiration Date Name of CSL Holder 11 492 State Street List CSL Type(see below) No.and Street Type Description Belchertown, MA 01007 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 802-233-9062 rcrandall@wright-builders.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101536 6/25/2024 Wright Builders Inc HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 48 Bates Street nwrightAwright-builders.com N an eetpton, MA 01060 413-586-8287 Email address �]ort�Stram 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 4l No 0 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 Wright Builders Inc to act on my behalf,in all matte' - .tive to .ork authorized by this building permit application. 3 .I+ �: 'I f `� i 5/24/2022 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 applicati d accurate to the best of my knowledge and understanding. Nicholas Wright 5/24/2022 Print Owner's or Authoriz d gen 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.) 5,568 (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) 3,511 Habitable room count 9 Number of fireplaces 1 Number of bedrooms 4 Number of bathrooms 3 Number of half/baths 1 Type of heating system Air/Air Heat Pumps Number of decks/porches 4 Type of cooling system Air/Air Heat Pumps Enclosed 1 Open 3 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton o,,YH_Mpro� !.� 'Y. SAS •�:. SAC -'' \ Massachusetts �,, _ e\ W is �C- x �f DEPARTMENT OF BUILDING INSPECTIONS S' "� 212 Main Street • Municipal Building Jti CDC y. - Northampton, MA 01060 ssbW �N� 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: The debris will be transported by: Name of Hauler: J &J Son, 11 Goshen Road Williamsburg, MA 01096 Nicholas Wright Date: 5/24/22 t The Commonwealth of ihnssachusetts r_ , Department of IndustriulAc'cidents i 6 I Congress Street,Suite 100 I—3' Boston, 3/.-1012114-2017 ate; -0 it lt'n:nrtrss.gor/din 1. 11miters'('ompensatiun Insurance Affidasit:Buildersi'('ontractors/Electrieiam,rPlumbers. fu et:FILED N II II I IIL l'LRSIIl I IM(:snrttOR1l . Atlolicant Information Please Print Le.,ilds Name ling rocs Organization:lndnvidualI: Wright Builders Inc Address: 48 Bates Street City/State'Zip:_Northampton, MA 01060 Phone tt: 413-586-8287 Are pea or ernpkn cr'it heel the appropriate but: Type of project(required): I.®I am a euq'lut LT,t all 22 enrploFee,lfuhl and ur part-tinreh..' 7. xQ New construction (Pool) 20 I ant a sole proprietor.or partnership and have no enipluvtes storkinc tot nue In 13. 0 Remodeling anti repeats_[\u µorktn'cusp.insuranceregwred_l 9. El Demolition ID I ant a ltonhxrttnter Juinx all work rntclf.[No workers'cunnp_insurance required'' 10 a Building addition .I.Q I ant a httnhvwrer and so.Oil Ire hiring contractors to conduct all stud on nit propevtt. I vs ill ensure that all ntrt tun either lute.Arnkers.coact:iu:rerun insurance or are sole 110 Electrical repairs or additions prupnctors with no einplovees. 12.0 Plumbing repairs or additions 50 I am a ecmral contractor and I lute hired the sub-contracture listed on the altadred shed_ I3 Roof repairs These sub-contractors lase employees.and have workers'comp.usurancc.' _ 14.0Other F.D IA,are a t:urpuratiun and its officers lase exercised their right of exemption per SituL c. :5,2_ li-ll.anti vie hate no employees.[No wurters'romp.insurance required.) 'Ant applicant that ehteks but=I intro also till out the sreiion beluss slaw.ins-their µomens p cutu aisation policy infurnatiur. t li mnerss%rem ultrasubmit the atttdas it indicating thy are doing all work and then hire outside.cunirarturs mint submit a new:riltdas it rrnlic-ut.nir srwh. C'untractun that check this box must attached an additional%heel showing the name of the sub-oasuractus and state rtlether or not those entities hate employees_ If the sub-etn5rackrs late errplotee,.the!, must ptutide their works.'comp.policy number. I am an employer that is providing,vurhers"compensation insurance,fur nit employees. Below is the holier and job.site information_ Insurance Company Name: A.I.M Mutual Ins. Co. Policy#or Self-ins.Lie.#: MCC-200-2000534-2021 A Expiration date: 3/1/2023 lob Site Address: 258 Old Wilson Road Northampton, MA 01060 City State Zip: Attach a copy of the workers'compensation policy declaration page(showing,the policy number and expiration date). Failure to secure coverage as required under ML1GL c. 152.*25A is a criminal violation punishable by a tine up to$1,500.00 anil or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine 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�i i1, i ion r fperpory that the infurmotion provided above is true and correct ;i�_n tluie: Nicholas Wright ��;�rlr�1 17:ttr_ 5/24/2022 Mein,=: 413-923-2870 // Official use only. Do not write in this urea.to be completed by cite'or town official ('it♦ or-Foss El: rermit.7.icense dt Issuing Authority (circle tine): I. Board of Ilealtb 2.Building;Ileparhneni 3.('its[)urn Clerk 4.Electrical Inspector 5. Plumbing Inspector G.Other Contact Person: Phone#: WRIGBUI-01 KAYLA coRo CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 2/28/2022 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 Kayla Marie Drinkwine Phillips Insurance Agency,Inc. PHONE 413 594-5984 FAX 97 Center Street (A/C,No,Ext):( ) (A/C,No):(413)592-8499 Chicopee,MA 01013 i SS:kayla@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:EMC Insurance Companies 21415 INSURED INSURER B:Massachusetts Employers Insurance Company Wright Builders,Inc. INSURER C: 48 Bates Street INSURER D: Northampton,MA 01060 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD NIVD IMM/DDIYYYYI IMM/DD/YYYYI 1,000,000 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE X OCCUR 6D18616 3/1/2022 3/1/2023 PREM 3Eso(EaENTuErrDence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1'000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY x JEt° LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: EMPLOYEE BENEFI $ 1,000,000 COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO 6Z18616 3/1/2022 3/1/2023 BODILY INJURY(Per person) $ — OWNED SCHEDULED AUTOSRE� ONLY AUTOS BODILYO INJURYD (Per accident) $ AUTOS ONLY — AUTOS ONLY (Pena dent)AMAGE A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE 6J18616 3/1/2022 3/1/2023 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER MCC-200-2000534-2021A 3/1/2022 3/1/2023 500,000 OFFICER/MEMBER EXCLUDED?ECUTIVE N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 1,000,000 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 Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DIVISION 13 13 00 00 SPECIAL CONSTRUCTION 13 11 01 Swimming Pool Option: Site Pool contractor to excavate and backfill for fiberglass pool shell. Supreme 40' x 15'6. 4'at shallow, 6'-7"at deep. Electrical contractor to provide conduit and power to pool pump from house. Plumber to provide plumbing for pump. Pool site contractor will place pool and oversee installation. Fill pool with water. 13 12 01 Fountains 13 17 01 Hot Tub Preparation for Hot Tub: Bullfrog A7, with a size of 7'4" x 7'4"x 36" Hot Tub provided by owner. Provide power and water supply. Filled Weight: 5236 lbs 220-240V dedicated circuit with a 60 AMP service. 13 34 01 Fabricated Engineered Structure Screened Porch: Glazing above Larson Scenix panels. Fixed tempered glass panels as shown on elevations. 13 35 01 Rammed Earth Construction Not included. 57 • Verify requirement with plumbing and heating contractors • All controls furnished by mechanical contractors wired by electrician Hot Tub & Pool Wiring Direct wire 60-amp service approx. 12' off the building via underground conduit from the utility room. Pool wiring: Provide conduit to pool heater, pump, filter. Include upsized electrical service size to 320/400amp. Option: Pool pump wiring Provide wiring of pool pump/equipment as required. Electric pool heater not included, furnished by owner. 26 31 01 Photovoltaic Collector System Install by others. Install Coordinated by WBI. System not included in contract. 26 32 01 Emergency Power Generator Package Not included. Option for transfer switch serving future generator add on. 26 50 01 Lighting, Electrical Bath Fans, Recessed lighting, Specialties Fan/Light Locations Supply and install exhaust fan as indicated on drawings with rigid aluminum duct and spring- loaded exterior wall cap. Wrap all ducting with insulation or use standard insulated flex to be installed by HVAC Contractor. See Division 23 Exhaust Ducting for details. Notice to vendors and subcontractors: Vendors and subcontractor shall provide pricing breakdown (material and labor), required company certifications and/or registrations &detailed product information at time of quotation in such a way as to comply with federal standards for tax credits and utility documentation requirements for rebates. Location Type NOTE: Nutone and Panasonic fans are rated for continuous operation and wet locations with GFCI circuit and IC contact. Main Bat, 2nd Floor, LL Bath Panasonic FV-11VHL1, 110 CFM, 1 sone, fan/heat/light/nightlight with model 62—60-minute Timer with 2 rocker switches with separate model 61 —15-minute timer for heat unit(NOTE: Fluoresce Light) Powder Panasonic FV-08VQ3, 80 CFM, 1.3 sones, fan only with model 59—60-minute timer Damper Color black Manufacturer's warranty 5 years 70 :. ,- 41 / x:s W 1104 ,, . 44, :17 I ., " - t 1384 sq/ft _ �. - PROP y, NSFFSF P , la J. F _ "N: \\NJ-N."' Lt \\\ . . FEN CI 1 - . ',, ,-.', i ., . \ r‘f, 1..,.r 1 • - CB \ . I , t N.,,„ N • F 1 \st1/4\ .. .4.,.......„:„... __. \ -.,,• . ,,,, \ •---.4 . N-vc-,\ • - • '. -----....1: ""s"'"'"''''*'----,..„_ " \, - Project Dtle- Client name: �rFj�'y��4 sue. r s i +. .,ih t ice. •i yv k` .. Project Lccat:on r T 1f ,. •- STONE & DESIGN LLC Project Descnpt•.on. Drawn by: a ►� BAMSIONEDESIGNhGMAIL.COM -. t + $AMSIONI:DESIGN.COM .— Scale: ti .irk. .s (413)=537-4153 ry, '`et 7 t : Drawing Date: