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36-344 (2) \\J \\\ Louis Hasbrouck From: Leslie Coburn [drafting @aquapool.com] Sent: Wednesday, October 26, 2011 9:57 AM To: Louis Hasbrouck Cc: Jason Guilmette Subject: FW: Pool permits 23 Cardinal Way and 65 Ridge View Attachments: 11041- JONES- Layoutl.pdf; 11042 - GOSWAMI- Layoutl.pdf Is this what you are looking for From: Louis Hasbrouck [ mailto :Ihasbrouck ©northamptonma.gov] Sent: Tuesday, October 25, 2011 9:29 AM To: Leslie Coburn Subject: Pool permits 23 Cardinal Way and 65 Ridge View Jason, I cannot approve the permits for pools at 23 Cardinal Way or 65 Ridge View without additional information. Neither permit application includes plans for required barriers; we will not issue a pool permit without barrier plans in place (and the barrier must be in place prior to the final inspection). Once we have plans for compliant barriers, we will issue the permits. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 City of Northampton email messages are public records except when they fall under one of the specific statutory exemptions. 2 Louis Hasbrouck From: jguilmette @aquapool.com Sent: Wednesday, October 26, 2011 9:07 AM To: Louis Hasbrouck Subject: Permits Hi Louis, My draftsman will be sending you a plan showing the proposed fence location in relation to the pool and house - For both addresses. After reviewing, please let me know if there is anything else that you need. As you can imagine, both home owners are anxious - For us to get started. Thank you, Jason Guilmette Sent from my Verizon Wireless BlackBerry 1 irAo ,. \ t o,,,,,, , „ 4 ' 1 4 - Office of Consumer Affairs and usiness Regulation _ 10 Park Plaza - Suite 5170 P' Boston, Massachusetts 02116 Home Improvement Contractor Registration - Registration: 113981 Type: Public Corporation Expiration: 7/23/2013 Tr# 214737 . AQUA POOL & PATIO, INC. MICHAEL GIANNAMORE 53 NEWBERRY RD E WINDSOR, CT 06088 Update Address and return card. Mark reason for change. ❑ Address ri Renewal Ej Employment 0 Lost Card DPS -CA1 Cr 50M- 04/04- G101216 ze ° m e r Affairs o, � License or registration valid for individul use only � _, Office of Consumer Affairs & Bu'siness Regulation g Y � HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �� 1 _ '1 Registration: 113981 Type: Office of Consumer Affairs and Business Regulation o G ? - Expiration: 7/23/2013 Public Corporation 10 Park Plaza -Suite 5170 zi Boston, MA 02116 .n /`n A POOL &PATIO, INC. / = MICHAEL GIANNAMORE // Q ....... 53 NEWBERRY RD �� E WINDSOR, CT 06088 Undersecretary N t valid ithout signature I %M Evin II It ”1 OW/11111U nt:Ullli1111/11\ ;MU o Super se License: CS 38393 Restricted to: 00 RONALD J GIANNAMORE --I8 EAST SHORE DR NIANTIC, CT 06357 Expiration: 12/15/2011 /1/ kZ) Trt 12627 S t9 ) t • gYA.,..4-061 '" O/090 �� 4 OP ID: ME ' 4 C.C;PRO CERTIFICATE OF LIABILITY INSURANCE I D AT 09 /29 D/YYYYj 09/29!11 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 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 • 1- 289 -6816 NAME: ACT Marnie Evans Evans, Pires &Leonard 111 121 Roberts Street FCEI 91_8848 PHONE 860- 289 -6816 aC No 860- 291 -8848 E -MAIL East Hartford, CT 06108 D ADDRESS: mevens@evans- insurance.com Evans, Pires & Leonard PROCTER. AQUAP - 1 . , ' INSURER S AFFORDING COVERAGE NAIC # INSURED Aqua Pool & Patio, nc. INSURER A : CNA Insurance Companies 53 Newberry Road _ INSURER B: East Windsor, CT • : • • L WNC3>. . INSURER C : • D1� INSURER D : 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. I R TYPE OF INSURANCE ADDL w gn POLICY NUMBER (M M% f ) DN Y Y YI Y1 ( MMi nf) Y YY YI LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGETD A X COMMERCIAL GENERAL LIABILITY 2093838137 02/01/11 02/01/12 PREMISES O (Ea RENVE occurrence) $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG _ $ 1,000,000 ) POLICY PRO- fl LOC $ ,IFCT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO 2093838140 02/01/11 02/01/12 (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE _ $ _ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS' LIABILITY I TORY LIMITS _ X ER A ANY PROPRIETOR /PARTNER/EXECUTIVE Y pi 2093838123 02/01/11 02/01/12 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? I ' N f A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Tina Jones 23 Cardinal Way, Florence, MA 01062 CERTIFICATE HOLDER CANCELLATION NORTHAM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton Building Inspector ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street, #100 Northampton, MA 01060 AUTHORIZED REPRESENTATIVE Evans, Pires & Leonard © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD A * ) Tt. P. +1wa, ;CO • , , +,..T ,.�e.141 " ~� 7L7 Vi ; 11 - �i +. ' . . . \I A) - TRri I r-. eilPriete . r •. • 2 ii r '4P;Or : �� M, y ' ! s t . �,+ PROPOSED SECOND GATE LOCATION �.'� .37, w t WITH SELF CLOSEING & LATCHING a. F , GATE W/ RELEASE AT . LEAST 54" HIGH ,K PROPOSED BE + FE C 48 E " LOCATION , f W4101 - , ;. - FENCE IN HEIGTH & 1 MEET ALL STATE & LOCAL J P + I II CODE FOR POOL FENCING • . in 4 I i P!{ • + I - 'a rt. 1 '1PgC0\11r vr PROPOSED GATE LOCATION ' � C1 .A ` 4 WITH SELF CLOSEING & LATCHING GATE W/ RELEASE AT '`' LEAST 54" HIGH AQ 31 4 • r if eV CC 4 11 1 . �, • 4127) ,,�, - CA°114)%b li k • • Louis Hasbrouck From: Louis Hasbrouck Sent: Friday, September 30, 2011 6:03 PM To: 'drafting @aquapool.com' Subject: FW: 65 Ridge View (lot 9) Attachments: 41 -061 (2) 44 Ridge View Rd Site Plan App.tif; 41 -044 (18) Overall Layout Colonial Village Definitive Subdivision Plan for Sovereign Builders, Inc. september 2 2004.tif; 23 Cardinal Way.pdf Jason, I'm resending this email. The second file (41 -044 (18)) shows the proposed locations of the houses on Ridge View. The houses are represented by the boxes with an X in them. This is all we have as far as location is concerned. Also, the permit application you submitted for the pool on Cardinal Way is incomplete. The homeowner must sign the permit applications in the locations indicated (page 1, section 2.1 and page 3, section 7a). I've attached a copy of the permit application; you can have the owner sign the copy or come to the office to sign the original. You must also complete the second page of the application (section 4) Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 From: Louis Hasbrouck Sent: Wednesday, September 28, 2011 4:27 PM To: 'drafting @aquapool.com' Subject: 65 Ridge View (lot 9) Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 1 City of Northampton ap Massachusetts rw? • r..:, le DEPARTMENT OF BUILDING INSPECTIONS �;` 212 Main Street • Municipal Building Northampton, MA 01060 11 ' 3, +5 � INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he /she resides or intends to be, a one or two family dwelling, attached or detached structures accessory to such use and /or farm structures. A person who constructs more than one home in a two- year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and regulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection. The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location • The Commonwealth of Massachusetts �... Department of Industrial Accidents Office of Investigations p 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name (Business /Organization/Individual): (J( ,� lJ ( �) . t rr Address: S o ' 1 / NM ( ` `YA n d�vr ' , 6Y Phone #: ° &G {� 3 7 City/State/Zip:- Are you an employer? Check the appropriate box: Type of project (required): 1. Ellam a employer with 025 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6. New construction listed on the attached sheet. 7. [I] Remodeling 2. [1] I am a sole proprietor or partner - ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. n We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11. ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no j employees. [No workers' 13. [✓Other w v l comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub - contractors and state whether or not those entities have employees. If the sub - contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. n / Insurance Company Name: "e11 Pr S , 1� ` r ` 7 .0 cetJ11 Policy # or Self -ins. Lic. #: c90 3 b: / 3 7 Expiration Date: A&///)— Job Site Address: c • CIA( 6( pt w City/State /Zip: — E -- ‘ 00u /1/4 C� (v(p„L Attach a copy of the workers' compensation policy eclaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one -year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains d p , al 's of perjury that the information provided above is true and correct , . e'i6)I1( Signature: > Date: Phone #: / c (� 3 Wp a Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City /Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ fi Name of License Holder : (JY� Ol, ( t 19-►'I va' t.!J r e G S ? 7 (L / License Number er P idllrfao Address / ,4 A ✓ A/ n - f ( P �' Expiration Date 6 fcff4 �l Signature Telephone , el srececI kl"oine mp a e`ment Coritrac o ,, „ , 7 ` ;A M Not Applicable ❑ Company Name /1 Registration Number 4 / t./, roi/1 Address (� Expiration Date 53 ,Uzik), err '`7/[ - Telephone d& 6,23ygrJ',- 7A174-0/ w4 44/ e.40 SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M G L c 152, § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No ❑ , nine O ner- E-.xe ption 11 The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature _ • • 9 SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) „ • New House n Addition ❑ Replacement Windows Alteration(s) I I Roofing ri Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [[] Siding [D] Other Brief Descri p tion of Pro P os d �`t / L ( ( f Work: a t ( /6 X 36 A-IA - si- d..,.Gl &k. Vr\C, i Ad Alteration of existing bedroom Yes ‘ - No Adding new bedroom Yes ✓ No Attached Narrative Renovating unfinished basement Yes .--- Plans Attached Roll - Sheet sa;;If New hou es —ancLor addition:to ezistingthousini completerthe follo : a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each ' g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER. AUTHORIZATION - TO BE COMPLETED WHEN, OWNERS.AGENT'OR CONTRACTO APPLIES FOR BUILDING PERMIT , I d.j' " Y (. , as Owner of the subject property f/,�, hereby authorize A /. 0 l t'o / " Pa--47 O to act on my behalf in all matters r ative to work authorized by this building permit application. \-4/trk- /0/4/hi Signature of Owner Date I _ j _ �9 1 / W( k as Owner /Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and p nalties of erjury. Print f Tme 4 il //l Signatu7 wner /Agent tJ Date , . ' . . _ ....._ . . f , s ,,•,, ",,;,,.', . • •.i.,... .. ...,: Section 4. ZONING. Alt Information Must Be Completed. Permit Can Be Denied Due Td inch information Existing . Proposed ' : Requirect by11.014 This . o.luxtua In be fit. la in by . . ' ! • Builling Dtpartmcnt t 1 . , . .. : • Lot Size t , F r o n t a g e i / t 7 2 _ , C _ < • - • 1 1 ., 1 1 : 1 Setbacks Front 1 1 I - 1 1 1 _. ... .. . Side L$ RET.1 . L:/ . 1 id 1 1_ 1 1= . Rear 1 'V 1 1 1 1 1 • . . . Building Height. 1STh ' = ' c3c)01 Bldg. Square Footage FEE 1 ,Z, I' 1 1 1 -1 1 1 (at area Mitt= bldg & paved go 04) FE2 1 1 1 .1 ' . 1 • 1 • vaing) , .,. #ofPaticin paces CM - .. 1 . 1 1 1 ' . . . . . . -.... : • Fill: 1 g Pe - . . (vohnne &Location) - r • . - A. Has a Special Permit/Variance/Finding e r been issued for/on the site? NO 0 • DONT KNOW -YES 0 . • • IF YES, date issued:, ' I • • . IF YES: Was the permit recorded at the Regkf of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book . Page - . 1 and/or Document # • • • B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW r .): YES 0 F. YES,_has..a pennit.been_or. need to be.obtained from the Conservation Commission? Needs to be obtained 0 ' .. Obtained ' 0 , Date issued: [ - I . . _ . ..,. . C. Do any signs exist on the property? YES 0 NO .G•' • • _ IF YES;"desaibe size, type and location: ------ D. Are there any proposed changes to or additions-oi: signs-intended for the property ? YES 0 N° Cr ________________ • , • IF YES, describe size, type and location: . E. Will the construction activity disturb (clearing, grading, on, or filling) over 1 acre or Is it part of a common plan _ . . .. that will disturb over t acre? YES 0 NO : ..,....... ........... •--- -• _... - IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ...---, . ..,-. . ...: .. . , . • • _______ _____... • Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Inco Information b Existing Proposed Required by'1 11g 04 x f This column to be filred in by i Building Department i Lot Size fi II Frontage Setbacks Front 1 i 1 Side L:? " R :' L:? i R:l 1 1 Rear i 1 1 I Building Height ! I 1 1 i i Bldg. Square Footage 1-1 ET % 1 !-'— L__ 3 . Open Space Footage (Lot area minus bldg & paved } 1i ! t parking) 3 n"--11 # of Parking Spaces Fill: _ ______ . ___ (volume & Location) 1 `_ A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 I IF YES: enter Book 3 Page i and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: '; D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. . ,- - - L � t, . ", r Delpart n use on! ���VE� City of Northampton Status _of P ` " - ' ; ,�� 4 ` , i � . fi g, uil ing Department Garb C � ® ew Perm � � 2 2 Main Street Sewers ep io Arai abill .nom ' ' �, 0. ' , 2011 Room 100 : V1/a a e ` 1 N rth mpton, MA 01060 Two e t r cct ural P !ati _ ",* , - -. OEFr OF BUILpIN N P < e NoRTHAmprc -5 -1240 Fax 413 - 587 - 1272 Pl e ta x APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1- SITE' INFORMATION . �� This- sectio to be completed by 9.-.7,5. e 1.1 Property Address: °` $ * w • - 2`'°*� ?E�,�,. s;: Y- ,� x �: � 'e�"�. x -el '�, a c� � }a�:;.m '�` a,,.. "bS. 3 � i �t (� a Mats 1 -k ' 1 - 0 "' . fi t- % -s 44 � s' >z ', ' t-Nt' ' a l a �` � '^3 � �n�' :� 3fcu^ r"' M k.4 kp 6 . k ! .' 3 r y`4 a'* l �: U i -' - Q J� (+ �l ow-- s Ouerlay Di ik " Zotte :t ,. , y __ Im St Cly .r ., • �_ - � CB D %.,-:::_,:_., � SECTION 2 PROPERTY OWNERSH /AUTHORIZED AGENT 2.1 Owner of Record: � cr ,101,, -t S ' 3 C � Gk} - y - r� Name (Pri t) ddr s Current Mailing A ` � 7 3 - 70 1 - 7 — 3/55 �Y �k Telephone Signature 2.2 Authorized A. ent: � � u kCurrent i 3 ,f/b a, Name (Prints P Mailing Address: cam. („6/,„,i4 �� _,,._0.--- V��= 14* '4A;-‘41-1-t <fel° ‘ 3 Signature Telephone SECTIO - •ESTIMATED CONSTRUCTION COSTS Item i mated ) to O ffi c ial U Only . completed Est Cost by permit (Dollars applicant be 1. Building ; , 7 , od ! (a)' Building Permit Fee 2. Electrical V (b) m CoEstinstruction ated Total Cost from, (6) of 3. Plumbing B Permit Feei 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 11 • L1 Check Number t This Section For Official Use Only_ Date Building Permit' Number: ' Issued: Signature: Building Commissioner /Inspector of Buildings ' ' Date • Louis Hasbrouck To: drafting @aquapool.com Subject: Pool permits 23 Cardinal Way and 65 Ridge View Jason, I cannot approve the permits for pools at 23 Cardinal Way or 65 Ridge View without additional information. Neither permit application includes plans for required barriers; we will not issue a pool permit without barrier plans in place (and the barrier must be in place prior to the final inspection). Once we have plans for compliant barriers, we will issue the permits. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg 212 Main Street Northampton, MA 01060 (413) 587 -1240 1 • File # BP- 2012 -0400 APPLICANT /CONTACT PERSON AQUA POOL & PATIO CO ((°/ ADDRESS/PHONE 53 NEWBURRY RD EAST WINDSOR (860) 623 -8374 , ?�` PROPERTY LOCATION 23 CARDINAL WAY MAP 36 PARCEL 344 001 ZONE SR(100) //WSP II THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out / 7�/ j'1 Fee Paid / (ice Typeof Construction:_INSTALL 18 X 36 INGROUND POOL New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 038393 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF . MATION 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 -7) 0/7../6 i I 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 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. 23 CARDINAL WAY BP- 2012 -0400 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 36 - 344 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- 2012 -0400 Project # JS- 2012 - 000641 Est. Cost: $47000.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AQUA POOL & PATIO CO 038393 Lot Size(sq. ft.): 30361.32 Owner: JONES TINA Zoning: SR(100) //WSP II Applicant: AQUA POOL & PATIO CO AT: 23 CARDINAL WAY Applicant Address: Phone: Insurance: 53 NEWBURRY RD (860) 623 -8374 Workers Compensation EAST W I N DSORCT06088 ISSUED ON:10/26/2011 0:00:00 TO PERFORM THE FOLLOWING WORK: INSTALL 18 X 36 INGROUND POOL POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 10/26/2011 0:00:00 $60.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner