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48-025 NC s • m,u,u'xmu/mw�m,�vuo""` anti ,^^""".". 1;onstruct ionSupe ucensc CS 38393 Restricted to: 00 40.0 RONALD J G\ANmAMORE— -- --18EASTSHORE0R NIANTIC, CT 06357 Expiration 12n5/2011 T,= 12627 ^ � ' ^ � , \ t.? -e—weayth , , 4 ' / 4 1 _ = l_ ^ Office of Consumer Affairs and usiness Regulation __� 10 Park Plaza - Suite 5170 -' 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 E Renewal ❑ Employment ❑ Lost Card DPS -CA1 0 50M- 04/04- G101216 ■ ✓/ a"' �`/liadaa,oic .elta License or registration valid for individul use only Office of C ons um e r A ffairs & B si ness Regulation g y =— HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: = Registration: Office of Consumer Affairs and Business Regulation =1= 9 q 13981 Type: g s— Expiration: 7/23/2013 Public Corporation 10 Park Plaza - Suite 5170 'V Boston, MA 02116 A O POOL & PATIO, INC. MICHAEL GIANNAMORE /1/ 53 NEWBERRY RD E WINDSOR, CT 06088 Undersecretary N t valid ithout signature - s 4 a t at t, ye, Sik 1 q `� t - , '- - '''Cif i` '- F r k , f f f t f ! a ., ' a, Y w.,, ad _F w k - v NoN 1 " mot f ,, r ; * i A + �l ,s a } "m *i° e o 1. „ , t , {- i r ' _ ' : ,+ z ,. ` / � f _ , .' . f +' / 1 / i t Ii1�11. r s + 1 " i ' 8 f * 1 ,r•` fit' .... t t 1 r . ✓ s ue ter.« f ` --f -- -' I. PROPOSED FENCE LOCATION a - ' # t / .- ' i ft „„, 4- .., g, if 1 � �, , " , , . .., .. , , , „ FENCE TO BE 48" IN HEIGTH & TO y 7 /yet% MEET ALL STATE &LOCAL _T CODE FOR POOL FENCING , , PROPOSED GATE LOCATION 110'f a WITH SELF CLOSEING & LATCHING 4 ' t ° 9ry + .1:. -P 6 e, GATE W/ RELEASE AT ` , .4 ° LEAST 54" HIGH i 4 I i `: l / v� i , A . 5_. _ - r - ■ PROPOSED SECOND GATE LOCATION� , �, � WITH SELF CLOSEING & LATCHING N1_r _� ` s '. 1 ' : 9 ; GATE W RELEASE AT 1 4 LEAST 54" HIGH 45 1 I : ' I % , , \ 1, \ 11 *N . ; \ . RA b 44 Y 1 W t, 1 s = V3/4 i 5 4 • c { 4 53 NEWBERRY ROAD EAST WINDSOR, CT 06088 (860) 623 -9886 FAX (860) 292 -1033 i t16' WWW.AQUAPOOL.COM p0 Date 10/04/11 TO WHOM IT MAY CONCERN: Sanjeer & Laura Goswami 65 Rridge View RD. Florance MA. 01062 Is acting as an Agent of Aqua Pool & Patio, Inc. concerning any matters in order to obtain a permit for the construction of a swimming pool at: Sanjeer & Laura Goswami 65 Rridge View RD. Florance MA. 01062 Thank you, Aq a Pool & Pa io, Inc. Date APSP WET INSTITUTE • BioGuardµ The Association of AUTNORI7FD EQU!/MENT DFAI_ER & Spa car P00� Pool & Spa Professionals'" & Spa Care Center OP ID: ME C-° CERTIFICATE OF LIABILITY INSURANCE DATE 09 /29 D/YYYY) 09/29111 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 CONTACT 860 - 289 -6816 NAME: Mamie Evans Evans, Pires & Leonard 860- 291 8848 MET,. FAx 121 Roberts Street (A/C. No. EMI: 860289 6816 (A/C, No): 860-291-8848 East Hartford, CT 06108 ADDRESS: mevansAevans- insurance.com Evans, Pires & Leonard PRODUCER AQUAP -1 CUSTOMFR ID V. INSURER(S) AFFORDING COVERAGE NAIC # INSURED Aqua Pool & Patio, Inc. INSURER A: CNA Insurance Companies 53 Newberry Road INSURER B: East Windsor, CT 06088 INSURER C: INSURER D : INSURER E : INSIIRFR 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 TYPE OF INSURANCE LTR INSR wvn POLICY NUMBER IMM /Dr1/YYYYI IMMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 2093838137 02/01/11 02/01/12 DAMAG O ENTE PREMIS ES (Ea R occurrenceD 300,000 $ , 000 CLAIMS -MADE I X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY _ $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENII AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,000 POLICY ,Pj RO I I LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A X ANY AUTO 2093838140 02/01/11 02/01/12 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 I TORY LIMITS I X I ER AND EMPLOYERS' LIABILITY A ANY PROPRIETOR /PARTNER /EXECUTIVE Y El 2093838123 02/01/11 02/01/12 EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: San & Laura Goswami 65 Ridge View Drive, 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 I _ © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD City of Northampton 4 �' `, � Ma ssachu se tts _ , , k-: ,- j � DEPARTMENT OF BUILDING INSPECTIONS a k 212 Main Street • Municipal Building 0a,, V Northampton, MA 01060 ` - '" f ' s % - ,`. 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 I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location • . The Commonwealth of Massachusetts ; Department of Industrial Accidents ; " A " Office of Investigations 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): 4( Ju 1)61 ‘? lo C/ Address: t. 1 _3 AI A, i),1--if x 1 --7-- vlI, Gt cilair cr 4a11 City /State /Zip: Phone #: cfsd l 3 -- fibf' Are ypu an employer? Check the appropriate box: Type of project (required): 1. I am a employer with ❑ u �/ 4. I am a general contractor and I 6. El New construction employees (full and/or part- time).* have hired the sub contractors 2. ❑ I am a sole proprietor or partner - listed on the attached sheet. 7. ❑ Remodeling These sub - contractors have ship and have no employees 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.111 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 bid employees. [No workers' 13. ❑ Other V/ comp. insurance required.] V *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. C r / /J Insurance Company Name: 11i Avi. S P . % L�{e 7 /¢►iC Policy # or Self -ins. Lic. #: C 0" ,a ( 3 0 / 3 ( Expiration Date: , ,2/Of` / Job Site Address: 6 "j gi4 t/ r- City/State /Zip: PArI / 1 Attach a copy of the workers' compensation policy declaration 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 ce • nder the pai ... and I •n , ties of perjuiy that the information provided above is true and correct. c ; 4 Date: / `7 Signature: '�"/ O II "GW Phone #: P- ✓ 9 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 r. - 8.1 Licensed Construction Supervisor: /) Not Appl El Name of License Holder: Vl / '1 C. c (y(,ityiktaaft J p 31 ,3 License Number (e Rotes -J Yitirkir a pv- i t/IN/04c I G 0(93r7 /,?k t x 8 / Address Expiration Date Signat ' Telephone 9 aRegis'tered fomealm rovement ont cto ' � E ° p, � �;;, t Not Applicable ❑ Dl Pd d1 ' / d LC (r/� 9�f �i Compa Name C Regisfriti'n'Nihr Ur( 3 7.7 ,vim4 t 7 7/0.23l70 Addres - Expiration Date EA5 Ai/ 4 4 6 , a4® Telephon / 97 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 ❑ 1 N a Ow nereme mp tion 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 • ,, SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House n Addition ❑ Replacement Windows Alteration(s) n Roofing n Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [1✓] Siding [D] Other [t ' Brief Description of Proposed _-- /% ti . Work: _ - Ii ' J , U ' l Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet sa if Nein houseearid,or addit on to existinq.housincpzomRlete the,follo nq: 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 CONTRACTORAPPLIES FOR PERMIT T. property S v ,e ,e vi Ws 3 ,►q-,4,, , , as Owner of the subject hereby authorize / ,f1 d1 4 91e4) to act on y behalf, in all ma relative to work authorized by this building permit application. Signature of Owlier j Date Q / ' ice iJ �11v -NA ►' , as . uthorized Agent hereby that the statements and information on the foregoing application are true and accurate, to the • _ _ • my knowledge and belief. Signed under the pal and penalties of perjury. 4 'W( Ititl Print e / GrANIAN Signature of er /Agent Date lO • Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To comilete Information - --N Existing Proposed Re iredby' Thi oluu n to Alt. by Bu' ing tepartment I , `, ` °'" ow,.. -0........1,,, .. X 41 Lot Size " Frontage (Z f° , , 9 Setbacks Front 1 1 f Side L: R:L11 L:' . { R: s ` -- Rear 1 f D 1 Building Height 2W a Bldg. Square Footage % I 1 ---- i + I Open Space Footage' (Lot area minus bldg & paved ; j r 4 �� r F parking) i # of Parking Spaces = i Fill: /VIP .� ..._. ___.�.._.�__ _ _.w.._ _._..... _...�.... I (volume & Location) ' J-^ ! A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW YES 0 IF YES, date issued:: IF YES: Was the permit recorded at the Regist of Deeds? NO 0 DON'T KNOW YES 0 IF YES: enter Book 3 Paget = and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Issued: C. Do any signs exist on the property? YES l NO 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 (g-- IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, exca on, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. y , a . Depart epft use on,Y ',a,1 M° t-� , '� C of Northampton status b Permit p a o . � t , t ,- -u -, re e k ,. a rt y ' Bu ding Department Cur C rivew- a tt � 2 Main Street Sewer ep IGvfaliabtl : �� r"'� 7 �F��� ' ^c �� 1 Room 100 Street A at � V II A- lig. it' � ' f a pton 240 Fax MA 01060 413- 587 -1272 P T woo Sets ''of SStr c£.t aP an an t `.i; r y s _ - io ,SI is s APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1- SITE INFORMATION This section to be completed by o ; 1.1 Property Address: , r �' • � `N,,, z q t� N 4 0 „s ; t /� 1t ''( £ . x' m.^ s s w �. i s 3- 1 �. l' Y t VvV Z t...(/�. M ap `' -' x -. ,, .er * ,, ' {k `" .�� - . °,, w` s ` -a l V _ '� l K t/ f o — ' Zone -�4 c ; n ? i Over District k �, Elm St. Distric CB Dis trict SECTION 2 - PROPERT OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Lau( 6( �a r t? ev (T1 O t1t�r>7 �� !� r Vl �- /IV W" t V1(,C , Est Name Print) Current Ma A d s: r > (7u \ wv1V v t Telephone Signature 7 2.2 Authorized Agent: /,,,,,, - it), t 53 i( 4- l u�' � � � r- Na Fe ( -rind Current Mailing Address: -., 1x:1 7 61'.3 — 9d Signa .: Telephone SE • ON 3 = ESTIMATED CON COSTS, , Item Estimated Cost ) to be Official Use , . , , , , , , completed by 1. Building permit (Dollars app 3 4 20 ( a )`Building Permit Fee 2. Electrical (b) Estitd Total Cost Constru ms t from (6) of 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= (1 +2 +3 + 4 +5) 5 o Check N umber = ) � ` T his Section For Official Use Only - Date Building Permit Number: Issued: Signature Building Commissioner /inspector of B 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 • q p0 _106 File # BP- 2012 -0365 1 ,' /� APPLICANT /CONTACT PERSON AQUA POOL & PATIO CO 1 �� C. � • � A ADDRESS/PHONE 53 NEWBURRY RD EAST WINDSOR (860) 623 -8374 PROPERTY LOCATION 65 RIDGE VIEW RD MAP 48 PARCEL 025 001 ZONE RR(100)/ P litralAjj THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid •' �� Building Permit Filled out 4 (w jj'' Fee Paid Typeof Construction: CONSTRUCT 16 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 INF9 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 Sig ' e 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. • 65 RIDGE VIEW RD BP- 2012 -0365 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 48 - 025 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 -0365 Project # JS- 2012- 000589 Est. Cost: $53800.00 Fee: $60.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AQUA POOL & PATIO CO 038393 Lot Size(sq. ft.): 98445.60 Owner: GOSWAMI LAURA A & SANJEEV Zoning: RR(100)/ Applicant: AQUA POOL & PATIO CO AT: 65 RIDGE VIEW RD 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:CONSTRUCT 16 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