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--- - VENETIAN 520 - DIG PLAN
WEIGHT: 1500�4" SAND BED A EA: 310 SO FT SCALE 1/4"=1'-0" DATE 10-02-05
PERIMETER: 85 FT
VOLUME: 9500 GAL DRAWN BY KLB REVISION 01
ALL MEASUREMENTS AND QUANTITIES ARE BASED ON AVERAGES
r ..
in.
Plow Valty-F& PoA aid Sys
3 Westemview RD
Holyoke, MA 01040
www.pvfpools.com
tfv
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46 ft.
!' 31 ft. 10 in.
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Mr. Dick Venne
218 Cardinal Way Residence
Florance, Ma
� A \
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C
E
S
`- Board of Building Regulations and Standards
g g Board of Building Regulations and Standards
Construction Supervisor License
HOME IMPROVEMENT CONTRACTOR
x License;. CS 6431.4
@a !date" W- ,5/1960
Registration",-143233
Expit�on 11152008 Tr# 11369 -tt�� 6125k2008 Tr# 128284
_f
individual
CLARENCE KAYE
CLARENCE E KAY,
E _ CLARENCE KAYE
3 WESTERN VIEW RD` , 3 WESTERNVIEW RD' ,.,,�.o...`
HOLYOKE,MA 01040 Commissioner HOLYOKE,MA 01040 Administrator
al
'7771, 77
STATE OF CONNECTICUT; + DE:PAR'F1kIEfi1T C( i �LlEi 1
5
PIONEER VALLEY FIBERGLASS POOL S AND., Si
r 3 WES TVIE*RD £
z1
�� A�`�04.0
is'certified by tie Deparrttoonszk7ner$atection as a"registered
HOME 611NEW TONTACTOR
Effective: 03/06/2007
Expirat on: 11/30/2007
Baum-,
68-06-07 32:06pm From-AIG +973 331 8599 T-821 P.001/002 F-036
'ER'TI I AT Q RNS1: 'R-AN.0
81 3/2007
I
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Amherst Ins Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
PO Box 48 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Amherst, MA 01004
COMPANIES AFFORDING INSURANCE
COMPANY A GRANITE STATE INSURANCE COMPANY
INSURED
Brandon J Monahan
PO Box 803
Whately,MA 01373
.COVERAGES-f
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR
THE POLICY PERIOD INDICATED,NOT WITHSTANDING 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 THE
POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN
KAY HAVE BEEN EtEQUCED BY PAID CLAIMS.
CO
LYR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE
A wOOMRS COMPENSATION
D EMPLOYERS'LIABILITY LIMITS
HP PROPRIFTORl 1
ARTNERSIEXECUTIVE
OFFICrzFW ARE
INCL❑EXCL 4470969 7/27/2007 7/27/2008 STATUTORY LIMITS
OTHER
Covomon APp6vo to MA Opomuons Only.
H ACC[DENT $100,000
ISEASE POLICY LIMIT $500,00
ISEASE-EACH EMPLOYEE $100.000
DESCRIPTION OF OPERATIONSNEHICLES/SPECIAL ITEMS
RE:THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR BRENDEN J MONAHAN.
CERTIFICATE HOLDER CANCELLATION
PIONEER VALLEY POOLS SHOULD ANY OF THE ABOVE OFSCRIFED POLICIES OF CANCELLED 6EFORF THE
3 WESTERN VIEW RD EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL.L
HOLYOKE,MA 01040 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT
FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OPLIGATION OR LIABIUTY OF
ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Vj
Quick Open Space Calculations Coverages
house existing 1940
Lot area existing proposed existing
19479 2540 2850 drive existing 600
shed existing 0
Open Space 16939 16629 shed existing 0
total 2540
Open % 87% 85%
Pool new 310
new
WSP SR Open Space Requirement new
85% total 2850
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 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, la c7lln CA- C)C) e2- understand the above.
(Horne owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date :� 3 f) �r �_ �-- a
Address of work
location CDl e5 �� 't!-)C-<, L CA-
F t c-F 0/1
1?i° C01a17.CI1;i�'ea .%T1 ?�ttaSSEfCFCCSec`S
x _ l�spartllzen*of"1'1TClusirial_4ccidenis
—=—_ _
.=
Q, cc ofluvesti�a ons
_ 600 i3 aslilzg ton Street
Boston, 314 02111
wwx'.mass.-ov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Armlicant information FY)
Please Print Legibly
Hanle(Business/Or Vl?aniza ion/Individual): a�Cl Q `-
Address: 21� �ar C�t r�G�l �C�y —
City/State/Zip: P C) v10X9 Z Phone#: 'A 3 �5 q(.v
Are you an employer.'Check the appropriate Type of project(required):
1.❑ I am a employer with 4• I am a General contractor and I
employees(full and/or part-time).
have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have
S. ❑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 10.7 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 I.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.7 Roof repairs
insurance required.] r c. 15-1, §1(4),and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating thev 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 showins 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 thepolicy and job site
information.
Insurance Company Name:
Policy n or Self-ins.Lic.#: Expiration Date:
Job Site Address: 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 Section 25A of MGL c. 152 can Iead to the imposition of criminal penalties of a
fine up to$1,600.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to 5250:00 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 h erebT,certif
y under the pains and penalties of perjury that the information provided above is true and correct.
Si_-nature: �-� _-z �. / ° l t� Date:
Phone Y: y 3 ' `J�7 y Cl Co
Jfficial use onlh. Do not write in this area, to be completed by ci07 or town offzciaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/`Town Clerk 14.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone�:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
8.Rettrtd tmprotrttutnt CttntraiCtai: Not Applicable ❑
Company Name Registr tion Number
®6 L—,-,5 LO
Address Expiratio Date
Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(1111.13.1—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...... ❑
Cv�eraem ►ti�n
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,grovided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 1083.5.1.
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 buildine 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 6-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House [� Addition r_1 Replacement Windows Alteration(s) ❑ Rooflng ❑
Or Doom 0
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [C] Siding[0] Other 1R
Brief Description of Proposed
Work: ( nCtry(-L� �i c?I'C��C�S S S wl C
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
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 CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject
property
hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, V lQr\�Cam' • ,as Owner/Aethe4z"
Agent hereby de care 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 penalties of perjury.
.F-riot Name
CD
Signature of Owner/Agent Date
Section 4. ZONING Alt Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage Z.51 b
Setbacks Front 1 "
Ga
Side L: R: L: 3 I R: LIti �O I
Rear ID :
Building Height
Bldg. Square Footage
Open Space Footage ry % �tr 4)
(Lot area minus bldg&paved / J ((.
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW YES Q
IF YES, date issued:.
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW YES 0
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained l , Date Issued:
C. Do any signs exist on the property? YES Q NO Q
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 i acre or is it part of a common plan
that will disturb over 1 acre? YES Q NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
City of Northampton
t
Building Department
212 Main Street wrdt3sa:Ati�t
Room 100 *w'' O, [
Northampton, MA 01060 'tom
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMI DWELLING
APR 2 2 2008
SECTION 1 -SITE INFORMATION
sectlort t I_be comp�ed by office
1.1 Property Address: F , 4
map t �r�, rt�1f�"tS 1(
Zr C'a� n q1 moo-, Let € tP + Unit
zone overlay Diwct w
Elm SL District CB Dlstrlat
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
I7j fi C,►AC,T c� •f t�l��n�l ,�'l . n/1 ' Z v �'C��L�'i fl�c C_t.��y�/ ; c)
Name(Print) / Crrie�MaiGr► Addr�ss:�
Telephone `t `
Signature
2.2 Authorized Agent:
Name(Print) Current Mailing Address:
Signature Telephone
SECTION S ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by rmit applicant
1. Building (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) 30 Check Number
This Section For Oflicl al Use Only
Date
Building Permit Number Iss ue
d:
Signature:
Building Commissioner/Inspector of Buildings Date
�Q927
APPLICANT/CONTACT PERSON Richard Venne
it 'Way , FLORENCE (413)584-3596()
PROPERTY LOCATION 218 CARDINAL WAY
MAP 36 PARCEL 327 001 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ZONING FORM FILLED OUT ENCLOSED REQUIRED DATE
Fee Paid
Buildin2 Permit Filled out
Fee Paid
Typeof Construction: Inground Pool
New Construction
Non Structural interior renovations
Addition to Existing
Accesso1y Structure
B_ uilding Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE YOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION 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
De fit* Delay
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.
BP-2008-0927
GIs #: COMMONWEALTH OF MASSACHUSETTS
..
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cate og ry: BUILDING PERMIT
Permit# BP-2008-0927
Project# JS-2008-001387
Est. Cost: $0.00
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PIONEER VALLEY FIBERGLASS POOLS & SPAS LLC 143233
Lot Size(sq. ft.): Owner: VENNE RICHARD W
Zoning: SR Applicant: Richard Venne
AT. 218 CARDINAL WAY
Applicant Address: Phone: Insurance:
218 Cardinal Way (413) 584-3596 O WC
FLORENCEMA01062 ISSUED ON:412912008 0:00:00
TO PERFORM THE FOLLOWING WORK.-CONSTRUCT 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 4/29/2008 0:00:00 $50.008441
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo