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30C-073 568 BURTS PIT RD BP-2019-0351 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-.Block: 30C-073 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: POOL WIRING BUILDING PERMIT Permit# BP-2019-0351 Project# JS-2019-000570 Est.Cost: $33700.00 Fee: $75.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JULIANO'S POOLS 139826 Lot Size(sq.ft.): 32931.36 Owner: GEORGES YVES M Zonin¢: SR(100)/WSP(100)/ Applicant. JULIANO'S POOLS AT. 568 BURTS PIT RD Applicant Address: Phone: Insurance: 321 TALCOTTVILLE RD (860) 870-1085 WC VERNONCT06066 ISSUED ON.9/20/2018 0:00:00 TO PERFORM THE FOLLOWING WORK:18X36 IN GROUND SWIMMING POOL WITH 4' FENCE WITH SELF CLOSING LATCH - "BARRIER MUST BE IN PLACE PRIOR TO FILLING 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 9/20/2018 0:00:00 $75.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-0351 APPLICANT/CONTACT PERSON JULIA O'S POOLS ADDRESS/PHONE 321 TALCOTTVILLE D VERNON (3 ')870-1085 PROPERTY LOCATION 568 BURTS PIT D MAP 30C PARCEL 073 001 ZONE SR(1 I)J/WSPlf)Q/ THIS SE( 'ION FOR G:'T'Irl. FTSE ONLY: PERM, i APPLICt TION( ,i;CKLiST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildin Permit Filled out Fee Paid Typeof Construction: BOND&WIRE NE - ROUND POOL N6ZE : W A I Z1 &C l N PcA New Construction -PA& ,"To FLWltiC, Po o L_ Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 139826 3 sets of Plans/Plot Plan THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN RMATION PRESENTED: At 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 ---rz�,o / g Signature of Building Oficial 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. Department use only City of Nollthampton Status of Permit: 9 20 'ilding D partment Curb Cut/Driveway Permit f . 212 Mai Street Sewer/Septic Availability f . 00 ; 100 Water/Well Availability F BUILDING iNOM "' ton' MA 01060 Two Sets of Structural Plans R7 40' Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION (/fes' 4 1.1 Property Address. -1 nu section to be completed by office 5&5 �ulr.�s?i+- 9WJ Map nl/ Lot 0� Unit FlOrre-We, IM►A 010lo2 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: kffiroes, y c►cs M _�R i�ur �e-4-12md Name(Print) J Current Mailing Address: 415-923- aqg s C"onk=E a Telephone Signature 2.2 Authorized Agent: 411�O(IQS'_ an r.�J_- .�i , 4; &`Phn1 s 32-1 -r 1( 1cC7t h4 l Ie-ea-A 11P ynw,C T Name(Print) Current Mailing Address: Sig ature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee ,d0 2. Electrical (b) Estimated Total Cost of 44,0.0j Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) Wl� 5. Fire Protection 6. Total= 0 +2+ 3+4+5) Q Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date M Me- @ Ttilio.nnsalrnis' o(Yl EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) �'�:� � ci Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by ,1 �" -ry Building Department V Lot Size 0-951110 1 Frontage 12E Setbacks Front I._-7 Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW 0 YES O IF YES, date issued::; IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES O IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained 0 , Date Issued: C. Do any signs exist on the property? YES O 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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading, ex avation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. it SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors E-1 Accessory Bldg. ❑ Demolition ❑ New Signs [E3] Decks [M Siding [o] Other[I6] (J 6L Brief Description of Proposed Work: 'X ' S-f-P-01M) (ana �l t Alteration of existing bedroom Yes No Adding new bedroom Yes ✓ No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existinq housing, complete the following: a. Use of building : One Family V 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. r]� p-0 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 V Private well City water Supply 1L/ 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 �"ulianos P4o�S to act on my behalf, in all matters relative to work authorized by this building permit application. see ew&uc+- I1$ Signature of Owner Date I, + 1�c11 Q�l��A —, ) ((1 (�(7�( as Owner/1thorized Agent ereby eclar that the statements and information on the foregoing application are true and accurate,to the best of m dge and belief. Signed under the pai s and penalties of perjury. -.K1C u Ulvlkccvc� Print Name v � Signature of Owe Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable Name of License Holder: License Number Address Expiration Date Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ �3l%a(o CompanyName Registration Number I �TZ�IC( v�1�t�Goc� r�x�ac�lao�� Addr�es/sp�/� /� Expiration ate C-r- Telephone 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 buil ng permit. Signed Affidavit Attached Yes....... No...... ❑ i MassGIS Level 3 Assessors Parcels -kS I'll Flo ONCE i am BURm PIT RD FLORENCE RD Ise ee a QVN RD 4 NUJ BURTS TRO PLATINUM CIR 43 PL ATINUM CIR 43 PLA NUM CIR 42 PLATINUM CIR — — — F] Level 3 parcels 60ft MassGIS,Esri Canada,Esri, HERE,Garmin, INCREMENT P,USGS, EPA,USDA MassGIS fJ� /�Q /fin ✓I11C —is, iffile .fear- ao' fin+ _)6, :SW �e�-b Cuw0j&Sw?V*0+0Q) City of Northampton �~ Massachusetts s c Y DEPARTMENT OF BUILDING INSPECTIONS ,A0 lD 212 Main Street *Municipal Building 6J��Y :Cam Northampton, MA 01060 Debris 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. The debris from construction work being performed at: 5(A `UC-ts IPik{?(, A (Please print house number and street name) Is to be disposed of at: UsA wQwi Rj - s S 6hS- arp �� ptU� nto ,cr (Please pri name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: � asp 1;(,G • u►�(Company Nakne and Address) Signat a of Plernfit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. \ The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lezibly Name(Business/Organization/Individual): r,�111h�1QSP(�� (,�JL Address: U _Talc&4-yi1L- City/State/Zip: Phone#: ?YD048r1D1(]K5 Are you an employer?Check the appropriate box: Type of project(required): 1.®I am a employer with 52i_employees(full and/or part-time).' 7. New construction 2.❑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. El Demolition 3.F1 I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10E] Building addition 4.❑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.❑Electrical repairs or additions proprietors with no employees. 12.F]Plumbing repairs or additions 5.M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.E:]Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®Other �'� � 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. f 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. /� Insurance Company Name: TI�TaneaAoenGU Policy#or Self-ins.Lic.#: �JUUn��C OI Li LiSS� Expiration Date: (q IN k9 Job Site Address: 5(��1Y1-%t' - E . City/State/Zip: F.10mTe,mI4 o kwQ 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 un a pains nd penalties of perjury that the information provided above is true and correct' Signature: Date: Phone#: M g%1,m. 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#: 1 ! Fax(860)X72-663t) NA:NE. NpIA L S ! `'� f=S ('T r ADIklsS she Eons (� ry (7O 110MEPW "I -4u6S (-A r..)c r t'1A t V3 c);0-_-r'., t r.C" ;;� (.t.E.f.Pi1D''F. " CITY,STA71:,7tP � , peµtp 1-MAILADIRI�.SS N (r r.cygGr.J r+ 0s <_, f . / .•�-, (f.l.l. PH()":t tl 1 3,..-.."f..t3 Q`+,41. 04 Thryry++root hawked rnorreb dmk b Lm.Stan Dale [ - 1 t $ ttxx vt(AwtvO I I Not udM pj/�t�f Nm tacmdM-f Vila)rrMm a he e•kM Fol.Completion Date Rrrryx>I ha•e Price well _.ScruM ( x'.`".'•4'rr'R',rkr nFG T/I,J G.CC /e•' RA+JT+1 GALJ `f14C `' xµ1.Of�D t'nnl l>rscrlpUon-nrprh ( Bh 3 Co C'se•Irreted Wllk 1.1—. )NII 1'uo..rn '�-""•� _ _.._...„... _._____..`.--..__ _.____._____._._... s_2 u C L stair., -Lt &' C>R F-.i G Z) r rV P .S TE P Sb sp. f"11Ntt_L YL&-T.YDQ_ Coping__,-(_J.�'Irilc IK;rav_I Ilan,.inn-Cl cane fcantilevcr�riac®Munn 'L"rr��I I I s—ti ' a' •• � seniNzcr .._L.jtlV.T9Mt1T1C.S114 Qt3Nt1TQR fu,cludg .__1.I MINERAL SYSTEM r 1 sA4ISy ilEM�i�isITE1E8—�s-4U r x fJ_r G peater._.11,No ( IYES TYrE Pt+ti9 G Q F r1 s>Q fx J Jt 10"IdGNT W/hF.NS KIT(INCLUDF.D)�]_No t E Yf-:S ( I ADDf[70NAL 10"W!LENS KIT a'LE .iu,J4_L___ L s W OQO*ZMW J'JNO I I yS (c�(�1 F 3M fnfeT-t <�✓e? •c(and•ra_ eer3 fsn, .'nt�ilf- - __._ -- •2"Pump x �tlt• _-„�_, ,^�,_ • St.-Rite System 3 D.E.Fitter S �fN� __- -_`--�—_` • VermightwH.B. D—kJrts t ( O ( ]YES QTY • 10"[wgM w!teats itil • 6 of Skimmer S _r_.% ` Variahlr Sprrd [ )NO fLKES • a of Returns _ x Automatic Vacuum f Np Plumbing: Ft.Ex.; POLY f I YES TYPE _-_ N'dray Step Solar Cover/Sofar Rings Ji- NO I J YES • Automatic GLk,nnator • Rope&Float S SVD WWC*A*D C-I1A0 L-r-.SSS r-1"�F At.4.0+s,Js.0 ctV, . MainttnanceKit 1L--J-VV - _.y�,�/�n•Fj' • Commercial Omde Pool Alarm S Tree Work �!O YES BucketLc"�Tmck/CfimberR uired •( ] eq I I NO ( ]YES • Vacuum Kit • Start-up Chemical Kit S Shed Site ( IO [ J Y Siu • 2 Main Iain Dumpsite Required [ J NO [ F.S - - • 3 Step ladder--(;ray S GOA Electrician provided by Jnulianos ( ]NO [aJ-fES HIGHLY RECOMMENDED Handrail--Gray S (ppt7 t) 00 S Q L? '7 Q-)S,a R!f C �)L'j C V'e A L L a�11 t G. �� Standard W inter Cover S S'ua to 54-10 AV"W—t �', 311T pA- * SPECIAL NOTES* �S v �Nr S/M� S (f 7V� r� �Iq,cKJ 17f fc�.JQ qtr r7.v�i+cG� AL`�r"F^+ct 1 4 P-9 SCHF9ULE OF UP o P Y NTS a °� "r p" Y• 1 a ;n,,�{(, z��L Swimming pool and equipment to be at a total cost of (S Ot blab b ) pi-any extras l•.r Ckx t/31a plt't:$ it Vr» V� (See Reverse) r<c/h to_f�fl . Ia.N< Deposit on signing contract _ t y S v' Qu CC) r.J�s Zact.J9t:r! s �iou When pool is delivered and work begins � �,•A' y ��NSF C-0'* J L Whrnpool hole isdug and walls are erected ,v{ ILLbb'i'*r"'t � .34L�� 9 5' VJ, p� 'tR,clts OC�,JcRC When liner is set in pool and water begins to fill the pool '7 t 'A (�Q�}t>E�F (• L7 N ,JcO. Balance,including all extras,when pool filter is operatingJill When concrete patio is poured and forms are removed — ' J a _ Z� L F�o&4 4%r r�, ag,- s I �Aao+y�r �'r- c�►�oP or-t,TA {, tcl^+rfS C-Wtn J¢'�D H_^t Q4+t' Q4�T N Ire'Keto ig ty L4e«fA %J✓ tlo-Aw+70 Pool / "sy ' trr.�/f4 N a � Sn,o 3-.r7.r4Tax _Total 37,100 -r.Je-L 1100 s00 t �� od ��o 00 �n I S Do `D COV a� � bS 3 � t� , LV, COV of Proposal: The above prices,specifications,and conditions are satisfactory and Date of Transaction are hereby accepted. You aauthorized to do therrk a specified. Payment will be made as re outlined above. q -r l Ji J<) o f as M bo Signature (Juliano s Rep `n the event of default by the Buyer,the Buyer agrees to pay all costs of collection including < Signature (Customer) casonable attorn s fe 'E addition to other da ages incurred b th Con ctor. + n, n �j,�� 1�w'�� C 1 ° �''.rrr 1 Signed at _ (rb 9 FN QTS this instrument Is based upon a Home Solicitation Sale,it is subject to the provisions of the l e t 4,rt,C ` 04 o'V b ume Solicitation Act,and you,the Buyer,may cancel this transaction at any time prior to in the town of idnight of the third business day after the date of this transaction. See rear of contract for dice of cancellation for an explanation of this right(Saturday is a legal business da .) L�o ala www.JulianosPools.com .3yY '6'. tr1 �f}d'ijrl�( 1.. ✓ �1 ` �'` /'£ Lft' !'`�' � IQL•C. Office of Consumer Affairs an Bu :iness Regulation 10 Park Plaza - Suite ! 1 /'0 Boston, Massachusetts )2716 Home improvement Contractor Registration Type: Individuai !fag i strati o n.: 139626 BRIAN JULIANO Expiration: 08/26/2019 D/B/A JULIANO's POOLS 321 TALCOTTVILLE RD. VERNON,CT 06066 U date Address and return card. Mark reason for change. (-1 kddress ❑ Renewil {=I Employment i I Lott Card - --- Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid fc individual use only TYPE:Individual before the expiratio date. If found return to: Registration Expiration Office of Consumer ffairs and Business Regulation 139826 08/26%2019 10 Park Plaza-Suitt 5170 BRIAN JULIANO Boston,MA 02196 D/B/A JULIANC'S POOLS BRIAN R.JULIANO ��F VERNON, TALCNON, T 0606VILLRD v Not vali without-signature VERNON,CT 06066 Undersecretarn, JULIPOO-01 PHOLDEN ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/17/2018 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 NANTACT Patricia Holden Jarrett Agency PHONE FAX 657 Enfield Street (A/C,No,Ext): (ac,No): Enfield,CT 06082 RI :pholden@thejarrettagency.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:QBE Insurance Cor oration INSURED INSURER B:StarNet Insurance Company Juliano Pools,LLC INSURERC: 321 Talcottville Road INSURER O: Vernon,CT 06066 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 ADD SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 CLAIMS-MADE [ OCCUR CCI12A % 01/01/2018 01/01/2019 DAAMAGRE EToRENT RoccurreS(EENTED $ 1,000,000 MISMED EXP(Any oneperson) $ 10'000 PERSONAL&ADV INJURY $ 1'000'000 GENT AGGREGATE LIMIT APPLIES PER: JAWL GENERAL AGGREGATE $ 2'000'000 ECT LOC - PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY F1 Jj OTHER: A AUTOMOBILE LIABILITY EOMBI id SINGLE LIMIT accent) $ 1,000,000 X ANY AUTO CBA1220708 01/01/2018 01/01/2019 BODILY INJURY Per arson $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ AURTOS ONLY AUUTOO�ONLYY rr acEcRdent DAMAGE $ 1 1# 1 _ A X UMBRELLA LIAB X OCCURCH OCCURRENCE $ 2'000'000 EXCESS LIAB CLAIMS-MADE CCU 1220708 03 01/01/2018 01/01/204AGGREGATE $ DED X RETENTION$ 0,000 Personal&A $ 2,000,000 B WORKERS COMPENSATIONX PER OTH- ANDEMPLOYERS'LIABILITY BNUWC014455007/13/2018 07113/2019 STAT TE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE YIN ' E.L.EACH ACCIDENT $ QFFICER/M�Mg��EXCLUDED? N/A (Mandatory m 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 (ACORD 101,Additional Remarks Schedule,may be attached N more space is required) Evidence of Insurance 0 4F CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Juliano Pools,LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 321 Tal ottv Pool Road ACCORDANCE WITH THE POLICY PROVISIONS. Vernon Rockville,CT 06066 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD H3i HAY AR[�i Products I lernmo s lnduS 70'C�`, Y C12TfIRiOf15.NC 27G:2 M Hayward industries,Inc.Company 336-712-9900 www.haywrardnet.corr• CERTMCATION OF COMPLU'CE Contains: WG1048E or WG1048EW Description: 8"Round Suction Outlet Cover ` Ratings: Floor: 123 GPM Wall: 72 GPM Open Area: 8.1 sa-in Certified to Comply with Section 1404 of the Virginia Graeme Baker Act(VGB)Pool&Spa Safety Act Test Results can be obtained from:wwu-.Haywardnet.cotn and/or http://www.nsforg/Ccrtifie&Poolsy f %-ianufactured: After December 20,2008, by Hayward Pool Products in Jiangsu Province,China and , Ocinmom,NC Divisions of Hayward Industries,Inc. 620 Division Street,Elizabeth,NJ 07207,Phone 908- j Date o i Mfr:The Lot Nurr aer shovm on the product label contains the Year&Month of manufacture.The srst number represents the year(ex 8=2008)and the second character the month(.A=Jan,B=Feb,H=Aug,I is ;kipped.J=Sep, etc) c T::ted to ANSVASME 112.19.8-2007(addendum 8a-2008)per Section 1404 of the Virginia Graeme Baker .pct(VGB)Pool &Spa Safety Act. Certified by NSF international, 789 N.Dixboro,Road,Ann Arbor,MI. 48105 1(800)-NSF-MARK. r of installation: ISWG1048COC Rev B -- SPACING RETiN. EEN -�-- �/;G11�EiI�G _ES i s s USED ON FOLLOWING SERIES: 00 4 WG1030AVPAK2 SP1030AVPAK2 O00Qa4 WGi048AVPAK2 SP1048AVPAK2 , 000000000 WG1049AVPAK2 SP 1049 AV PA K2 4 OOOO OOOO WGi 051 AV PAK2 SP/OSI AV PAK2 ;-N C-- TLE 4 R00010 D O OC? WG1052AVPAK2 SP1052AVPAK2 ER VvG`G:8E 400Oppp�� WGIO53AVPAK2 SPi053AVPAK2 Q40Q4OU00000�D WG1034AVPAK2 SP1054AVPAK2 O O WG1153AVPAK2 SP1153AVPAK2 WG1154AV PAK2 SP 1154AV PAK2 G "t,LE)UNE KAPwi Protlt�s C,«�.,■„■,� Jne source. Even pc- 2 000/20 50 SERIES 0 2' RADIUS RECTANGLE • 18' x 36' ................ WHANINAMpoommd" AH*WdW4*ImW**" WhoW—b4 ............ IV poUlgil WAIN 18 VtJltt4ffl 1110 = w*stim" !Mg. .8 AMR At 12.19,11 AT 3'-0"MM A?ART CUTMCATION OF p,torsoWGIC482 OR WGI*4&ZW Doolplim.,8"Rowd Suction Otwel cover L ContWmz f—Ral Amwpl VIM OPOAMt wQt*4vk0iw—*mi#,WWAct Rmdw cm'—-Z W4 fM mmAteopo m0ties year(o 8-2008)sad to l000d cbmior ft roaft(A-im SWab,RIAU&11, a e a n a1'"W10AMASM 112.10.8-2007(addmwials WOW pw Sudan 1404 of0m V4t"GmwDicer Aa0 CW)?WNstP 4kSp3d4yAct CaWAbyWObwoW"71".PWnmRoad,AAUAeocr.Ml. wwoloisoockoll Rm tutee MYOMR] bog A� IP Ag miclomcwum ALL DIMEWONS ARE FINISH DIMENSIONS rl Wil ccovT q po"N otm N STANDARD NMIK I IWI 2"801111)(flAt 40 PVC 14110 Wit MAW DRAIM OR X=10N UM 3 UM FIAM MIN MIUM 1184l ROQUIRRMWrS OF ANN/A*&AOU=112.1944007 IVK AN71."AM AND 110W EMRAPMfW AND ANSUASP-7 2M STANDARD 37MSD;tAWINOW)1,LSUPIILWAFNTCONTAA(,*rORRMAW'MGONVILR I - _ 3 LrF PAT O . Sounds alarm-if chikhen or pets fall &W"W powi pow] r i 'HE COMPLETE `POOL PATROL" POOL SPA SECURITY I YS TEM e Pool Patrol Pool Alarm 3TM (The Pool Patrol meets the requirements of ASTIVI Standard F 2208) i ® Meets Requirements of ASTM Safety Specificaboi F2208-07 e Easy to install with no . damage to your pool - Adjustable sensitivity to .,q " , exert-to_use reduce false alarms 9 volt battery powered a Floats'on ppol surface m Low battery indicator > M Battery powered a 1�ow battery irac or e The only floating alarm tht i.Corrosion meets ASTM Safety - resistant Specimcatflorlls =_a for long we ks in any Type, shape, _. _ ]I ids for bothc-l.aze peel or spa -.m-ground A±so protects commercial _abqve� pco:s and spas i PPQ1S • New advance u F � � microprocessor design f -.; + "�� o Latest RF technology i :Pools o In house remote receiver MWOTE EMWER _ a Alarms at 85+ dB at 10 fie, -.L== One alarm can monitor a MAXW 20' x 40' pool Multiple alarms can be used in larger pools Alarm can be used witha solar cover ® Will detect children, pets, or objects 15 lbs or largor. , SELF CONTAINED UMT`Aq T H LOCAL SOUNDER ALSO TrZANSM1 -0 CUR REMOTE RECEIVER(ASTM) + i 1 i 7e Pool Pair®f Door gate Alarm y11 ylG�14__: Poolguard Alarms-pool alarm,door alarm,gate alarm,pool safety,child safety HOME I Cr NTACT.t15 f BUY POOLGIUA1D l PRODUCT MANUALS IWARRANTYREGiSficRAIION You -guy- o Pootguard Alarms: DOOR ALARM - Model DAPI-WT - SOUNDS IMMEDIATELY! •Porti Alarm—Model PGRM-2 • Pool Alarm—Model PGRM-SB • Gate Alarm Door Alarms - NEW �. •Door Alarm -DAPT-2 - (Sounds in?seconds) ; • Door Alarm -DAFT-WT (Sounds Immedlately) w Other Information: • Contact U �' •Buy Poolauara • Product Manuals • News From Poolguard •Warsant ryrReaiskration 0 POOLGUAROJPBM INDUSTRIES, INC. has been manufacturing pool alarms, door o UL Listed to UL 2017 alarms, and gate alarms since 1982.Ali Poolguard products are proudly Made In ° Sounds immediately when the door the USA. Poo!Suard Dcor Alarms comply opens With all building codes and are UL Listed s Outdoor wireless transmitter pass- under UL 2017, The rnajphty of children thru feature that drown in pools 9c o, the back door Q Simple To Operate first and Poolguard's D--o-Alarm can help o Easy to Install protect those doors.Ad;It pass through feature allows 15 secon?s fora'dUitS to ° Important safety alarm for doors pass through the door wl:hout the alarm 0 Complies with barrier codes sounding. a Low battery indicator 0 Battery powered 11 Automatic reset POOLGUARD DOOR ALARM WITH WIRELESS FEATURE 1 Year Warranty Complies with all building codes Loud 85d8 horn(at 10 feet) 112 h',tp://www.pooiguard.com/door-wireless.esp w y:1,11LU�4 Poolguard Alarms-pool alarm,door alarm,gate alarm,pool safety,child safety ^��yr a r r 'r k,p�:t i 6 ••' F • The Door Alarm. will sound immediately when a child opens the door,and will continue to sound if the door is left open. If a child goes through the door and closes t,the alarm will sound for 5 minutes and then, automatically reset. • Poolguard D•oo-?lann Model RAPT-WT is equipped with an Outdoor Nireless Transmitter that allows adults to enter the home from the outside with=out the a'arrn.sounding and is easy to instal:. • The Door Alarm is always on and will automatically reset under ail cond'.,`c ns. • Pco°gwasd Docr Alarm is equipped with an adult pass through feature that w:: a v;adt.:Y�s to go through the door without the alarm sounding. • Opora scree:r Noor kits can be purchased for the alarm,this kit allows yoJ;-get a:*., ^rough your screen door without the alarm sounding. P-= - _.d-nco-A.Ia7m.uses one 9-volt battery,(not nduded)with a battery life Months. • --a icor A'arrr. Is equipped with a low battery indicator that VARaudibly a c-", your battery is getting low. • ?oc arc's the only door alarm that is UL listed under UL 2017 for water -'-=Z27= 9-tra7cce alarm equipment. Door A!arrn-Wireless PQF manual: All ftoducts Pt+D� hifn•lh.ninu nnnlr..ger.-4 r-n.:+!rt.+n-_:..:.ele�c..+e•.. ® Call T®IB Free 800-344-2242 ALUMINUM F11 I GE ORNAMENTAL FENCES OF DISTINCTIONT" STYLE I Loops and open pickets Aligned pickets with Aligned pickets with finials Aligned pickets Staggered pickets Aligned pickets with finials gush bottom rail and(lush bottom rail Exposed These designs have no top rail,and are Picket classic"wrought iron"designs that I...been used for over 100 years. W--� -M I Designs ® 01114 1® Uri ® ® Id o Aligned pickets Staggered pickets A smooth top rail makes these styles Aligned pickets Staggered pickets Staggered pickets with finials with flush bottom rail with flush bottom rail Two rail design Covered perfect around pools.These are our Picket most popular designs because of this. Their aluminum construction makes them ideal for pool enclosures since Design s they can never rust ®f ifs t,® ® ® 091 ; DMI Em els with top rail an These fences have a narrower space Aligned pickets with top rail Staggered pickets with top rail Aligned pickets com • - Specialty between the pickets to keep pets inside your yard.The spacing also Liberty ECONOMY Designs makes it very difficult for children to American Series obtain a foothold on the fence. Im MM 1 81 Residential ® ® ® D ® l G ?Aero Regency Industrial HEAVY DUTY • C C E S S • - Technical specifications are available Wire -- --------- Jedth's Patriot line of wire fence is a great alternative FINIALS,GATES,ARBORS AND LATCHES on our website with availablo heights to aluminum fence that's strong,but has a more subtle and accessories. visual presence that hlends in with the environment. Jeritir has a vide rarely of scruffs,Ink as a rcf other temsto Fence accent your With fence.Gates are also available to match __ To see our full line of wire fence alternatives, any of our fence,designs,and we have aluminum arbors to Jerith Manufacturing Company.Inc. Designs download the Patriot Wire Fence Style Guide highlight a walkway or gate into your yard 14400 McNulty Road,Philadelphia,PA 19154 215-676-4068 - Fax 215.676-9756 Match the styles seen here with actual product installations on our website at www.jerith.com niroi i�w 5111/2017 Aluminum Fence Dimensions-Jerith FenceJenth Aluminum Fence ALUMINUM FENCE NAMENTAL Of DIS]INC11ON- SPECIFICATION GUIDE ECONOMY HEAVY DUTY t eEPTY PICKET 519"SQ12M I°x 5/- 516"sere 1n x 516' 314`Sure 1"Sgeare MY ftck .94(rNck .050'thick 450"thiLk Mr thick .062"tft RAILS L F1 n (tep w am I'x.055"thick I"x.055"oft 1"x 1155'thick 1-U$"x.060'thick 1 X'055,tuck 1-518"x.170"ibit:k (side V-A t"x.OSO"thick I'x SO"the I"x W ttdck 1412"x-Off W 1-UL'x="M 1.5Ar x.10(x'tuck qa 3 STANDARD GUSTS 2"Squaw: 2"sure 2'squam 2-tit"sgwe 2"Share 21, square .050-tltrck .DSS th a .95W thick .075 thick t1S9"thick 9W thick OPTIONAL 2"sure 2"Std 2-bT sure 2-112"Sgoare 2-1/r square v square POSTS OGD"bek w tluclt .,075°Okk .12V Ifikk .075'Cluck .125"#** GATE POST 2"stare 2"Stltsare 2"of 4"square 2-112"vT 4-sgwre 2"or 4"Square 4"or 6'sWe MT thick 09D"iI ck 125"Ilkack .125"think .126't#kk .12F thiels SPACING BEFWEEN 3-13115- 3-31132" 3-t fw SP P 3-31f32" 3-111tG" 4" PICKETS t�re632"i x Sl Ua,�i�s��(es3 STANDARD POST 72-312 70--112" 72-112" 71"or 0-3/4" 72-112'or 90" 71-Y2' SPACING (ON CENTER) 36",426 4r,97, " " 366 4r,54; 366 Mr,Mr. HEIGHTS U",54` fist" Ott; !"60' 5*0 W.12" 41r,54.51r,72 60",72" I7",W,96, COLORS Black Sronza Bipek Brame ebzk gwa, Black.Bronze, Biack Bronze, Bwd Bronze. White,Gree whk GrM 447tltfr,Gram 1t►hrw,Grew WEIGHT HELD BY 6'LONG 250+Ms. 250+lb& IDS. SOO+las. 500+chs. I'403+M& 3-RAIL SEMI0l1 NNE N&I 61.t1ies xe avgdaiI e o t W, n w are f"Den tai t"'Ce rgx is 72"or etc: http://www.jerith.com/aluminum-fence-specifications/ 213 <1)RNAMENITAL FENCES GRADE AND STYLE OF DISTINCTION^ CONVERSION CHART ftndaril Heights Fence Grade AvalMle Styles Style Names(in order) 36" 42" 48" TV I 67" 60" 72." 64" 96" Industrial EPA EP-2, EP-3 101, 100, 111 _ ✓ ✓ ✓ ✓ ✓ ✓ CP-1, CP-2 202,200 ✓ ✓ ✓ ✓ ✓ ✓ SPA SP-3 402,401 ✓ ✓ ✓ ✓ ✓ Regency EP-5, EP-6 Buckingham,Kensington ✓ ✓ ✓ ✓ CP-4, CP-5 Windsor, Canterbury ✓ ✓ ✓ ✓ ✓ CP-6 Ovation ✓ Aero EP-1, EP-3 Avalon,Coventry ✓ ✓ ✓ CP-1, CP-2 Elba,Doria J J ✓ CP-4, CP-5 `Elba.'Doria ✓ CP-6 Sentry ✓ Residential EP-1, EP-2, EP-3,EP-4 101, 100, 111, Concord ✓ ✓ _✓ _ ✓ ✓ EP-5, EP-6, EP-4(modified) "101, '111, Concord ✓ CPA CP-2, CP-3 202,200. 211 ✓ ✓ ✓ ✓ CP-4, P-5 x292, '209 ✓ -- SP-1, SP-2, SP-3 402,400,401 ✓ ✓ ✓ ✓ ✓ SP-4 SafetyPup ✓ ✓ American EP-'I _ Avalon ✓ ✓ CP-1, CP-2 Elba,Doria ✓ ✓ CP-4, CP-5 *Elba,°Doria ✓ _ CP-6 Sentry ✓ Liberty EP-1 11 ✓ ✓ ___ ___ T_ CP-1, CP-2 22, 20 ✓ ✓ _ CPA CP-5 `22, '20 ✓ _ CP-6 00 i ✓ Modified-Pickets are cut so that they do not extend below the bottom rail. 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