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03-027 (6)'ONI `SdJMI 18 3vmoo J38 dod UJdddJdd .L13S n HObSSV W `N0i d hV HldON C7-�'?das , NI C1NVI AO NVId oUt�j 111111,101 p,� / Z _. t Yi1 ` 1 7 lie 0/'/t� Board of Building Regulations and Standards i` One Ashburton Place -Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 113981 Type: Public Corporation Expiration: 07/23/2003 AQUA POOL & PATIO, INC. RONALD GIANNAMORE 53 NEWBERRY RD E WINDSOR, CT 06088 Update Address and return card. Mark reason for change. (-1 Address'),< -Renewal 1(7 Employment n Lost Card BOARD OF BUILDING REGULATIONS UcOn": CONSTRUCTION SUPERVISOR Nwnber. CS 038393 BIrdwlvft:'l2fl5ll935 EVIm. 1211512003 Tr. no: 9641 Restricted: 00 RONALD i GIANNAMORE - 87 ROSEMARY LN SO WINDSOR CT 06074 Administrator ACOA CERTIFICATE OF LIABILITY INSURANCgjy2D CAli' MAY PERTAIN. THF INSURANCE AFFOROEO BY THE POLICIES OUCAISED HCRCIN IS SUBJECT TO ALL THE TERMS, EXCLU30ONS ANU CONDITIONS OF SUCII Oio3 MDUCCR Evans, Pires t Leonard Michael W. Evans 121 Roberts street THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RK3HT6 UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. East Hartford CT 06108 C500234321 Phone:860-289-6816 Fax:860-291-8848 INSURERS AFFORDING COVERAGE D INSURERA: CNA Insurance Companies INSURER e� S 5 , 000 A a Pool 6 Patio, Inc. -New. INSURER 0: INSURER D: 5 ry Road East Win or CT 06088 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUCD TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REDUW"EM, TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITM RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THF INSURANCE AFFOROEO BY THE POLICIES OUCAISED HCRCIN IS SUBJECT TO ALL THE TERMS, EXCLU30ONS ANU CONDITIONS OF SUCII POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS. IL TYPE OF INEIIRANCF POLICY NUMBER ipA-E " �yppM MWyO LIWTS A GENERALUAWLITY X COMMERCIAL GENERAL LIABILITY CLAIMS MAUI D OCCUR C500234321 02/01/03 02/01/04 EACHOCCURRENCEV11- 111, 000 000 i 100,000 FIRE DAMAGE (Al me fire) MED EXP (Any ono onion) S 5 , 000 PERSONAL 6 ADV IN IRY ., S1 , 000,000 000 _.. -...._ t2 000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLTE3 PFR: POLICY �T LOC PRODUCTS - COMPIOP A00 $1,000,000 A AUTOMOBILE X LUUNL TY ANYAUTO 0700234317 02/01/03 02/01/04 COMBINED SINGLE LIMIT LIMITS (Eoea+dad) 1,000,000 ALL OWNED AUTOS SCHEOULEDAUIUI BODILY INJURY (Por Port➢cn) S X; X HIRED AUT03 NON&OWNED AUTOS BODILY INJURY (Per oc;Spo -A) � S i .. .... ... _..- PROPERTY DAMAGE (Per aco"nq GARAGE LIABIUTY AUTO ONLY . EA ACCIDENT Is -... ANYAUTO OTHER THAN ±k AGC AUTO ONLY: AGO ` ._ ..._. _ f EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE i AGGREGATEEDUCTIBLEETENTgN ID .. f - . i A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCC500234237 02/01/03 02/01/04 X TORY umiTS ER $500,000 Et EACH ACCIDENT E -L- DISEASE - EA EMPLOYE s 500 000 E.L. DISEASE - POLICY LIMIT I i 1 000 000 OTHER 0 Property Coverage C 5000234321 02/01/03 02/01/04 Leased 115,000 EquIpment DESICRIFTIOM OF OPERATKMSILOCATIONSWJICLUMMLUSION$ ADDED BY ENDORBEMENTISPECIAL PROVISION$ RE: In -ground Swimming Pool 595 Coles Meadow Road, Northampton, MA 01060. -r %I&L.L-M l rvn DENHART SHOULD ANY OF Tia AROVE DESCRIBED POUCIe3 BE CANCELLED BE FORA THE UIRRATTOi DAIZ THEREOF, TME ISSUING INSURER WILL ENDEAVOR TO MAIL .SL- DAYS WRITTEN NOTICE TO TNF CERTIACATI HOLDER NAMED TO TM LEFT, BUT FAILURE TO 00 50 SHALL 5 95 Coles Meadow Road Brett C _ Denham IMPOSE NO OKAATION OR UANUTY OF ANY IOND UPON THE INSURER, Rai AGENTS OR 595 Northampton MA OID60 RO+TATIVEa• W 6/Z a6ed •r14dZl:9 £O-ZG-ADN •t9V99 I6Z 099 `0UVN031VS3UIdr8NVA3 :A9 juaS Available in sizes to 400 sq. ft. to handle almost all pool and spa applications. Systems are engineered and built for optimum efficiency and hydraulics. High flow air relief with pressure gauge Pumps avail- able with 2 speed motors and up to 2 H.P. Deep pleated cartridgE long cycles between cl Shown here in optional tan color ular cartridge asseml )ves for cleaning or avy duty clamp with I >b, means no tools rE Motor protected frorr provides longer life. Insulated skirt reduces pump noise. Vacuum / pump waste option un to cartridge filter — Adjustable feet to pensate for unevE pads. 2" suction for efficie Internal air relief for safe operation. Pump is backed by a 5 year limited warranty. Filter is backed by a 20 year warranty. See your dealer for details. Manufactured for WET Institute. by: WET Industries Capital LLC 3741 East Telegraph Road • Piru, California 93040 Toll Free: 800.524.5550 • Fax 805.521.1018 • Email: info@wet-institute.com Part No. 70-050-009 Wet Institute Modufilter System Rugged • Efficient • Reliable • Durablc • High efficiency cartridge filtration in a compact system. Designed to make pool care and operation simple. • High quality deep pleated cartridges pro- vide the finest water clarity available in car- tridge filtration today. • Large capacity cartridge saves time and money with longer filter cycles between cleaning. • Balanced flow design maximizes effective- ness of filter cartridges. • Pump mounted under the filter skirt virtu- ally eliminates noise. • Built to last. Built like it is our own because it is. We Care Enough To Build It Better www.wet-institute.com Energy Efficient • Quiet • Durable Bronze Volute & Impeller For Long Life • Exclusive Top or Side Discharge Shown here in optional Tan o Adjustable clog re! continued operatic Model WA-500MW WA -750 -T4 . , w. WA -1000 WA -1500 n_=1l2 WA -2000 2 M = t Electrical requirements: 115/208-2.30 Ott 60 cycles 50 cycle and 2 speed also available. s� High performance energy efficient motor for long life and reduced energy cost. ischarge option. nless steel clamps with single knob release. __--- See thru lid. E— Large capacity basket. Extends cleaning cycles. Locks in place to grevent float.{ ---k— 2" inlet port. Backed by a limited 5 year warranty. See your WET Institute dealer for details. Manufactured for WET Institute by: WET Industries Capital LLC 3741 East Telegraph Road • Piru, California 93040 Toll Free: 800.524.5550 • Fax 805.521.1018 • Email: info@wet-institute.com Part No. 70-050-012 Wet Institute W -A Series Pumps Rugged • Efficient • Reliable • Durable • A high performance, high flow swimming pool pump combined with an "oversized" hair and lint strainer. W A series pumps are built for heavy duty use incorporating exclusive advanced design and corrosion proof features. • Available in sizes to fit every residential pool. • For more than 25 years, WET pumps have pumped billions of gallons of water in swimming pools throughout the world, quietly, efficiently, flawlessly. • Built to last. Built like it is our own because it is. We Care Enough To Build It Better www.wet-institute.com I.aars jandy f[TgfIf3ER5iRR5 LAARS, JANDY AND FIBERSTARS PRODUCTS Jandy Pumps • Jandy Filters • Laars Heaters • Jandy Controls • Jandy Valves Jandy Water Features • Fiberstars Fiber Optic Lighting • Jandy Pool Cleaners • Jandy Pool Accessories waternik USA: 800.227.1442 • CANADA & INTERNATIONAL: 905.844.3400 • www.jandy.com • © 2001 Water Pik Technologies, Inc. Mat 40621 Rev n 1 'pN0 Sjall(I� ULSCONFORMS TO /T� sTe`o 1563 CI 'CSAC22 oTo 'NALAl n�oJ ava inbie -_-- SCAN/CSA C23.2 NO. 318.1 CIP 1111 1 fl l (!I' Laars Heaters A HEATER FOR EVERY POOL With our vast selection of energy efficient designs, we have a heater to suit every pool and spa application. 20°F POOL HEATER 700-933 SPA HEATER Model 125 175 250 325 400 Model 125 175 250 325 400 Number 800-1067 Number 1280-1707 Temp. Diff. Maximum Pool Surface Area (Sq. Ft.) Spa Size (Gal.) Time to Heat Spa 30'F (Minutes) 15°F 667-889 933-1244 1333-1778 1733-2311 2133-2844 200 30 21 15 12 9 20°F 500-667 700-933 1000-1333 1300-1733 1600-2133 25°F 400-533 560-747 800-1067 1040-1387 1280-1707 30°F 333-444 467-622 687-889 867-1556 1067-1422 35"F HOW TO SELECT 286-381 THE 400-533 RIGHT POOL 571-762 HEATER 743-990 914-1219 400 60 43 30 23 19 600 90 64 45 35 28 800 120 86 60 46 37 1000 150 107 75 58 47 M i I WOO., e 1 u Advanced digital controls and simple operation make this the heater of the future. Plus, it's the first Laars Heater _ that can talk directly to a Jandy AquaLink RS controller. 1 Provides automatic pool -to -spa switching with the f addition of the EZ Wireless Remote Control �NOr Automation Kit. and}' 2 User-friendly Graphical User Interface (GUI) lets you s yS T 041 make precise adjustments and perform complete diagnostics with the touch of a button. 3 Corrosion -resistant polymer construction produces greater flow capacity, longer heater life and improved pool circulation. 4 Fan -assisted, controlled combustion provides consistent efficiency in any weather condition. 5 tow -profile design and small footprint make this heater ideal for locations with limited space. �p,N0, Jandy s /gySTE, g, p( AquaLink RS COMPATIBLE Jandy System compatible products interface seemlessly c with Jandy AquaLink RS Control Systems to make equipment operation effortless! r yr ` '.o. Ute „r 4 kxxT ., �px'ka , �it Laars Hi -E2 This ultra -efficient, low -maintenance heater is the perfect choice for pools and spas where economic operation or an extended swimming season are a major consideration. Get that warm feeling. Heaters so simple and efficient just one makes you feel warmer. he Laars name has long been associated with quality pool and spa heaters. But if quality alone isn't reason enough to select a Laars heater, you should know that they're also setting new standards for durability and ease of installation! Improved high-tech insulation, newly patented designs, simplified operational systems and a 24 -point quality check system have all contributed to making Laars heaters smaller, lighter a and more dependable. The new low -profile designs will fit just about anywhere. Plus, they're easier to maintain. ►/,•' Laars Laars has heaters for pools and spas of every size, operating indoors and out, in any kind of climate. And they're all designed to pay for themselves through greater energy efficiency. IMPRESSIVE LAARS WARRANTY ars heaters are backed by a highly trained technical support department, and )me of the strongest and most inclusive warranties in the industry. Extended Ds are also available. See our written warranty for complete details. (O N CD -4 0) ijo N AW Q1NO1 -- CiA-T. 3 3 3 3 0 . 0Z � ��momEr T �m ram°CIO, o gra f o S� 16° ' aCL -�m N o o r v�doo°�' xvro�oo��aooco<• mmc z ry N fD O' N : to j• N a �p N Oi CE '(D 7 mo �: �V3330 m 36 n 3 1p m a [p m a 0 El ra CD Q w 'C' O U1 s �. 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' : : '� fL 0 y N a] ova: rn a n D �: 0 C 0 C aamiw �acmm_ a rn v a v m� ❑Z. a N �c c (�0 —0 o O a o� o? o� �$ !0 1�00 E !Z 13 u ❑ 13 o 0 �m C) 2: O M N N 00 O NO N (D (D O G O (D O N � (D CD C7 Q O CD lD < (3D o� cD 0 - N * O O 3 n O � (D _? 4A (n CDD N O O O m -w o (D c � � W 7 e C a ..O 5 C ? C)3 N ,(D (a N 2.cr ? � r m O N 6 fD r+ OD (OA cD3o 0 a. S' C-) CQ (D O . 7C' �. � N Z O O O 1 � O o T. C) (Ji (D W N cr * =rQ 00 U -0 <. XX, 0 n N O 0 - ?. v (D 1 1 P- N (c N CL N d kc, C) O CD O ( 7 co Z 0 3 3- a j• A {� O O N C) O m 0 A J -0X,n-im(A n X rn r cA Z c'n...rn gym �o�Ozm C"0�rnm� a) O X 2 W w N0 v t0 w w CID O A coco r i 0 C G Ry EP�IY�� pf 10 S \�C) ����� D fU �► O,A 01060 No 136 00'.. ° /Xrho Is, X69 9�S 0�o /CD \ co S �N O FLj C.?00, rn -9 �) / 41- N _ O r N S 6 6'59" E OO. 32-59' 3 � p, �O O L=45.51' �, O c 'P-' R=72.00'=70. ' p=36'12 55" o\o o/ �% ' io �_/� L=36.78' R= �J _ L// / R=55.00' -38'19 1"- �\ _o D= 38'19'01 " N ,2 5g g6 NltD 0 �� 8, N CP- <1 39 3 � � 5 3.6 � �� ! 4 8., ��, 4�tU►MP�. , goo ~. (rzt r of Wart4aluptan � � �Tassacl�usctts y DEPARTMENT OF BUILDING INSPECTIONS INSPECTOR 212 Main Street • Municipal Building Northampton, MA 01060 el HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supe,:-, i sor. 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 L 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 O O�-fl) of -Lirillaillptoll � 6 &icssucllasctts' � —"- � DEPART?ic2.rr OF LUILDI?�G INSPECTIONS 212 Main Street ' Municipal Building Northampton, Mass. OIOGO WORKER'S COMPENSATION IINSURANCE t'FFIDAVIT 1, v,rith a prizlcipal place of business/rcsidence CIO herc.)y Cer'LIIy, Un:'c1 L11e 1) :nS 3ii� pCil 1tiC`,, C1i 7C:1�U111, '_Viii employer providing the allo.r;nc '.:orr_crs colnpenstion coves .e -Form), employces wor�dug on this job: C bc-Z Z�q ,Z Z ( ► C'� (1=1 c:2 Compam') c c: Number) (r�rrr -r non Date) () I am a sole propnttor, genPrai c-Dntra'c`Or cr l,onleo lvoci (circle one) and lured t.11`:. COII7�ctOrS 11 StE%C be10�•% «i;0 il�.'e tll�, i0�}� � '�t�OritP�S C0II1peII4ii0rl `0!1�'.�5: fT;nme of Contactor) 'Ins"enc Corrn.:.I;iPclic� Nusnbcr) (�x,:-ato Date) (Dame of CoD amor) OILsarince Comrarv/Polic-, N t 1 fir) on Date) (-Name of Coancto,-) (Insi---mcg Com; an�,�Yol;c: Nuri)�_r) � _�,.ir< o� Date) - (Name of Contractor) — - (Insilralict- Comm >yl -Policy Numb,r,) (Ex ri-::ioa Date) (r.tL�dt :.dat�cral t:--ct :`r._. _.- '� .__....- ....cK�..a_,,, ^-._... r. i; .�-¢._.-_...•) I iL11 is sole })l Oprlf iUi" r.111 h vtc I10 QIIC ..'i:1 :iii` for mc_ i I t1iI1 t? 11011)C NOTfi: plc -ac Lc nss•arc tl:at 1ctR r�a«1r_-s m or ::paif—': ., _.. not utcee tk-z (limo units in rn:.: c or oc; ..:..s z rut cr rS LhcC.c c c r { Ce mill} ccr.: 1� employ=s un.,-cr tix:w:i,a s cc i m .'•s (GL152�s1(Sil, r.y:,•iir..:ic::'ov a ho-.Inowna for r lice c c.� ltsal ctaiuc of an o=Xployer and r tLn Wcvkcl. C-o,2m;:+er: 6a n x'L I undc^ctiad dlL > cry of thi rtat=-s3 Mvy bo fotwnrtidj to tl» of Lrd li fri:.l Olriao of l::+.�r �.a for lix covcrrgc vaificlioo nod that f hurt to c c mart--,,, urs ; scC.irn 25A of MGI, 152 can Ic_d to tic imposition pm1h::s comistLng of a fur of up to S 1.500.00 att 'cr i-;pr.,r. iti:1 of up to or, }- r.-.1 civil perultia in de f—T, of + Lr� of 5100.00 a dsy arr_in-t m:. - i for drx-,,: vzrrtsl u.c cnty perrnit Nil"rlr r --- -- - - i �iO3 . 5f ;natnrc of i.ic�rr;cJI Name of License Holder : 120o r lai d- harm Signature Telephone GoI + Phh,©.. :4-, L, Address Tele Not Applicable ❑ Q S 03239.3 License Number Expiration D to Not Applicable ❑ Registration Number 7 / z 3 l C, Expir tion Date 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 ol6e building permit. Signed Affidavit Attached Yes....... IV No...... ❑ 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 acecptable 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 fb_r 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 .: v? thkN' ?Lin PO'WOR checka`3{ a l4catile - New House ❑ Addition 0 Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding [ ] Other [✓jam Brief Description of Proposed Work: �7 �[ r(Yl C" 1 �✓� ( vnGl�TVi ll id' �)C �& �No Alteration of existing bedroom Yes _tGo Adding new bedroom Yes Attached Narrative 0 Renovating unfinished basement Yes _ No Plans Attached Roll D - Sheet Gy 6a o:°" a tf`"�'�i:tionto.exis�'in>�o>'�Isin-��co e"e��e�fol�,ow,fng: 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. Mascheck 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 . 1. Septic Tank City Sewer Private well City water Supply 1.S NER�f�ORtZATtON TO BE COMPLETED VYHEN S� OWN EO�CONTRACTOR APPLIE5 FOR BUILDING PEftM(T 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, 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 penalties of perjury. Print Warne 1' /\--- --Sip-a Sip-aMK o e A ent Date Section 4. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW VrbYES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW V YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW _ YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Isusue/d: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are t re any proposed changes to or additions of signs intended for the properly ?YES _ No IF YES, describe size, type and location: Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage 1 -77 Setbacks Front Side L: D R: 'F % % r L: R: Rear •- - J SSD Building Height Bldg. Square Footage i% 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 DONT KNOW VrbYES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW V YES IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW _ YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , Date Isusue/d: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are t re any proposed changes to or additions of signs intended for the properly ?YES _ No IF YES, describe size, type and location: City of Northampton Building Department Ui; 212' Main Street Room 100 ~, I Northampton, MA 01060 NAV phone 413-587-1240 Fax 413-587-1272 A00,04 AE ON TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1- SITE INFORMAITON 1..1 ProperW Address: TAis.�one aconplet by Effie 1=0 ' sir,# SECTION 2'- PROPERTY'UWNfRSHIPIAUTHORIZED AGENT 2.1 Owner of Record: t,4—L-� ha, I + -1 S CLf -J lZC'4 Q tc, tlei Name (Print) _ Current Mailing Address: L/ 5S Telephone Signature 2.2 Authorized Agent: 6 � i �� I -) dJ'0r i + �a fi� � �`�-, � S 3 Ne Name ( nt) Current Mailing Address: A A,... _ k,�; Signa re Telephone SE 3-- ESIIMATEUCONSTRUCTION-COSTS Item Estimated Cost (Dollars) to be Official.Use Only completed by permit applicant 1. Building �1 Sy,�93.�J =a) BiuliimgPermit Fees 2. Electrical _Total' Cost-ofConstruction from: G 3. Plumbing 13uildingiPermk Fee' 4. Mechanical (HVAC) 5. Fre Protection 6. Total =(1+2+3+4+ 5) '-5 L 10,E1-,Chkk-Numb6r` This Settion'For Official Use 'Oril Building Permit Number: Date issued: Signature: Building Commissioner/Inspector of Buildings Date File # BP -2004-0636 APPLICANT/CONTACT PERSON AQUA POOL & PATIO CO ADDRESS/PHONE 53 NEWBURRY RD EAST WINDSOR (860) 623-8374 PROPERTY LOCATION 595 COLES MEADOW RD MAP 03 PARCEL 027 001 ZONE RR/WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 44 Fee Paid Typeof Construction: CONSTRUCT 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 INYO,KMATION 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 Commis Signature ofBu mg 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. 595 COLES MEADOW RD BP-2004-0636 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 03 - 027 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit # BP-2004-0636 Project # JS-2004-0895 Est. Cost: $54793.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: AQUA POOL & PATIO CO 038393 Lot Size(sa. ft.): Owner: DENHART BRETT Zoning: RR/WSP Applicant: AQUA POOL & PATIO CO AT. 595 COLES MEADOW RD Applicant Address: Phone: Insurance: 53 NEWBURRY RD (860) 623-8374 Workers Compensation EAST WINDSORCT06088 ISSUED ON:12/5/03 0:00:00 TO PERFORM THE FOLLOWING WORK. -CONSTRUCT 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• Receipt No: Date Paid: Check No: Amount: Building 12/5/03 0:00:00 844 $50.00 212 Main Street, Phone (413) 587-1240, Fax: (413) 587-1272 Building Commissioner - Anthony Patillo