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24B-079 (11)
t ay farm TON`NHOilES•ti� NORTHAMPTON Commissioner Hasbrouck, July 9,2015 Subject: Request for Waiver I request that you grant a modification to waive the requirement for control construction for the Entryway Roof at Hathaway Farms,73 Barrett Street in Northampton because the work is of a minor nature,will not affect health, accessibility, life and fire safety,or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work.All work will be completed within the prescriptive requirements of 780 CMR.Thank you for your consideration. "Mass Amendments,sections 107.1 allows for an exclusion from control construction for this project" Respectfully, Jonathan Devins Operations Manager Hathaway Farms 73 Barrett Street Mass CSL CS-083221 73 Barrett Street,42000,Northampton,MA 01060 A Tel 413.586,1.05 Fax 413.586,8038 TRS 800,439.0183 A Email hitha«,ayfarnLsC:,spearniz,;tiit.com Q /4C ® DATE(MMIDDNYYY) �� CERTIFICATE OF LIABILITY INSURANCE 3/27/2015 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 Michael Bonacorso NAME: Bonacorso Insurance Agency, Inc. PHONE (781)937-3200 __ ac No:(7el)937-3202 10 Cedar Street E-MAIL michael @bonacorsoins.com ADDRESS: Unit # 32 INSURERS AFFORDING COVERAGE _ j NAIC p Woburn MA 01801 INSURER A AIM Mutual — INSURED INSURER 8: Hathaway Farms Townhomes, LP INSURER C c/o Spear Management Group INSURER D: 575 Southbridge Street INSURER E: _ Auburn MA 01501 INSURER F: COVERAGES CERTIFICATE NUMBER�L1532703828 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. ILTR TYPE OF INSURANCE POLICY NUMBER MMMIDDIYYYY POLICY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ CLAIMS40DE Fl OCCUR PREMISE R _ a occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY D PRO ❑ LOC PRODUCTS-COMPIOP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea acciden _ ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE NTOS ED per a $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE % _ EXCESS LIAR HCLAIMS-MADE AGGREGATE S F—FDEDT RETENTION $ WORKERS COMPENSATION PTA ER OTH- AND EMPLOYERS'LIABILITY YIN OOFFFlCERIMEMBER�EXCLUDED?ECUTIVE NIA E.L.EACH ACCIDENT $ 500,000 A (Mandatory in NH) WMZ-800-8006102-2014A 7/26/2014 7/26/2015 E.L.DISEASE-EA EMPLOYE $ 500 000 a es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 210 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Northampton, MA 01060 AUTHORIZED REPRESENTATIVE I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025,701401 The Comnwmpealth of Massachusetts Department of Industrial Accidents I� I Congress Street, Suite 100 Boston, MA 02114-2017 ;tnPw iwss.goi,1d1a Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information � Please Print Lc ihly Name(Business(O Canization/lndividtial)' t'"Cc A44 Address: .�7i� jr cS,trce� City/State/Zip:Au r„r Iu[l} d15 Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.�S I am a employer with_,_employees(frill and/or pan-time). T E]New construction 2.❑I am a sole proprietor or partnership and have no employees working forme in 8. Remodeling any capacity.[Nn workers'comp.insurance required.) 3.❑I am a homeowner doing all work myself.(\o workers'comp.insurance required.)t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 IQ Electrical repairs or additions proprietors with no employees. I2.❑Plumbingrepairs or additions 5_0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These 3.gR04f repairs ese sub-contractors have einployces and have workers'comp.insurance.) &F We are a corporation and its officers have exercised their right of exemption per MG1,c. 14.❑Other 152,X1(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. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such, rContrac-tars 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. Ifihe 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 joh site information. Insurance Company Name: Arm t4ulzq Policy#or Self-ins.Lic.#: WM 2 - $D 0 moo G 1 0 a- ;,�p�+�A Expiration Date: 7TG/i3 Job Site Address: 73 _1�arr'e4+ SfraP l City/State/Zip: Ntorl/14ntA7rto,.1 Ma 016 60 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,tinder-the paaiin}s andpenalties ofperjury that the information provided above is true and correct. Signature 4�✓�- aC✓..--- _:,- Date- 'Ya1/s Phone#: Official use only. Do not jw*e 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 d.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CM 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT _ ,�./ I, /�� J7 f G( �G S _ Gf-5�n/c'ss ly �✓crgr°c F/ /( a 60(c as Owner of the subject property hereby authorize' ,Ile, hGr✓ �i°J<i✓�S__ -'to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 3e oe' I, �oNrcTh�i�1 J�+/i�S 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 Name Sig of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:! ..�QNi —_ ____ eve%� ___ _._.. __. C5 O 83 r.Zo? License Number 04 PO Address Expiration Date Sign r Telephone SECTION 13-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 TY No 0 Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable El Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility ....... _ Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor e '.mtr"✓ 7)e✓11✓S Not Applicable ❑ Company Name: Responsible In Charge of Construction n AA,A�n/� O?Ssz QICd c1CCw✓/tiirl� R �,d �c?�cj fca ✓..%/VfA 0/GOB. Address y03 ture Telephone Versionl.7 Commercial Building Permit May 15,2000 S. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front 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 �["Jj DON'T KNOW O YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW O YES O IF YES: enter Book „ Page and/or Document#I B. Does the site contain a brook, body of water or wetlands? NO � DON'T KNOW © 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 IQ% NO O IF YES, describe size, type and location: kNE;,�wc Si�Ns D. Are there any proposed changes to or additions of signs intended for the property? YES O NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other❑ Brief Description Enter a brief description here. Of Proposed Work: rip ioe' oaA✓ SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly El A-1 El A-2 El A-3 1:1 1A ❑ A-4 ❑ A-5 ❑ 113 ❑ B Business ❑ 2A ❑ E Educational ❑ 213 I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 36 ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 513 ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34):._, Proposed Hazard Index 780 CM 34): _ SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 15f 1 St 2nd 2nd 3rd 3rd 4t' 4th Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: F7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ unicipal ❑ On site disposal system[ Versionl.7 Commercial Buildin Permit May 15,2000 Department use only ity of Northampton Status'ofPermit: LEiectric, uilding Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic AvailabillPlumD.l}n�Gas lnspeclions Room 100 WaterMell Availability orthampton, A 0060 hampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Lot Unit 2 .94r1ell- --eef Zone Overlay District Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: f �4'1"ii fc vVCcy f"c/rr 3 �i✓NLIOM e,3 Name(Print) Current Mailing Address: Signature Telephone 2.2 Authorized Accent: ,J �N�c�4".✓ �t'rf iN'.S'° �tG C l ca Name(Print) Current Mailing Address: Signature �� A Telephone SECTION 4-*ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building y� .23_-0 �© (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) Check Number cJ This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0025 APPLICANT/CONTACT PERSON JONATHAN DEVINS ADDRESS/PHONE 26 OLD SAWMILL RD BELCHERTOWN01007(413)801-8985 PROPERTY LOCATION 73 BARRETT ST-BLDG 5 MAP 24B PARCEL 079 001 ZONE URB(100)/WP(7)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid T_vneof Construction: REROOF FRONT ENTRY WAY(CHANGE FLAT TO SLOPED) New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included• Owner/Statement or License 083221 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO,tMATION PRESENTED: z/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 orBuifdinKfhciaI 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. 73 BARRETT ST-BLDG 5 BP-2016-0025 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24B-079 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2016-0025 Project# JS-2016-000044 Est. Cost: $4250.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Groin JONATHAN DEVINS 083221 Lot Size(sq. ft.): 785822.40 Owner: HATHAWAY FARMS TOWNHOMES LIMITED PARTNERSHIP C/O SPEAR MANAGEMENT Zoning: URB(100)/WP(7)/ Applicant: JONATHAN DEVINS AT. 73 BARRETT ST - BLDG 5 Applicant Address: Phone: Insurance: 26 OLD SAWMILL RD (413) 801-8985 WC BELCH ERTOWNMA01007 ISSUED ON.711312015 0:00:00 TO PERFORM THE FOLLOWING WORK:REROOF FRONT ENTRY WAY (CHANGE FLAT TO SLOPED) 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 Siznature: FeeType: Date Paid: Amount: Building 7/13/2015 0:00:00 $55.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner