24B-079 (20) 73 BARRETT ST-43108 BP-2017-0576
GIS#: COMMONWEALTH OF MASSACHUSETTS
Man: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: Deck BUILDING PERMIT
Permit Jr BP-2017-0576
Project# JS-2017-000933
Est.Cost: $1500.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JONATHAN DEVINS 083221
Lot Size(sq. ft.): 785822.40 Owner HATHAWAY FARMS TOWNHOMES LIMITED PARTNERSHIP C/O SPEAR
MANAGEMENT
Zoning:URC(100)/WP(7)/ Applicant: JONATHAN DEVINS
AT: 73 BARRETT ST - #3108
Applicant Address: Phone: Insurance:
26 OLD SAWMILL RD (413) 801-8985 WC
BELCHERTOWNMA01007 ISSUED ON:10/28/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:CREATING A 14' X 12' DECK OFF OF THE REAR
OF THE APARTMENT ABOUT 12" - 16" OFF THE GROUND
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 10/28/2016 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0576
APPLICANTCONTACT PERSON JONATHAN DEVINS 61311-\)
ADDRESS/PHONE 26 OLD SAWMILL RD BELCHERTOWN (413)801-8985 ,y f.J"
PROPERTY LOCATION 73 BARRETT ST-43108 �"'
MAP 246 PARCEL 079 001 ZONE URC(100)/WP(7)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT4),?)Fee Paid
Building Permit Filled out
Fee Paid 'Typeof Construction: CREATING A X 12' OFF OF THE REAR OF THE APARTMENT ABOUT 12"
- 16"OFF THE GROUND
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
INFORMATION 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
-m. nt clay
)04,, /J—AP'O/(
Sig . re of ilding 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.
\ Versionl.7 Commercial Buildim Permit May 15,2000
tF: '\ \ Department use only
City of Northampton Status of Permit
(.0 - N. Building Department Curb Cut/Driveway Pemrit -
Fy do 212 Main Street Sewer/Septic Availability
/ Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
e`
,,c�cccE�,r phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
4A
Other Specify
A•• CATION 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
73 1 lrrttt Street Aperf,ner f 3. 0 H Map Lot Unit
Nd4+w..940.+ MA OloloO Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
HAffindristei iten..s—Towchovnes L"P 73.-Barre-ft S}vee+ POO° N4!{tv,,.el.a Nh
Name(Print) Current Mailing Address:
/� Yfa- 586- )yo5
Signature -/� S J — , Telephone
2.2 Au D/ryrizeedd Agent: ^`
�ioci'hc.��J ev:.as I�ssisfc-4 ('�caNajer 0RJ Old ,k r II i RIcker4o.ra MA oim7
Name(Print) Current Mailing Address:
Signature O 0 Telephone
SECTION ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Permit Fee
st 0500
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 f t7 J3 4e/M
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Version1.7 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 0 New Signs❑ Roofing Change of Use❑ Other 21
Brief Description Enter a brief description here. Cres. ,J cc w' Y la deck arc OF i'.m re“ oc Se.
Of Proposed Work: 44rr te.w1 &bo,4 13"-Ic" of4 -the are,-..+d.
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A I 0
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A 0
E Educational 0 2B I ❑
F Factory 0 F-1 ❑ F-2 0 2C ❑
H High Hazard ❑ 3A ❑
I Institutional 0 1-1 ❑ 1-2 0 1-3 0 36 0
M Mercantile ❑ 4 0
R Residential 0 R-1 ❑ R-2 0 R-3 0 5A 0
S Storage ❑ S-1 ❑ S-2 0 5B ❑
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 CMR 34): .
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(si)
1d'
2n° 2"d
aro 3`°
4m 4m
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: 7.3 Sewage Disposal System:
Public 0 Private 0 Zone Outside Flood Zone❑ Municipal 0 On site disposal system
Version!.7 Commercial Building Permit May 15,2000
8. 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 DON'T KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW 0 YES 0
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 O , Date Issued:
C. Do any signs exist on the property? YES ® NO O
IF YES, describe size, type and location: a eat? ts; oe 344m11. Street
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 aBI
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
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 ❑
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
- - - Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Version!.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No 0
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, MMa..+ Lt.;,.;r_ A5125 4.4 31- /15«2,er , as Owner of the subject property
hereby authorize 10r4 HY, f7c,irs to
act on my behalf, in all matters relative to work authorized by this building permit application.
i/ay/c
Signa of Owner ,/ ' Date
I, --�dL/-4 4.1/ diNS , 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.
d�
lar, Ted;
Print Name
!0120 Signator Owner/Agent at
SE N 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder i. OK4i411 o.. LeiIN3 6.3aaI
License Number
°X OLT SAWMILL IROA.D . e/ Av,#o..,.v M.t 0,007 1/$20/901e
Address Expiration Date
J,� c7JY 713.-toy-P9�s_
azure 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 ® No 0
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste 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.
Address of the work: 73 ciee-ft c5{" apj 3/0 8
The debris will be transported by: All;ed W4,,+e `Reriot ic Se.v;ces')
The debris will be received by: Al l rem
Building permit number
Name of Permit Applicant €
Date ig /nature of Permit Applicant
�� I ne commonweaan of tnassacnuserrs
cam= Department of Industrial Accidents
_,_] �=``- Office of Investigations
_ 1 Congress Street, Suite 100
-1= a Boston,MA 02114-2017
awed www.mass.gov/dia
Workers Compensation I nsuranceAffidavit: Builder sfContradorsIElectridans!Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Hz,44,6,44,1 141Mr Tw,.r hbrvtea LP _
Address: 73 j�c.rre-+ S4rcef- Sw+e 2000
City/State/Zip: 6 „ . ,p/ r o/oo Phone #: 9/3-SI' -/yes
Are you an employer? Check the appropriate box: Type of project(required):
I.181 I am a employer with 10 4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub-contractors 6. ❑New construction
listed on the attached sheet. 7. ❑ Remodeling
2.❑ I am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees aid have workers'
[No workers' romp. insurame comp. insurance.) 9. ❑ Building addition
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.11I Plumbing repairs or additions
myself. [No workers comp. right of exemption per MGL
12.D Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees [No workers 13.N Other,t,LL1 dr,2
comp. insurance required.]
'Arty wipliranthat chedrsbox#1 must des fill out thes:lion bdaa shoving thdr worker& compessdion policy informdion.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-mdradashaveanployees,they must prwidetheir workers' comp.pdicy number.
I am an employer that is providing workers' compensation insurance for my employees. Bdow is the policy and job site
information.
Insurance Company Name: ATM MuLtinia
Policy#or Self-ins. Lic. #: W Ma- Selo- ?mob ( o d - aoK A Expiration Date: 747G/17
Job Site Address: 73 eRar le+I Street r)orHwn.P#bN City/State/Zip: A)o.ltrc...p}b,J MA oto Go
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct
Signature: mac.& Y)--:a Date: IO/J�/6
Phone#: 413-.re-6 - nos-
Official
no,yOfficial use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License #
Issuing Authority (circle one):
1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
e DATE MRAMONYTY}
a�D CERTIFICATE OF LIABILITY INSURANCE one/sola
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES i
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED '
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the
certific
oDucFR to holder in lieu of such endorsement(s). Proxe ., _......_ iA HPj B202
PRODUCER COIITRCT Michael HOOACOx40
Bonacorso Insurance Agency, Inc. 41 (781)937-3200 (YSilsn-
10 Cedar Street -MAIL
Michaelebonacorsoins.corn 1
Unit # 32 INSURERI$)AFFOROING COVERAGE NAIL ll '
Woburn MA 01801 INSURER AIM Mutual
INSURED
INSURER B1 _ j _...
Hathaway Par= Townhomea, LY R.SURERC: .....—
c/o Spear Management Group INSURER D:
575 Southbridge Street INSURERE:
Auburn MA 01501 INSURER F: I
COVERAGES CERTIFICATENUMBERFL1532703828 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, NOTIMTHSTANDING 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.
IRO -----XGBCSUBR— --"—a. POLICY EXP '-
--., -
JR TYPE OF INSURANCE INSD WVe POLICY NUMBEREFF t SMMmDFFYYYL LASTS
�cOMMERCiAt GENERAL LwmuTY ( EACH OCCURRENCE 14_
DAMAGE TO RENTED I -_.
' 1 CLAIMS-MADE OCCUR PREMISES MAo unnwl $•
MED EXP(M) one person) 4
PERSONAL&ADV INJURY 4
GENT AGGREGATE LIMIT APPLIES PER ,GENERAL AGGREGATE '.S
Pa CY I.. I.Pr- 1 ._1 LOC 1 PRODUCTS.COMP/OP AGG I_1_ ._
OTHER
AUTOMOBILE UABIUTY i COMBINED
1INGLE LIMIT 4
ANY AUTO BODILY INJURY(Po Remora b
AUL OSAiEO I I SCHEDULED Bat INJURY(PA, M $
AUTOS Atlibs
EO
I HIRED AUTOS .AUNDVRiI PRGPE tYOAMAGE f --
AUTOS Far n!L_—
I
UMBRELLA CAB H-i OCCUR EACH OCCURRENCE S
EXCESS UAB j CLAIMS-MADEI AGGREGATE 4 ._
DED (RETENAONS t IS
WORKERS COMPENSABON j[
PER ERN
HAND EMPLOYERS'UABIUTY BtA'IIJTE ER _
ANY PRCPRIETORRARTNER/EXECUTIVE Y/N EL EACH ACCIDENT ' 4 500 000
OFFICER/MEMBER EXCLUDED', u!NIX
A 'rymblpy In NH) M42-800-8005102-2016A � 1/26/2016 9/26/2017DISEASE
EL. EA EMPLOYE $ 500x000
r eeSCAa war
DESCR&TWN OF OPERATQNSt fa EL.DISEASE-POLICY Lena.s 504.000
•
DESCRIPTKKIOF OPERATIONS/LOCATIONS I VEHICCLES(ACORD 101.Motional Remake Schedule,may be*AANN XTOM'Noce Is requiredI
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
01888-2014 ACORD CORPORATION. AU rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS026 rz0140n
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3113
3110 1Al,3 3104
3112 310 3105 �� I�
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3082 3083
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60,114 �� 3102
4115 iF
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110* 4117
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4 �119 / Laundry 22
� & .140 4141 4142 m
4120 Storage
4139 ! '143 4144
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4121 1 _ .
4138
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4146 4146
t 41 37 — 5147
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4124 4125 4126 C
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4127 4128
4129 4130 4131
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5159 5158 Laundry
5160 5155 5154 51&age 20
5157 5156
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IJathaway Farm
IOMNHOMFS+ NONIHAMPTON
Commissioner Hasbrouck 10/17/16
Subject: Request for Waiver
I request that you grant a modification to waive the requirement for control construction for the Patio
Deck at Hathaway Farms Townhomes 73 Barrett Street,apartment 3108, 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 Townhomes
73 Barrett Street
Mass CSL CS-083221
73 Barrett Street,4213 0,Northampton,MA 01060 A Tel 413.586.1405 Fax 4135868038 TRS Frr L43911183 A Email hadrn,ail dspearingnecom e
73 act rrett Sr Norrha,-1Pfon
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= Amp Department
Plan Review
212 Main Street
-4.nnoton, MA01060