24B-079 (23) 73 BARRETT ST APMT 5177 BP-2017-0681
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: Deck BUILDING PERMIT
Permit# BP-2017-0681
Project# JS-2017-001114
Est.Cost:$1600.00
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 APMT 5177
Applicant Address: Phone: Insurance:
73 BARRETT ST SUITE 2000 (413) 586-1405 (5) WC
NORTHAMPTONMA01060 ISSUED ON:11/18/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:BUILDING A 12X15 DECK OFF THE BACK OF
APARTMENT
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 11/18/2016 0:00:00 $100.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0681 O .
toP)5
APPLICANT/CONTACT PERSON JONATHAN DEVINS
ADDRESS/PHONE 73 BARRETT ST SUITE 2000 NORTHAMPTON (413)586-1405(5)
P�rpt., / uttl
�
PROPERTY LOCATION 73 BARRETT ST APMT 5177 1
MAP 24B PARCEL 079 001 ZONE URC(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 ir
Fee Paid
Typeof Construction: BUIL G 15 DECK OFF THE BACK OF APARTMENT
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
INFQRMATION 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
Ic •lition Delay
PH", /7-/7-/(
S -. re of Du' C. 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.
Versioni.7 Commercial Building Permit May 15,2000
Department use only
v -- City of Northampton Status of Permit:
I Building Department Curb Cut/Driveway Permit
W I 6 115 1 212 Main Street SewerlSeptigAv
Room 100 Water/Well Availability
c:-,--.7-="----- ,-
T I Northampton, MA 01060 Two sets of SbuIXurel Plans
--- " -.phone 413-587-1240 Fax 413-587-1272 PIoVSite Plans
Other Specab
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
73 Barrett St no 5177 Map Lot Unit
Zone Overlay District
\ Norfgempto,u MP 01060
N Elm St District CB District
4
iSECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
)
ty. 2.1 Owner of Record:
p H4.614 .Jcj firms Tw.Jhah es LP 73 $crreit Sfreef ..544c dew) NocKk.+p}e+MA
Name(Pent) Current Mailing Address:
413 -Seb -1405
Signature Telephone
2.2 Authorized Agent:
:,yy
1;4/Ace Pc4).0s, Ass.oh..t "kelt)et 73 Bcrre ft Sired- S....+e Poen No.lh<..pte�.+MR
Name(Print) tl Current Mailing Address:
/// 1 413 -584+ -"Yrs
Signature (,/.,...JJ Telephone
SECTIO ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building ' ICCO.do (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 j g045 Si cej
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Version!.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 Ir
Brief Description Enter a brief description here. l . 1a4N, - P vis leek off of the hwek of
Of Proposed Work: {I'.e cert...e-++ fn res a< “Se
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 18 ❑
B Business ❑ 2A ❑
E Educational ❑ 28 0
F Factory ❑ F-1 ❑ F-2 0 2C 0
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 0 1-3 ❑ 38 ❑
M Mercantile ❑ 4 ❑
R Residential 0 R-1 0 R-2 ❑ R-3 ❑ 5A 0
S Storage ❑ S-1 ❑ S-2 ❑ 58 ❑
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(sf)
1th
2sd 2nd
3i° 3
4th 4'"
Total Area(aft Total Proposed New Construction(sp
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: It:
Rear
Building Height
Bldg. Square Footage
Open Space Footage %
(Lot area minus bldg&paved
Puking)
#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
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT 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 ® NO O
IF YES, describe size, type and location: 4,04 estr4ac s;Jms an &.reit SF ideoti' Hctt c„y
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO 4
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 4111)
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 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 0
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 0
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Versionl.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
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS
�jAGENT
jOORR CONTRACTOR
'AAPPLIES FOR S BUILDING PERMIT
-"` "' ` P Aid
. , as Owner of the subject property
hereby authorize k_,/ontAto
act on my be all m tters r lye to k authorized by this building permit application.
Alt // a/6
Signature of• ner Date
I, t /dd47A4N 77C✓ids , 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.
30N4 4-44.4 Y[✓iJS
Print Name
i yy, 6
Sign of Owner/Agent D
S ION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction�Supervisor: Not Applicable ❑
Name of License Holder: JON4rxrciv De✓ids C5—os3 as (
License Number
73 B4rrcft Siree+ S,;-e a000 9so//ao/8
Address Expiration Dafe
,�' �o Y/3-5 S
e6- /v4extS
Sign: A'. 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 40 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 /c„elf tJ api 5177
The debris will be transported by: Tertiolic Services
The debris will be received by: Rerblic Se. u;ce s
Building permit number:
Name of Permit Applicant ✓a//•'cAt0. lc/i�S
Date SVnature of Permit Applicant
me common weanti of iviassacnuseus
Department of Industrial Accidents
.c:
_ lith= Office of Investigations
__::�: 9
,- 4 1 Congress Street, Suite 100
I- a Boston, MA 02114-2017
'a; www.mass.gov/dia
Workers Compensation InsuranceAffldavit: Builders(ContractorslEledridansfPlumbas
Applicant Information // � -7;14.1p, Please Print Legibly
//
Name (Business/Organization/Individual): r7L/iariay 4 rrr/JAOMef L P
Address: 73 13crre$ ,5]reel S k goon
City/State/Zip: „ ; . 0 , , Phone #: - , - - o
Are you an employer? Check the appropriate box: Type of project(required):
I
I.❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).*
have hired the sub-contractors 6. ❑ New construction
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. a Aoyees aid have workers' 9. ❑ Building addition
[No workers' carp. insurance comp. insurance.
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 11.0 Plumbing repairs or additions
mysdf. [No workers' camp. right of exemption per MGL
12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees [No workers 13.0 Other
comp. insurance required.]
'Arty applicant thd checks box#1 must deo fill out the wdicn bdoa showing their worket compensation policy information.
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 shed showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-mrtratashave employees,they nil providethe r workers comp.policy number.
I am an employer that is providing workers' compensation insurance for my employees. Bd ow is the policy and job Ste
information.
Insurance Company Name: A I M MMl•4Gt
Policy or Self-ins. Lic.#: WM - 80e3 - $o0610a - Bo16H Expiration Date: 7/a6/Do17
Job Site Address: r-j3 3crre* SF op* 5177 City/State/Zip: Nathe..rie,+ Mh 01060
Attach a copy of the wakes' 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cent /under the pains and penalties of perjury that the information provided above is true and correct.
Signature: / Date:
Phone# N/3-.5-86 - /YDS
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License #
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
ACORO. CERTIFICATE OF LIABILITY INSURANCE DATEIMM'DDITYYNI
10/18/2016
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES.
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE[
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: N the certificate holder is an ADDITIONAL INSURED,the poiicyites)must be endorsed. It SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to th(
certificate holder in lieu of such endorsement(s).
PRODUCER NCONTAME'CT Michael Bonacorso
1
Sonncorso Insurance Agency, Inc. PHONE 081)937-3200 Iwe NRJ_i701)S1 1x02
.. "
10 Cedar Street AAn:3 nichae II bonacoraoan e.corn
Unit ♦f 32 INSURERJ$)AFFORDING COVERAGE • NAIL
Woburn MA 01801 INSURER AIM Mutual
INSURED INEURfRB:
Hathaway Farms Townhouses, LP TUNER C:
c/o Spear Management Group INSURER D: •
575 Southbridge Street INSURER E:
Auburn MA 01501 INSURER FI
COVERAGES CERTIFICATE NUMBERPL1532703828 REVISION NUMBER:
THIS f5 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOI
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO M '(ICH THI
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERME
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
/MSRI' POLICY EFF ) POLICY EXP
tTRI TYPE OF INSURANCE NW END' POUCY HVMRER (ALMONYYTY) FMMTDARRP LIMITS
COMMERCIAL PINE
RAL LIABILITY EACH OCCURRENCE 3
Ji CLAIMS-MADE
DAMAGE 1O RENTED
1 I OCCUR PFEMINES(Ea occurrent) 5
MED EX!(My one person)
PERSONAL ADV INJURY !1 _
'GENT AGGREGATE LIMIT APPLIES PER ( GENERAL AGGREGATE I3.
1 POLICY 1 srLOT ! LOC O 1 3
LO a NED SINGLEOtwin ••- 3 .—
OTHER
AUTOMOBILE LIABILITY }SSMMn .$
r—�ANY AUTO III 1 BODILY INJURY(Per pitman) 1S
, AU DINNED 'SCHEDULED 'BOOR Y INJURY(PTI acygpm) 8
LOGOS AUTOS
NON-OWNED PROBLENTY DAMAGE 3
HIRED AUTOS 1 AUTOS
PeraAen _. _
3
L UMBRELLA LAB OCCURI EACH OCCURRENCEi
$
EXCESS LIAR .—
CLAIMS-MACE AGGREGATE _ S
OTO RETENTIONS I 'S
WORKERS COMPENSATION X PER 0TH, 1
AND EMPLOYERS'LIABILITY ']RTUTE ER r
ANY PROPRIETOR/PARTNER/EXECUTIVE EGG NIA/ EL EACH ACCIDENT I3 5000E
OFFCE/WEIMER EXCLUDED' 1 '-
A Ii Mmbbly in NH) wl2-800-8°06102-2016A 1 4/26/2016 1/26/2017 EL DISEASE EA EMPLOYEE 3 500Of
fN) tl.wielOGer
-DESCRIPTION OF OPERATWNS below FL DLSEA$E-POLICYUM J 500,DC
II
DESCRIPTOR OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Ree,.S[ dulaa
.n.y bq Ttaclled II I
mMMre spec,a reWIndI
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
€)1988-2014 AGGRO CORPORATION. AB rights reserver
ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD
INS026 mmaml
5 /30 r et'-{ /9oft bc, /-3for?
� P , <, /"
75 peck Frar. ed
i
w , [ AXIL) (?T.
LcLlyer i-csfenej every
�a. X4 6-4lc,n ; zeci
Lays c . J 5 ;elc�
ciouble2 cif Fns,
J'
i
Ito ' s DC lvr
/* n jfr 5c re (A..5,
C ; OOvblei Gu±Cr pc - m
SuPPorfel by X �F
�n oc� fs Sed-on 3 lo 'l
Sono Luher) Sa f 4 rci eeP,
005ts A 71cc4c L.;tA
Se 71 Orf £ S {holte±
- o G Sbol-ls
Cu n c re 4 e
A
City of Northampton
Building Department
Plan Review
212 Main Street
Northampton, MA 01060
" \ .0 --
K
St88 51875188 5 \ V� 1020 !
1 v 1026
\\\ !pts 1111)\--
��
1 5185 ��
89 1021
\\).
e.ss \ tou ,—..�� rozs
6 90
51$3 5183 6t9t j..... ` __- 1022
1 �... 1 'i 5184 -\\ i W13 li� _�
1 1 ` • 1023
9
' 20 ±i,
5182 0 , 11 1012 10111010 1009 1.
Laundry111
6t 92
1024
MI
Storage O 5181 15
1"` ' �Z....�
6143
t _ —______ __.... - 14 6194 / ,�
£ ' _. _ 5189
'• eS
` 1 E l8 J O '199 6198 . I
=•197 6196 a 999 ' HATCHED BUILDINGS DESIGNATE
6195 '� p i HE4RDON APARTMENTS THAT 0&
'� J1�)ff fy/ NOT PARI OE THIS W(1R%
5171 5176 517' yU 7G / — –"-
5i'12 5173 5174 5175 5178 5179 \57 — "" --- ��
1 6206 620'1
S t 4 in.,t. / 6200 6201 6204 6205 I U auntl
lite-. erof.w iy itneC . SetloueC � szo2 62D3 �— f � •�_ _ � ..�.—
ry R
1S ,2o' 6,,.A k-recke, {ae+ /
.. _ _ ly , �..� DD4 loos
he ,)1.1 -•^,e cu.+�c he, If-eeey toroga 1005 12 /
LH{� $et bat K. –.. - y .+ _
}0 11 -77, 1002 116 11�
/
e 1D01
itIN c. RAYMOND, P.E. 3 �3 a,,cc-t '- 61-reek PRNt C
rill
HEATING RENOVATIONS AUG. 1998 si
i • 1• 4N, MA 01027 Nortt-,S,,p1-GN /-i11 HAMPTON GARDENS, NORTHAMPTON, MA
DATE
1
1
1
1
I