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24B-079 (24) (OBARRETT ST APT#5148 BP-2017-0631 t ` GIS Al: COMMONWEALTH OF MASSACHUSETTS Mao: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-2017-0631 Project# JS-2017-001019 Est.Cost: $1500.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Grouv: JONATHAN DEVINS 083221 Lot Size(so.ft.): 785822.40 Owner HATHAWAY FARMS TOWNHOMES LIMITED PARTNERSHIP C/O SPEAR MANAGEMENT Zoning: URC(100)IWP(7)I Applicant: JONATHAN DEVINS AT: BARRETT ST APT# 5148 Applicant Address: Phone: Insurance: 26 OLD SAWMILL RD (413) 801-8985 WC BELCHERTOW NMA01007 ISSUED ON:11/10/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:DECK ADDITION - 15 X 12 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: OI: 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 Occu.anc sh nature: FeeType: Date Paid: Amount: Building 11/10/2016 0:00:00 $100.00 2 I 2 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0631 W APPLICANT/CONTACT PERSON JONATHAN DEVINS 1.ail/ ADDRESS/PHONE 26 OLD SAWMILL RD BELCHERTOWN (413)801-8985 PROPERTY LOCATION BARRETT ST APT#5148 MAP 24B PARCEL 079 001 ZONE URC(1001/WP(7)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid elf] Building Permit Filled out 7WJ��1�U (/ Fee Paid TypeofConstruction: DECK ADDITION- 15 X 12 New Construction Non Structural interior renovations Addition to Existin' Accessory Structure Building Plans Included: Owned Statement or License 083221 3 sets of Plans/Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF MATION 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 C.m. ' iov lay ......de Signature of Building 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. Version1.7 Commercial Building Permit May 15,2000 _----- Department use only City of Northampton Status of Permit: I I Building Department Curb Cut/Driveway Permit NOV -3 212 Main Street Sewer/Septic Availability thjOric Room 100 WaterANell Availability 7 Northampton, MA 01060 Two Sets of Structural Plans �' — 13-587-1240 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 73 73 rre-1H <Sfoee+ a - Si P v a Zane Overlay District Elm SL District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner 1of Record: FJWTflrlw4/ 4✓M5 lr 'Jr h0(Nej I-P 73Bcrn--11- S+ .S-‘,Fe .2ooti Name(Print) Current Mailing Address: Signature Telephone 2.2 Autzed A em: �/ON4 4N 7)e i;Ns 454 /Y4•as4cr 026 Old t�4"'m,J/ pa Name(Print) V Current Mailing Address: /,/ fa,; Signature A f Telephone .so/- y SECTIO ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (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 ✓ �r. I� aC y�1 6. Total=(1 +2+3+4+5) y� Qa Check Number / &611, 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 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 l.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations 0 Existing Wall Signs 0 Demolition Repairs Additions ❑ Accessory Building 0 Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing Change of Use❑ Other❑ Brief Description Enter a brief description here. Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A I ❑ A-4 ❑ A-5 0 1B 0 B Business ❑ 2A ❑ E Educational ❑ 28 ❑ F Factory 0 F-1 ❑ F-2 ❑ 2C ❑ H High Hazard 0 3A 0 I Institutional ❑ 1-1 0 1-2 0 I-3 0 3B ❑ M Mercantile 0 4 ❑ R Residential ❑ R-1 ❑ R-2 0 R-3 ❑ 5A 0 S Storage ❑ S-1 ❑ S-2 ❑ 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 750 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(st) 1st 1n 2 2"11111 3P113rd 4th 41h Total Area(sf) Total Proposed New Construction(so 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 ❑ Private ❑ Zone Outside Flood Zone❑ Municipal 0 On site disposal system Version1.7 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 DONT KNOW © YES O 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 # 8. 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 E,,}ry S iorvs of J34+rc11 Sf 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 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No O SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, rigry4 Aged Ted1nLS ACS,^31. -b .6�:.s.../es3 IV njpr , as Owner of the subject property hereby authorize ell 4"-c.-' Lei1..GS to act on my behalf, in all matters relative to work authorized by this building permit application. 006 Signature of tel Date I, <tc ,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 unnd�der the pains and penalties of perjury. ��C%>414 c- Print Name %e/{C Signa er/Agent ate SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Constructioon�10^Supervisor: � Not Applicable El Name of License Holder: "re4114J ^3e J r."-is C S — o 1( 2 D g I License Number 026 Old 60,./0001.11 IRogd peichedowN MA 01007 gida/do/8 Address Expiration Date Sg/e 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 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE IMWDD Y) Sw.,../ 10/18/2015 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 endorsemen(s). PRODUCER (COHLoreCT Michael BOnacorso N Honacozso insurance Agency, Inc. (783}931--3200 �t i_{TaL153'+-32a2 E-MIAi • 10 Cedar Street Awns yO]CS1861QbpnACO29oina,cos Unit N 32 INBURERIB}AFFORDING COVERAGE I NAICX Woburn MA 01801 INSURERA AIM Mutual INSURED _ .— INSURER B: ..` _ _ - . Hathaway Farms TpxnhoJoe9, ZP INSURER c: ' c/o Spear Management Group INSURER O: 575 Southbridge Street INSURERE: Auburn MA 01501 INSURER F: COVERAGES CERTIFICATE NUMBER:CZ1532703828 REVISION NUMBER: THIS i5 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 SHONM MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR IA Opt 4POLICYUER 1 FEE POLICY TYPE OF INSURANCE NSD WD POLICY NUMBER IMMID IMNYI IMMI IMMYYUI LIMITS COMMERGA.GENERAL Lumen"- I EACH OCCURRENCE S — t j 1 WMAGf TO RENTED __ CLAIMS-MADE I I OCCUR PREMMrEa occurrence/ I• H MED EXP(Any one Person) ' I LJ_ ' PERSONAL&ADV INJURY 6 _ GERI AGGREGATE LAW APPLIES PER LGE NERAL AGGREGATE 1 DIpFFy PRODUCTS-OOMPrOP AGG OTHER I i I'. II ' EhOUIOMCB LIABNTY LILGLE LIMIT $ ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED IH'SCHEDULED BODILY {Pomace)reCURY S AUTOS AUTOS _ NON-OWNED I ,PROPERTY DAMAGE S _ HIRED AUTOS I AUTOS (Per mermea1._ s UMBRELLA UAB - OCCUR EACH OCCURRENCE iE EXCESS UAB I CLAIMS-MADE AGGREGATE $ CEO RETENTIONS : S WORKERS COMPENSATION I�P- 1F 24" - AND EMPLOYERS'UABIUTY YIX ANY PROPRIETOR R/EXECUTIVE EL EACH ACCIDENT $ SOB 000 A OFFICER/MEMBER I I.NIA: -- IIMenEnoryInNH)EXCLUDED' IM4-000-0006102-2016A '1/26/2016 7/26/201, L E L DISEASE-EA EMPLOYE, $ 500,000 tlESsarPTIONNI1OF OPERATIONS brew EL DISEASE-POLICY LIMIT S 500'000 DESCRIPTOR OF OPERATORS{LOCATORS/VEHICLES (ACORD 101,Additional Remit Schedule.may be AMachad N more armee Ix 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 Alain Street ACCORDANCE WITH THE POLICY PROVISIONS. Northampton' MA 01060 AUTHORIZED REPRESENTATVE ©1988-2014 AGGRO CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS0250014011 Inc commonweaun of tnassacnuseus Department of Industrial Accidents ph =?till!=ere Office of Investigations • = - • r_ . 1 Congress Street, Suite 100 • =`t�=1= Boston, MA 02114-2017 imw www.mass.gov/dia Workers' Compensation I nsuranceAffidavit: Builders/ContradorslElectridansfPlumbe-s Applicant Information Please Print Legibly Name (Business/Organization/lndividual): NGk114vi4 / 44/mTs :}WrA7nMes L. Address: 73 "Bcrrp-If (5-tree,' 51fe P6O0 City/State/Zip: (FA t,.. in/ / • • Phone#: Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and 1 employees (full and/or part-time).' have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' carp insurance comp. insurance? 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.111 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. 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.] 'Any appicentthet cheeks box#1 must also fill out the seat'on bdav stowing their worked campatsAionpdicy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors 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-caaradorshatee ployes,they must prwidethdr worked comp.pdicy 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: Arm M of s-tu Policy#or Self-ins. Lic. #: ( J M2- - Ice - 1566 610d -20t6 A Expiration Date: -Z/a6/opo r7 Job Site Address: 73 'B4ict41 5tee} City/State/Zip: bitd4icn.ptera , MA AIO6C Attach a copy of the workers compensation policy declaration page(showing the policy number and otpiration 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Y ---4 Date: /0//4 Phone#: ///?- 5'd/- t 4 if Official use only. Do not write in this area,to he completed by city or town official. City or Town: Permit/License # Issuing Authority (circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 72 Rc cre f} Si7ree7 to i- 5' Y The debris will be transported by: Ake,/ 6J4r%e, The debris will be received by: 4///ed t] !c tpccb/;c Se.✓ibes Building permit number Name of Permit Applicant elk ✓ De J;"1.5 /7'06 Date VSignature of Permit Applicant insausidnms athaway Farm W ,ONHOMF$^NORTHAMPTON J Commissioner Hasbrouck 11/3/16 Subject: Request for Waiver !request that you grant a modification to waive the requirement for control construction for the Patio Deck at Hathaway Farms Townhomes 73 Barren Street,Apartment 5148, 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 LIrren Sneer,ell KY,Not7 ,upon.MA 0Mei ATel 413,386 1403 Fax 413 380 SO3S TRS 8 .430083 A Email hahawavrarnwigsptwmpa.con1 {J — / O 3104i 081 3080 3079 3078 3072 3076 0a 3113 3108 i / ��"i I — nn 31123105 /�. 1 3111 I�,9J/ V _ . 4 �V310• 3107 Cr >- 3 \ , 3082 3083 1084 3085 3086 Li IV Z o �c 11 �� zs � r //� 4118 �.. d � �� V A 3102 o V W 44„5 / Iy 310, 41tb / / Wft, \ 100 .3099 _ 4 1 57 id” \\�e \ \'�, 2C / / 098 / \... 4118 4119 I ) Lou�ndry 140 ai+S �a2 �� � �rd d�{� . I 4120 Storage 4139 . -143 4144 • l lI 4121 I — �ee[cx�se � �+ 1 4138 GW I r_i _ CG< � ' P" .k. — 41 6 4146 00 ^^�I4137 L- _7 odp 0-0 __, _r t_ 142 @_.?) I 6 4135 5149 73 Barrett Sr NorC,. .r , 0Jon "ttci APt # -5 //;/ a t. G4 rt. v ,- v + (1 ti , 0 J Ai 1 @r !� u I t '`n .4 „ch c ISS F , e riwt; i +r Cent ; UG�S � r�« 1 CI ` n ; ` ? 1 `/v -'y rc33 o k Lc,rid i S , I� _._..-_ 1 �r C��� 1 .Fl 1-Yi nS( r {! -Kx )�<$-f,Ct7 fCk. +k, 1 `fit i i Deft / T CcJ`•1zf` ,S4t• i eci " /9y Lit v I o- ! )Ric --i4Qrs 6 si. i. e: IL CS E .. , f , /f/ Oue,as evord //-7 -76-- City /-t7cCity of Northampton Building Department Plan Review 212 Main Street Northampton, MA 01060