24B-079 (36) 73 BARRETT ST UNIT 5160 BP-2019-0076
GIs#: COMMONWEALTH OF MASSACHUSETTS
Mao,Block:24B-079 CITY OF NORTHAMPTON
Lot .001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinc DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:Deck BUILDING PERMIT
Permit# BP-2019-0076
Project# JS-2019-000117
Est Cost $1600.00
Fee,$100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor. License:
Use Group: JONATHAN DEVINS 083221
Lot Size(sp.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 UNIT 5160
Applicant Address- Phone: Insurance:
WC
NORTHAMPTONMA01060 ISSUED ON.7/23/2078 0:00:00
TO PERFORM THE FOLLOWING WORK:BUI LDING A 12X15 DECK OFF OF THE BACK OF
THE APARTMENT FOR RESIDENT USE
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: Ooh 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:
FeeTyoe: Date Paid: Amount:
Building 7/23/20180:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2019-0076
APPLICANT/CONTACT PERSON JONATHAN DEVINS
ADDRESS/PHONE 73 BARRETT ST SUITE 2000 NORTHAMPTON (413)586-1405(5)
PROPERTY LOCATION 73 BARRETT ST UNIT 5160
MAP 24B PARCEL 079 001 ZONE URC(100)/WP(7)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction, BUILDING A 12X 15 DE F THE BACK OF THE APARTMENT FOR
RESIDENT USE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Pins Included,
Owner/Statement or License 083221
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO'jIMATION 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
D olition Delay
r
ofBui ding •ial Dale
Note: Issuance of a ning 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.
0/1 Versionl.7 Commercial Buildin Permit May 15,2000
f- 44- - - - -I Department use only
City of Northampton Status of Permit:
JUL 17 2018 Building Department Curb CuVDdveway Permit
212 Main Street Sewer/Septic Availability
=n:u Dime imsaec
Room 100 Water/Well Availability
or no
,arm,om.unoros0 orthampton, 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 ProcerN Atldress: This section to be completed by office
73 Barretf S* A0} 516, D Map 2a{B Lot OTT Unit
Noftn4MploN MA Offlo Go Tone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
H4+114u14.� firms �ow.0 hsV.+es )-.,�'I 73 '4rre4 54ree4 Sw}e x000 fJw}l.4npFe�HA
Name(Print) Curren Mailing Address:
413 -58G - 1405
Signature Telepnone
2.2 Authorized Agent:
�4NIw ye✓i.+-rr Arr+h^-t lq-f Ve' 73 BCr/e$ ,S}r[el- 5-,4e low m.,fhc...p#.,MR
Name(Print) Curent Meiling Address:
413-S^ -1445
Signature Telephone
SEESTIMATED PONSTRUCTION C
Item Estimated Coal(Dollars)to be Official Use Only
completed by permit applicant
1. Building 4 /coo- 00 (a)Building Permit Fee
2. Electrical (b)Estimated Total Coal of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) /YT
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Sign
Bur Commissionerdps of Buildings Data /e
Version 1.7 Commercial Building Permit Mev 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❑ Rooting❑ Change of Use❑ Other
Brief Description Enter a brief description here. +itd�.-J c Ig v 15 o(e�k off eF f6e b.ck of
Of Proposed Work: {ke [ tln..e.r} for res.d< -++ r e
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A AssemblyE) A-1 —1A-2 ❑ A-3 131A El
AA ❑ A-5 ❑ 7B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
1 Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑
U utility, ❑ SPaC1Y:
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 a BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(at)
1n
s
2ne
Zoe
3,e
3i°
4.
4u
Total Area (sl) Total Proposed New Construction(sp
Total Height III)
Total Height it
7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public 0 Private ❑ Zone Outside Flood Zone❑ Municipal 0 On site disposal system❑
Versioul.7 Commercial Building Permit May 15,2000
S. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
I his column to be filled m b�
Building Dcpanment
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
U.v<a minus bldg&peeed
akin 1
q of Parking Spaces
Fill:
(volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DONT KNOW Q YES Q
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 andlor Document#
B. Does the site contain a brook, body of water or wetlands? NO ® DON'T 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: }„�, e„Ir4r<e r;j,us an '&,,, ss idw4:�y;.v� lfiil < ,y
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO if
IF YES, describe size, type and location:
E. Wil the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is h part of a common plan
that will disturb over 1 acre? YES O NO If
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 Epindlon Det.
Name Area of Resporecafty
Address Registration Number
Signature Telephone Expireeon Date
Narue Area of Responsibillly,
Address Regisirelion Number
Signature Telephone Etpiralion Data
Name Area of Respanalbilily
Address Registration Number
Signature TNephone Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
athaway Farm
iON'NH OM6 a 1OkiHA11F101
Commissioner Hasbrouck
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 Townhomes 73 Barrett Street, Building 8, 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 B.armt Street,n2000.Northanipton.MA 010611 11 Tel 413.586.14115 Fax 413.5868099 TRS 81x)A39II 183 / Email hadlarraytirnu�iypeann�nirom Q
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 O
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CO''IN��Tr/R���ACCTOR APPLIES FOR BUILDING PERMIT ,..�p�
I, 6reff4k� TrNo[I�J r p[LS/'t1t /»AAbiSF/P FRQ �j(�/ rr"!'93�wner of the subject property
herebyauthorize �/0.VG.7-/14N ✓r NS to
act on my beh n all matter relative to work authorized by this budding permit application. r� `
///5,h.//�
Signature off Owner D to
I, `/ON4}�ici✓ �e✓i..Lf , 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.
Signetl�nnd�der the pains and penalties of perjury.
�/ON4�/�Gr �G✓iNJ
Print Name
Sre of Owner/Agent Dale
CTION 12-CONSTRUCTION SERVICES
F-
10.1 Licensed Construction Supervisor:^ Not Applicable ❑
Name of License HolderG S -O F 3aa 1
License Number
73 Sffee} Swte °loop 9 o�3a/ t
Address Expi ion ale
_� y/3-Jf16-/Y�erL S
6' re Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c. 162,§26C(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 '.�ef/ �eef
The debris will be transported by: 2eoubFc
i
The debris will be received by:
Building permit number:
Name of Permit Applicants
Date gnature of Permit Applicant
The Commonwealth ofMassaehusetts
Department of Industrial Accidents
Off ice of Investigations
V�-
I Congress Street,Suite 100
Boston,DIA 02114-2017
wwwlmass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leeibly
Name(Business'OrganizatiudlndividuaD:"461k U�aMGs I f7
Address: 73 S:rlell- c'W-ree/
City/State/Zip: t 01660 Phone#:
Are on an employer? Cbeck the appropriate box: Type of project(required):
1.Wl am a employer with_. I E) 4. ❑ I am a general contractor and 7
employees(full and/or part-lime).`
have hued the sub-contractors G. [j New construction
2.❑ I am a sole proprietor-or partner- listed on the attached sheet. 7. E]Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers' g ❑Building addition
[No workers'comp.insurance comp.insurance.
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL I2.❑Roof repairs
insurance required.[t c.152,§1(4),and we have no
employees. [No workers' 13.❑Other
comp.insurance required.]
*Any applieaotthat charksbax di mumalw fill out rhe wedonhlow ebowdvg Neir wmirai eompmaatio.po4ry iofarmadov.
Homwwum who submit thisarad mit irmiatingacey are daingall work and then hire outride cootractommum wi mrtancw affidavit ins icas,such.
;Con nousathat.hark Nis box mumatiched an additional sheet showing the tame ofthe sub<oouMomard dace whether.,not avw entities bare
employees. If Ne subsonbvatoa have rarrylayem,Nry mmt pwvidrNrir warkas'c®p.pogry vumbm.
I am an employer thmis providing workma'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: ATM
Policy#or$elf-ins. Lic.#: W MZ - 8'Oo - frna 616a- 1017 B Expiration Date 6 I [I/
Job Site Address: 73 14rfefi SI-reel City/Stme/Zip: A1b(,Ai.apbN /44 OV6a
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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cerfi under thepains andpenal#es ofperjwy that the information provided above is true and correct
c' D t
Phony
Ofjiciat use only. Do not write In this area,to be completed by city or town official.
City or Town: Pcrmit/License#
Issuing Authority(circle one):
L Board of Health 2.Building Department 3.CityrFown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
A ORe CERTIFICATE OF LIABILITY INSURANCE 4TE
/17/2018I"� zo B'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the cartiRute holder la an ADDITIONAL INSURED.the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy,certain policies may require an endorsement. A Statement on this certificate does not confer rights to the
certificate holder in lieu of such endomement(a).
PRODUCER CNI Michael Bonatorao
Sonacorao Insurance Agency, Inc. PNoxE 1751193]-3200 PAx nest 9J].J]EE
—_
10 Ceder Street E-MNL
ADDRES5.michael@bonacorsoins.com
cmm
_
Unit a 32 _ INSURER($)AFFORDING COVERAGE
Noburn MA 01801 _ INSUNERAAIM Mutual _.
INSURED M$UPEPB
Hathaway Farms Tovmhomes, LP INSURER C:
c/o Speer Nanagamen[ Group INSURER D:
575 Southbridge Street MSURERE:
Auburn MA 01501 MauREn F:
COVERAGES CERTIFICATENUMBER:121,1532703828 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Hep — POUCYEFF PoLKV IXP - — -
LTR TYPEOFIMEUPANCE POLICY NUYBEP LONERS
COMMERCIAL GENERAL LPBILIIY FACHOCCURRENCE E
- 6AFGGET6 aENT€6
_ �CLAMSMAOE �OCOUR pREMI$ESIEE owur�ercel E _
J MED UP(AM om Pert: E
PERSONAL a ADV INJURY E
GENL AGGREGATE LIMIT APPLIES PER GENERAL...E f _
I
POLICY C_ I JFCT I LOCPROWCTS.COMPNPAGG S
OTHER: S
AUTOMOBILE LIABILITY SII FaxwOenl LE LIMIT
E
FUNNED
BODILY INJURY(Per pa>on) E
iFUNNED SLHEGLEO BODILY INIURY(Pe�MZMenO $
AUTOS NOON.DSNIED .I PROP--p—.E E
yi HIRED AUTOS AUTOS Pc ewNarf.
E
UMBRELLA WB iOCCUR EACH OCCURRENCE
W
EXCESS LrCLAIM$IMOF _gG_G_flEG_ATE
DED RETENHONI, f
WORKERS COMPENSATION X
AND WPLOYERF LJABIUTY _ TATUTE _ Eq
.WY PROMILTORNARTM`RLEXECUTry YEN El EACH ACCIOEM __ S Sao,000
A �,FF� EMR F%CLUceO] �. _i xle p E L.DISEASE.N.EMPLOYES _
MNL-9 00-8006103- Ol]A ]/36/301] ]/]6/1018 Ej $0�_D00
n aambe ume,
SCRIPTON OFOPERATIONS MAI E L.DEHASE.POLICY LIMIT I E Soo 000
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DE ICRIPTON OF OPERATIONS R LOCATIONS I VEHICLES (ACORO 101,A.I.—I Rmmulu 9MnMula Ory M MlxTetl H men Pace n rpuiradl
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Evidence OF Coverage. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTMORUMD REPRESENTATIVE
®7888-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INSO25(mul1)
Jonathan Devins
From: vztpositivenotification@verizon.com
Sent: Monday,July 16, 2018 9:46 AM
To: Jonathan Devins
Subject: 20182901166
Dear Excavator,
Your request to locate Verizon facilities for the ticket identified above has been reviewed. The extent of work
described in the request noted above has been compared with our facility records. Verizon has determined that the
excavation location and scope of work you have identified does not conflict with our underground facilities. If you have
questions or have additional information where you feel Verizon's underground facilities are in the excavation area,do
not hesitate to contact our National Facility Locate Call Center at 800-492-3100.
Thank you and remember to dig safely!
Please do not reply to this email as the account is not monitored.
1
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r.gpq« 2011 ROOFING REPLACEMENT PROJECT
E...E. Esso =01, PR-..' s. HATHAWAY FARMS, NORTHAMPTON, MA
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