24B-079 (38) 73 BARRETT ST UNIT 4130 BP-2019-0074
GIS 9: 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-2019-0074
Proiect4 JS-2019-000115
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(IOOVWP(7)/ Applicant. JONATHAN DEVINS
AT. 73 BARRETT ST UNIT 4130
Applicant Address: Phone: Insurance:
73 BARRETT ST SUITE 2000 (413) 586-1405 (5) WC
NORTHAMPTONMA01060 ISSUED ON.7/23/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:BUILD A 12X15 DECK OFF OF BACK OF
APARTMENT FOR RESIDENTAIL 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: 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 Sienature:
FeeType: 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-2019-0074
APPLICANT/CONTACT PERSON JONATHAN DEVINS
ADDRESS/PHONE 73 BARRETT ST SUITE 2000 NORTHAMPTON (413)586-1405(5)
PROPERTY LOCATION 73 BARRETT ST UNIT 4130
MAP 24B PARCEL 079001 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
Fee Paid 1.
Tvoeof Construction, BUILD A 12X15 DECK OFF OF BACK OF APARTMENT FOR RESIDENTAIL USE
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
Demolition Delay
7/11—
Sigoall6re of Building Offi ',I 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 Building Permit Mev 15,2000
Department use only
City of Northampton Status of Permit:
JUL 11 2019 Building Department Curb CuUDrivewey Permit
212 Main Street Sewer/Septic Availability
Room 100 WaterMell Availability
"PNpglogMr°,toN M ameo�ys 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 Pron lrb,Address: �,/ This section to be completed by office
73 94rre#+ S# 71 d Qf "/ ��O MaP � 7 Lot 0'7�1 Unit
Zone Overlay District
Northcmptonl MA 01060
EJm SL District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
H41+14w,q fqfm6 Ig ha es L P 73 '4rrelt Free+ S4.+e ePOLo tWfl q-p6.m(t
Name(Print) Current Mailing Address:
413 -5&G - 1405
Signature Telephone
2.2 Authorized Agent:
�G'✓4l�iw pe+iwr AV,.,rr/- Afr..vvte 73 S+rte}- 5�4e IoW tJ ,A.-p+w Mfl
Name(Print) Curren Mailing Address:
413 -SS6 -IYos
Signature Telephone
SECTIOa.ESTIMATE CONSTRUCTION TS
Item Estimated Cost(Dollars)to be Official Use Only
cum leted by permit a licant
1. Building 2`00 Og (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee I1�, /
4. Mechanical(HVAC) rT l on
5.Fire Protection
6. Total=(1 +2+ 3+4+5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signalu
IleBuilding Commissionempspecto uildings Date
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 ❑ Existing Wall Signs ElDemolition❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing[:1 Change of Use❑ Other
Brief Description Enter a brief description here. '�la�N� s 1;) v 15 rAerk off of fte b,,n ' �
Of Proposed Work: tkr R....e-+4 for resaae -+i H e
SECTION 6-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly13A-1 ElA-2 ❑ A-3 13 IA ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional 0 -1 ❑ 1-2 ❑ 1-3 ❑ 38
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ 8-2 ❑ 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 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(at)
tsi
a
2^a 2-
3. 3r°
4°
4�
Total Area(sp Total Proposed New Construction(at)
Total Height(ft)
Total Height It
7.Water Supply(M.G.L.c.40,164) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑
Version l.7 Commercial Building Permit May 15,2000
S. NORTHAMPTON ZONING
Faison¢ Proposed Required by Zoning
1 his column to be filled in br
Huilding D,,..,
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot uea minus bldg&paeed
Raking)
M of Parking Spaces
Fill:
Nci&Leastion
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DONT KNOW O 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 and/or Document It
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: } e,.)rarre s;1ms on i .r.edl sk ide,+F�y; Iwlu<��y
D. Are there any proposed changes to or additions of signs intended for the properly 7 YES O NO 0
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading, excavation,or filling)over 1 acre or is it pan of a common plan
that will disturb over 1 acre? YES O NO I®
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 ❑
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Excision Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Nem. Area of Responsibility
Address Registration Number
Signature Telephone E piratlon Data
Name Aran of Responsibility
Address Registralam Number
Signature Telephone Expiretion Data
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
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 O IN O
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
'�rIlP�S L!/5/.f/C mnnt�R F&f 11W7 Ay ;"�w,ner of the subject property
hereby authonza_�Ih llN �Vily _ to
act on my bah n all matter, relative to work authorized by this building permit application.
Signature
�of�Omer /Date/
I, . /ON4ci✓ -//<✓i.JS , 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��un�tler th��e//pains and penalties of perjury.
t/ONai+ //C✓i.�.7
Print Name
MS' ure of OwnerlAgenl Dale
CTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor. Not Applicable ❑
Name of Llurse Holder: �/uN41GNYr-tS _ C—$ -Q Q.3.2a (
1' License Number-
73 'B4rre-tr Sfree{ Sw}e .2000 '90
'901 r
Address Erplrs(ion ate
-_� y/3-556 -/yoSurf 5
S re Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 162,§2SC(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 0 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 �! orae f/ Sfrcef
The debris will be transported by: _ ub/'c .Sery;«s
The debris will be received by:
Building permit number:
Name of Permit Applicant
Date gnature of Permit Applicant
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written.-
An
ritten"An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any Mn or more
of the foregoing engaged in ajoint enterprise,and including the legal representatives of deceased employer, or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the
ower of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required"
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority"
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply your insurance company's name,address and phone number along with a certificate of insurance.
Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members
or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy
is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of
insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town
that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you
have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the
Department at the number listed below. Self-insured companies should enter their self-insurance license number on the
appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number.In addition,an applicant that
must submit multiple permit/icense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town
maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit
must be filled out each year. Where a homeowner or citizen is obtaining a license or permit not related to any business
or commercial venture(i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this
affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street
Boston, MA 02114-2017
Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax # 617-727-7749
www.mass.gov/dia
F..Rcvised 02-23-I5
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
I Congress Street,Suite 100
l Boston,MA 02114-1017
, " wlvw.mass govoldia
Workers' Compensation Insurance davit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/OremiaatioNlndividuaq: f/lr/11�Lr.F. AgijdMGs LF
Address: 73 c9-reef
City/State/Zi a 01060 Phone#: q1 7
Are you an employer?Check the appropriate box: Type of project(required):
L 6 I am a employer with I C-) 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or pan-time)." have hired the sub-contractors
2.❑ I 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' q E]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 11.❑Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.]t c.152,§1(4),and we have no
employees. [No workers' 13.0 Other
cowry.insurance required.]
*Any awficaatdatdae xboxrl mw[atm fieouttb<seedm below ehowinBtheb wmken'eompevsadov podgy ivformaiw.
t Homeowners who vWxna Nisaffidavitidwungftw aredoingall work evdMm M1ire oursidecono-emors must submiranewefiidaviliMiwtingnuch.
kovbanors char eM1ekays box must aaecM1M meddiaoml sheet ahowmg the name ofdce subroeamurs end suewhMmornm dune vailim have
emptoyax. If the subcantracmm M1eve mWloyeu,tM1ryrvuatpmvide Web wmkan'camp.policy number.
lam an employer thatis providing workers'compensation insurance for my employees. Below is me policy and job site
information. rAI
Insurance Company Name:HTM M sn}ec4[ _
Policy p or Self-ins.Lic.N: W M2 - Foo - froo G16a- d0l7 A Expiration Date: IA6 I l A
Job Site Address: 73 '.Re r ee ft SE reek City/Stare/zip: A/cAtinastow AA l MCe
Attach a copy of the workers'compensation policy declaration page(showing the policy amber and expiration date).
Failure to secure coverage as required under Section 25A of MGL a 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 cerd under the�poins and penalties ofperjury thatthe information provided above is true and correct
SignatureDate:
Phare r1MI- TP6. - /r/a.S
Ojjkial use only. Do not write in this area,to be completed by city or town official.
City or Town: PermitUcense a
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone M
ACC �® CERTIFICATE OF LIABILITY INSURANCE q i"...
=o 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 certificate holder Is an ADDITIONAL INSURED, the policy(hes)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 cerifficate does not confer rights to the
certiflum holder in lieu of such endomemends .
vaooucER CONTACT
NINE• Michael Bonacorso
Boaarorso Insurance Agency, Inc. ,HONE M. (781)937-3200 �yc,Ng:nav E7e-I2Dz
30 Cedar Street E.MUL .michee196onacoraolne.com
�DOREss..
Unit a 32 _ INEURERU AFFORDIX_G COV_ERA_G_E _ RAICI
Woburn MA 01801 INSURERAAIM Mutual
INSURED INSURER B:
Hathaway Facme TownhomeS, LP INSURERC:
C/o Spear Management Group INSURER D:
575 Southbridge Street INSURER E:
Auburn MA 01501 INSURER F:
COVERAGES CERTIFICATE NUMBER:CL1532703828 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.
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CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
EvldeaCe OL Coverage. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORRED REPRESENTATIVE
®1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(201//01) The ACORD name and logo are registered marks of ACORD
INS025(.,.,)
athawa Farm
iONIH01115 a \0NIHAMPI0%
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 Barrat St,,m.2000,Northampton.MA 01(,611 11 Tel 413.586.1405 Fax 413586,8038 TRS SM 43901N3 • Email m.mrom{�
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.
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2011 ROOFING REPLACEMENT PROJECT ,� s
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