24B-079 (48) 73 BARRETT ST UNIT 2050 BP-2019-1444
GIs#: COMMONWEALTH OF MASSACHUSETTS
MaD: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-2019-1444
Project# JS-2019-002336
Est.Cost.$1600.00
Fee:$100. PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor., License:
Use Group_ JONATHAN DEVINS 083221
Lot Size(w.R.): 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 2050
Applicant Address: Phone. Insurance:
73 BARRETT ST SUITE 2000 (413)586-1405 (5) WC
NORTHAMPTONMA01060 ISSUED ON.6/1912019 0:00:00
TO PERFORM THE FOLLOWING WORK.BUILDING 12X15 DECK OFF BACK OF APMT
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 OccuoancY Signature:
FeeTYpe: Date Paid: Amount:
Building 6/19/20190:00:00 $100.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File k BP-2019-1444
APPLICANT/CONTACT PERSON JONATHAN DEVINS
ADDRESS/PHONE 73 BARRETT ST SUITE 2000 NORTHAMPTON (413)586.1405(5)
PROPERTY LOCATION 73 BARRETT ST UNIT 2050
MAP 24B PARCEL 079001 ZONE URC(IOOVWP(7)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
E OS REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: BUILDING 12X15 DECK OFF BA PMT
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 083221
3 sets of Plans/Plat Plan
THEOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFYKMATION 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
6 De olition Delay
1-18a
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.
_ VMiM 1.7Q� vIS2000
Department uaa only
City of North a pion ��N 6gill
Building Dopa e Pannit212 Main St etic vailebAlly
Room 1O DEPT OF DUILDIN(.INA abSty
Northampton, °RTHq"^n10".rnf S dural Plain
phone 413-587-1240 Fax 413587-1272 Pmusue Plea
Other SPw*
APPUCATION TO CONSTRUCT.REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAIRLY DWELL NO
SECTION 1-SRE BNF;DIOIATION
1.1 Property Adtlraa: _ - — -__- This section to be completed by office
73 84/re++ S+ Apo. also Nap a y 3 Lot c)77 unc
Zone Overlay Diehlcl
NOrthwaplo,N MP 0106o
Elm St.District c8 Di.W.1
SECTION 2-PROPERTY OWNEISHi1M1 HORIIED AGER
2.1 Owner of Rawnd:
H4+(l4meq 'Firma Ta +h knee 4 P 73 &rniF S+ree+ 644e a'x'le pJailmi..p(tANA
Nene(wee) Ceem NsSig Addis
413 -M-1445
&aWee Telephone
2.2 Auth.dnd MOM
L-dCw4 Ar Jam.new, 4vA--h S...ie .700 nk.At—Ph.+MH
Nene)Print) Cumnl 14elwe AMd
413 486 -rY4f
apmtun Telrphor
MATED CONSTRUCTION!MM
Ilam Estinatd Cost(Dnllsm)to be ORMW Use City
completed by penrdt applicant
1. Building /L00.Oo (a)Building Parma Fes
2. ENchicel (b)Estimated Total Cast of ..
Cam4uolon from e
8. Planbing Building Pennh Fee
4. Mechanical(HVAC) c
5.Fee Prolectlon
6. Tolel.(1+2+5+4+5) Check NaMer B
This Section For Official Use Only
Suildirg Pemdl Number Doh
Issued
Signature'
11.1k gCommisdvrrntnpesmr of adld" Dats
Vmiml.7 Conooncial Building Permit May IS,2000
SECTION 4 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 36000
C BI�II FFEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signe ❑ Demolition❑ Repairs Additions El Accessory Building
Exterior Alteration ❑ Existing Ground Sign❑ New Signe❑ Roofing❑ Change of Use Other
Brial Description Enter R brief description here. l�..AA;; , a, 0 r t5 cAc V off eF tie taJ k d
Of Proposed Work: the wt.. + far Fa.;.1e+4 was
SECTION 6•USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check Y applicable) CONSTRUCTION TYPE
A Assembly
E3 A-4
13 M2 [3A-3 ❑ to 11
M ❑ M ❑ 18 ❑
B Businem ❑ 2A ❑
E Educational ❑ 2B ❑
F Factory ❑ F•1 ❑ F-2 ❑ 2C ❑
H High Haafd ❑ 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 38
M mH lis ❑ 4 ❑
R Reelden6M ❑ R-1 ❑ R-2 ❑ R-3 ❑ 6A ❑
S Storage ❑ S1 ❑ Sd ❑ 58 ❑
U Uglily ❑ Spottily.
M Mud Use 13 Spoctly:
S Spdal Use ❑ Spottry.
COMPLETE THIS SECTION IF OUSTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
ExaNbg Heard Index 700 CMR 34): Proposed Hazard Ind=700 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE V
Floor Area per Floor(of)
1e 18
2" 2n0
V 3~
4-
4e
Total Area(st) Total Proposed New Construcann let)
Total Haight(fl)
Tata)Haight R
7.Water Supply(M.G.L c.40,164) 7.1 Rated zme INennatlon: 7.3 SrDteposd System:
Public ❑ PAvate❑ zone Ondeld*Fbodzme❑ iMundolpalEl On she dispose)system❑
Vasionl.7 Coounerciel Building Permit May 15,2000
8. NORTHAMPTON TONING L—I
Existing Proposed Requvedby Zoning
Tbbcoloembb UHWaur
avildive apanax
Lo S a _
SHbacks E=
aids L:__R:_ L•_R:_
BuiWtog Heigh
Bldg.Square Footage - - %
Open Speee Footage %
dA ams mkrw Ndaa wKd
PWft)
#of Park-ing Spaces
Fill:
1<ahma a saeiw
A. Has a Special Permit/Variance/Finding ever been issued for/on the site'+
NO ® DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ® DONT KNOW O YES O
W 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 obtahwd O Obtained O , Date Issued:
C. Do any signs exist on the property? YES ® NO O
IF YES,describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO is
IF YES, describe size, type and location:
E. VAI the construction activity disturb(clearing,Brading,excavation,moiling)over 7 ave or a a pan of a common pan
that will datum over t ave? YES O NO
IF YES,awn a Northampton Storm Water Management Pemfi from the DPW is required.
Venionl.7 Commercial Building Permit May 15,7000
SECTION S.PROFESSIONAL OESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND S11RUC7ME8 SUBJECTTO
CONSTRUCTION CONTROL PURSUANT TO 760 OMR 116(CONTAINING MORE THAN 25A00 C.F.OF ENCLOSED SPACE)
S.1 Rpi.bntl Amitilact: _
Not Applicable ❑
Nim.(Rpidnt), --- —
Racbe.umfaeneer
Addrese
Fepeadon Ow
S'gmlon Talaphme
9.2 R.phtrW PMMtlnul EngOww(*):
Nam. An.of ResponsbWW
Adb... _ Rapbaeem
tlplNlum, -_ —Telephone Et hdm Dela
N. _. _ _-- Nae&RwpvebWW
AW . Repl.t som Nume.r
6leneWn Tel.phori. EvIndion Del.
Name i Neer of RawoebbW
Addnes Raptured. Number
6Ynsue TeNNpn Bpe.tbn Den,
None Am of Ra.penabilW
Add. R.PNratlm Nume.r
Slpn�e.e TaNpinr EapMbn Dale:
5.6 Genteel Conbuator
Not Applicable❑
CNnpan7Narne:
Rwpm.Rb In Chmp.of ConNin d im
Aaur.w
BlScatxe Telephone
Versionl.7 Commercial Building Pcrmit May l5,2000
SECTION 10-STRUCTURAL PEER REVIEW(7a0 CMR 110.11)
Independent Structural Engineering Structural Pear Review Requited Yes O No O
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, i..kt pI1�7T-f61eD..lrlG�S_III �el)W.714 5_✓/NIAIAQX-— ---._ .ss Dwnerof the subject Ply
hereby auOwrizeL_`�_ONi+-.c7[.!�K l:�r /•1�5.._. _---___..___.,_�� ____ )to
act on my beh all maser ladve work au0wrized by this building permit appfca0on.
SgrwWre ' Dere
IJ __.___ ./'!{,¢N_./,ari..!s.__.._.�..__.___..�___. ._,_._._— J as Owner/Authorized
Apar hereby dedare that the Statements and i dormation on the foregoing eppiiostlon aro true and eccurate,to the best of my knovAedge
and belief.
Signed ui*/Mme ppaim,and parePoep of perjury.
PM Now
9g OwiadApenl Dale _ —
SEC46N 12-CONSTRUCTION SERVICES
10.1 Licensed Corutrue0on Suservlenr: Not Applicable
Nememucense Nadsr:l V;;'gAg. - G$„-Q_a 3 2-1
Iberae Number
L T13 3�y.+r=Sficact, S-;t4—$Qoo 9 0--Ili° --
Address E�k�Hon Dab
re Telephone
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.a 152.1260[6))
Wodrere Compensation insurence affidavit must be completed and submitted with this application.Failure to provide this affidavit will result
In the denial of the issuance of the building permit.
Signed AlMevft Attached Yes • No
'+�d CERTIFICATE OF LIABILITY INSURANCE 8/16/roo2o01W8
THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIOHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER ME COVERAGE AFFORDED BY THE POLICES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHOR D
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: N the cartRCate holder Is an ADDITIONAL INSURED,tM policy(Ms)must M endorsed. H SUBROGATION 19 WAIVED,sold at IN,
the terms and CondROq of the policy,Carlos. close mmy require an elMorawMnf. A sbBreMlm pre sea corBlcats doss not comAN rights No the
CwtNiwts holder In hou of such wNdcNm mm(s).
EIIOWCIR Na M: NSORael ROIIaGbrK
Boneeore0 In .r.. Agency Inc. Mea0lalEIC (782)937-3200 Dr11fb-]e1/
SO Cedar StreetKyaslcbae186nvacorroima.qy
Unit 8 32 maLFRANannoesma commeR_ were
Nob.. RX 01801 m]UNBIA JIIM Ihotual
IMNMIO IX&IADI a:
Hatbauay Faae ToYnbaOes, LP IgyR]q L;
c/o spear Management group INBUNENo...
575 eouthbridgs Street m "ll.: _
Aubua NA 01501 MaMRaJ:
COVERAGES CERTIFICATE NUMSER:201I Raster REVISION NUMBER--
THIS B TO Ct3TTEY TINT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN WILED TO THE INSURED NAMED ABOVE FGR THE POUICY PERIOD
INDICATED. NOTLMMETUNDR03 ANY REDIIIROMENT,TERM OR CONDITION OF ANY CONTRACT ON OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTiFN M MAY BE ISSUED OR MAY PERTH.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN M SUSECT TO ALL THE TE".
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOVED HMY HAVE BEEN REDUCEDBY PND CLANS.
MaIre MaOF NII --MMl umm POLICY law, Y -- IJeaa
COMIEC14 olIamK DAM SONN OCCWMNCE !S
CLMe,. 0OaNm .NMNl6lboam.,u. •f
_ _ 1®FIDIagmF wMal _f
ARmINMaIMNIIR+ 3 _
fENI Y.Yia,GEgW6r/pIp FR OB6IMAOM®I,TE f
MLICY❑gr D. FRDmCH.LOV.OP,WG ] _
OTHER-
/,uroxaelLFUAmIm sw.., f
.ANY arL eomlr quarlwr mnml s
I nuroo6mFn amNClRROmOaa Bp BOULrwuNY( e ' ]
H+ED AVios MOINOWI® i -Pr1DPBUY OAMIOE '$
Al11Oe 1fY flarN:
s
LIZEM LIRE OR1e1 6Y}1000IMBR f _
laev u1/ o�ylpp /GmFGTe s
. DED REl1Nr(N.
Wg1IOl cc—I NCL.
IMO EwLOYERr LMuTY YIN TITE
My PwPRIETOPAF,RTNER CLT.! E�FACM MPIBNT $ $00,000
A CEFILENMFMRFA MLUOEM ❑RIA
pLeWbrym NH) Mm-e00-6001S02aem T/21/2011 I fn612029 FL DNFAa.FA $ $001000
n Nona or O
o�'scNnOF ioN PEMTm16 Nev EL mwNE.POUCYWT s 500,000
DNCIN.OF or.l.I L.TImN IY1144N(aWN01".ANYiN .1..way MpMM Nnsr Nie.mourmo
CERTIFICATE HOLDER CANCELLATION
BHOULD ANY OF THE ABOVE MIsCmsID POLICIES BE CANCRLED BEFORE
evidence of Coverage. THE E NATION Dan THEREOF, NOTICE WILL BE DELIVERED M
ACCORDANCE VIM THE POLICY PROVISIONS.
AUTIOIUE!D RVNEYNTN,T W
O 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD namund logo are registered marks of ACORD
I14025001aC,
I
The Commonwealth ofMassaehusetas
Department of Industria/Accidents
I Congress Street,Suite 100
Boston,MA 01114-1017
w via mangovAha
Worken'Compensation Insurance AfBdavlt:Builders/Contructors/Electrkians/Plumben.
TO BE FILED VMW THE PERMITTING AUTHORITY.
Applicant Information I I Pleaa Print Ledbl
rgv
Name(Busulani miratiouflndividua0f�
: AAG!Al 4WMA 'rw"kee..es p
Addrm:'3 —R&rfelF $+fee+ SLAe .7000
City/state/Zip: L Phone#: Vla3 -S86 - /y O6
Art You m emplayerr Geek He appraprWe har: Type of proleet(required):
I.�l,maemploym witb��empbyxs(ibll andmtan-time).• 7. ❑New constitution
2.❑I sur stole pmptioor orpvmmhip,oe have no emplorees working far or to 8. Remodeling
my rapacity.[No iomnnw oti mood.]
5.❑I m a comm mer dome all wmk myteR sato wwteti comp.auonrwe me,urra.I 1 9. ❑Demolition
a I w e Lonmwner and will ha hirWg contracWn to wnducr,ll work w my wnpertY. i will 10❑Building addition
eMmc that all wnnxron either have wmten'cmlpmmtrov mmrmme ware sok 11.❑Electrical repair,in addition
ptaprietwe with m employes.
12.❑Plumbing repein or addition
50lams 1-1 wntraclor std l haat hired file sohcontrmlon li.aa m the atacha sham. MoRoof repain,
name sol c tom have employes and have wmkmi coop.iruurmce.t
a❑We art a wryomioo and in otfitws have avnsa their right ofaeapam pet MOL c. 14.❑01hor
152.§I(4),and we ave romgbyee,.[No works,'comp.memmte rational]
•Any eppliumthn checks hr,,el mon also fill ora the section below dowing Weir workero'c pemafian paltry idarrmeaon
t Hatior mwho submit this a/gdevit instating they ere doing all work mW tarn hira outride contractee vmtlabmh a mw afFdma insist,not.
iCietramoa Wet ebook that has man atl.chcd an addidmal Wcet showing the tame of Wc,ubsonoecton and sun whaher or hat grant ratifies have
mploy<ea Iffie sobcantrsoton have employees.Wry moon provide Wen wadlms'wrap.'hi'numhda.
l u wa employer fhw is prodding workers'"mpeasadom insurance for my empleyees. Below is the paltry and job she
informrion.
Insurance Company Name: AIM I•leale I _-
Policy#off Self-ins.Lia#: WMZ- 100- "0610.1- a101FA Expiration DW: 7/ak jig
Job site Address: 73 $orfa+F cs+r&" CityfStatelzip: Nalhaaalll`hr MA
Attach a copy of the workers'cospelwtion paBey declaradmi page(sMaring the Polley Lumber wall aspirating date}
Failure on secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500M
and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to 5250.00 e
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
1 do kenby certify vadw sitepder andp rnalder of perjury that the information prodded above Is true and roma
Si _ Date: f
Phone#• ,1-Sfrfe- / Ojr CY+ .S
OfpcW use on&. Do not write In this area,to be completed by city or down official
City or Tovm: PermltfLleense g
Issuing Authority(circle one):
1.Board of Health 2.Building Department 1 CIty?own Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone t:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for thew employees.
Pursumt to this statute,an employee is defined as"...every person in the service of another under soy contract of hive,
express or implied,oral or wrinen."
An employer is defined as"m individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,in the
receiver or trustee of an individual,partnership,association or other legal mtily,employing employees. However the
owner of dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of mother who employs persons to do maintenance,construction or repair work m 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 shag 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 my contract for the perforations of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented in 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 subcmtractor(s)morels),address(es)and phone number(s)along with their certificate(s)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 m LLC orLLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents fm confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be resumed in 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 Oflidals
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 evens the Office of Investigations has to contact you regarding the applicant.
Please be am to fill in the pemutdicease number which will be used as a reference number. In addition,an applicant
that most submit multiple permit/license applications in any given year,need only submit one affidavit indicating eurmat
policy information(if necessary)and under"lob Site Address"the applicant should write"all locations in_(city or
town):'Acopy of the affidavit this has been officially stumped or marked by the city or town may be provided to the
applicant in proof that a valid affidavit is on file fm future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to my 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 for number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
Tel.#617-727-4900 ext.7406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 02-23.15 www.mass.gov/dia
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 -Rr rrq.* S+rem
The debris will be transported by: r,s.(la W.a+a
The debris will be received by: C<a. n a O'.'+e
Building permit number:
Name of Permit Applicant YA 01-0
lA4--12—.'o
DateSignature of Permit Applicant
athawav Farm
IONNNOM[5 a 400.rHNMr104
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 Ore 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 projectm
Respectfully,
Jonathan Devins
Operations Manager
Hathaway Farms Townhomes
73 Barnett Street
Mass CSL CS-083221
73 Bxan Strce.•2(Nx1,Nordwmpwn.MA 0)(W) A 7M 413 586.1415 Fax 413.586.allla TRS 81x1.431i0183 A EmNB rwi Q
00
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073 2072
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2064
2063
2062
2061'
Laundry 2060
8 3089 &
Storage
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2091
2092
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2055
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