24B-079 (53) 73 BARRETT ST-UNIT 2051 BP-2020-0078
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 P E R M I T
Permit# BP-2020-0078
Proiect# JS-2020-000125
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 - UNIT 2051
Applicant Address: Phone: Insurance:
73 BARRETT ST SUITE 2000 WC
NORTHAMPTONMAO1060 ISSUED ON:7/22/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-BUILD A 12X15 DECK OFF BACK OF HOUSE
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 7/22/2019 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2020-0078
APPLICANT/CONTACT PERSON JONATHAN DEVINS
ADDRESS/PHONE 73 BARRETT ST SUITE 2000 NORTHAMPTON (413)586-1405(5)
PROPERTY LOCATION 73 BARRETT ST-UNIT 2051
MAP 24B PARCEL 079 001 ZONE URC000)/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
TypeofConstruction: BUILD A 12X15 DECK OFF BACK OF HOUSE
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
;� ��,7 722- &i1
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.
RECEIVED
Versionl.7 Commercial Buildin Permit M I i5.100 Jul 1 8Z
Department u —
City of Northampton status of unit
Building Department Curb Cu yew yPIFS9 HA'MPDTON!MA 01060 NS
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability—___
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Spectry`
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 $4rrett JS- Apck,-+q,,r-,jf a051 Map �7 Lot 07"1 Unit
Zone Overlay District
NorWi4►,nptoN MA 0(0 r.0
Etm St.District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
He%OK-J ( Fo-krrvis '[o��hvrr,es �.,� 73 '&rre-tf Y4reet S%i+e dOOO Nor&gr%p6,arAh
Name(Print) Current Mailing Address:
413 -St 1405
Signature TeIsiphons
2.2 Authorized Agent: '— -- --- --- — —
�Gw4�ic.✓ �e✓i r Ax3io%� M4�4Je� 73 &rre# Sfree�- J• Ae .20W Norfilc.ffwAAA
Name(Print) Current Mailing Address:
_ 413 486 -/ya3
Signature Telephone
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) I O`er
5.Fire_Protection
6. Total=(1+2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
7 ZZ-2019
/- Z
Building Commissioner/Ipspector of Buildings Date
Version 1.7 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 U)
Brief Description Enter a brief description here.'&AA;, 1 , 0 v t5 cAc Ok of* of ft•.e b'.1.1:! 04'�
Of Proposed Work: +he AjxrtMe-+} for res;d e-++ HSe
SECTION 6-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 ❑ 1 B ❑
B Business ❑ - 2A ❑
E Educational ❑ 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ gg 11
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ 3-2 ❑ 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(so
1st lu
2nd 2nd
and ata
4d' 4e
Total Area (so Total Proposed New Construction(so
Total Height(ft)
Total Height ft
T.Water Supply(M.G.L.c.40,§64) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone❑ ' Municipal ❑ On site disposal system❑
Versionl.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
Frontaee _
Setbacks FI4131
9ed L: R: L. R:
Building Height
Bldg.Square Footage — %
Open Space Footage %
(Lot area minus bidg&paved
arl:i»
#of Parking Spaces
Fill:
Ivolume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 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
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 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 0 Obtained O , Date Issued:
C. Do any signs exist on the property? YES 0 NO O
IF YES, describe size, type and location: { erl rcwce 'f;106 am �.� s+ ;cit"+�4 ..j
3�. y. j
D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 aae or is d part of a common plan
that will disturb over 1 acre? YESO NO
WY
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version]_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 11 S(CONTAINING MORE THAN 36.000 C.F.OF ENCLOSED SPACE)
9.1 Registered Archibct:
Not Applicable ❑
Name(Registrant):
Registration Number
Address _
Expiration Date
Signature Telephone
9.2 Registered Professions(En iraer(s): -- — --
Mame Area of Responsibility
Address _.
Registration Number
Sigrurlure - _ Telephone E4ftlbn Data --- --
Name Area of Responsibility
Addmes - — Registration Number --
Signature Telephone Expiration Date
Name Area of Responsibility —
Address — --_ _ Registration Number
Signature -- -- --- -- Telephone Explretion Date
Name -- Area of Responsibility
Address Registration Number
Signature Telephone Expiration Dale
9.3 General Contractor
Not Applicable 171Company Name:
Responsible In Charge of Construction
Addro»
Signature Telephone
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(760 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 CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owner of the subject property
hereby authorize
act on my beh ,' all matters r lative t work authorized by this building permit application.
e��4�ZW -4A.41�
►? 070/
Signature of dwner Date
NEW-
1, -----,�.-_�f . .ON4. t,k.� i✓iNs..� __.. -..__..__ 1 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.
Print Name ------ ----- q -
Signat Owner/Agent Date
SEC+05N 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:k �/P_ 4 f�+ N. �R✓%r�.S -_ �_5 f _8 3.a o�
License Number
73c�re sSfYtGf, _._.st!►. e i1�00
9-1 a /ao
Address
Expiration Date
_ �n Ly'!3,'la�, �yoS_ert,tt
tura 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 Q
ACa A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY)
ls..� 1 8/16/2018
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: H the certificate holder is 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 endorsement(s).
PRODUCER CONTACT NAME: Michael BOaacorno
Bonacorso Insurance Agency, Inc. IPAHGONLEO u (781)937-3200 l�No):(701)937-3207
10 Cedar Street EMAIL
ADDRESS: coin
Unit # 32
INSURER(S)AFFORDING COVERAGE NAIC A
Woburn MA 01801 INSURERAAIM Mutual
INSURED INSURER B: -
Hathaway Farms Townhomes, LP INSURE RC:
c/o Spear Management Group INSURER D:
575 Southbridge Street INSURERE:
Auburn MA 01501 1 INSURER F:
COVERAGES CERTIFICATE NUMBER:2018 Master 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.
INSR LTR TYPE OF INSURANCE ADDL;SIIBR -- POLICY NUMBER MOLT ICYIYFF
YYY -MMD Y EXP LIMITS ---
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE :
CLAIMS-MADE El OCCUR I bAM40ETRENTED
.PREMISES(Ea oceurtyrpl S_
-. MED EXP(Any one person) _ _S
PERSONAL 8 ADV INJURY $
GENL AGGREGATE LIMB APPLIES PFR
PRO GENERAL AGGREGATE _E
a POLICY a JECT n LOC PRODUCTS-COMP/OP AGG S
OTHER: __._ ._
AUTOMOBILE LIABILITY iEa accldsm $
. i
ANY AUTO BODILY INJURY(Per parson) !S
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident),S
HIRED AUTOS NON-OWNED PROPEL€ -
AUTOSS
�-(Peratxidentl__._____ .
$
UMBRELLA LIAB OCCUR __ _
-- i EACHOCCURRENCE s
HEXCESS LIAR CLAIMS-MADE AGGREGATE
OED RETENTION j S
�WORKERS COMPENSATIONPER
AND EMPLOYERS'LIABILITY Y/N X'STATUTE ER .
ANY PROPRIETORIPARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 500,000
OFFICERWEMBEREXCLUDED7 �� NIA
A '(Mandatory in NH) NMZ-800-8006102-2018A 7/26/2018 7/26/2019 E.L.DISEASE-EA EMPLOYEE$ 500,000
M dasrxibe under
DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT 1$ 500,000
i
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached N more space Is required)
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.
AUTHORIZED REPRESENTATIVE
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025(201401)
— (QX The Commonwealth of Massachusetts
Department of Industrial Accidents
:1 1 Congress Street, Suite 100
Boston, MA 02114-2017
www mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information. Please Print Le ib1N
Name(Business/OrganizationIndividual): ♦u, . c. i .+MaT�00h
om t j LP
Address:_'J3 •-EC-If e+ , �k,+e X000
City/State/Zip: A10,A, Eta✓ 4910ra 0 Phone -Sf 6 - /c/as-
Are you an employer?Check the appropriate box: Type of project(required):
l.Iff I am a employer with_10 _employees(full and/or part-time).* 7. E]New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in g, ❑Remodeling
any capacity.[No workers'comp.insurance required.]
3.E]1 am a homeowner doing all work myself.[No workers'comp.insurance required.]1 9. El Demolition
4.E]I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition
ensure that all contractors either have workers'compensation insurance or are sole 1 LR Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ROOF repairs
al��
These sub-contractors have employees and have workers'comp.insurance.;
We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[:]Other
6.[_
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy 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.
]Contractors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether of not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy 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: Ar M iM K4a i
Policy#or Self-ins.Lie.#: W M Z- 800• x'00610.1- 201 p A Expiration Date:
Job Site Address: [a_-Barre-W tS+rG 1&4 City/State/Zip: NO/TIIr�MP�oM /�'!I�
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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 thepains and penalties ofperjury that the information provided above is true and correct.
Signature: Date:
Phone# 3-Sk(�7 I 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
Contact Person: Phone#:
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 employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner 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 sub-contractors)name(s),address(es)and phone number(s)along with their certificates)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/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should writs"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be 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 home owner 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, Suite 100
Boston, MA 02114-2017
Tel. #617-727-4900 ext. 7406 or l-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: T73 -Barre. 4i- Sfree4,
The debris will be transported by: C,seng W4s+Q
The debris will be received by: Cr-se n
Building permit number:
Name of Permit Applicant ----�0 �f�e.�
Date /Signature of Permit Applicant
athaw 17 farm
TOWNHONtES 41 NORTHAMPTON
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 Barnet Street,0M),Northampton,MA 01()60 x Tel 413.586.1405 Fax 413.586.8038 TRS 800.439.0183 Ali Email hatt�a��avharnu(�p�arms�nt.cotn Q
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