24B-079 (57) 73 BARRETT ST BP-2020-0303
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 042A)
Category: ROOF BUILDING PERMIT
Permit# BP-2020-0303
Proiect# JS-2020-000509
Est.Cost: $94500.00
Fee:$662.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: DAVE MINER 074920
Lot Size(sg. ft.): 785822.40 Owner: HATHAWAY FARMS TOWNHOMES LIMITED PARTNERSHIP C/O SPEAR
MANAGEMENT
Zoning: URC(100)/WP(7)/ Applicant. DAVE MINER
AT: 73 BARRETT ST
Applicant Address: Phone: Insurance:
347 NEWTON ST (413) 533-0481 WC
SOUTH HADLEYMA01075 ISSUED ON:9/6/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF ON 15 UNITS
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 9/6/2079 0:00:00 $662.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2020-0303
APPLICANT/CONTACT PERSON DAVE MINER
ADDRESS/PHONE 347 NEWTON ST SOUTH HADLEY (413)533-0481
PROPERTY LOCATION 73 BARRETT ST
MAP 24B PARCEL 079 001 ZONE URC000)/WP(7)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLIC ECKLIST
ENCLOS REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildiny,Permit Filled out
Fee Paid
Typeof Construction: STRIP&SHINGLE ROOF NITS
New Construction
Non Structural interior renovations
Addition to Existing`
Accessory Structure
Building Plans Included:
Owner/Statement or License 074920
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
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.
Version 1.7 Commercial Building Pennit May 15,20(X)
_ -- _ Department use only
City f Northampton Status of Permit:
SEP 6 2019 Buil ing Department Curb Cut/Driveway Permit
2 2 Main Street Sewer/Septic Availability
ROOM 100 Water/Well Availability
LnF111T OF BUILDING INSPECTI orthImpton, MA 01060 Two Sets of Structural Plans
ORTHAVI-7,-)r; '"A 1 i!
-- - j)kio 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 Property Address:
This section to be completed by office
Map / Lot �� Unit
73 j3e(rL i s+, 1sui� 0?090
f Zone Overlay District
A)&kLIWA 4 A � r 01"19 V1060
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
o a
Name(Print) IS 1JCurrent Mailing Address:
.
Signature Telephone 1�
2.2 Authorized Agent: _
AjQ
f 10-41
Name (Print) Current Mailing Address:
Signature Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building ov (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
6. Total =0 +2 + 3 +4 + 5) f1 �� U Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signa re:
&��
Buildi Commissioner/Inspector of Buildi s Date
f f f
' y i
,7'{
, t �
� L •...fLi t S l I
(
,
,A
_,.. . .. ^1�� —i,-..;'� y ,ppp ....� .. ...... ___- au ..�.—......_.yam,.....;., .'._r_ •._ _. __ _...__... ....-�.._. .. _.. J
i r
... r s•
orm; •,`�:ii�jc-ls. .:c "." !.s', w•L :1.`. :�.wu
A►"`t: 1 OM!"' ►. J. i
�1. II t.C!''t. bi1 1 ✓ ..r 77: 0.1,57tE:Q •i t., v R T. ...L; .0 ow, j1;' C/t: ';ilR: f
-
i
� 2�''J �i•;'. '��� u.C�Lt`. �:.,i,f tVjJ(.' -T`' L i
Version 1.7 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
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, 6aWP as Owner of the subject property
hereby authorize �L"^ / n``"' ����' to
act on my be in all matters relative to work authorized by this building permit application.
�,A
Signature otoOwner Date
I, eyk I✓Ue 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.
12AUC jM In,A-
Print Name
1?/6
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:. /"Cli r- l�' s a 7 y ;ZO
License Number
Address Expiration Date
/l^1 / 3
Signatur, Telephone
L
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
Versionl.7Commercial 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 ❑
Brief Description [Enter a brief description here. S� ; �_ 4 �, l
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 ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ❑ 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
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 ❑ 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(sf)
1 5t 1
Sti
2nd 2nd
3 rd 3rd
4th R
-_�.... 4th
Total Area (sf) Total Proposed New Construction (sf)
Total Height(ft) C
Total Height ft
7. Water Supply(M.G.L. c. 40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ 1 Zone Outside Flood Zone[-] Municipal ❑ On site disposal system[:]
}
- '� �..� ,...... . __._..........._...._... ...,r. ...-_... _ _�........ __ ._._._.... .-.._qua:'-__ yf. � .-._ _. _.`. •
.{ .l 1',�. ,, 5+ .ah f t��i 3u� �'��� 1 < .:.tVO{"r '3t-," � S,..`;Ct x►� . :ft '`..., ; . . }
1 1
F i L ••i� �, _ .hili 1j,Ct*!f? f'i� I;�r�. fW` 4.%•F..: .t` ldv
i
• 1
f 1
1 � i
• 1 r�
w ,
f - ,F. .'.I r'.hl .. • .! � ✓11. It S�iS ,r ' ♦fir'
. 5
Cj
_ {
t ,
_
. 1
a,l.
SSS!%
a
5
i! ,;(7,L7:
i
•ry{
f 4.. .._t..,•; i�.?'� .,t'. ' `•��^f -•.%'. E♦. (�'i.f{f"!(.:..., _ 1441f � i ..t'� .f���•15..''�»._I i'6ai1,�IdTf�t.-.- •;�'•.. "'t ._L.�� � 4
(iY3-ji '•-,y ,i's?.Y��`11F:= 'e:�31 iS`. `�.►+L
",♦.�. l3i-_''. .+ri:, �:s'�!�c..[j,g...�t: �rt! ':,1".!ll'�-M..%: 7•F;
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 Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
7 .,.
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor jj 11
Not Applicable
Company Name:
pY(L'
Responsible In Charge of bonstruction
Address
Signature Telephone
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: 7 3 4,icAA- 5'J-
The debris will be transported by: /t ri Y rts)--
The debris will be received by: y #-Wr4 /e e
Building permit number:
Name of Permit Applicant /n, Kra
Date Signature of Permit Applicant
From: JO-,
7 a-� w� �— S`-
Sz; �A �l a y
To:
Louis Hasbrouck
Building Commissioner
City of Northampton
212 Main Street
Northampton, MA 01060
The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for
construction control in certain situations. In accordance with code section 104.10, 1 request
that you grant a modification to waive the requirement for construction control of the project
at
_ because the work is of a minor nature, will not affect structural elements, health,
accessibility, life or fire safety, and will be done in accordance with the prescriptive
requirements of the code.
Thank you for your consideration.
Respectfully,
&Raft I
nAN' VE MIME
Exterior Horne Improirements
(413) 533-0481
www.[)aveminerRoofing.com
347 Newton Street, South Hadley, MA 01075
MA Registration #111294
September 5,2019
Hathoway Farms 2019 roof project to include the following units:
Units 4114-4115,4116-4117,4118-4119,3109-3110,3111-3113,4134-4135,4129-4131,
5152-5153,51545155,5156-5157,5174-5175,5176-5177,5178-5179, 1018-1019,and
1020-1021
Thank You
Dave Miner
'\ The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street, Suite 100
Boston, MA 02114-2017
ISUV www mass.gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information ,/� Please Print Le 'bl
Name(Business/Organization/Individual): !J'`J� }l I N-ev-4-
Address: ? � 7 't-'e—A , Sy
City/State/Zip: S o me tt � o/ -- 7 /'t/� Phone k 3 711 0 7-2- 0
Are you an employer?Check the appropriate box: Type of project(required):
10--a employer with employees(full and/or part-time).* 7. New construction
2.[:]l am a sole proprietor or partnership and have no employees working for me in 8. Remodeling
any capacity.[No workers'comp.insurance required.]
9. ❑Demolition
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]r
10❑Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 1 LQ Electrical repairs or additions
proprietors with no employees. 12.QPlumbing repairs or additions
5.E]I am a general contractor and I have hired the sub-contractors listed on the attached sheet. /3 Roof repairs
These sub-contractors have employees and have workers'comp.insurance? vu p
6.MWe are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
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 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-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: 2a rl t 4�
Policy#or Self-ins.Lic.#: d 2 'e If s/l Expiration Date: 10 be /I y
Job Site Address: t-k7t City/State/Zip: �—
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$250.00 a
day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification
I do hereby certify under thepains andpenahies ofperjury that the information provided above ' true and correct.
Signature: Date:
Phone#:
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
'... •`rpt g"i';i.e:,S-:', - ..�:5�.i?iS{, st,
•,..sa £�.�f�ll�%r+�:f "9tti4,s .. € :s(:l;+� A i.` .';i J,( s:{ _,t` 3.'f,., '0>^:R'. „�!3.t i{ dfsc.<,dc St
t' �. '� .., u' g., ei
x t.
:1' .. :1`:;R. �'�. w. `.Yf "a;.�'s`�fl jl(:. ".!'.11.L+`',Sz`,. �l r. ,`�:<lA s'�c r f •.ekj
•. ,.�f. i:, - - t . . s.x,.,•}�,.:;'.' .';:� ,`.lS,.=LS 4::t►t1'r:,`L:S�.:�9..t'... (1�r :�q."y e8� :�+tt :�., „.-�!t. a1`'" :l.�r°'�1 a,4;',1
-,. ._ .._ ... :�'::.G.:;:'� _ "^#OPr9f.:"G.:..^. ...,,... _.....-fir:n,. .< :,�.�:aG.:.....X:.».. �:-.�. ._.. ..... ...-. .. .... '.,$f7lr:et:`:1:_. _..c -...., •s•�w
.t T '�f S�;1C ..l� + ta,i •tr 1. l c. ,. f.A��. d-it " ...Sj ). t, ;t� ,i:. .
T1 f •1. ..''.� . � .ii .. r !.(}:,�. ij.3'J.. ~`t (..11i --. .f 4 1/"1 �� {`j}° `� If _ � '
'!. , 1% LAI is'iii f�lfl 7Y i� i'' ;E .:f ♦ t Si ..i ,i.'�'r«ti,;. !�);C 1i ' �� �t�,, i7lt
• .'♦ ,. s `7 , ( .''-.r:x,itr 1�'...r+ T�l:..,:o�♦Yri=d.s. 1. ;i�pr, Sa::..•g}_ . Opt .ijrh'<*,`( j i.. .t j win;
,
°.� ;1•xl k. ., i C.t. rl{iM.i1 a.' 1: b��'r;rr1♦..:g '. ,.'i?.Y(is
-. ...'..:.. �x':w't«..ax... .^.:...:.:..s;.::ri`-:•�1:=t .:�:, '-°.x �+rtc�:._ _...... ..... .a°im'..........' ":- : .„::.�G'0�;' .. .:.•�r.X........,...�
' 'f�� .. 1'I' '.V: •:J' t. �. ,f.'r. ,f ,Ott , :l t
' ,. . .., - ..(!•' - - It a.l)I,.w _ ... ,. ".lict'l lfi. ,r' r'k , r'Ik., �`r�.
'. �. `•f -'1 .1 ' � .w, ,f' ;t<fftL'ili,'•- - .Af'” _ t � � �•� ... .3; .. .9. .r t Ir
$ ... vr, ,.:, °i. , . ' 1 .7ih:1 lam. :.f♦ '° L..,..f
p 1, tP.'f r rr.... ., 4, ..n,r " k r.. e, L '�' i e y_•.. f '1�°� (G{jt;�e
r
l
♦
.. t,.t., ;'L :•:r..-, .SIX4: +,{;' i. :.e. , R.., }'" ir.t,t w Xvf 6 :iWT 1 Pull .4_..f.- 1.:..,
,r:1d->'at}'t#t f ids':..p
, { ♦.,r,.r.�� U` .�A''i l�� i it pis _r`.� - a
t'�,'/t♦i .."t .. \ `r, (t,-'♦. x,'' ♦ 'cSe\- ,t, 'ss•`,.1``: f. .!e:.
got °Fye ' `M
k
w
Commonwealth of Massachusetts
nig. �;pn of Pmteccional Licensure
Board of Building Regulations and Standards
Construction Supervisor
CS-074920 Expires: 03/06/2021
is
RONALD E PELC .%
PO BOX 364 `
GRANBY MA 01033
Commissioner