10D-030 (2) BP-2022-0541
455 SPRING ST COMMONWEALTH OF MASS CHUSETTS
Map:Block:Lot:
I OD-030-001 CITY OF NORTHAMPT I N
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERE I CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY F ND (MGL c.142A)
BUILDING PE MIT
Permit # BP-2022-0541 PERMISSIONIS ' REBYGRANTED TO:
Project# 32 DECKS Contractor: License:
Est. Cost: 352000 MARK SMITH 104325
Const.Class: Exp.Date: 12/13/2023
FAIRWAY V LLAGE CONDOMINIUM MAIL:
Use Group: Owner: NORTH AM PT IN GOLF INC
Lot Size (sq.ft.)
Zoning: URA/WP Applicant: WOODSMITH
Applicant Address Phone: Insurance:
5 ANNA ST (413)53 1-7342 UB1K519265
WARE, MA 01082
ISSUED ON:05/18/2022
TO PERFORM THE FOLLOWING WORK:
REMOVE/REPLACE 32- 12X12 DECKS
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHA! PTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
I
Fees Paid: $2,464.00
212 Main Street,Phone(413)587-1240,Fax:(413) '87-1272
Office of the Building Commissioner
r'r
MAY 18 2D?2 The Commonwealth of Massachusetts
/ Office of Public Safety and Inspections
F f Massachusetts State Building Code(780 CMR)
so 2DiN, ' ' erin t Application for any Building other than a One-or Two-Family Dwelling
1tni t 10
rf 6o NS r (This Section For Official Use Only)
Building Permit Number: '" 4/ Date Applied: Building Official:
SECTION 1:LOCATION
455 Spring Spring Street Northampton Fairway Village Condominium Association
No.and Street City/Town Zip Code Name of Building(if applicable)
M in - 63
Assessors Map# Block#and/or Lot #
SECTION 2 PROPOSED WORK
Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition ® (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other ® Specify:Replaciiment of existing decks
Are building plans and/or construction documents being supplied as part of this permit application? Yes ® No 0
Is an Independent Structural Engineering Peer Review required? Yes 0 No El
Brief Description of Proposed Work
Property is a 91 unit condominium featuring 26 townhouse style buildings.77 decks are present.All decks will.be removed and rebuilt per attached plans.
2022 scope of work includes decks for the following units,32 decks total:
301 throw h 315 VeIAA(Prt
401 throw 411 '2 1 zx 12— cleckg
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780(MR 34) 0
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AR11A
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 0 A-2 0 Nightclub ❑ A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H4 0 H-5 0
I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile 0 R: Resideftial R-1fa' R-2 0 R-3 0 R-4 0
S: Storage S-1 0 5-2❑ U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable) `1
IA 0 IB 0 IIA 0 IIB CI IIIA O IIIB 0 IV 0 VA ❑ VBi,
SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) !!!
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site❑
Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify:
permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 0 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed 0 Yes 0 or No 0 Yes❑ No 0
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Fairway Village Condominium Association 455 Spring Street Leeds MA 01053
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information
Jon McGee Its Manager 413_650.9438 413 320 5070 jmcgee@hpmgnoho.com
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Mark Smith 5 Anna Street Ware MA 01082
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0.
Otherwise provide construction control forms(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
VJdobgM rnkS
Company Name e"
MA wt; MTh GS • i 0 25 u N rt s�rtacA
Name of Person Responsible for Construction License No. and Type if Applicable
S 414t4A S-f. Werrs. MA oto12—
Street Address City/Town State Zip
= till- 53173 4z— v.loobSivtatrS7V Cowtaaf.. AI et
Telephone No.(business) Telephone No.(cell) etmail� address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes 0 No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item ; Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ T6 2c
Z
1.Building $ 35 2,0 oO Building Permit Fee=Total Construction Cost x '7 (Insert here
2.Electrical $ appropriate municipal factor)=$ .
3.Plumbing $ as
4.Mechanical (HVAC) $ Note:Minimum fee=$ZM"'t`(contact municipality)
5.Mechanical (Other) $ Enclose check payable to ,
6.Total Cost $ (contact municipality)and write check number here 1((9(D
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and accurate to the best of my knowledge and understanding.
M Al-V-- 5M c 114 DA i.h.fr 413 61 '3`it 113(tit
Please print d signP rt}�,t1 • Titlt'V�t_ 1'IA- 0 Telephone bok.1 Date
it
`�3�1 lb1� P�cn�(jj�
Street Address City/Town State Zip Email Address
' 4/_,9�
Municipal Inspector to fill out this section upon application approval: i � i - ' ,t'.
N e r
��___ The Commonwealth of Massachusetts
;111 e Department of Industrial Accidents
1= :; 1 Congress Street,Suite 100
�`=i t
)�'
�.,. Boston, MA 02114-2017
sass,
www mass.gov/dia
11 urkers'Compensation Insurance Affidavit:Builder iContractors/Fkctricians'Plumbers.
Ri Ht. t1LED WITH THE PERMITTING M I hORl II.
.lnnlicant Information �►r !�� Please Print Leeihh
NameHush vIC2
1 es.organization:individual): DA a l ! T5 MA J c i PA
Address: S A NrJA JT
City/State/Zip: WPCriL• MA o t°Z'1— Phone#: 413.G3(-73
Art ysu rIIIII eat*inyer,eked,the apprupruit'tills:
Type of Proms(required):
1.0 1 am a cniptoycs with employees I full and ur part•trurt• 7. 0 New construction
2 'l am a sole proprietor or rurinership and have iw ermloyces working for nit:in 8. 0 Remodeling
any capacity (Nu workers'comp.insurance requnad.)
30 I am a hueown all sort, m myself:(No workers'comp insurance myured I'
9. Q Demolition
m a doing
10 Q Building addition
4.0 I am a to nkvwtier and sill be hung cxnaraeiors to conduct all work on my pnrpc-rty. I Will
ensure that all contractors either lose workers'compensation unurarr e u are sole 1 I.LJ Llectrical repairs or additions
proprietors a ith n>employees
12.0 Plumbing repairs or additions
It I am a general contractor and I lase hued the sub-contractors listed on the attached sheet
These sub-contractors base employees s andhate*utkers'comp.insurance.: 13.01t(Wf repairs
14.11Other—�rS
6.0 We are a corporation and its officers has a excvciscsl thou nght of exemption per kit&c.
152.h;1141.and se lase no employees.[No whirlers'comp insurance rcyuutd.(
'Any applicant that chocks box a I must also fill out the section below shoo mg their workers'compensation poles} n formatrom
o Romer %nets shy submit thus arl'idas it indicating they are slang all Murk and then hire outside contractors must subnut a tics atfidas it rrdicsang such
:Contractors that check this box must attached an additional sleet show ing the name of the sub-contractors and state a holier or not those entities hare
employees If the sub-contractors base ernplryors.they must pn,s ide their workers'exnnp.policy number
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. ib
Insurance Company Name: 1/14:4- It*L0'S . S _.
—
Policy#or Self-ins. Lic.t: v 6 • I k SA 1-C Expiration Date: Sl 21 12-
Job Site Address: 456r-" ri t 9- City State Lip- e5 ►`M 0i053
Attach a copy of the workers'compensation policy dediaratiso page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL C. 152,125A is a criminal violation unishable by a fine up to S I.500.00
arut'or one-year imprisonment.as well as civil penalties in the form of a STOP WORK RDER aril a fine of up to S250.00 a
day against the violator. A copy of this statement may be fi►rvvarded to the Office of In esfgations of the DIA for insurance
coverage verification.
I do hereby er fy under th • and penalties of perjury that the information provided above Is true and correct.
Signature: Date c13122
Phone: 413 .6 3(- ?3'F Z
r
IOfficial use only. Do not write in this area,to be completed by city or town official
(it''or Town: Permitll.icense#
Issuing Authority (circle one):
' I. Board of health 2.Building Department 3.('its."Town Clerk 4. Electrical Inspector S. Plumbing Inspector
6.Other
Contact Person: Phone#:
1 -
City of Northampton
Da<H�_M p.
S r,-
= S,
� '� t:A Massachusetts f .NA,
4,4 G
DEPARTMENT OF BUILDING INSPECTIONS 7
'w" I� / 212 Main Street • Municipal Building
yw f:C'"
\' r.+f Northampton, MA 01060 13'44;--r���
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION I ROJECTS)
In accordance of the provisions of MGL c 40, 554, a condition of Building Permit
Number is that all debris resulting from this Work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: Nc1 i 1-A9korJ
The debris will be transported by:
Name of Hauler: t•I W.,, 1''Ast" J« S
Signature of Applicant: Date: �`31Z2
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Commonwealth of Massachusetts
® Division of Occupational Licensure
Board of Building Re ulations and Standards
Const�ionr�isor
Ns
CS-104325 I 1 Spires: 12/13/2023
MARK E SM
5 ANNA STREET tio y i
WARE MA 0' 82 1 ' :i
Commissioner d,i.t K. VFrm..P.ta.
5/18/22, 1:49 PM City of Northampton Mail-HIC
( B aim of Jonathan Flagg <jflagg@northamptonma.gov>
pton
HIC
Woodsmiths87 <Woodsmiths87@comcast.net> Wed, May 18, 2022 at 1:48 PM
To: Jonhn Flagg Northampton Building Dept<jflagg@northamptonma.gov>
John,
My HIC# is 118961
Expires 5/9/23
Thanks,
Mark
Sent from my Verizon,Samsung Galaxy smartphone
https://mail.google.com/mai I/u/1/?ik=e5d 1685713&view=pt&search=all&perm msg id=msg-f%3A1733187194298024856&simpl=msg-f%3A1733187194... 1/1