10D-030 455 SPRING ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1862
Map:Block:Lot: 10D-030-
ooi CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2021-1862 PERMISSION IS HEREBY GRANTED TO:
Project# REPLACE DECKS Contractor: License:
Est.Cost: 220000 WOODSMITHS 104325
Const.Class: Exp.Date: 12/13/2021
FAIRWAY VILLAGE CONDOMINIUM MAIL:
Use Group: Owner: NORTHAMPTON GOLF INC
Lot Size(sq.ft.)
Zoning: URA/WP Applicant: WOODSMITHS
Applicant Address Phone: Insurance:
5 ANNA ST (413)531-7342 UBIK519265
WARE, MA 01082
ISSUED ON:09/13/2021
TO PERFORM THE FOLLOWING WORK:
REMOVE 77 DECKS AND REPLACE WITH NEW 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:
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.
Signature: CP 1 *
1 • )2 -
Fees Paid: $1,540.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
ti
1� .5 The Commonwealth of Massachusetts
Sep / Office of Public Safety and Inspections
1 7 0 on,. / Massachusetts State Building Code(780 CMR)
�p Buil Per it plication for any Building other than a One-or Two-Family Dwelling
_V y i nw�� (This Section For Official Use Only)
• fAJC
Building Permit • @`rr,q n ;rmNs 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)
Assessors Map# Block#and/or Lot #
* SECTION 2:PROPOSED WORK
Edition of MA State Code used 'Y If New Construction check here 0 or check all that apply in the two rows below
Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition El (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy 0 Other ® Specify:Reaplcement of existing exterior decks
Are building plans and/or construction documents being supplied as part of this permit application? Yes ® No ❑
Is an Independent Structural Engineering Peer Review required? Yes 0 No IR
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.
Work will begin fall 2021.2021 scope of work includes decks attached to units 101 through 115,and 209 through 213.
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation d Evaluation is enclosed(See 780 CMR 34) 0
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
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 0 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 H-4 0 H-5 0
I: Institutional I-1 0 I-2❑ I-3 0 I-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4'
S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA 0 IB ❑ IIA ❑ IIB 0 IIIA ❑ IIIB 0 IV 0 VA VB
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 0
required 0 or trench or specify:
Private 0 or indentify Zone: or on site system 0 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 0 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 C.
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 e General Contractor
v V 006.g M NIA--.5
Company Name
IM,a SMA, (,4 • tv`{ 3 Z�
Name of Person Responsible for Construction License No. and Type if Applicable
A?Joupr St-. VAl PrfS &41 - 0 l ogi----
Street Address City/Town State Zip
gv_23 31 i 4 i C - - woo Stk,t t -s -rl Q cep,,,,k --. Nd--
Telephone No.(business) Telephone No.(cell) e-mail 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 D No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor fa-0
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ Building Permit Fee=Total Construction Cost x I (Insert here
2.Electrical $ appropriate municipal factor)=$ .
3.Plumbing $ C 54°,
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $
Enclose check payable to
6.Total Cost $ f.i20 r 000 .' (contact municipality)and write check number here $T6-
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I her. attest under the pains and penalties of perjury that all of the information contained in this
application is true and accurat i .It e best of edge and understanding.
Mika5�� - / .e_ ®wl.r 41?) C31-13 kfj7 1(0(V
Please rint d si name Title Telephone No. Date L
5—A -)Z OtO2 0 b 3n>1 t--t'! i r7 f CDwtAJS 1 . set
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: , 42 9"/3-2OZ I
Name Date
City of Northampton
r S�5 .._...._sic
ti Massachusetts �4' �'''<<
f ;, I :G
.� ` DEPARTMENT OF BUILDING INSPECTIONS ?
(r___
212 Main Street • Municipal Building Zvi CDC
�--a� Northampton, MA 01060 �. j��a
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, 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: qilAtil0, -ClCJ(Q
The debris will be transported by:
Name of Hauler: C ,) k.b`^- cA: --c- VOAke kftc-t_
,
Signature of Applicant: _Date: T 1 6 121
The Commonwealth of Massachusetts
r t .; Department of Industrial.Iccidents
'�.
I Congress Street.Suite 100
Boston,MA 02114-2017
www mass.gov/dia
)Makers'Compensation Insurance Affidas it:Builders/('ontractorsftketriciansiPlumbers.
10 BE FILED V111111 CBE PEK Ill 1IN(:Al 1110ItIT1.
Applicant Information �+ .A n Please Print I.ceibly
tli
Name usinessaOrgantzetnin'lndivtdual): WOO�J4tA 1 I14-5
Address: 4 n1'n4k •
C'ity/State/Zip: P O 1 b T 2- Penn#: 4(3- fl ' 4
Are.!.a as ea ar?Chedt(he appeopok e ham Ty pe of project(required):
1 01 am a employer with eapkwees t(th Seder part-time)• 7. CI New construction
_'Z I am a sue proprietor or paeoretrahip and have no employee.%urkuig for sae in S. O Remodeling
any capacity.INu nue4ar cutup.insurance reyavad_l
10 1 am a homeowner dog all work myself.jxu nutty&comp.insurance mimed.]"
9_ El Demolition
in
4.0 1 am a humcuwncr and will be haunt;coins-actors to conduct all work on my property.. 1 w ill10 a Building addition
amine that all ceteraion other hair workers'conevetisatwn ununinee or are sole I I a Electrical repairs or additions
propncturs with nu employer..
12.0 Plumbing repairs sirs or additions
5{=I 1 am a general cuntraawr and 1 has.:hired the sub-contractors listed tin the attached sheet.
Thew subcontractors hair employees and hate an wders'comp.ordnance I 3.EIRoof repairs
14.SI Other NI wJ C ,14z.,
re s 60 We a a corpo anu and its officers has t et a-c ed then right of exempti o t pat c.
I5.§1441.and we hale no employees Ives nudger.'comp insurance respired]
•Any applicant that chucks tw\n 1 must also fill ore de aecuno below showily rear warkers'cunrpem8ion policy anfunnatrun..
$Homeowners who submit this atfair►rt inihcatung day taus all ow&erallew lure outside.amtracturs must submit a new atiiaknit articatIng such.
:Contractors that cheek this hue must attached an*Weed elute shawls*.sane of the sub-imenacton and state whether to not draw entities haw
employees. If the sub.euwraekars hair employees.they treat preside their wrlekan'azrmp.policy number
I am an employer that is providing worriers'empettsation Insurance for my employees_ Below is the policy and job site
information. a
Insurance Contrary. `jns. �Ohl\do _ .
'A (.�
Policy 4 or Sell-ins.Lie.»: V�t) l � Expiration Date:_ [Z(22
Job Site Address: `T`' 1''�� • City Sl:to!_ip: 1 o(1 N A fl r 01t
Attach a copy of the workers'compensation police declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,{25A is a criminal v iulattun punishable by a fine up to Sl.5(10.00
and'or one-year imprisonment,as well as civil penalties in the!wain of a STOP WORK ORDER and a fine of up to S250.00 a
day against the violator.A copy of this statement may be turwarsled to the Office of los estigations of the DIA for insurance
coverage ventilation.
I do hereby •under the pa' tidy marries of perjury that the information provided above is true and correct.
Signature: _ Date: " I I(1 fri,
Phone#: ' � is Jk
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permitil.icense a
Issuing.authority(circle one):
I.Board of Health 2. Building Department 3.City flown Clerk 4. I•:kctrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone ft:
um—
Commonwealth of Massachusetts \
Division of Professional Licensure
Board of Building Regulations and Standards
Constrwt}IbtY tspervisor
CS-104325 Expires: 12/13/2021
MARK E SMITH t4
5 ANNA STREET CA
` y4"IN
WARE MA 010$2 t
•
Commissioner A ,.,,, ,+«.,,.1-.—_
NORFOLK & DEDHAM MUTUAL FIRE INSURANCE COMPANY
AP ComPak® BUSINESSOWNERS POLICY
RENEWAL DECLARATIONS
POLICY#: R0637959A
A. POLICYHOLDER AND AGENT INFO
Insured: MARK&JAMES SMITH Agent: PCF DBA MOULTON INSURANCE AGCY
DBA WOODSMITHS Phone: (413)967-3327
rr 5 ANNA STREET Agent#: 20102
WARE, MA 01082
Business Form: PARTNERSHIP Policy Period: 1 YEAR
Business Description: CARPENTRY From: 08/16/21 To: 08/16/22
Coverage begins at 12:01 A.M. Eastern Standard Time.
Payment Plan: DIRECT BILL-4 PAY
B. POLICY PREMIUM
Annual Subject To State Taxes Prior Annual Additional/Return
Premium Audit or Fees Premium Premium
$1,195 Yes II No
C. BUILDING AND BUSINESS PERSONAL PROPERTY COVERAGES AND LIMITS
LOCATION 1, BUILDING 1: 5 ANNA STREET,WARE,MA 01082