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31B-188 (5) 76 GOTHIC ST BP-2020-0370 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:3 1 B- 188 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:renovation BUILDING PERMIT Permit# BP-2020-0370 Project# JS-2020-000623 Est.Cost: $25200.00 Fee: $162.00 PERMISSION IS HEREBY GRANTED TO.- Const. O:Const.Class: Contractor: License: Use Group: CHRISTOPHER FONTAINE 075432 Lot Size(sa.ft.): 13808.52 Owner: Patrick Melnik Zoning: URC(100)/ Applicant: CHRISTOPHER FONTAINE AT: 76 GOTHIC ST Applicant Address: Phone: Insurance: 296 AMES RD (413) 335-5131 SOLE PROPRIETOR HAMDENMA01036 ISSUED ON.111512019 0:00:00 TO PERFORM THE FOLLOWING WORK.-RENO KITCH & BATH, ADD BATH AND REBUILD STAIRWAY 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: FeeTyim Date Paid: Amount: Building 11/5/2019 0:00:00 $162.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2020-0370 APPLICANT/CONTACT PERSON CHRISTOPHER FONTAINE ADDRESS/PHONE 296 AMES RD HAMDEN (413)335-5131 PROPERTY LOCATION 76 GOTHIC ST MAP 31B PARCEL 188 001 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: RENO KITCH&BATH.ADD BATH AND REBUILD STAIRWAY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 075432 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOfi.MATION 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 Ilszv�g 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. Department use only City of Northampton Status of Permit: l L r Building Department Curb Cut(Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability' Northampton, MA 01060 Two Sets of Structural Plans a:.£ phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans APPLICATION TO CONSTRUCT,ALTER, REPAIR,RJNOV DEMOLISH A OP E OF TWO FAMILY DWELLING 9 SECTION 1 -SITE INFORMATION SEP 1 019 1.1 Property Address: jhLiAectiosdi to b completed by office DEPT.OF SUltDiNG INSPECTIONS MW_RT11AMPT02N,MA 01(}60 Unit O O Zone Overlay District Elm St.District CB District SECTION 2 -PROP R Y OWNERS"jPj k!'1 QP4ZF—D AGENT 2.1 Owner of Record: T- vL Name(Print) ,T-rl /4f Current Mailing Address: cv;bG C Telephone, //� " f.d 2.2 Authorized Agent: h 47 Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONjTRUCTION'COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building /.')� j4 U , C4, (a)Building Permit Fee 2. Electrical ,� l ,2–UU v (b)Estimated Total Cost of / Gvnstruc6on from 6 3. Plumbing d o p J BttiBdtng Permit Fee 4. Mechanical (HVAC) 11� 5. Fire Protection 6. Total = 0 + 2+3+4+ 5) ,2 S'- r7(J d Check Number (� This Seiiaq foc Official Use On Bulldutg Permit Number. Date Issued: Signature: E - 20 Jq Building CornmissfonerAnspectorofBuddings Date ru A 11 A nrl� JM1r ■JJMr�_ r1T1 AM A SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors L�1 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[0] Other[!Alf- Brief Desf�ription of P opose r `h Work: oflf %4 k, 2 4S" 1 - % �4(� t -'SeA••� Alteration of existing bedroom Yes�_No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. if New house and or addition to existing housing, complete the following: CcL a. Use of building: One Family Two Family Other b. Number of rooms in each family unit: 7 r ^Number of Bathrooms J A) 0�tz roo f c. Is there a garage attached? /w d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes _ ty- No. Is construction within 100 yr. floodplain Yes�No j. Depth of basement or cellar floor below finished grade 2 T�— k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer IX Private well City water Supply Ix SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, ��f�' ,�` �' �C(1113 ✓ h as Owner of the subject property hereby authorize �•( 1 ��` to act on m half, in all matters relative to work authorized by this buildinog pe it plication. �7 Sign a of Owner i5ate I, C09-)S how N N C 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. /`/f /'r h +c - ^ -f Print Name Signature of Owner/Agent Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size /j S � m., ati, dL Frontage �� D.. Setbacks FrontvTk µ-� Side L: iv R:- U .W.J R:= Rear fa-4 t Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES 0 IF YES: enter Book .132 Page, 4" 'y and/or Document C B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW Q YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: jY C. Do any signs exist on the property? YES NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Description of Proposed Work Renovate Kitchen and existing bath including replacing sinks/bath and cabinets and floors-install minisplits for heat/ac throughout apartment—Renovate existing closet into second bath—remove and remake existing rear entrance stairway SECTION 8-CONSTRUCTION SERVICES 7 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: CIA P-)5 tvT-P,�I rJ E - 0-7543Z \\r,% Mn License Number 2� b A w\ ��D Am D C►�l, r-1y I (o t i - 4 - 2 D Address Expiration Date Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ -j/a ryq E L MT-E Company Nam // Registration Number Address F f v Expiration Date (/ B( II/ L1 `7 ""x ) Telephone SECTION 10-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...... ❑ f C, �' 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 The debris will be transported by: The debris will be received b y l'�C y C Building permit number: Name of Permit Applicant /may fes• �: ;. /��/�,. �j, /'. �d/l•�c_ DateSignature of Permit Applicant From: y� 41/17 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 -76 6mmic Si- 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, J00>1. '6MCSS .9{',.,a;. ..��iX I � CFS i v = v SZ - .. \ 43,13 7"0 �.---. _ .... 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