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Permit is not valid until the Determination is recorded at the Registry of Deeds. Please call the City Clerk's office at (413) 587-1224 prior to picking up your certified copy. Proof that the decision has been filed at the Registry of Deeds must be brought to the Building Department,before a Building Permit will be issued. April 7, 2005 , Wendy Mazza, City Clerk of Northampton, hereby certfiy that the above Decision of the entral Business Architecture Commitee was filed in the Office of the City Clerk on arch 16, 2005, that twenty one days have elapsed since such filing and that no appeal has een filed in this matter. Attest• / CA.. City Clerk-City of Northampton C:\camfiles\wordfiles\foms\central business permit determination If, within 14 days, the Applicant addresses the reasons for denial, modifies their project as detailed and files these modifications with the Office of Planning and Development for review by the Committee, the Committee shall, within a reasonable time period, issue a Certificate of Appropriateness and a Central Business Architecture Permit will be granted. The Central Business Architecture Committee vote was .3-0 l,b4 FIN-4.0R Central Business Architecture C. ittee: Date 10 Z M1S `-~Alteraa` s: Determination Filed with City Clerk's Office l Co r C/ , Date Once the Determination is issued, the Planning &Development office will file it with the City Clerk's office which will start the required twenty-one (21) day appeal period. Once the appeal period passes, (without an appeal being filed) the applicant must pick up a Certified copy of the Determination from the City Clerk's office and record it at the 14. Drive-Through Commercial Services Yes No 15. Signs Located Above the First Floor Yes No A-P1)LAChl V. Action Taken The Central Business Architecture Committee has determined that: PROJECT IS APPROPRIATE under the City Council Ordinance Chapter 27 adopted October 7, 1999. This serves as a CERTIFICATE OF APPROPRIATENESS with the condition that all work be done in accordance with the description provided by the applicant and with the following conditions (if any): V V bWt1M _ 1A&-rtvoi e There is a unique hardship under the City Council Ordinance Chapter 27 adopted October 7, 1999. This serves as a CERTIFICATE OF HARDSHIP, with the condition that all work be done in accordance with the description provided by the applicant and with the following conditions (if any): PROJECT IS NOT APPROPRIATE NOR A HARDSHIP under the Ordinance. This serves as a disapproval of Certificate of Hardship. If, within 14 days, the Applicant does not modify their project as detailed below,this shall also serve as a disapproval of a Certificate of Appropriateness. 9. Upper Floor Window Design for Theme Buildings V No 10. Facade Materials No +' IPA 6 P I 1221 ib 1C. a ►ice ■ ff4 ►a i NiaMn sk.42' 11. Cornices on Theme Buildings No 12. Facade Detailing No • .S - 6iTtH 1n 1QR' v PO L0 e i lam. 13. Mechanical Equipment Yes No Vt1S 1-L-- VT)-6M.114(1- fi11 I ` t 2. Building Height and Width Yes No v4t\-\`1 Qf lei 0 1 16 T A-Nb W ItY r} OF 4 --PrcC A-1` . 1 3. Renovations to Anomaly Buildings Yes No \. ti i 4. Buildings on Corner Lots Yes No 5. Roofs Yes No 6. Building Articulation 0 No frIAR vis P SOS- " kt)`)■T?4f-W v - P1-Ra 'o b• s --1_1 -tUtl CO to®S 1 � 7. First Floor Facades Yes No 8. Upper Floor Window Arrangements for Theme Buildings No AI4P.o MAR 1 6 2005 CENTRAL BUSINESS ARCHITECTURE DISTRICT ra �,ri Permit Determination 0 ! Permit is not valid until the Determination is recorded at the Registry of Deeds. This is the applicant's responsibility once the Determination has been issued. General Information Applicant 10 vo = Address U--- �I�)�� )l ► 12Z411.:_6k l�i Telephone S Q Fax 62_7 so qc1 Property Owner AM..1-11-1\'1\ 0 , G • (if different from above) Address C� . i+A fr� "1 ' Telephone Building Address/Location 4 CADS t _ 6-1-071--I 1 Assessor/Zoning Map # `51 g Parcel#38 ,(;O Deed/Property recorded in Hamp.County Registry of Deeds: Book OA Page CIO II. Purpose This form is to be used only after a public hearing for a non-exempt project. III. Project Description vs �l"o c-t N sr►i �J 1 1L1/ ► vii . t_ ! :AL talri i► .4_11 i 1 00 R t2 [ 144.4 1Wn 1-n IV. Review Criteria Guidelines Met 1. Building Setbacks Yes No 1 cIA-1-- i U*i - k xwT14 --MORY„f_t› cW.e__,E.6..5'Eb 2_ "-F----rMV14\ ClbELUM--t- • • 'lab)O�.,tV.?f P2.O� I c— rE Cc-ill?, of Nor.ilia»tl3 ton 1 *_ _—7 I W DEPARTME!NIT OP DUI C INSPECTIONS c' �.. 212 Main Street " Municipal Building Northampton, Mass. 01060 -" `YORIQLR'S CO? ENSATION: MS AFFIDAVIT • • 1 Pioneer Contractors -- (1i censxlpermi ttcc) ,,,-i tJ- piiii pal pl dam afib."i_ne-s _cc_s-F :P.0. Fin 1145 Nnrthampton, MA. 01061 (phone') 586-5491 • (s-tr t/city/statc/zip) do hereby certifj under the pains and penaities of penury., that (X) I am an employer providing the following t •orkcr's comocnsabon coverage for my • etuptovices t\-prang on this job: Liberty Mutual WC5-31S-499822-0503 6/30/05 (Ias-tu-_am Concanv) (Polio: Nu.-ter) (t=;pinion 021c) ( ) I an a sole proprietor, general contractor or homeowner (curie one) and have hued the cone actors listed below who have the following worker's comnen adon policies: CtNoruc of Co-r ct0:) (It1 ut-z ncc ColnoaSVy IPoiic Nuu- ) ("Fi:)triton Dalc) (Name of Coorrzaor) (lnsuranc-c comoa.avfPolic; tium•rr) »u Lion Date) (Name of Coluractoi) ([ w-ancc Company/Policy Na.rcloQJ) (Esaircion Date.) (Name of Contractor) (I.osuran Comcary/Pobcy Numbu) (Ex-puanoo Dair.) (.0..ic3i i:;nc,f tSo ifoccc:uO to at iu-infor ..aoo pc mioiro ( ) I am a sole proprietor and have no one worl;2og for we ( ) I am.a home owner performing all the work myself. NOTE:plcs<be canto thu wtrik bcwc:o.r n t+'bo cmplay p`--taper to S.3 ==----",-,c---.x,c"-P-"I..orz oo r a..•1Li;of n.ot mat 11—u t tea is o:hicla tbo bor000wrx-x-c4 or ca Liao -ou. :rtcn c tbc--v-o u-t pot p z)o JJy too dot d to be citployc,tIrv'^the"utcrti Pico Ara(GL IS2...1:::1(5)),oppliaooa by o botnmaaa fcr c bcrx cc p n it toy crib arc(Sc lc-pi rtaa+<of.o.00ployar coder rho W o-4coc t Coagx to&ioa Act- I to 4Q-roaod tha>oopy of this ccuccoaat r a y bo for,+.vd.od to tbo pmt of loAirrid Acedt o'o{Loo of Lrxara000 rot tt. cavcrstb-t vmLic=lioo and t1u L-iltzc to unuc tovcrn4--u uzu:lcr scctiou 25A of h(OL 152 caa lr....d to Mc, t?ioo of ciminsl pcailtics ca ig of it fine of up to S1_500.00 usd/or¢l:ytix:num=of up to c.o.:yr_ar end civil pco..hi°to be form of.Stop Work Order.rid. fin of S100.00 .der .Eainp me For dcp.rtm��h use only Pcrmit Nuinbcr ` Si ia•-ltun_of LiczalsczfPcrmiucc Date - .J . ' Versionl.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 1, Star Northampton, Inc. as Owner of the subject property hereby authorize Pioneer Contractors to act on my behalf, in all matters elative to work authorized by this building permit application. 6k- c Gen. Mgr. +/7/05 Signature of Owner Date I, Pioneer Contractors _-- , as Wed/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 penury Claxton/PioneerContractors David A. ._...__ _ Print Name 1 fIt� I l '` 4/7/05 Signature of Agen Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder _David,,„A Claxton,,,_,, 017890 License Number P.O. Box 1145 Northampton, MA. 01061 1/19/06 Address Expiration Date Xt t/ (� 413-586-5491 Signature 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 bu.ding permit. Signed Affidavit Attached Yes No 0 • Versionl.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 ❑ C.J. Whitham Name(Registrant): 8673 64 Gothic St. Northampton, MA. Registration Number ___ .. �._._.__ Address �._ .. ..._.- _—. Expiration Date 584-7224 .....'. Signature Telephone 9.2 Registered Professional Engineer(s): Carl C. Koslowski Fire Protection Name Area of Responsibility 132 Forest -Ave.. . ..Warren,.._ _MA-. . 01083.. __ 37810 Address Registration Number 413 436-5500' Signature Telephone Expiration Date 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 Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: • Responsible In Charge of Construction Address Signature Telephone Version1.7 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 Frontage Setbacks Front °~ Side L ; R......... L:._ R: .. Rear Building Height Bldg. Square Footage t % - Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) ... .......... . ._.. ._ .. i A. Has a Special Permit/Variance/Finding ever been issued for/ n the site? NO 0 DON'T KNOW C) YES IF YES, date issued: ' 3/10/05 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES IF YES: enter Book 1 8215 Page 299 and/or Document # 00007939 B. Does the site contain a brook, body of water or wetlands? NO ei( DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained 0 Date Issued: C. Do any signs exist on the property? YES NO 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 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,exca tion,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Versionl.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 ❑ Brief Description Enter a brief description here. Install New windows Of Proposed Work: Remove Chimney 0 Rear . SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A I ❑ A-4 ❑ A-5 ❑ 1 B I ❑ B Business ❑ 2A {I ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 0 F-2 ❑ 2C ❑ H High Hazard ❑ 3A 0 I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B M Mercantile ❑ 4 ❑ R Residential R-1 53 R-2 ❑ R-3 ❑ 5A p 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: , Busines,s Proposed Use Group: Residential R-1 Existing Hazard Index 780 CMR 34): j aw, Proposed Hazard Index 780 CMR 34): Low SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 18t 1600 1s` L NL/A._.. 2nd .... 2nd ' _._ 1600 N/� ... . 3d 3rd , 4`n 4m Total Area(sf) 3200 Total Proposed New Construction csf) N/A Total Height(ft) 24. Total Height ft 7.Water Supply(M.G.L.c.40,§54) 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 Y z �._. ; _ t �� �aientser�iY __. Hof Northampton � �I nit . "---%{ o„I ding Department r t ri�a rt �t•�` � , . 2 • Main Street • e�i 17,0!.�yait4blilt � 1 -' -oom 100 �fe/l�+li Ala I Q 2 09\lorth-' ton, MA 01060 *o$e4oistc aura►Plans i\\-) k 'phone 40-687 1 40 Fax 413-587-1272 ` x j ._ ,J ,, tQf t � tT x ©then g .l"T ,. , i .i ..y..r r, APPLICAn.9wr ,Co iS,,,RIIJCt. E�ACkt,RENOVATE,CHANGE THE USE OR OCCUPAhC LI F,L R r•L'r H r Y `ILDING OTHER THAN A ONE OR TWO FAMILY DWELL ( I i I SECTION 1 -SITE INFORMATION J 'U i APR - 8 2005 1.1 Property Address: This lectioi to be completg.cf by off pT Of BUILDING INSPECT l(��S Map I L NOR ri.'• °"ON MA ejOb ntt•43 Gothic St eel ---- Zone Overlay District Elm St.District CO District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Star Northampton, Inc. 36 king St. Name(Print) Current Mailing Address: A 6- 7 !' Northampton, MA. 01060 Signature �v l ` ` Gen. Mg$elephone 5P4-3 2.2 Authorized Agent: i, Pioneer Contractors P.O. box 1145 Name(Print) Current Mailing Address Northampton, MA. 01060 Signature Telephone 586-54 91 SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 30,000.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing ;‘ --- '__.---_ _. _r_ Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection — 6. Total=(1 +2+3+4+5) 30,000.00 Check Number PO )ew This Section For Official Use Only Building Permit Number Date Issued Signature: � �C � ---"e Building Commissioner/inspector of Buildings Buildings Date ,//(7 Z�� 43 GOTHIC ST BP-2005-0954 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 31B-309 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category:Non structural interior renovations BUILDING PERMIT Permit# BP-2005-0954 Project# JS-2005-0993 Est. Cost: $30000.00 Fee: $150.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Pioneer Contractors 017890 Lot Size(sq. ft.): 6011.28 Owner: STAR NORTHAMPTON INC zoring_CB Applicant: Pioneer Contractors AT: 43 GOTHIC sr Applicant Address: Phone: Insurance: PO Box 1145 (413) 586-5491 Workers Compensation NORTHAMPTONMAO 1061 ISSUED ON:4/8/05 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL NEW WINDOWS & REMOVE CHIMNEY IN REAR 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: .......i0a8/6.--- THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. "„ , ,,0:; ° Certificate of Occupant „oett;/fr'/.40 Signature: FeeType: Date Paid: Amount: Building 4/8/05 0:00:00 $150.00 ' 212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272 Building Commissioner-Anthony Patillo