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,
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