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25C-251
THREE COUNTY FAIR REDEVELOPMENT CORPORATION r Cm,t PO BOX 305, 54 FAIR STREET _ 4 'r NORTHAMPTON MA. 01061 -305 ;:`' \ ° ; g Anthony Patillo �- r Building Commissioner \ 0 Building Department 212 Main Street Northampton, Ma. 01060 June 26, 2009 Dear Tony I enclose the Demolition Permit for the old Barns and Pari - mutuel buildings that will be taken down as part of the master Plan. It does not include the grandstand because this Building will undergo an engineering analysis to see if we can utilize parts of the structure in an upgraded ADA compliant structure. If it can't be used we will file for a Demo permit on that structure. Berkshire Design is preparing the conscom filing for the Master Plan and this should be ready shortly. The buildings noted in red on the diagram are those covered by the application. The Pavilion Building was removed by the Micro burst several years ago. Please call if you have any questions. Bruce Shallcross Enclosure: $400.00 check PH:413.584.2237 FAX :413.586.1297 email: hampfair(lverizon.net "This institution is an equal opportunity provider and employer" • • Version1.7 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 0 SECTION 11 - OWNER AUTHORIZATION - TO BE.COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING' PERMIT as Owner of the subject property herebyauthorize. _. _ ________ _ . to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date , as Owner/Authorized _ Agent hereby declare that the statements and inforrnation on the foregoing application are true and accurate, to the best of my knowledge and belief. • Signed,u er the_pains of ' Print Name P-kk-eg - \ LI- 4 Signature of Owner/Agent ate SECTION 12 - CONSTRUCTION SERVICES *10.1 Licensed Construction Supervisor: Not Applicable El Name of License Holder 1 License Number I I_ Address Expiration Date Signature Telephone - - - SECTION 13 -WORKERS ,:DOMPENS,ATIOKISSURANBE;AFEID 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 0 No 0 -d r_cD 0 Uzi A Ck)L V-C6 ccS r 1. 11 . • 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 ■ ---- r, Side L:---- R:.---' L:;: R:: ,..: - Building Height 7 ---- 1 ;----- 131dg. Square Footage L ______..1 L......_; .•____'■ L.-......*: Open Space Footage (Lot area minus bidg & paved i i :------, parking) r ---i r ---- 1 # of Parking Spaces • - - . Fill: I ll 1 (volume & Location) !------,-- --- . A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW 0 YES 0 i . IF YES, date issued: 1 I IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES (j IF YES: enter Book 1 1 i Page; i and/or Document #1 ------ B. Does the site contain a brook, body of water or wetlands? NO rii) DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained • • Date Issued: 1 . . C. Do any signs exist on the property? YES 0 NO ----- IF YES, describe size, type and location: ! i D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: , 1 E. VVill 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 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. e. ..,', . • . .„ . . ..„ ---:: \ , .,--' ','"„) Version1.7 Commercial Building Permit May 15, 2000 .. — .. \ :4141'4144144.D-T?-01,49.Sr1tlR.%lPPY:t44,02-trx,;! - --- •• _.". ,,,- r S City Northampton statiatiMeniutig -.._,' ,‘,--,,,' ,- ■-- ,„w,..4?-4AVVE.;:4-1,4fkg.Vz•PrikqL.F,k-: — • 2 r•,_,''-‘ Ellijlainrtment Ciiiiiiative!aeehiiit-a*!•::5-1'4.rx,:v*,..,e. . \ , ,.<.. - :le---,.*mtqacov.t.sAiit-r:."-,.---:461,•.:„..----,-a*!g.,,,..:,-4,..-..;,,,,,:-..,,,,,:t:::',;'-:-T:': ,.: -2' 212, Main Street :SeWeiteiATIAtfailObliity F ...3,.,, , , , ,,:.;....-;-,P5;i;-' , !'•," . 'Room 100 32,VateilliVejlAVailabtlity_ . ;.:;*,, Northampton, MA 01060 lwasetse:Structurat-pjans-, phone 413-587-1240 Fax 413-587-1272 PlOtisi4Rians- ,--A44--,, `C lr f tv 'T . :: ,- ?i . .. , .:: ,,, - , :-.:;;MIi 4. :az.=i , rn*':.4-:0=';-i`23'.4, , ,,::'-:,, \ 7' Otheopedibt.:1 1 . 7 •:: - .! . .XL. , :=. 0 -r , Z.1 - : . -,y ,,,,, ,,,.; , - ,., .^4, 7 iii , mr ;: =,',:e. ,, :s..--. , - -, APPLICAT101470 CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: .. ___— ------ Q a‘_06/ . • r . . - - - p . ,' R 67 : ylap; 0 , 1 6 1 .... 4 1.t Unit 0 .1 ' CAR e..‹,s- eFre..4 --K i -- aa 4 --,9,57 — ne 04 byerlay District I Zo --' •: CB District ... .... .. SECTION 2- PROPERTY OWNERSHIP/AUTHuRIctDAGENT : 2.1 Owner of Record: . -- • ___ - iiiii: m e.5 a 'ic 'AKA.) J f / fr1 3 • IP .F;GY c3 641 .,',....' Is),(1.. — Name (Print) Ag a , c ,..4.1--64RAc... ' .S Current Mailing Address: - ---- si deta-e-e- i=. • St--0-120..c.2620 tsi 0 Telephone ____ 2.2 Authorized Acient: I I , Name (Print) Current Mailing Address: -- -- Signature Telephone SECTION 3 -.ESTIMATED:CONSTRUCTIONCOSTS Item Estimated Cost (Dollars) to be .:., : . : .: :. OfficiahiseiOnly. .: ;-.. . completed by permit applicant :: .:: !: . , . :____.:., . 1. Building ; 1 '(a)Building Perr.nitFp 2. Electrical - i (bYEStirtiatedTotthlOost of GenttrtiC (6) . --- -I 3. PlUmbing I r:'BiiiidihgcPerrrnit Fee 4. MeChanital (HVAC) 7 ----- l - , 5. Fire Protection 1 i---------- R Total tr (1 *2 4. 3 ° 1 • 6) Ohcoli Numbcr g ofti ort) This SectIOnfat Official.:Use Only Building Permit Number Date :Itiued Signature: . Building Commissioner/Inspector of Buildings Date - I I I File # BP- 2009 -1105 APPLICANT /CONTACT PERSON HAMPSHIRE FRANKLIN & HAMPDEN AGRICULTURAL SOCIETY ADDRESS/PHONE P O BOX 305 NORTHAMPTON (413) 584 -2237 () PROPERTY LOCATION FAIR ST - FAIRGROUNDS !V61 1Sul ` Na f MAP 25C PARCEL 251 001 ZONE Co NZ KA ao t LAST6P THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST MO IN0 61 (.0 Alp AffAIAVfit ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out /-W t -- Fee Paid Typeof Construction: DEMOLISH OLD HORSE BARNS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN ATION PRESENTED: A pproved 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 V . ,dirI Signature of Building 0 icial 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. DEMOLITION REVIEW APPLICATION Activity Tracking Sheet Property: tv ,_ ..r ■ ,. iI a:. A$? a.. Map ZSG- Parcel 2.5 Received in Building Department: .l)N 2 2 (. Referred from Building Department: ,51)L(Z t 7_„11a1 Action Taken/ Northampton Historical Commission Action Taken By: ✓ Entire Commission Sub - Committee of the Commission Commission Designee/ Staff Date Action Taken: Initial Determination til&WRI A A ' Public Meeting held Public Hearing Held Determination Made: Property has been determined not to be )( N Significant according to Ordinance definition. No further action will be taken. Demolition Permit may be issued. vog._7,O eLxr.41. rC , Property has been determined to be Significant according to the Ordinance definition and a tt4 )t t Public Hearing has been /will be scheduled. /"�� Demolition Permit may not be ORR'N l4D. issued at this time. Public Hearing has been held, Property was determined Significant but not Preferably Preserved. No further action will be taken/ Demolition Permit may be issued. Photo documentation may be required. Public Hearing has been held. Property has been deemed to be Preferably Preserved. The demolition review period has been initiated. No demolition permit may be issued until the Historic Commission approves an alternative plan or the twelve month period concludes. Alternate plan has been approved/ delay terminated. Demolition may or may not be approved as part of plan. Twelve month time period has expired, demolition permit may be issued. Referred by: QIGLt 4k tom.,' Date 441_ 7asDEP Horiie 1 Ccntaet 1 F-eedbacr I Tour ( Privacy Pohcv MassDEP's Online Filing System Username:DIETZCORP Nickname: DAVIDD eF My eDEP Forms My Profile - Help Receipt j Form; Signatore, ' avmF3n? Recein. Summary/Receipt print receipt I Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select "My eDEP" to see a list of your transactions. DEP Transaction ID: 358481 Date and Time Submitted: 1/4/2011 8:29:20 AM Other Email : Form Name: AQ 06 - Construction /Demolition Notification Payment Information DEP code: 51777 Date: 1/4/2011 8:26:26 AM Amount ($): 85 Payment Detail: DIETZ DAVID -- AccountType -- AccountNumber * ** *1809 ConfirmationNumber: Contractor Contractor Number Name Address, , Supervisor Project Monitor Lab My eDEP MassDEP Horn,. Com!a [ ; Fae: baci. 1 Tot, 1 Privacy Police MassDEP's Online Filing System ver.9.9.9.0© 2010 MassDEP II Massachusetts Department of Environmental Protection • Bureau of Waste Prevention • Air Quality 1100118911 1 AQ 06 Decal Number Notification Prior to Construction or Demolition C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structure(s) surveyed for the presence of asbestos containing material (ACM)? ✓ Yes No If yes, who conducted the survey? O'REILLY TALBOT & OKUN ASSOCIATES - DAVID G. ABAD b. Surveyor Name MA LICENSE: AI - 7192 c. Division of Occupational Safety Certification Number 11/15/2011 !3/30/2011 7. Construction or Demolition: a. Start Date (mm/dd /yyyy) b. End Date ( mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: D seeding ❑ paving wetting shrouding b. If other, please specify: Li covering _1 other 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? NA T a. Name of DEP Official b. Title c. Date (mm/dd/yyyy) of Authorization d. DEP Waiver Number D. Certification "' I certify that I have examined the '.EDWARD J. MCCARTHY v i o above and that to the best of my a. Print Name knowledge it is true and complete. Edward J. McCarthy The signature below subjects the b. Authorized Signature N signer to the general statutes [PROJECT ESTIMATOR o regarding a false and misleading E osP ion i e o statement(s). ° DIETZ CONSTRUCTION CORP. EMMIN■111111111111■11 d. Representing _ :1/3/2011 e. Date (mm /dd /yyyy) 0 0 �Q BWP AQ 06 • Page 3 of 3 1 ag06.doc • 10/02 � Massachusetts Department of Environmental Protection _ e .___ U 1 Bureau of Waste Prevention • Air Quality BWP AQ 06 1100118911 Decal Number Notification Prior to Construction or Demolition General Statement: If � l� B. General Project Description (cont.) asbestos is found during a 4. General Contractor: Construction or Demolition 1 KURTZ CONSTRUCTION operation, all i a. Name — – __�.___ ___.__– _._ _ ____ -- _ responsible parties -- — a must comply with 1 PO BOX 1597 310 CMR 7.00, b. Address ' Cha pter a pt er .1 End 1 E of the VVEST ELD — 1 I MA 1 1 01086 -1597 Cae 2 1 � � r General Laws of c. City/Town d. State e. Zip Code ---- the Commonwealth. 14135680636 _ _ This would include, f. Telephone Number (area code and extension) q. E -mail Address (optional) but would not be limited to, filing an 1CHARLES SEREDA asbestos removal h. On -site Manager Name notification with the Department and/or a notice of release/threatof C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department, if applicable. DIETZ CONSTRUCTION CORP i a. Name 17 INDUSTRIAL PARKWAY b. Address i EASTHAMPTON 1 !MA 01027 c. City/Town _ d. State e. Zip Code 14135272695 Idavid@dietzconstruction.com _ e f. Telephone Number (area code and extension) g. E -mail Address (optional) IDAVID DIETZ — ` h. On -site Manager Name 2. On -Site Supervisor: 1 DAVID DIETZ 1 On -Site Supervisor Name 3. Is the entire facility to be demolished? 7 Yes ryj No .......'...... 0 4. Describe the area(s) to be demolished: � o ! SEVENTEEN (17) WOOD - FRAMED BARNS. �� N i 0 -- o 5. If this is a construction project, describe the building(s) or addition(s) to be constructed: �— o I TWO NEW 20,000SF POLE BARNS TO BE CONSTRUCTED. ..........—o —......- Q 1 ag06.doc • 10/02 BVVP AQ 06 • Page 2 of 3 IL1 Massachusetts Department of Environmental Protection ■ Bureau of Waste Prevention • Air Quality 1100118911 1 BWP AQ 06 Decal Number Notification Prior to Construction or Demolition Important: A. Applicability When filling out forms on the computer, use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection us retum not use (DEP), Bureau of Waste Prevention - Air Quality Control Regulations 310 CMR 7.09. Notification of use the the ret key. Construction or Demolition operations is required under 310 CMR 7.09 (2) ten (10) days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. „ - 1 , 0] IIW) B. General Project Description 1. a. Is this facility fee exempt - city, town, district, municipal housing authority, owner - occupied Instructions residence of four units or less? i . Yes J No 1. All sections of b. Provide blanket decal number if applicable: Blanket Decal Number this form must be completed in order to comply with the 2. Facility Information: Department of ' THREE - COUNTY FAIRGROUNDS Environmental — --1 Protection a. Name notification 159 FAIR STREET requirements of b. Address 310 CMR 7.09 -- 4 Northampton MA i ,01060 c. Citv/Town -_ d. State - e. Zip Code 4135842237 M _ f. Telephone Number (area code and extension) g. E -mail Address (optional) 56550 —Y I '1 h. Size of Facility in Square Feet T.-Number of Floors j. Was the facility built prior to 1980? J. Yes Li No k. Describe the current or prior use of the facility: ,FARM ANIMAL BARNS - SEASONAL USE FOR COUNTY FAIR I. Is the facility a residential facility? " Yes J` No ~ o m. If yes, how many units? Number of Units -- _-- -__- 3. Facility Owner: � ................01 1THREE- COUNTY FAIRGROUNDS REDEVELOPMENT CORP. ...........0 a. Name _ _ _ „ - o 159 FAIR STREET b. Address NORTHAMPTON ______ __ , MA 101060 � c. Citv/Town _ d. State yw __. e. Zip Code o 4135842237 _ ■■ f. Telephone Number (area code and extension) q. E -mail Address (optional__ Q h. Onsite Manager Name U ag06.doc - 10/02 BWP AQ 06 • Page 1 of 3 III OP ID: RH 'A CERTIFICATE OF LIABILITY INSURANCE DA 12/29/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 413 - 594 -5984 NAME Romy Harrow PHILLIPS INSURANCE AGENCY INC. 413 - 592 -8499 PHONE 413 - 594 -5984 FAx 97 CENTER STREET lA /C. No. Extl: (A /C, No): 413- 592 -8499 E-MAIL CHICOPEE, MA 01013 ADDRESS: y @p p ADDRESS: rom �, hilli sinsurance.com PRODUCER DIETZ - Chris Rivers CUSTOMER ID #: I -- ____ INSURER(S) AFFORDING COVERAGE NAIC # INSURED Dietz Construction Corp _ Insurance Company 7 Industrial PKWY INSURER B : Travelers Property Casualty Easthampton, MA 01027 INSURER c : Charter Oak Fire Ins Co INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSR VD POLICY NUMBER IMM /DD/YYYY) (MM /DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 4TC0- 8665N798IND10 08/26/10 08/26/11 DAMAGE - S r O REN , PREMISE (Ea occurrence) TED $ 100,000 - CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 A X xCU - 4TC0- 8665N7981ND10 08/26/10 08/26/11 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER _ PRODUCTS - COMP/OP AGG $ 2,000,000 PR- LOC $ POLICY 7A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS BA8682N377TIL10 08/26/10 08/26/11 PROPERTY DAMAGE X HIRED AUTOS (Per accident)_ $ X NON -OWNED AUTOS UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 2,000,000 B i 4TCUP8665N798TIL10 08/26/10 08/26/11 - DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION X C STAT- IO I Pa- AND EMPLOYERS' LIABILITY TORY LIMI ER Y / N C ANY PROPRIETOR /PARTNER /EXECUTIVE N / A 4T0UB8669N72410 08/26/10 08/26/11 E.L. EACH ACCIDENT $. 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 A Equipment Floater 4TC08665N7981ND10 08/26/10 08/26/11 Scheduled 1,386,500 Leased /Re 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Kurtz, Inc. and Three County Fiarground Redevelopment Corp are listed as additional insureds on the general liability policy as required by written contract for the following job :Phase I Renovations Three County Fairground Redevelopment Corp 59 Fair Street, Northampton, VIA 01060 CERTIFICATE HOLDER CANCELLATION KURTZ,I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kurtz, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 105 Elm Street Westfield, MA 01085 AUTHORIZED REPRESENTATIVE !�, © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ' Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ® No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT TJ QL ' S 1r11'.`\ e„42 6 SS A &:'Nc RAL M p , as Owner of the subject property hereby authorize GeNt _g%A �4Z, '\' V.R:C 2 W ST l a IQ to act on my behalf, in all matters relative to work authorized by this building permit application. )8) . / tO l �� Signature of Owner Date G e k3e k 2t 2_ , 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. Gene V1-0D-- 7-- Print Nam Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : Edward J. McCarthy Jr / Dietz Construction Corp. CS- 78886 License Number 29 Woodleigh Ave Greenfield, MA 01301 / 7 Indus Pkwy Easthampton,MA 02/13/2011 Address / Expiration Date J r� (413) 527 -2695 Signature Telephone SECTION 13 - WORKERS' COMP NSATION 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 0 No Version1.7 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 ❑ Name (Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): 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 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 Version!.7 Commercial Building Permit May 15, 2000 n4. 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 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 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 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 0 NO 0 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 0 NO 0 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 J Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing ❑ Change of Use ❑ Other ❑ Brief Description Demolition of sewei'itt•ein (1.L) accessory structures per plan. Of Proposed Work: CI 440‘40 CI $) SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ 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: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 st 1 2 nd 2 3 3 rd rd 4 tn 4 Total Area (sf) Total Proposed New Construction (sf) Total Height (ft) 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 Zone0 Municipal ❑ On site disposal system Version1.7 Commercial Building Permit May 15, 2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit - ,AAN 5 20U 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 41'3- 587 -1240 Fax 413- 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office Three- County Fairground Map Lot Unit 59 Fair Street Northampton, MA Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Three- County Fairground Redevelopment Corp. 59 Fair Street Northampton, MA Na a (Print) Current Mailing Address: Rv.c,t S It e a os-f' Signature i� Aill-4 Telephone 2.2 Authorized Agent: Name (Print) Current Mailing Address: 51 I i el.D AkPf • LI I 6 8 - a 63 ( Signature """ TOO ✓I Telephone SECTION 3 - ESTIMATED CO - CTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) Check Number (5593L' S (. *40 This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date Fil;# BP- 2011 -0612 APPLICANT /CONTACT PERSON KURTZ INCORPORATED ADDRESS/PHONE P 0 BOX 1597 WESTFIELD (413) 568 -0636 X i U j PROPERTY LOCATION FAIR ST - FAIRGROUNDS MAP 25C PARCEL 251 001 ZONE (11 2p.00 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid 4 '3 60.06 Building Permit Filled out �� 6 `44 Fee Paid Tvpeof Construction: DEMOLISH 1 � ACCESSORY STRUCTURES New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 036505 10 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION 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 1 / 7 10 Signature of Building Of icial 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. �F4 • BP- 2011 -0612 GIS #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit # BP- 2011 -0612 Project # JS- 2011- 000976 Est. Cost: Fee: $360.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: KURTZ INCORPORATED 036505 Lot Size(sq. ft.): Owner: HAMPSHIRE FRANKLIN & HAMPDEN AGRICULTURAL SOCIETY Zoning: Applicant: KURTZ INCORPORATED AT: FAIR ST - FAIRGROUNDS Applicant Address: Phone: Insurance: P O BOX 1597 (413) 568 -0636 Workers Compensation WESTFIELDMA01086 ISSUED ON :1/7/2011 0 :00 :00 TO PERFORM THE FOLLOWING WORK: DEMOLISH 18 ACCESSORY STRUCTURES 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: FeeType: Date Paid: Amount: Building 1/7/2011 0:00:00 $360.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck - Building Commissioner I f'4R. II i I 1 1 111 'LAIC . . _ -�---- Ic�Ic r rj _ _ ___ _ - _,-}� lAn•■HG . I I II 1 R I . 4 I D t % % 4 4 . ti i 4 ^ X1 l i 11 Q Ai 1 (HfiCN i t Q G II I • I � I .„,;:r, 1 1 1 n iG I-1 !I r..., u r. 1 i H A„„„ ' 1 I1 1 I 1 ) "It w. I O i R N ! ` i I I Y JJ ,, .. I O �O G�rC _ I RUT /10011 ff Act,' Ti Fir. (x1±i61i0A3 - — GAfE . — — ----•---- PH1I0 ��' - - ` ' -- T fi / RACE TRACK L 10w(R / .SCALES n i H I \ m \ (_20, I \ L ; V . MI \ \ \ / • (RCS \ PARKNG ^ 0 { L, lj 1 a • 2�L O I �3�� _ �.� . . ) 0 ' p U4U4 ca rE KIr u i1 I t rz —' . • L • r ' j — — — — ROOU5 . - — w- TUNNEL Ili,}{ I 1 1 '+ SHOW �� C rtl _. _ _. — \ , RIND • . _� . II . I , / / 1- — — J 1 0 PATROL iOkER PRANK u GRANDSTAND ( PAVILLIOH GREEN NEuORIAI 4 .11 N�PI iIOri U - - - - p[J mill I Bull Q IIALl • v9r, 0uSE SOUTH GATE . LAIR SfREEf O O rIRAO -i EAST DACE , \ . , Q AESf FAIR S A THREE COUNTY FAIRGROUNDS 1 E . �ti/1 NORTHAMVON, MASS. >- Lor r ARK Ho RLI d 1 � � s SCALE. GATE MAY 1981 0o AA 0 LW MC! 4 tr..... acir i..c -,.a ..tee i0G so 0 50 100 iY7 • -- — i Y O P (G Ir • £( huNtLE9,.IR 1 ASSOCIAI(S, INC r(wS - WO JD -'V ( - /IN 5 • • File # BP -2009 -1105 APPLICANT /CONTACT PERSON HAMPSHIRE FRANKLIN & HAMPDEN AGRICULTURAL SOCIETY ADDRESS /PHONE P 0 BOX 305 NORTHAMPTON (413) 584 -2237 () PROPERTY LOCATION FAIR ST - FAIRGROUNDS MAP 25C PARCEL 251 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out y,[ Fee Paid Ad O - I Tvpeof Construction: DEMOLISH OLD HORSE BARNS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans / Plot Plan THE FOLLOWING A TION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION P SENTED: 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 Signature of Building Official Da 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.