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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
' APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 45 Industrial Drive Lot No.
2. Owner's name Minute Maid Address
3. Builder'sname Randall E. Roberts Address 41 Hemenway Rd. , Leverett,MA
Mass.Construction Supervisor's License No. 042573 Expiration Date 8-2 5-9 8
4. Addition
5. Alteration Break area add one 8 ' wide by 9 ' high partition with door. Add three
6.��fl 3 ' -0"x7 ' -0" doors in existing partitions. Take out window and make
7. Is existing building to be demolished?- into entryway.
8. Repair after the fire NO
9. Garage NO No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof steel
13. Siding house steel
14. Estimated cost:- $7000.00
The &ge c ifies at the above statements are we to the best of his, her
knowit ef.
1
gn.tu ojrespoPisible .11-1.1
RemarksMyself or someone from Minute Maid will walk through this with you if you
wish. Construction to be 3-5/8" steel stud, 5/8" fire code drywall, fiberglas
insulation, steel doors with closures and safety glass where necessary.
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JUL 2 7 i99p' asascEJsssitls
0 DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street Municipal Building 'a
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE AFFMAVIT
I Randall E. Roberts
(Ii cen seeJpermi ttee}
with a principal place of business/residence at:
41 Hemenway Rd. , Leverett, MA 01 054 (phone#} 41 3 ) 367-9385
(street/city/stateJap)
do hereby certify, under the pains and penalties of perjury, that:
(X) I am an employer providing the following worker's compensation coverage for my
employees woricing on this job:
Travelers 869K108-6-98 5/29/99
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Nutnbcr) (Exp
tmtiou Date)
(Name of Contractor) (Insurance Companyffloticy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Poky Number) (Expiration Dale)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale)
(attach additional shed ifnece uy to ine}ude infocmaEon pstnining to all ecatma r3)
( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be aware that while hoaxowners who a=ploy pcn to do=i tmancc,moo Or repair work on a dwelling of
not moca than throe units is which the homoowncr maces o<oa the UvJa is apVa tcnaat thereto are not gcocrally ooasidercd to be
employers undcr the worker's oration Act(GL152,u 1(5)),application by a homeowner for a Ucco-a permit may cvidcnoe the
legal rtatus of an employer under the Workees Compensation Act
I undaviand that a copy of this rfatemeat may bo forwurded to tho DtQnrtmmi of I,,& sisl Ancideati Office of Iawranoe for the
cov anion and that failure to saure covets.go under suction 25A of MGL 152 can lead to the imposition of-=fall penalties
of a fine of up S1,500.00 andJor imprisonmazi of up to one year and civil pcn,16cs io the fain of a Step Work Order and a
fine 100 00 a day me
For dgnatm'-al use aaty
Permit Number
,� -
Lot#
Lace
I of erimttee
10. Do any signs exist on the property? YES X NO
IF YES, describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO X
IF YES,describe size,type and location:
11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This —.I== to be filled in
by the Baildiag Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lotarea minus bldg
&paved parks.ng)
# of "Parking Spaces
f of Loading Docks
Fill:
{vol-ume--& location)
13 . Certification: I hereby cer7best t the in m ion ntained herein
is true and accurate to the my kno ed DA'Z'E: 7-2V — U ApPLICANTURE
NOTE: Issuano® of a zoning permit does not relieve an—&2p P- 11 nYs burden to oom wlt 7
zoning requirements and obtain all required on fA tali
q permits trorn the Board of Health, Conservation
Commission, Department of Publio Works and other applionble permit granting authorities.
FILE #
.. 3
!J F JUL 2 7 11998
File No.
.--`Z"ONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Randall E. Roberts, General Contractor
Address: 41 Hemenway Rd, Leverett Telephone: (41 3 ) 367-9385
2. Owner of Property: Minute Maid
Address: 45 Industrial Drive Telephone:
3. Status of Applicant: Owner X Contract Purchaser Lessee
Other(explain):
4. Job Location- 45 Industrial Drive
Parcel Id: Zoning Map# C;�-5A Parcel# - District(s): Gj-
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property bottling/warehouse
6. Description of Proposed Use/Work/ProJect/Occupation: (Use additional sheets if necessary):
Break area one 8 'x9 ' partition with door. Add three doors,ground
floor in existing partitions. Locker room divided into two rooms with
exit for each. Take out window in shipping office and create walk
through doorway.
7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNO 1 X YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW X YES
IF YES,has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained ,date issued:
(FORM CONTINUES ON OTHER SIDE)
t
File#BP-1999-0104
APPLICANT/CONTACT PERSON Randall Roberts
ADDRESS/PHONE 41 Hemenway Rd Leverett 413-367-9385
PROPERTY LOCATION 45 INDUSTRIAL DR
MAP 25A PARCEL 185 ZONE GI
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
T e of Construction:
New Construction
c ra interior renova i
ddition to xistmg
Accessoty Structure
Building Plans Included:
Owner/Occupant Statement icense#i
3 sets of Plans/Plot Plan
THE LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
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 ommission
w
Signature of BuildidrOfficial 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.
Department: Reference No- BP-1999-0104
........................•..........
Building, Electrical & Mechanical Permits
..........
Fee Type: Receipt No:
Non structural interior renovations REC-1999-000171
.........................................................................................
Paid By: Paid...i*n"...F...u'I'l...On:..........
Randal Roberts Mon Jul 27,1998
................. .. . ...... ......
Received By .C.h.eck.No:...................
Linda Lapointe 1741
.........................................................................................
.................................
DEPARTMENT'S COPY Amount: $40.00
...........................
DFIPARTMENT FILE COPY 45 INDUSTRIAL DR
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own pen-nits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
27 Jul, 1998 BP-1999-0104 $40.00
GIS #: Man Block: Lot: Address: Zoning: Use Group: Lot Size:
9379 25A 185 001 45 INDUSTRIAL DR GI 950914.8
Contractor: License Type: Insurance:
Randal Roberts CSL Workers Compensation
Address: License No.: Insurance No.:
41 Hemenway Rd 042573 869KI08698
Li!E State: Zip Code: Phone:
LEVERETT MA 01054 (413) 367-9385
Project No: Category of Work: Const. Class: Cost Estimate:
JS-1999-0094 Non structural interior renovati $7,000.00
Description of Work:
INTERIOR PARTITIONING& CREATE DOORWAYS
GeoTIVISO 1997 Des Lauriers&Associates,Inc. Signature:
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.Noli-3 Alterations
NORTHAMPTON, MASS. I-� _ 19 Additions
Repair
a APPLICATION FOR PERMIT TO ALTER
T f Garage
u
1. Location 16 1h .41r°c ` J,-,,V e- Lot No.
2. Owner's name M 1%J- 1p_ 41 d Address n
3. Builder's name l C 6- 1 1Z O�0-e s' Address 1 �e Q.eel u.! -�T40
�
Mass.Construction Supervisor's License No. OV2 7 3 Expiration Date _ZS—2c>�
4. Addition
5. Alteration v V j— r r �.. On S eco 2-
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof J-�2 e-
13. Siding house 51 e e. t
14. Estimated cost:# 7600 ,
The u e i ned ce ies that the above statements are we to the best of his, her
kno dg bell
ignaturt oJrespons�b/e appicanl
s
Remarks � £ �� i p � ��" q7 ,
5 ; Litn of r'1 ortfJumptcli
aB �uaacyascfts
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DEP if°,SIT OF BUI DIS C C INS?° i0`IS E
212 Xain StrcAt ' Municipal Building
Northampton, Yfass. 01060
WOMCER'S CONEPE`tSATTON IN3UR_A.NCE .k + AtiTT
Randall E. Roberts
��,LH a arircipal dace of businesslresidence :
41 Hemenway Rd. , Leverett, MA 01 054 I'T�hone::'1( 41 3 ) 367-9385
(streci/city/ a1P-%gip)
do hereby certify, under the pains and penalties of perJw^a,
(X) I am an emplover providing the following wcr-''ens cotnoeasanon coverage for ,y
employees wore ng on this job:
Travelers 869K108-6-98 5/29/99
(Ins7L=cc Company) (Polio Nu=E er) (Expirarioa J=",
( ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Concrne cr) 'LIE=—cc Compan iPolic, Numi:c:) `: yen D IIc
(Name of COI1LraCOC) ,1J1S1LC� COILD�Z�'rPO!iC; NurnCer) L\DL, pII Ja(
(Name of Contractor) (Insurance Company/PoGc; Num�x-_r) (Expimdon Date)
(Name of Contractor) (Ins I=cr Coaira_,Ty,,Policy Numtw—r) (Erairution D_)
(aaarh additicasl thcct iFncccu ,,to iry_h LC isfortxu:ioa,7�ai�ing:o ail ricnn)
I am a sole proprietor and have no one wor4dng forme.
( ) I am a home owner performing all the work myself.
NOTE:please be aware thn-.vela cm—play perzaas to 6O'M ,r!_,,,,'lion Cr repair iorx on a dwu g of
sot mcce than throe units in which the i om mcr raids or on tSe Qourxh appurtenaai thercto me oce Gaw)�v oocsidcrod co oe
cmploycn utxicr the vmdccts o ampc.._.ation Act(GL152,a 1(5)},application by!L l:otacocvnrr fors liccusa or permit may c+rd tha
legal rtahts of an employer under ttra Workaeg Compemazion Act
t uodrratand that a�"aYY of this cutemc�may be forwonied W the Departacert of Dial Amdmt>'OfHoe of Iraarmcn For t!b
coverage verification and that failure to sexton coverabro under:ecxion 25A of MOL 152 can lead to the itr>positioa of c iminsl prnattic
Ocalixtingx t fine of up to S I,5 .00 arWor of up to one year and civil pem2lics in the form of n Stop Work Order and a
fitta aC a dsy agntust
For WO aaty
� �CY_� permit Number Lot�
( py
r:
Signature of Lice: .; ckottcc
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File No.
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant:
Address: Telephone:
2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee
Other(explain):
4. Job Location:
Parcel Id: Zoning Map# Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/Property
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit/Vadance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES,date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. 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 ,date issued:
(FORM CONTINUES ON OTHER SIDE)
10. Do any signs exist on the property? YES_V— NO
IF YES,describe size,type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES,describe size,type and location:
11. ALL INFORMATION MAST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This aolmffi to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(LOtarea minus bldg
&paved parking)
# of -Parking spaces
f of Loading Docks
Fill:
(vol-ume--& location)
13 . Certification: I hereby certify that the infor i n co ained herein
is true and accurate to the best of my knowle g
DME: APPLICANT's SIGNATURE
NOTE: Issuance of a zoning permit does not relieve an a Ys burden to 00 ly W4 7011
zoning requirements and obtain all required permits from the Board of Health, Conservation
Commission, Department of Public Works and other applicable permit granting authorities.
FILE if
SEP i 5
ZONING PERT APPLICATION (§10 . 2)
PLEASE TYPE OR PR=T ALL �*TPORTZ'ON
Name of Applicant: Randall E. Roberts , Genera= Cor. ra�`_or
a < erg
Address: 4 ' H_men.va � Rd, Le per_�.� Telephone:—( 3 ) 3 0 7-?3a
2. Owner of Property: Minute Maid
Address: 15 Tnd _c;+-r i a 1 Dr; va Telephone:
3. Status of Applicant: Owner X Contract Purchaser Lessee
Other (explain):
4. Job Location: 45 Industrial Drive
Parcel Id: Zoning Map# d6 � — District(s): &Z
(TO BE FILLED iN BY THE BUILDING DEPART MEN 7)
5. Existing Use of Structure/Property _ bottlincr/warehouse
6. Description of Propcsed UseM/ork/Proieectt//Cc�cuu_ tior- lUca additional sheets if ner•essar;,:
7. Attached Plans: Sketch Plan X Site Plan Engineered/Surveyed ,Mans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special Permit^,/ar ance/Finding ever been issued for/on the site?
No DONT K�JC:^: X YE3 IF YES, da`,e issued
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
9. Does the site contain a brook, body of water or wetlands? NO CON'T KNOW X YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
(FORM CONTINUES ON OTHER SIDE)
File#BP-1999-0301
APPLICANT/CONTACT PERSON Randall Roberts
ADDRESS/PHONE 41 Hemenway Rd Leverett 367-9385
PROPERTY LOCATION 45 INDUSTRIAL DR
MAP 25A PARCEL 185 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Build'n Permit Filled out
Fee Paid
Type of Construction: r
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Occupant Statement or License#
3 sets of Plans/Plot Plan
THE LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § —w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § —w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
tic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission
.S
Signature of Buildin cial Dat
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.
Department: Reference No: BP-1999-0301
...................................
Building, Electrical & Mechanical Permits
•.. .....................................................................................
Fee Type: Receipt No:
Non structural interior renovations REC-1999-000757
.........................................................................................
...... ...............................
Paid By: Paid in Full On:
Randal Roberts Tue Sep 15,1998
................. .............................................•-----.................
......................................
Received By: Check No:
Linda Lapointe 1795
.........................................................................................
................................•.....
DEPARTMENT'S COPY Amount: $40.00
...........................
DEPARTMEN,r FILE COPY 45 INDUSTRIAL DR
CITY OF NORTHAMPTON
BUILDING PERMIT
Owner's pulling their own permits or dealing with unregistered contractors for applicable work do
not have access to Guaranty Fund(MGL 142A)
Issued: Permit No: Inspector: Tracking No.: Fee:
BP-1999-0301 $40.00
GIS #: M#2 Block: Lot: Address: Zoning: Use Group: Lot Size:
9379 25A 185 001 45 INDUSTRIAL DR GI 950914.8
Contractor: License Type: Insurance:
Randal Roberts CSL Workers Compensation
Address: License No.: Insurance No.:
41 Hemenway Rd 042573 869K108698
City: State: Zip Code: Phone:
LEVERETT MA 01054 (413) 367-9385
Proiliect No: Category
y of Work: Const. Class: Cost Estimate:
JS-1999-0094 Non structural interior renovati $7,500.00
Description of Work:
REMODEL LOBBY AREA
GeoTMS@ 1997 Des Lauriers&Associates,Inc. Signature: