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25C-251 (118) 54 FAIR ST-FAIRGROUNDS BP-2019-0902 GIs#: COMMONWEALTH OF MASSACHUSETTS Mau:Block: 25C-251 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit 4 BP-2019-0902 Pruiect# JS-2019-001504 Est.Cost:$15000.0 Fee:$105.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group JOSEPH JASINSKI 057025 Lot Siae(sa.ft.): Owner: HAMPSHIRE FRANKLIN& HAMPDEN AGRICULTURAL SOCIETY zoning: SC(100)/URB(1)/ Applicant: JOSEPH JASINSKI AT. 54 FAIR ST - FAIRGROUNDS Applicant Address: Phone: Insurance: 43 Fair St (413) 527-7379 () WC NORTHAMPTONMA01060 ISSUED ON1/20/2019 0:00:00 TO PERFORM THE FOLLOWING WORK•INSTALL METAL ROOF ON FARM MUSEUM BUILDING ALONG WITH NEW VENTILATION 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 2/20/20190:00:00 $105.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File 4 BP-2019-0902 APPLICANT/CONTACT PERSON JOSEPH IASINSKI ADDRESS/PHONE 43 Fair St NORTHAMPTON (413)527-7379 Q PROPERTY LOCATION 54 FAIR ST-FAIRGROUNDS MAP 25C PARCEL 251 001 ZONE SC(100EURB(IV THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOS UIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Tvoe f Construction:_INSTALL METAL ROOF ON FARM MUSED ILDING ALONG WITH NEW VENTILATION New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 057025 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Stom Water Management Demolition Delay/ / //tet 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. Version' '1 ih Permit M 15,2000 '. tlMi;9ldJr' City of NortL4 - ab Building De )Z S 83 -+w -* 212 Main '�, Room 1'ahgBYti Northampton, n I D Pleur - phone 413-587-1240 7- 7 ` ` Ooerh� = , 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 r�.YK-JS2 Map a�Ce Lot arJ ) Unit Lj n 1 ( k•-,r�;,L-. J Zone Overlay District ^}x{ g�rs , hlp DlO(oa - Elm St Diatrla CB Dbtrlri SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: 4j.kGt(Aq((jrA,r 1t-4-+Mi.�'er- q ( vv i;' Aln�4+e. sx� vb1tF r�lOhI Name(Prim) Current Mailing Address: (-1 L3 -S9S4/-}--�13r7 Signature Telephone 2.2 Authorized Aaent vases �ay�[1- 9� ass, �� LaC &L�( Name(Print) Current Mailing Address' C413- Signature " " ` Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only wm leted b rmit applicant 1. Building /L p6� (a)Building Permit Fee 2. Electrical V r� (b)Estimated Total Cost of Construction frau 6 3. Plumbing -� Building Permit FeeYYy}y/ 4. Mechanical(HVAC) 1 t/ 5. Fire Protection 1 6. Total=(1 +2+3+4+5) � /S Ori. Check Number I C4 This Section For Official Use OnIv Building Permit Number Date Issued Sgnature: Building Commissionedlnspector of Buildings �y Date C-rnot'l i j6L v , Versioal.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 El Repairs E] Additions ❑ Accessory Building El Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ RoofingChange of Us¢❑ Other❑ Brief Description Enter a brief description here.LlS'V"N ilitx krdi` Elf 'M FWrw N.C�S¢.v.� Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A AssemblyElA-1 11A-2 ElA-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business _ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 36 ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5q ❑ S Storage ❑ S-1 ❑ S-2 ❑ 58 ❑ U Utility ❑ Specify: .. M Mixed Use Specify S Special Use ❑ Specify. -- COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS Al 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(so 3 rd ...... 4m 41, Total Area(sB yrs Total Proposed New C/ooq�pstrru`"�ucJ ( lion so / -&I Total Height(ft) s�S� Total Height 0 �5y 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zyne Information: 7.3 Sewage Disposal System: 'AoF Public ❑ Private ❑ rQ' Zone''.., t/ Outside Flood Zone❑ Municipal ❑ On site disposal system E] Version 1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be tilled in by Building Department Lot Size Frontage --- — --- Setbacks Front Side L R:L_. Lr.. R Rear Building Height a : Bldg. Square Footage (QVC / % Open Space Footage % (Lot area minus bldg&paved ._ .... kin #of Parkin S aces --- Fill: (volume&Citation) --.. - — -- A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW & YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO © DONT KNOW tQ YES O IFYES: enter Book Page! and/or Document# B. Does the site contain a brook, body of water or wetlands? NO (?�, DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES © NO .K 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 O NO �. IF YES,then a Northampton Sic"Water Management Permit from the DPW is required. Vereiou1.7 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 36,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable Name(Registrant): Registration Number Address Expiation Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Dale Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Atltlress Registration Number Signature Telephone Expration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor "' -11 F—> (r Not Applicable ❑ Company Name` JAL v'gS/Gi �r l Responsible In Charge of Cru tion 3 F4 s o�n , mgr o�ol Atltlress yi3 str�-Y7�3 Si afore Telephone a= Vel l.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No SECTION II -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I as Owner of the subject property hereby authorize l-_. _.__. !to act on my behalf in all matters relative to work authorized by this building pennit application. Signature of Owner Date Mes 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 beref. q Signed under the ym and penaltie fpenury sees ST-( Z✓ Pri Signature erlAgent Date SECTIO 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holde, DS / _ License Num er Address Expiration Date Signature Telephone SEC N 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 b ldmg permit. Signed Affidavit Attached Yes No 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 bey MGL c 111, S 150A. Address of the work: -17 6F7&l ', S-l(P.e� Al/ooj,kx ,n4- r-ttA-0 The debris will be transported by: y /� t azh l"�x The debris will be received by: U� 6vcs�� f ae ,(�, Building permit number: Name of Permit Applicant - �CC�neS�rz S�le�y Date Signatur ermit Applicant f N 1 I CD ,th JBjb f?I-- i 410; s a7r v017 bl b s. C Let -985 •6th W.-i J 16 -'' / A7 UtObSnul u!>lr-/ -4 1 i I ' I I i` Ilb rah -- --r�aa 04:2 if f _ ® - a, a* d-Jr� sY 2 d r -�.�"?7oTrr3 -7 ry car add w iy1 ol69 i — _ -dug dao, fJoddl ddF/ OP7lJ� dda — yjs78"S ' A �\ The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Sithe 100 Boston,t)fA 02110-20177 www esass gov/dia \l urkers'Compensation Insurance Affidavit:BuilderstCootmctors/Electriciaos/Plumbem '1'0 BE PB,ED WITH THE PERMITTING AUTHORITY. Applicant Information 1 /J �- Please Print Leuibly Name(Business/Organiza[iol✓htdividnel): AN(*. it, f-CeaiALIt'�k+es�Cat4K.e.. /��fiw ik rik Address: P 7 b� 8ps City/State/Zip: /Jsa4{V ts7k KLPrOlCfe( Phone#: Are you an employer?cheek the appropriate boa: Type of project(required): I.0 am aemploye with (P emplo,"s(full etdsor partrvame)' 7. []New constnrction 2nimnasolepopid mpermmshipm mvememploymswurkingformein g. ❑ Remodeling any capacity.IN.workers ener,s res. required.) 3,E][..homwwmr doing dl work myself INo wpk<rs'cmnp.insivmrcemquired]s 9. ❑Demolition 4.�I ran a homeowner act will be hiring comrectms m conduct ell warkan my property. 1 will 10[-] Building addition ensure that all conaaztom either have wmkers'compereation sentence or me sole 11.[]Electrical repairs or additions proprietors with.emp[oyee. 12.C]Plumbing repairs or additions 5.c]lam.general contractor and Ilove hired the sub-conaawis IImW w the,machodocat 'Th13.gRtmfrs pairs Those aubcmurrs tms have employe h eand have vocrs'cmnmmm p.ire? 6.]Weareawrymationaid its offiamhaveeumised their right ofezemption per MGL c. 14.®OUrer -{i— _ ig- logos i52,f1(a),midwehavenoemplirme, [Nawokers cent, ines.ro,mud] kl 00A (t}xk CpBrr ?Any applicant Na checks box ql mon also fill out the section below showiratheir workers'compensation policy infommion. t 11171 a 1who whmit this affidavit indicatingthe,are,doing all work act then hire outside contractors mon submit a new affidavit indicating such. :Contmoors Nat chock this box most atmchd an additional sheet showing da name ofthe sub-coran o on and stem whether or not Nose entities hove employees. If the subconaalurs have employees,they most provide their workers'wrap.polity number. /am an employer that is provfdfng workers'compensation irtruronce for my employers. Below is the poary and job site fnformatfan. Insluaoce,Company Name: l'r srl J� �utslJfYfiht-C ww�✓aDl. Policy#or Self-ins.Lia,t#:l'I w Lr—Cllr 70353(') -�OIg W Expiration Date: L1 ;_ O /"I Job Site Address: .( hIY ,L WIN -94 060 city/Stapdzip: 01�'0 P-D Attach a copy of the workers'mopeoation policy declaration page(showing the policy numberand expiration date). Failure W secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fiple up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I rb hereby,ce u !he and �yaltia oof(9erjury alai the fnformaaon prodded above a hue and correct Simtature' v ' ,.({ / ip/" Date' Phone#' — 7 D aa3 9 Official use only. Do nm write in this area,to be completed by efty or town ofciaL City or Town: Perunit/License# Issuing Authority(circle one): 1. Board of Hill 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Concert Person: phone a: HAMPSHIRE, FRANKLIN,AND HAMPDEN AGRICULTURAL SOCIETY �� PO BOX 305 NORTHAMPTON, MA 01061-0305 President February 15, 2019 David A.Murphy 1"Vice President Attn: Building Department Arthur Lyman Room 100 F°Vice President City of Northampton Earle M.Parsons 212 Main Street Secretary Sandra Stanisewski Northampton, MA 01060 Trerer Mark Va I request that you rant a modification to waive the requirement for Mark vadavicek q Y g q control construction for the Farm Museum re-roof project at 47 Fair Assistant Treasurer Andrew J.Siegel Street in Northampton because the work is of a minor nature, will Directors not affect health, accessibility, life and fire safety, or structural Prank J.Basle requirements and is impractical in that the cost of control Linda Bushey construction is considerable when compared to the cost of the Gerald Clark Glenn E.Clark proposed work. Gerald T.Devine Raymond E.Duda John H.Kokoski Thank you for your consideration. "Mass Amendments, sections William Jablonski Peter E.Montague 107.1 allows for an exclusion from control construction for this Heather P.Perry project` Barry Roberts Norman E.Roy James M.Ryan Bruce R.Shallcross Thomas E.Smiarowski George zgrodnik,Jr. Respectfully, Director Emeritus Alan R.Jacque James ames R.Pomeroy Dayne R.Tracy �^ Ja es Przypek /w�(// General Manager PH: (413)5842237 FAX: (413)586-1297 email:infoLib3countyfair.com The Hampshire, Franklin & Hampden Agricultural Society is a non-profit 501(c)(3) organization