You are on page 1of 20

BP-2011-0612

COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building

Category: BUILDING PERMIT


Permit # BP-2011-0612
JS-2011-000976

PERMISSION IS HEREBY GRANTED TO:


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:
POBOX 1597 (413) 568-0636 Workers
Compensation
WESTFIELDMA01086 ISSUED ON:11712011 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:


FeeTme: 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
File # BP-2011-0612

APPLICANT/CONTACT PERSON KURTZ INCORPORATED


ADDRESSIPHONE POBOX 1597 WESTFIELD (413) 568-0636 X. 10 5

PROPERTY LOCATION FAIR ST - FAIRGROUNDS


MAP 25C PARCEL 251 001 ZONE
'P>At.. DtA~ 11> ;.0.00

THIS SECTION FOR OFFICIAL USE ONLY:


PERMIT APPLICAnON CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
TvoeofConstruction: DEMOLISH 1
New Construction
Non Structural interior renovations
Addition to Existing

AccessorY Structure

Building Plans Included:


Owner/ Statement or License 036505
3 sets of Plans / Plot Plan

THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON

INFO,KMATION PRESENTED:

--U'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 Enc1osed._ _ _ __


___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 Offi Date


1/-dtO
I 1

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 ofMGL 40A. Contact Office of
Planning & Development for more information.
. 1 ­Building Penni! Mav 15.2000
Version 1.7 Co ._------- ---_.
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit

JAN 5 20\\ 212 Main Street SeINer/Septic Availability


Room 100 WaterlWe1l Availability
Northampton, MA 01060 Two Sets of Structural Plans
,.
'1 ' phone 4l1-587-1240 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


This section to be completed by office
1.1 PrQ~m Address:

Thee-County Fairground Map Lot Unit


59 Fair Street Zone Overlay District
Northampton, MA
Elm St. District CBDistrict

SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT

2.1 Owner of Record:


Thee-County Fairground Redevelopment Corp. 59 Fair Street Northampton, MA
Current Mailing Address:

Signature Telephone

2.2 Authorized Agent:


GQ.~~ ~~1-'l..
Name (Print) curr! ~~Iing A~~SuitA~~r ~. fL~ A\It
Signature Q~U -' Telephone
L.J I~ ­ $"&8 ­ e f.?3 '=>
SECTION 3 - ESTIMATED CO~CTION COSTS I
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 Q?'1:3t?
, ¢d'rO
This Section For Official Use Only
Building Permit Number Date
Issued

Signature:

Building Commissioner/Inspector of Buildings Date


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 D Existing Wall Signs [2] Demolition D Repairs 0 Additions 0 Accessory Building D
Exterior Alteration D Existing Ground Sign 0 New Signs D Roofing 0 Change of Use D Other D

Brief Description Demolition of ~emeetl (U) accessory structures per plan.


Of Proposed Work: (I ftl'r~t1 (18)
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
I
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly A-1 D A-2 D A-3 D 1A D
D
A-4 D A-5 D 1B D
B Business D 2A D
E Educational D 2B I D
F Factory D F-1 D F-2 D 2C D
H HiQh Hazard D 3A D
I Institutional D 1-1 D 1-2 D 1-3 D 3B 0
M Mercantile D 4 D
R Residential D R-1 D R-2 D R-3 D 5A D
S Storage D 8-1 D 8-2 D 5B D
U Utility Specify:
D

M Mixed Use Specify:


D

S Special Use Specify:


D

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


I
OFFICE USE ONLY
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION

Floor Area per Floor (sf)

5t
st 1
1
nd
nd 2
2
3'd
3'd
4th
4th

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 D Private D Zone Outside Flood ZoneD Municipal D On site disposal systemD
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON WNING
I
Existing Proposed Required by Zoning
This column to be filled in by
Building Department

Lot Size

Frontage
Setbacks Front

1 R: --­
L: - - ­
R: - - - - ­

Building Height

Bldg. Square Footage %

Open Space Footage %


(Lot area minus bldg & paved
pill"king)

# of Parking Spaces

Fill:
(volume & Location)

A. Has a SpeciaL PermitlVariance/Finding ever been issued forlon the site?


NO 0 OONT KNOW 0 YES 0
IF YES, date issued:

IF YES: Was the permit recorded at the Registry of Deeds?


NO 0 OONT KNOW 0 YES 0
IF YES: enter Book Page andlor Document #

B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 YES 0
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 0


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. WII the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a cornmon 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.
Version 1.7 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 0
Company Name:

Responsible In Charge of Construction

Address

Signature Telephone
Version!.7 Commercial Building Permit May 15,2000

SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)

No

I, <O(.l..~~, S~\\ e.'R£:)Ss;', ~-N<'AIoi... fY\ ~.v~~{t..


» . as Ovvner of the subject property

hereby authorize C!:>et-Je. \-Z",e.koz, \~U"CC1.. ~"'~ON to

act on my behalf, in all matters relative to work authorized by this building permit application. /

8..{,-.R..&...!~. j.k.Jf~
Signature of OMler /"
101/ l\
Date

I G eo ~e. 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.

Ge..;)e ~R.. +"2­

SECTION 12 - CONSTRUCTION SERVICES

10.1 licensed Construction Supervisor:


Not Applicable 0
Name of License Holder. Edward J. McCarthy Jr 1 Dietz Construction Corp.
CS-78886
License Number
29 Woodleigh Ave Greenfield, MA 01301/7 Indus Pkwy Easthampton,MA 02/13/2011
_ if, A
Expiration Date

(413) 527-2695
Telephone

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 buildi

Affidavit Attached Yes


OP 10: RH
~

I
~. DATE (MM/DD/VYYY)
CERTIFICATE OF LIABILITY INSURANCE 12129110
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(les) 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 S~~~~CT Romy Harrow
PHILLIPS INSURANCE AGENCY INC. 413-592-8499 i~gNJo ExtlA13-594-5984 I rti~ No): 413-592-8499
97 CENTER STREET
~ifD~~SS: romy@phillipsinsurance.com
CHICOPEE, MA 01013 ~~~

Chris Rivers ~~~?~~~~ 10 #: DIETZ-1


-----~-~----­ ~--."-".­
INSURER(S) AFFORDING COVERAGE ~~ ___ ~l_~AIC # ~~_
INSURED Dietz Construction Corp I.NSURER A: Travelers Insurance Company
7 Industrial PKWY 1
INSURER B : Travelers Property Casualty
Easthampton, MA 01027
r!-NSURER C : Charter Oak Fire Ins CO
INSURER 0:
INSURER E:
INSURER F:
~~--=t~
I
-=
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 I I"DDC ~UBR I I POLICY EFF ""PO"'L"IC"Y"E"'X",p~rl-----'-------~----l
LTR TYPE OF INSURANCE IINSR IWVD POLICY NUMBER (MM/DDIYYYYI (MM/DDIYYVYI LIMITS
1GENERAL LIABILITY EACH OCCURRENCE 1,000,000
~COMMERCIAL GENERAL LIABILITY
I DAMAGE TO RENTED
A X 4TCO-8665N7981ND10 08/26/10 08/26/11 PREMISES (Ea occurren~ .100,000
CLAIMS~MADE [KJ OCCUR EXP (A-"y oneperson) 5,0001
~~

i$
I

A X XCU ----~-------­
4TCO-8665N7981ND10 08/26/10 08/26/11 ~PERSONAL & ADV INJURY 1,000,000
I GENERAL AGGREGATE $ 2,000,0001
---.J ~

! GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS ~ COMP/OP AGG


,------._--­
2,000,000
~~g I! LOC
--~~-~-.~­

1POLICY
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i$ 1,000,000
I--~
B ANY AUTO ~-""~nti... ________+~
BODIL YINJURY (Per person)
ALL OWNED AUTOS ----- ---- ----~­ ,-~ --­

YINJURY (Per accidenl)


~BODIL -l

SCHEDULED AUTOS BA8682N377TIL10 I 08/26/10 I 08/26/11


PROPERTY DAMAGE
HIRED AUTOS , (Per accldenl)
NON~OWNED AUTOS I I-=--~ ~- _ - - ~~- --~1$ -----~
--------------i $ -l

B t-] :=:::~~'~"I~

DEDUCTIBLE -~ ~- CLAI~.::~DE
OOCC<
4TCUP8665N798TIL10 08/26/10 08/26/11
~ACH OCCURRENCE
AGGREGATE
I$
$
. 2,000,000
2,000,00C
1

----rl$~------­
RETENTION $
WORKERS COMPENSATION WC STATU~
X ITORY I IOTH~
AND EMPLOYERS' LIABILITY LIMITS , ER
C ANY PROPRIETORIPARTNERJEXECUTIVE
YIN
N/A
D 4TOUB8669N72410 08/26/10 08/26/11 EL. EACH ACCIDENT ~ 500,00C
~ 500,00~
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH) 1 E.L DISEASE EA_EMPJ-9YE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE ~ POLICY LIMIT $ 500,00C
A IEquipment Floater 4TC08665N7981ND10 08/26/10 08/26/11 Scheduled 1,386,500
Leased/Re ~50,000

DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Renovationsl.Three County Fairground
Redevelopment Corp 59Fair Street, Northampton, MA 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
ACCORDANCE WITH THE POLICY PROVISIONS.
Kurtz, Inc.

105 Elm Street

AUTHORIZED REPRESENTATIVE
Westfield, MA 01085

~ ~ (Y\
~
© 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
Massachusetts Department of Environmental Protection
Bureau of Waste Prevention. Air Quality 1100118911
Decal Number

BWPAQ06
Notification Prior to Construction or Demolition

Important:
lMlen filling out A. Applicability
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
cursor do not
residential building with 20 or more units is regulated by the Department of Environmental Protection
use the retum (DEP), Bureau of Waste Prevention - Air Quality Control Regulations 310 CMR 7.09. Notification of
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.
~---n
~---~

~ 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? eyes [{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
ITHREE- COUNTY FAIRGROUNDS
Environmental
Protection a. Name
notification 159 FAIR STREET
requirements of -----.~---.

310 CMR 7.09


! .. - _ .. _ ..._-., " , - - " " ----1

[4135842237
, f. Telephone Number (area code and extension) ,9, E-mail Address (optionalL-_ _ _ _ _ _ _ _--,
\56550 11
~

h. Size of Facility in Square Feet L Number of Floors

j. Was the facility built prior to 1980? ILl Yes No

k. Describe the current or prior use of the facility:


:FARM ANIMAL BARNS - SEASONAL USE FOR

==..­ 3.
I. Is the facility a residential facility?

m. If yes, how many units?


Dyes

Number of Units
No

FAIRGROUNDS REDEVELOPMENT CORP.

!NORTHAMPTON
c. CitvlTown
[4135842237
f. Telephone Number (area code and extension) .~mail Address (optionall

h. Onsite Manager Name

• aq06.doc· 10102 BWP AQ 06 • Page 1 of 3 •


[1 Massachusetts Department of Environmental Protection
Bureau of Waste Prevention. Air Quality

BWP AQ 06
Notification Prior to Construction or Demolition
i100118911

Decal Number
a,

General
Statement: If B. General Project Description (cont.)
asbestos is found
during a
Construction or
4. General Contractor:
Demolition CONSTRUCTION
operation, all
responsible parties
must comply with fpo BOX 1597
310 CMR 7.00, b. Address
7.09,715, and
Chapter 21 E of the [WESTFIELD !MA
I 101086-1597
General Laws of c. Ci,!ylTown d. State e. ZiQCode
the Commonwealth. 14135680636
This would include,
f. Telephone Number (area code and extension) 9 E-mail Address (optional)
but would not be
limited to, filing an ICHARLES SEREDA
asbestos removal h. On-site Manager Name
notification with the
Department and/or
a notice of
release/threat of
release ofa
C. General Construction or Demolition Description
hazardous
substance to the
Department, if
1. Construction or demolition contractor:
applicable. !DIElZ CONSTRUCTION CORP
a.Name
;7 INDUSTRIAL PARKWAY
b. Address
IEASTHAMPTON
c. CitylTown
i4135272695
T. Telephone Number (area code and extenSion) (optional)
!DAVID DIETZ
h. On-site Manager Name

2. On-Site Supervisor:
DAVIDDIElZ
Name

3. Is the entire facility to be demolished? Yes o No


~N 4. Describe the area(s) to be demolished:

(17) WOOD-FRAMED BARNS.

5. If this is a construction project, describe the building(s) or addition(s) to be constructed:

NEW 20,000SF POLE BARNS TO BE CONSTRUCTED.

• aq06.doc ·10102 B\I"IP AQ 06 • Page 2 of 3 •


.[] Massachusetts Department of Environmental Protection
Bureau of Waste Prevention. Air Quality [100118911
Decal Number

BWPAQ06
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)?
.L Yes No

If yes, who conducted the survey?


O'REILLY TALBOT & OKUN ASSOCIATES - DAVID G. ABAD
b. Survevor Name

MA LICENSE: AJ-7192

c. Division of Occupational Safety Certification Number

r
[1/15/2011 ---1 '3/30/2011
7. Construction or Demolition: a. Start Date (mmldd/yyyy) b. End Date (mmldd/yyyy)

8. a. For demolition and construction projects, indicate dust suppression techniques to be used:
n seeding paving . .
i7 wetting shrouding b. If other, please speafy.

LJ covering other

9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency?

==('1')
D. Certification
I certify that I have examined the
above and that to the best of my
knowledge it is true and complete.
The signature below subjects the
Signer to the general statutes IPROJECT ESTIMATOR
regarding a false and misleading TIosltlonmtle
statement(s). iDIETZ CONST·-R-U-C-T-IO-N-C-O--R-P-.---~-----"""""""
,d. Representing
;1/3/2011
e. Date (mmlddlyyyy)

• aq06.doc· 10102 B\NP AQ 06 • Page 3 of 3 •


;v1GssOEP H00,'k: I \::edbaCr, I Tou~ I Privacy PO!ICv

MassDEP's Online Filing System


UsernameOIETZCORP
Nickname: DAVIDD fl13D
My eDEP Forms' My Profile Help

l Receipt ]
EgrFDB. Siqnat<Jff: ~:!.~l,il~!~
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
code: 51777
Date: 1/4/2011 8:26:26 AM
Amount ($): 85
Payment Detail: DIETZ DAVID --AccountType -- AccountNumber ****1809
ConfirmationN umber:

Contractor
Contractor Number
Name
Address, ,

Supervisor

Project Monitor

Lab

Mnss[H.:P' ! F ! i'ou Pn'fflcy Pohc\

MassDEP's Online Filing System ver.9.9.9.0© 2010 MassDEP


DEMOUTION REVIEW APPLICATION

Activity Tracking Sheet

Property:
Map ZSe-
~p6/B>t\~
I

Parcel
Received in Building Department: • 2.~ 1.00~

Referred from Building Department: 3Lill ~

Action Taken/ Northampton Historical Commission

Action Taken By: /'


Entire Commission
Sub-Committee of the Commission
Commission Designee/ Staff

Date Action Taken: ----c:,.........-:,..---:r-:;K"-::r--..--:;;::--~--_I.nitia I Determinatio n


,i\)l-'lZ11:U\O~ Public Meeting held
___,-"-_ _ _ _ _ _ _ _ Public Hearing Held

Determination Made:

Y. Property has been determined not to be


~ Significant according to Ordinance definition.
No further action will be taken. Demolition
Permit may be issued. fo~1.0 ~. ~ ,
Property has been determined to be Significant I'\A"" }
according to the Ordinance definition and a I IHGWPt~
N...u
Public Hearing has been/will be scheduled. -r.:;;4\..~'~NO
Demolition Permit may not be '-'1 rvTP,\.v;::JIr[' .

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.

Phoro 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 mayor may not be approved as part of plan.

Twelve month time period has expired, demolition

permit may be issued.

Referred by: MA&4tUrj: iu.Jv= Date 1 /t-J> ~ q


~

File # BP-2009-ll 05

APPLICANT/CONTACT PERSON HAMPSHIRE FRANKLIN & HAMPDEN AGRICULTURAL SOCIETY


ADDRESSIPHONE POBOX 305 NORTHAMPTON (413) 584-2237 0

PROPERTY LOCATION FAIR ST - FAIRGROUNDS


hJtrr tS"S\'\fA - N{.(; f>
..
MAP 25C PARCEL 251 DOl ZONE
CO",lMaort. l.lST~P)
THIS SECTION FOR OFFICIAL USE ONLY: •
PERMIT APPLICATION CHECKLIST IVf:6b l,oQ R..(.~~'5· WVVlf AffAM'J\t
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
jtl~7 ~-
TypeofConstruction: 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


INF 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 ProofEncJosed._ _ _ __


___Other Permits Required:

_ _ _Curb Cut from DPW ____Water Availability ____Sewer AvailabiJity

____Septic Approval Board of Health _ _ _ _WeIl Water Potability Board of Health

_ _ _Permit from Conservation Commission Permit from CB Architecture Committee

_ _ _Permit from Elm Street Commission _ _ _ _.Permit DPW Storm Water Management

Date ~7
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 ofMGL 40A. Contact Office of
Planning & Development for more information.
,-,./' ..

/«".
\\.? /"
'·..·l"\
/ ("':~,\,; . /

\,­
Version 1. 7 Commercial
.. '.....:,.(> .'~~ ../'. '""~ '" \\
//,\:~ ':>/ r T:5'J City~9f Northampton
, ~\ ;;/ \,:- 'l- -:" ,~:~~~Wlg ~artment
)
;r-.
'\y,'
\~
/c'
,/'" r \-:.
212.,~in'Street
.~. ,.,~

/' ~:.' " ./ Room 100

/ .. ~.<' rl( , •. '

'. \;, . /;.. (~'.. Northampton, MA 01060


.. ~!pAbne 413-587-1240 Fax 413-587-1272
\,
APPLICATIOr}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


I This section.to be completed by office
1.1 Prl:)p,:rty.~~.~!:~s:' __"__"_'____" __ '''__''____''_''______i ~.sC ~ a b '1_ 0 () I

;=A-,'R s-,-~ESl ·Map~c.."'S'1 _c!,t Unit

g-~ 6 ~~~:~: ~::r,~~ ft -asl -o~bver1a.~.~~:~~c~


1"...
~=====================-~J,,:,;·~:E~im_.'~f'.DiStrict CBDlstrli:t
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED.AGEN·T

2.1 Owner of Record:


;7:!Jjrn e:5 A/Q~~ fR Pt uKL;'.J ./lAA f'I\. fdoe,J ! /0 fA'Y. ~ &~~'t_S~~"7~~~
Name (Print) PI b Q.; "L.( L.~ R A'- ' :5 0.1 e =1) (J Current Mailing Address:
[~3 -sg=-c:r.---;;Q''jT"---·----.. -..-;
Signature~~._~_&..J (')"kll. Telephone

2,2 Authorized Agent:


1
.. ~.~.-., - -- ... --.-.-.-~.--~- , - - - - - · - -..- - -...___ i
Name (Print) Current M~!!1!!ll Address: . __.___•__________...

I _ _ _ _._ _ _ _ _ _ _._ _ _ ...... _.~ ..(

Signature Telephone

SECTION 3 -oESTIMATED'CONSTRUCTION'COSTS;, : ':I


Item Estimated Cost (Dollars) to be i.-, . 'OfficicWUse:O~ly'
completed by_permit aQPlicant
1. Building
~-
11::i(~~·]~~I~J~~'~'~.T'·(tlj~:, . . .-J~l~__M'~' .... ~

2. Electrical (~rEs!irriat¢'~TotaiGost·.of
.;:;;,c·iG:onstructi0A.from. (6) I
.~
. ....i.

3. Plumbing ~ ~'1]3~lii'drn!fPfrriijt';j:'~e
4. Mechanical (HVAC)
------.---~-~
i
-
.. .. .,.­
L.._______..___......__.'
5. Fire Protection ...-
8. Total" ('I .:2 • i • ~ • 6) Gneolc ~jumber jo:l'd _,,6'111[/
.Ihis.Section :'liat OfflcIal:Useonk
Building Permit Number Date"
. ;1~Sl!led

Signature:

Building Commissionerllnspector of Buildings Date


. -_ _ _ _ _ _ _ _ _ _ _......,Version 1.7 Commercial Building Permit May 15, 2000
I 8. NORTHAMPTONZONING j
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
_ " _ _ ~~"~_~"-' ___"""",,_..--......_ _< I ,......--._ _ _ _ _ _.............. _~: I .---,---~-~-.-- _ _

Lot Size ~~ _ _ _ _ _._____...... ~ _ _ _' I ,.__"'~__...... M .. ' " " ' . . ~ . . . _ ._ _ .~


.... --_.~ 1'---'-"·---...... ' - - -....-""-"" ,, ___.
\

-.-----,-,,-- ... ,~--,,~

Frontage .. ......-----.--,-...... ..
I Setbacks Front
'- ".~ ,,,-..""-­

I
Side
,
L:--!
---­ R:-'- - '
i r---.
---­ L:'_·_-' ~1
:----,
:,... _.........:.
Rear :----,
,..---,
Building Height
~----.J
f I
L--,--,

Bldg. Square Footage ~ !


. - - . IX
0
I .-_.. --"
~ r---;
!....-..--.-J
_1_ _ _;
L-i
Open Space Footage '_;___: 0/0
L__--.; ,--­ ,
(Lot area minus bldg & paved -'---' '---1 _R_'-""'-.J

oarking)
.....---;
# of Parking Spaces
_;___1 c=J I
_.•_. ~_1_·· __ ..,-..
~ ':;,-""-'--i--."--.;-:;;'-.--;:;;;-"";,:;,;.:;;"'·.·>;·~·.

Fill: f
(volume & Location)

A. Has a Special Permit/Variance/Finding ever been issued for/on the site?

NO 0 DONTKNOW 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 1
! I• Page~
I
and/or Document It
, '::...'----->

B. Does the site contain a brook, body of water or wetlands? NO • DONT KNOW 0 YES 0
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 ch2!!.ies to or additions of signs intended for the property? YES 0 NO ~

IF YES, describe size, type and location: '--_ _ _ _ _ _,_ _ _._____. _ _ _i

E. Will the construction activity disturb (clearing, grading, excavation, or filling) OYer 1 acre or is it part of a common plan
that will distUrb over 1 acre? YES NO 0 0 '
IF YES. then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 ComrnerciaJ Building Permit May 15,2000

SECTION 10- STRUCTURAL PEER 'REVIEW (7aO CMR 110.11)

No

I, .._=
=_H.=_.~_==._=._~._.= .. __=..._=_.. __ =___=__
.-_=._.~_._.~ ~
----------.-. .. .- ..- ........~, as Owner of the subject property

._=.======~~

hereby

act on my behalf, in all matters relative to work authorized by this building permit applicaIlo;,:;n.:.....-__ ___________.

....LI~ -n. ~.l ... u­ '­ r~~ ~ , 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. .

Si~~~~~~ /
Print Name

SRU.~ h f!". Ll,e.R.Dil


of Owner/Agent

SECTION 12 ·CONSTFWCrJON SERVJCES

Not Applicable 0
f
1­ _~~..,.........._i

Ucense Number

Address

SECTION 13;.weR,~~~·\?P~~ENs~~IOffi!f:lSJl~g~~~~~IE~9ff.,(~~~;::~~~~~i~;·;~~S§»)~

Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the deni:al of the issuance of the

AffidavIt Attached Yes

~I'D ~ o lA..- \- '" \ 'Q<e- 6::,L~R.....t


~ W. LL- UL ~14c~ ~
.J
FA l,c­
LAn:­
THREE COUNTY FAIR REDEVELOPMENT CORPORATION
('
., \ ..
PO BOX 305,54 FAIR STREET \','

./ " j',
,~ I'." "-1 \
NORTHAMPTON MA. 01061-305 (>::\ \> d\~j~'
/\
,"'\\, ,oJ \
~ ~
, " \ 1

',\.1} \~ \
. -\ \ ~\j\,
;. ,·i~::;;!.~'S,....J
'<~\~ , . ·'~.(\n,j~
. :~ ..;.:~....."
Anthony Patillo '\\ \..r~""
Building Commissioner 'i)': ',\
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 tha.t will be taken down as pan ofthe

master Plan. It does not inclUde the grandstand because this Building will undergo an engineering analysis to see if

we can utilize parts ofthe structure in an upgraded ADA compliant structure. Ifit 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 YOIl have any questions.

Bruce Shallcross

~p~
Enclosure: $400.00 check

PH:413.584.2237 FAX:413.586.1297 email: bampfair@verizon.net


11Th is institution is an equal opportunity provider and employer"
File # BP-2009-11 05

APPLICANT/CONTACT PERSON HAMPSHIRE FRAhTKI.JN & HAMPDEN AGRlCULTURAL SOCIETY


ADDRESS/PHONE POBOX 305 NORTHAMPTON (413) 584-22370

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
Fee Paid .£.11...
6 tPJJ:o
5""";,...;;13"'--___1-"'---
0 ..,...<
TypeofConstruction: DEMOLISH OLD HORSE BARNS

New Constructio"'n"'-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Non Structural interior renovations


AddiliontoEx~t~in~g~ ________________________________________
Accessory _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Structu,~re'__

Buildin~s Included:
Ownerl Statement or License
3 sets ofPlans I Plot Plan

THE FOLLOWING A2ION HAS BEEN TAKEN ON TIllS APPLICATION BASED ON


SENTED:
_ _Approved

PLANNING BOARD PERMIT REQUIRED UNDER:§ _ _ _ _ _~_ __

Intermediate Project: Site Plan ANDIOR Special Permit With Site Plan
Major Project: Site Plan ANDIOR Special Pennit With Site Plan

WNING BOARD PERMIT REQUIRED UNDER: :J_ _ _ _ _ _ _ __

Findin::>.g_ _ __ Special Permit Variance "'_ _ __

_ _ _Received & Recorded at Registry of Deeds Proof Enclosed


~._. __Other Permits Required:

_ _ _Curb Cut from DPW _____Water Availability ____Sewer Availllbility


~~
_ _ _Septic Approval Board of Health Water Potability Board of Health

____ Permit from Conservation Commission _.____' from CB Architecture Committee

_ _ _Permit from Elm Street Commission Permit DPW Storm Water Management

~~/
-~ -
Signature of Building VtIlClal
,.
Date
d~
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 ofMGL 40A. Contact Office of
Planning & Development for more information.
ii
:\
I I ~
I'
I 1\
I II

: ~!l1 u ~ LJ "Q0
v.
~il!~"G ..
'"
fOND
....
'I)

:Ie
.- - ' -
~,

""
'"
0
l>
C

/I~C( f/UCM
_._ .tl. _ _ l. _ _ _ JI _ _ ft _ _ • ___ n __ n __ n __ "

o~
lill&,9 ..
~
i·· ... '

." ,),./
')'\1' IJ -.. ifJ;
~-I:­
..
'" ~1.:£:~O L
~
c
...
'"
O REH
ROOMS
~ =r::: II '- •

..0
--T--
I
--j

A'V\
\ ';
~

THREE COUNTY FAIRGROUNDS '[


LOT
. )\~"'\
NORTHAMPTON I MASS. )-
'A~"."O

SCALE'
_lCT~
DATE' MAY 198 i/Q AI, , L;"-II('"
.00 !O 0 ~ 100 IXl

"'[0 ,r' hulA K""ILlf. In •• 150C •• IO. INC ('[lid" f) 1# .I,·.r ".<1

You might also like