Академический Документы
Профессиональный Документы
Культура Документы
COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Final: Final:
Rough Frame:
AccessorY Structure
INFO,KMATION PRESENTED:
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
_ _ _Demolition Delay
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
Signature Telephone
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:
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
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
5t
st 1
1
nd
nd 2
2
3'd
3'd
4th
4th
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
# of Parking Spaces
Fill:
(volume & Location)
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?
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):
Not Applicable 0
Company Name:
Address
Signature Telephone
Version!.7 Commercial Building Permit May 15,2000
No
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.
(413) 527-2695
Telephone
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
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 ~~~
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 ~
1POLICY
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i$ 1,000,000
I--~
B ANY AUTO ~-""~nti... ________+~
BODIL YINJURY (Per person)
ALL OWNED AUTOS ----- ---- ----~ ,-~ --
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
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
~---~
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 -----.~---.
[4135842237
, f. Telephone Number (area code and extension) ,9, E-mail Address (optionalL-_ _ _ _ _ _ _ _--,
\56550 11
~
==.. 3.
I. Is the facility a residential facility?
Number of Units
No
!NORTHAMPTON
c. CitvlTown
[4135842237
f. Telephone Number (area code and extension) .~mail Address (optionall
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
BWPAQ06
Notification Prior to Construction or Demolition
MA LICENSE: AJ-7192
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)
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.
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
Property:
Map ZSe-
~p6/B>t\~
I
Parcel
Received in Building Department: • 2.~ 1.00~
Determination Made:
File # BP-2009-ll 05
Accessory Structure
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project Site Plan AND/OR Special Permit With Site Plan
_ _ _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
.~. ,.,~
Signature Telephone
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:
Frontage .. ......-----.--,-...... ..
I Setbacks Front
'- ".~ ,,,-..""-
I
Side
,
L:--!
--- R:-'- - '
i r---.
--- L:'_·_-' ~1
:----,
:,... _.........:.
Rear :----,
,..---,
Building Height
~----.J
f I
L--,--,
oarking)
.....---;
# of Parking Spaces
_;___1 c=J I
_.•_. ~_1_·· __ ..,-..
~ ':;,-""-'--i--."--.;-:;;'-.--;:;;;-"";,:;,;.:;;"'·.·>;·~·.
Fill: f
(volume & Location)
NO 0 DONTKNOW 0 YES
0
IF YES, date issued:
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: '---- . ____
D, Are there any proposed ch2!!.ies to or additions of signs intended for the property? YES 0 NO ~
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
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.:.....-__ ___________.
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
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
./ " 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
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
Bruce Shallcross
~p~
Enclosure: $400.00 check
New Constructio"'n"'-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Buildin~s Included:
Ownerl Statement or License
3 sets ofPlans I Plot Plan
Intermediate Project: Site Plan ANDIOR Special Permit With Site Plan
Major Project: Site Plan ANDIOR Special Pennit With Site Plan
_ _ _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\
\ ';
~
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