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25C-251
a • • • O C.cai� O.f /�r� � � + �.1E ( f.12 cr f arf��i3111�)f011 • ) °�� ,gizssitrhrrsrlla• _ • �t-- • DEPARTMENT OP BUILDING INSPECT/DNS • - 212 Main Street. Municipal Building Northampton, Mass. 01060 r' WOmOR'S CO NCI' ENSA•11ON MST/RA.NC E. AFFIDAVIT • • (liccD /perm.ittcc) with a principal place of business/residence at: — - -_ • (pboneq l.3 (sm t/c i ty /suleri p ) do hereby certify, under the pains and penalties of penury., :hat ( I an3 an employer providing the followine kvorlccr's compensation coverage for my employees wor>ong on this job: 115SCC/ 1 4 - rn) �"� �Yc��✓ • / .Sf 124 p - 6 e C a • I GC' f Y /oC U/ i c y 012/ /RUU (Ls sane Conracv) (Policy Nu._ r) (= :pirrior Bair) ( ) I am a sole proprietor, general contractor or homeowner (c one) and have hired the couuactors listed below who have the following worker's compensation pcLicies: (ivsmc of Contmctor) (In uranc:. Cornoany /folic; Disc) .-mc or Contactor Nt.�csr) (apirtion Dic) a R�' ) (inslrzncc COmpa.1`•!•POt7Ci � ' I -- (1`42.02e of Con>saelo,r) (1.DSUranc Company/Policy Narnbcr) (Expiraoo Date) • - (Name of Contractor) (Insurance Company/Policy Numb`r) (Expiration Dail) . (attactr :dscioa1 rtcct.if oe • y to aicru& infocto oo pcteloias to .11 oocc-_to:s) ( ) I am a sole proprietor and have no one working for me. ( ) I am a home owner performing all the work myself. NOTE: PI= be aw a hemcowvera wbo comploy pcooi to do r c rgau work ca . dsv fl i: of pot more t .to threw =its in u'aith the bomoowo raid= or oo the prounca zapsrtccusa tbeen etc woe gorily ooccd. --tzi to be citployc uod the w t K l e G f : . — erica Act (J I52.a 1(5))- pplianoo by • bomw•ve f a r a t i c = = oc permrt rr_y c occ tic Ic¢1 ra'uc of ea a loy.r uude,r dao Worir.ola Coc .a.tioo. Act_ I uadco -ead tha a copy or this mx®.= may be for-~d.4 to tbo Dcq.at x co¢ o 10 a.trial Aocidczs' Otto. of tb. cove - c vcriratioa and th1 Eiitwc to centre Fovcra c totdes soetioa 25A of MOL 152 tan lad to the imalcutaoa of crimiasl P'T' ooaiir -ixtg of z floc of up to S1}00.00 and/or iarrisotxo of up to ooc yc r and civil pmahia is tc form of • Slop Work Ordc and • fiaa of 5100.00 • day pima me For dcg•tta>,� ueC only crm.lt 1`tt1II]lX'1 /) �/ 10 P_ Lot s i&DatumofLionsc/Pcrmiucc e -- - j II — I Par ParkingI I = I ate 7 6 I I co g I f II w I ii J LOT d I — — -- — 1 I I ---1 11 \ I Il Parking I I r I I= Horse p l i I / , ( Arena i 1 a I I I I I ❑ — co = I • I Barns - I! I I = ii 11 I I I Gate I I — I \\...L.......3. 11 I I I Horse Barn I I I Horse Barn 1.) I — — I ' ) 1—Gate— — _ 1 n /----..j Race Track gat_ 8 Exhibitors Gate OPhoo — - Patrol I - - - s T I 1 f a ° a ` 'm p \ \ o 1 A L. ro N Rest Room Q I I F - -r Q I — I S c' y I Parking i n : ❑Parimutuel I C3 Pavillio I a I Main Gate 1 Tote Board r - - - I I H I ° 1 7 ___ I I cv (------;._ � Paddock I Tunno Gat ate o —Rest I • , Show Ring 11, ❑ Judges Stand S. Rooms ---- - -- - - o to — Tunnel GAT2A rnerna;a� F n>ition ❑ Grandstand Pavilion Hall 4H Buildin 1= Hall ClubHo se I South Gate `� Fair Street P ❑ C3 First Aid ❑ CLOT East Gate Rest 1.—J I " E" 13 Parimutuel � Rocrn Three County Fairgrounds N QW'� doF� Northampton, Mass Fair Street lot Scale 1" = 100' I Parking .)r August 2004 _ s 'SECTION -8 - CONSTRUCTION SER 1JES • 8.1 Licensed Construction Supervisor: Not Applicable r ❑ �'" Name of License Holder : z) Se i• NI\ Nv 'S t 5 1K� a 5- 6.57 J 6 5 License Number 9 e — 'S "NRee -t 6 6-12.e U �� Address Expiratio Date off- \\N w CNN. - 0 t 0.6 Signs? Telephone : TCTig el'e • 11701Virn pro vemen"'l'C'ont o , ‚ ,. .,.;? . Not Applicable ❑ Company Name Registration - -- Address Expiration Date Telephone SECTION 10-WORKERS' COMPENSATION INSURANCEAFFIDAVIT"(MG.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 No ❑ -VirirUOMM.WW.neXenlrltiOn The current exemption for "homeowners" was extended to include Owner occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts - as supervisor. CMR 780. Sixth Edition Section 1083.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two - year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r SECTION 5 DESCRIPTION OF='PROPOSED''W.ORK (check''all'applicable) New House ❑ Addition I Replacement Windows Alteration(s) n Roofing rgi Or Doors CI Accessory Bldg. ❑ Demolition ❑ New Signs [0] , Decks [0 Siding [CI] Other [0] �oO W Brief Descr of Proposed PtiP� i Me-rAL ,. 6 L7 V � �' �' � � � *Z0� i X 3 Work: 7 ' p u.�! 6c.} S .Z s Os C, ��,� �� ' A - 1Q Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet sa I IJew hoase art ror ddifia t ex><stinq=houstnq,':corrtptete. the:fol(owinq: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER` AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING. PERMIT , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, Q • 5 ‘f1N eeJ 55 , 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. �3R . S Oss ag N e-geA. fn 6E Print M OV/ Sig ature of Owner /Agent Date ) • Section 4. ZONING., All Informati6fl Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by :r Building Department Lot Size I I I I I Frontage I ! i i Setbacks Front [ 1 r---1 I I. Side Li i R:i L:t r R:I Rear I 1 Building Height e Bldg. Square Footage ! I i 1% I 1 i 1 Open Space Footage (Lot area minus bldg & paved i I ( f _I I l parking) . # of Parking Spaces I Fill: ' 1 ' (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW 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 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? ' Needs to be obtained Q Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO iY 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 G.-- IF YES, describe size, type and location: ! I E. Will the construction activity disturb (clearing, grading, ex ation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q , NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. City of Nortf?ampton � � cY� x A CI ,. -- --- �B lidln De artment ( d F"y� Iy ! "7 `:aa . , - a �� 9 p �° ` ,� ,k �, 212 Main Street ,�r�.: �_ ' } Room 100! 3�rua Nott�I'mpton, MA 01060 x 14 1 _ 4 _ .. 2 uphiont 413;51i7-1240 Fax 413 - 587 -1272 V'"' � . r : �" P 1PIslICh1 ito-N,' "f sTRUC , ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION ,1 - SITE INFORMATION 1.1 Property Address: This section to be completed byoffice 7 1NTA T,,., " l.. h V '�-�,� " a..0 �.� Lot �, Unit 1 N/ 0 R.�h, A ir► if - 4=1 t.-1 ilihv Zone Overla Distract ��p •� Elm St. Distract � m. CBpi.strict SECTION 2 - PROPERTY" OWNERSHIP /AUTHORIZED AGENT - 2.1 Owner of Record: \-\c s ‘1` ∎94 u ( 4 l � d FO � lingo S �n� �u �'f1fl O) 66 /- 34 Name rint) a / 1 ��% c '-. 5°A 1 e / 4 7 / Current Mailing Addriss: Atte cao iC-GN. IY Telephone i i, A3 6 --? 4, a'� 3-3 Signs ure 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 00 (a) ".Building Permit Fee (.00 o• 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) � . Odd- 64 Check Number t � 3 1a' This Section For Official Use Only 11 "`���"' Building Permit Number Issued: Signature: "- Building Commissioner /Inspector of Buildings Date 54 FAIR ST BP- 2005 -0489 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: roofing BUILDING PERMIT Permit # BP- 2005 -0489 Project # JS- 2005 -0640 Est. Cost: $6000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Joseph Jasinski 057025 Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: HAMPSHIRE FRANKLIN & HAMPDEN AT: 54 FAIR ST Applicant Address: Phone: Insurance: P.O. BOX 305 (413) 584 -2237 (112) NORTHAMPTONMA01061 ISSUED ON:10/20/04 0:00:00 TO PERFORM THE FOLLOWING WORK: PLACE METAL ROOF OVER EXISTING - YOUTH EXHIBITOR'S HALL 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: Receipt No: Date Paid: Check No: Amount: Building 10/20/04 0:00:00 4653 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo • • 4 • r1v.}f �I fi7 of porf1iiiuipfo11 • / -- f� W DEPARTMENT OP BUILDING INSPECTIONS 212 Main Strcct Municipal Building Northampton, Mass. 01060 r' WORKER'S COMPENSATION G\ISTIR CE, AVF U)AVfl' • I, Q el✓ — R- _ 5 C/SZ c- .r .)eRcal __rsptN.A.6e . _._.— (l, ccas.=/ permitics) with a principal place of business/residence at: `t iR st . X102' .��Q C(� • (phone ;) 4 t3 S rY (stir Ed t /sta.tc'7 p ) do hereby certify, under the pains and penalties of perjury, ( I am an employer providing the followine''worker's colnocnsa covemgc For my employees wor d ng on this job: 19 YJ cc/ i4 M A-0 E - • /N p-ce Ca W f 5' /oco /9009 d2/05 /Roo (l ur=n= Conp:1.7) lPclic: Nt cr) (`:-pinion Data) ( ) I am a sole proprietor, general contractor or homeowner (ci ce one) and have hired the cone actors listed below w-ibo have the following worker's cocperisadon paLicies: • (Name of Conimcior) (Ina:rant:7c Cornol,t }•r ?otlei Num:ccr) (1 uon Datc (Namc of Cont va suranc: or) (in CompanwPo!icy `u-mcrr) (E -union Date) - (Name of Connaelo.) (Instu -anc. Company/Policy Ntunkr) (Expi Date) • (Name of Contractor) (Insurancc Company/Policy Number) (EXpU uon Data) . (a mica z.l ncca 000c • ^y to indu& iafortaijoa pcta.iaiag to .11 aooc– r..on) • ( ) I am a sole •proprietor and have no one working for me. ( ) I am.a home owner perfor ruing all the work myself. NOTE: plc=sc be Lama, tfia: +tJ 6cm� txrs who employ pc to do r^. .:eJao c t air waeg oa a ds'di ^` of O0( mot th ttaoe t=t r is ubiah the bomoawoc raid= cc on tb.e croun6 zppurteo. t tbcto r_ r oct Cry, —..119 co id-'od to be ccirployes uoC.= the wai c . oo=;: - -r iic (GLIi 57� l (5)) r..ppliaboo by a botnma far a t = cc pcmit try cvid=5co I cszl a t a o r of eo ea :player uoder rho W or4,er'r Compocr.Lioa Ad. I uodc sz.a-sd thx a copy of this cut.®cm m,.y be foctvard.d to the Ocgertaarnr of In tsicl Accideus• Ofiioe of l,a+r.o.o for tb. cov•ttbc vcif csioa nod tttct L to cow= 'aca tmdcr SOGtiaa 25A of MOL 157 =11=3 to the imposition of rricoic l prn,)ti coccis of 2. fix of up to S1.}00.00 .ndfor is pria.00mcu of up to ooc ycor rod dvii pmiltia is t±c forest of Stop Work Ord and • - fi>b 0(5 100.00 a thy apiutl me For _ _•_• «t1y Pcrmit Numtx_r 611° t, �U �. bzp: __ Lot ° , ignaturr of Liiscc/Pcm uUcc e - 4 I ' I l — — 1 Parking ParkingI I = I ate 7 I 03 g 1 1 , G N f 6 1 I q !,. J LOT ll I ( 1 pl:-... P i �. - - - - J � 1 � — �� I — o - i �- I -- 1 \ 1 Parking I 0 I I Arena I I= Horse H 1 j 1 co i co co ? � Il 1 1 0 — -- I o ' 1 I i E Barns H I i I I I — u' o !1 I I Gat _ �� L I I I Horse Barn Horse Barn I — — .1) /-----j Qatar \ -- y = I \ I - ' -. Exhibitors Gate II 0 Pnao Race Track v gat. 8 _ _ I W S Tower o = I A LO 3 ORest Room Q ° 3 �� s cy o 1Y� I Parking lisa C::::1 a c en : ❑Parimutuel 1 I �3 Pavillio (— I a o oar 1 - -- -- -- I 3I Main Gate 1 Tote Board rn ' U) ,� - - _— — — t I Tunne Gate m \ Paddock ' C XI — I Show Ring � 0 Judges Stand S. Rooms ---- - - - - -- o co Tunnel IIII GAT2A ❑ 1 Pavilion r Memonal 4-H Building 'd°0f Ca�Fbuse South Gate Grandstand — Hall Fair Street ❑ ❑ first Aid J ❑ CLOT East Gate Rest 0 t--r ❑ Parimutuet = Roan Three County Fairgrounds Northampton, Mass "E" Fair Street Lot Scale 1" = 100' Parking ir August 2004 r. SECTION 8 - CONSTRUCTION SERVICES 1 . 8.1 Licensed Construction Supervisor: { Not Applicable ❑ Name of License Holder : Sv Sc'.e S C 8 0 S License Number 9 3 6/06/9,00s Address Expiration Date 0 ;- cv `Yy) .010 6 I Signatu a Telephone ,: p � 7: , 7 Not Applicable ❑ e eredl�omem ro�emen��Confrac�or wn� w ��N <.... � - Company Name Registration Number Address Expiration Date Telephone SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.GL 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 No ❑ , 77 - _ .� 1-1: 411611 a OWi er„ elini do The current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts - as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that be /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature r ._ * . • SECTION 5- DESCRIPTION OF PROPOSED'W.ORK (check all applicable) New House ❑ Addition [].: Replacement Windows Alteration(s) E Roofing n Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] , Decks [D Siding [ClaT Other [d] Brief Description of Proposed Work: M� Pete- R ' A112 S :Ni I✓C oN ■ee► QgsaAs IM ' UG Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet say If .New house n cT or cTi#�an t eztsttnq�l�oustnq,r compTete.the o Iowinq: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION- TO `BE COMPLETED WHEN OWNERS AGENT. OR CONTRACTOR APPLIES FOR BUILDING PERMIT , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, U ��U- *�� sh y \ 5S , 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. 5 Al c c o sJ RAC 1Y\ U tp► Print me Signature of Owner /Agent Date 4 . 4 Section 4. ZONING All Informatioh Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by . Building Department ,: } Lot Size f ! I i , i h Frontage Setbacks Front ( I I i ° ' Side L: i R: L:1 R: ■ L Rear ( t Building Height ' i Bldg. Square Footage - ; I Open Space Footage % (Lot area minus bldg & paved L---; I i �z I i parking) . # of Parking Spaces I I Fill: ' ; i (volume'& Location) — A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW I YES 0 I IF YES: enter Book 1 i Page; and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0- DON'T 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: ` ' C. Do any signs exist on the property? YES 0 NO 0 1 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: E. Will the construction activity disturb (clearing, grading, - cavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 ,. NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. City of Northampton T , e Bualit�g .department i . a ` x ' 12 main s treet u ' : n , ' IAbrrl 100 e � �§ { Nortila 01060 e g �. y' `p 413 -1324Q ,Fax 413- 587 -1272 ;tea ^ ' W m1 rf �# v ��; ..gin � ., APPLICATION "10 ALT�R, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: _ This section to be complet by o ffice - J '} �( Ar 2 5 t t eG� 1 - Map of Unit \ � Zone'' ' Overlay Disttict F Elm Dfstnct CBDistnct SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: P p 3 6 X -5(---- Name (Print) 1 Curre4 `ai ing 5 74 — ... A G % M- SoC -,e �)3v.. /4-"`- 0116 1) k - Telephone Signature 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only comp leted by permit applicant 1. Building o u So 000 (a) Building Permit Fee 2. Electrical (b) Estimated Total C of Construction from ost (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) O °e2" a Check Number G./ / ®rt-� This Section For Offic Use Only r' n Date Building Permit Number Issued: Signature: i Building Commissioner /Inspector of Buildings Date 54 FAIR ST BP- 2005 -0488 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: Non structural interior renovations BUILDING PERMIT Permit # BP- 2005 -0488 Project # JS- 2005 -0640 Est. Cost: $8000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Joseph Jasinski 057025 Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: HAMPSHIRE FRANKLIN & HAMPDEN AT: 54 FAIR ST Applicant Address: Phone: Insurance: P.O. BOX 305 (413) 584 -2237 (112) NORTHAM PTON MA01061 ISSUED ON:10/20/04 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE/REPAIR SIDING ON SHEEP BARNS 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: Receipt No: Date Paid: Check No: Amount: Building 10/20/04 0:00:00 4653 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo ¢ O O, • �4 )eft. — I�'�f I " tit jiilassxchusettn =` . DEPARTMENT OF BUILDING INSPECTIONS , _l f - / INSPECTOR 212 Main Street • Municipal Building Northampton, MA 01060 o,V 5 � r HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his /her construction super,•isor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which he /she resides or intends to be, a one or two family - dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two -year period shall not be considered a home owner." The building department for the City of Northampton wants any person(s) who seek to use the, home owner exemption, to act as their own construction supervisor, to be aware that by doing so you become responsible for compliance with state building codes and tegulations. The inspection process requires that the building department be called to inspect work at various stages, which include foundation /footings (before backfill), sonotube holes (before pour), a rough building inspection (before work is concealed), insulation inspection (if required) and a final building inspection.The building department requires these inspections before the work is concealed, failure to secure these inspections can result in failure to obtain a certificate of occupancy until the work can be inspected. If the homeowner hires other trades to perform work (electrical, plumbing & gas) the homeowner will be responsible to make sure that the trades hired secure their proper - permits in conjunction to the building permit issued, and that they get their required inspections. Failure of the individual trades to secure the permits and inspections as required can DELAY the project until such time as the proper permits and inspections are made I, understand the above. (Home owner /resident's signature requesting exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date Address of work location r �tw•rn • • o _ 0Z1' - � Grim o f �c�rfl�a)it}�fon r � 7 5 �Zcsanclitttctra• • •_ :Lc, — DEPARTMENT OP BUILDD'G INSPECTIONS , - 212 Main Street Municipal Building • • Northampton, Mass. 01060 r' WORKER'S COMTENSATION ENSURANCI✓ A l7D A.` r I, QRk.PE- S \C,ft bSS � c.r�eRp,l _(N ti61G6 -._ (li ccns with a prixicipal place of business/residence at: -- s al C, �lo2 Q -(�� C( (phone10 ' 3 S (a.. (strr.--tla ty /stalc/ri p) do hereby certify, under the.pains and penalties of perjury, hat ( I a m an employer providing the following iwori:cr's eotnoensadon coverage for my employees worldng on this job: 4j'xii4 6'M 0Ye-Al /ivJfere..4r -ce cc WC- 5 0 i309 0 2/ 0 Y/0 700 (In-nu - Con mb ) (Policy Nucr) (Expiration Daxe) • ( ) • I am a sole proprietor, general contractor or homeowner (ciscie one) and have hired the cone actors listed below wbo have the following worker's coonen_adon policies: • (Nnmc of Con( ^cior) (In uranc ColnoanyiPoUC{ Ntin .c) (E:ptra ion Dmc) (Name of Contactor) (insurance CompanviPotic-y Number) (Expirarion Date) (Name of Coun (insurance Compony/Policy Nusbe.r) (Expiration Date) I , (Name of Contractor) (Lnsuranca Compary/Policy Number) (Expiration Date) . (nnsr� z-dditiocsd rboct cccca.l- to c=c info - oo pc--t .inias to .11 000ar-moors ) ( ) I am a sole - pr - oprietor and have no one worldng for me. ( ) I arn.a home owner performing all the work myself. NOTE: plcx bc ovrzrc tu: .+ )c bcmr..o ocrs wbo allay pczom to do c ic1 , = c oo c rgaa work on a dwdI oy of mt coo cc ib_n tbroo tm is which tb0 bosoownc rc eid.a or oa the r u.ocb zppurtcnsc tbecto ooc rid-oi to bc ciiployc-s urv`c the ..rko o c -slim A (G12152.1:31(5)). r- pptiaboo try a bo ocoQaa for t c - _ or pcsmit r>_y cvrd'aoc the Iogl rtamc of as estloyor under ttto W ocicor'a Coaapom.tion AeL I oadcstand Bart a oopy of thi. mtcm co osay be foco.audad to tba pcpertmcod of Aca4 no Moe of lru+r•ooe for dm • ooves"3c vein cnioo and tltu L -ilr•o to goo= 'covcruse trndcc soccion 25A or k {OL 152 can I4 to the imposition of aimi No coaaisizas of a tint of up to S I }00.00 andlor imapris.oacocat of up to ooc yvr Lod civil pmatua is Mc form of.. Stop Work Ordcr and a lux: 0(5100.00 a d_y tp tint mc. I _ For ctopartzr 1, ` u.c only - Pcrmlt 1sturobcr /0 ! 6 • ttap LOl it;,nacur>: of LiaTSCC/Pcrmiucc e - - - ) Amommommour _ Il — 1 Parking ParkingI I = I ate 7 G 6 I I w g I ./' i I m I — �rr�a�r�r�s�bbbr�r -ebb �a�bbbr c� I JLOT ll I I — — — — p I I _ I 1 J I -- J I I Parking I 1 � I I m I / 1 ' I Arena l i—'" Horse I i 3 I at 1 1 I 1 1 ; I I U— — — 1 a) m o I I IH - Barn I i i I I _ 1 0 11I I I Gate I) I — I \........ / I I Horse BaBarn I Horse Barn I — — co �/ J i-Gatcr I . — 0= 1 o e gat_ 8 Exhibitors Gate D Race Track \ \ — — I to op Toner i 9 El 5, 5 — A LO 1 t 1 iiii fD ['Rest Room 0 I Sc'y 0 I 1 Parking , I c en : ❑Parimutuel I 1 - ��""" Pavilli r— I ¢ , Tae Board 1 --- - � I y 1 Main Gate 7 o I — 1 I 1 �' Gat Paddock I 1 Tunn ate - I • o —Rest � Show Ring � � Judges Stand � c Rooms — - - - -' `' 0 co ' Tunnel ' 4 GAT2A n nne�noriai EAbition Grandstand Pavilion I Parimutuel Hall 4-H Building Ham PI ct e ( S out h G a t e Fair Street 0 First Aid ,`t \ i C LOT East G1 Parimutuel Rest U 0 NE Roan Three County Fairgrounds Northampton, Mass L ' = Fair Street Scale 1" = 100' Parking P P Al .-->r August 2004' o n 0 t IPA SECTION 8 - CONSTRUCTION SERVICES f 8.1 Licensed Construction Su 5 Supervisor: l_ ZJ Not Applicable ❑ Name of License Holder : 6 of k N tt S; s' Kt C 5 0 S 7oa License Number 4 ,'R- � � /aoo 6 Address Expi tion Date N0 R (2 nA 0 10 G I Signature Telephone _. A na . , cir -. e � tster"e"� ='fie: m. rovemenf�C'onffac - -. ;,,,, .:, 1 : � Not Applicable ❑ Company Name Registration Number — — Address Expiration Date Telephone • SECTION 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 building permit. Signed Affidavit Attached Yes No ❑ ii orneOMwner Exe nption The current exemption for "homeowners" was extended to include Owner occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780. Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm structures. A person who constructs more than one home in a two - year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. , As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature • r SECTION -- DESCRIPTION :OF. PROPOSED WRk(check all 'applicable) New House E Addition ❑ ,. Replacement Windows Alteration(s) r Roofing n Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] , Decks [p Siding [Egi] [ Brief Description of Proposed p Work: K eojtcC 5 +O•4Ui 0ti ?Nkl n ort4,1b L a�L lr 9A N. Wan,. Alteration of existing bedroom Yes No Adding new bedroom Yes No St04 N t Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet 6a i 'ern iOrli id-orladditioaACLeziStinq_ 1OUSiricrpompteta -the n (owMg: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNERAUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT. OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date I, BJ,to R, SKLN■ tern s - , 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. Sign under the pains and penalties of perjury. iE Ru.eZP - `�1"P+I \ ccoS3 0cNe1?A. (IN lPtuasA PI e ' gnature of Owner /A.ent Date , e' . . Section 4. ZONING All Informatioh Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size I I I 1 I I Frontage I 1 1 i i I Setbacks Front I ■ l Side L: R: L: R: 1 1 Rear 1 f I Building Height i r- 1 Bldg. Square Footage I I i (% 1 Open Space Footage (Lot area minus bldg & paved ? i I 1 I l parking) # of Parking Spaces ' I i Fill: i 7'I (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 0 DON'T 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: { C. Do any signs exist on the property? YES ® NO Q 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 IF YES, describe size, type and location: I f E. Will the construction activity disturb (clearing, grading, ex ation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q , NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. . , City of Northampton o� owz " s 1 _ au_.ild ng Department 04` aka:, - +,E 12 Main Street i� � i 4 ti 1 .. -_ Room 100 ` 3 Northampton; MA 01060 k:" ., ` 4 e 'phone' 413-587 +1240 Fax 413- 587 -1272 § D ' :.:,. - i ' �_ L. th eerr, L e '�a .� . * s � .i� ` „ . ��.!S •_ APPLICATION; TO CONTRUC 1, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION.1 - SITE INF This .section to be compieted by office 1.1 Property Address: 4 r 4;r" 5 I.+ �� 5'Ci? -� � U` u2 MaP L`ot iJni# s '((\ ({�.. 0 O 6 l 6 9 ,,1,,_ , Zon?m - , O�erlay'Dtsfricf .. _ m St Distract CBD�stnc El SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: � sv2� �∎)3 j w G•J P C3 a 3 , ��� �N CAP) Name (Print) e GZ` `�� .5-6C.)241 Current Mailing Address: O � 061—go r -- , , 4, in 6 -. Telephone `1 13 5 ,( (3..1 3 . 7 Signature • 2.2 Authorized Agent: Name (Print) Current Mailing Address: Signature Telephone SECTION 3 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 3 , p V - _ (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) 3 . 0 by . J Check Number 4 G ✓✓ 3 01-5V 01-5V This Section? For Official Use Only Date .. Building Permit Number. Issued: Signature: r Building Commissioner /Inspector of Buildings Date 54 FAIR ST BP- 2005 -0487 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: BUILDING PERMIT Permit # BP- 2005 -0487 Project # JS- 2005 -0640 Est. Cost: $3000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Joseph Jasinski 057025 Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: HAMPSHIRE FRANKLIN & HAMPDEN AT: 54 FAIR ST Applicant Address: Phone: Insurance: P.O. BOX 305 (413) 584 -2237 (112) NORTHAMPTONMA01061 ISSUED ON:10/20/04 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE SIDING ON PARIMUTUAL BLDG 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: FeeTvpe: Receipt No: Date Paid: Check No: Amount: Building 10/20/04 0:00:00 4653 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo CO • d 1 {)101 daa v■ cad )� 3 ° d o?gvaUdda aoy puv a ,so 1 ..Kq o taua.x9rs�'as ZZ:.:` • soiy� a+��nc nax i�uoais Ksu m� a�' pa,� d i1Q tx v q p aua __ - al �PiinQ 32Aunc11 $A�►11asa your P i1 u® la tee . ;•: d r - r - �� ' '2sys9IE s, T � a S_ a v� a� ' '' � • ET - a6ParAorx�r ACT y c r LiOT�EDZ - � uta�aq parrrEquoo uopausxo :trr eta 4-eu' f�T -Tao rXga7at (tro s"DOT 7 2oA / • ZZz:3 sx.°a btrtpTrfl'I ;o , saovds 5•a 3C SPrg srstrrtu "- ;aotlds uadp% --- --- a6alooj, a»enbS 6p! }yEiay 6u }p!!ng • f . :s>10 q ;aS a6quOad _ azls 401 Ouluoz A8 pasodo td buystxa paimba l . saoc,avdaq ,kr PRa �4 Po'TZ 73 4q ci tararrav arm: zocr ciasxarr a . . i rez so 'cra .72 - asroo a s' xsraf xoz,Znro nta T2T - z r .uogezol pue 'azIs agposap'S3.1 ON -- MD), o,td at,n aol papuaru! sups ;o suoglDpe 3o o sa6uetp pasodasd atatn a.rd .uogeoof pue adAl 'azp aquasep'sa l A ON Andoid ain uo zsrxa su6!s Xus oQ - et LABORERS LUUAt_ 10/06/2004 00:20 4135344769_ __ , nr 4 ■-/ ' CCT - 3 "LA, _it , . file No } . r -i -- 8 1 , 1121 ■ 0 pria AppLICATION (1. 0 - 2 ) OR pR.3:57 Arz ufroR A ..,....:.$ .;...1111Lalf,„, ,... L. ii.....1.... 4 Ift. • ! Name of Appl . icant 1 •■ .. . k 1 I r 5. - , 0 • . q , . . I • . - 04- , ...F.- .... /teleph• e: drvss . •,.. . k_41) tr . 4 v• 4 A .., ,11, A e omairaM41367: . 0 rophone: Address: 3q--- Str-c-4 Te stattlyptiootnr. _______ Contract Purcnaser 3. Owner Lessee Other (explain): 1' sr I, h il .., lit 1..-41 j 'Job Location: 4 k 4 4 o . A' ' 11. 6 . 4 • Parcel Id: Zoning Maplk____-- (TO BE FILLED IN BY THE BUILDING DEPARTMENT) -/(.- Exsting Use of Structure/Property , _it : ,...... 1 , Ds piton of Proposed U seNVork/ProjecVDco p , toll: (use .... ;onal sheets i f n - cessary): a Ar • "" 0 .11.••••■•••••• r ..., 1 ... ...4 .4 . ..114: . " 1/ i •'0.111■411' I 6 :' 6 4 • 6 _ . . k) ..irtt .'..A .i..", ' ...... '. . • .... • .. • / 7. Attached Plans: Sketch Plan Site Plan E.ngineerecl/Sunteyed Pla s An:Avers 10 the following 2 ouestiong may be obtained by checking 'With the Eha;lding Dept or Plonning Deportrrw_nt Ru 3. 1- , Is a Special Pe rrnWerionce/Finding ever been rued for/on the site? NO DON'( KNOW ..----- YES IF yEs, date issued: IF f ES: Was the permit recorded et the Registry of Deeds? NC) DON'T KNOW YES IF YES: enter Book . Page_ and/or Document* 9. Does the site contain a brook, body of water or weliands? NO 1-- 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) . , -----"'".."1"1"..........."..............."...................." SEP -29 -1900 23 :51 • 16. Do signs exist on the property? YES - NO _ IF YEs, describe size, type and location: . Are there any proposed changes to or additions of signs intended for the property? YES IF YES, describe size, type and location: 11 _ , ni< INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DM ' TO LACK OF INFORMATION. Th,.. eos= to bs El zsea is bT hiss Ra.JIdiuir I iertnoue_ I i f , \:: , : (tRequired . Existing Proposed By Zoning Lot size Frontage Setbacks - front I i - side L: R: L: R: { - rear Building height I Bldg Square footage . 1 %Open Space: (Lot area minus bldg &prved pa.-k-.ing) of `Qarking spaces imminimminmenimm 1 o f Loading Docks IIIIINIMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Fill.: loca.on) .t vo. kuggie-a ------- Mil I. F hereby' certify that the .iit.formatz`.on c ontained herein 13. G 2f cation= �. azi acCate to test of my knows edge - 141 0' py `s SIGNATURE ....44.1-4-. sail ��= pertain doe'. tso3 reslleNtss _ c oater at Ly at4h. d%_ se c- �rtatacn oc"8 � -- - lr�d ls+�rst'st�ffi B � t- exntintt rs'atharitio�. �, , � . q mod obtain an recce ttoabEo s.ccsr► ss � �t„�Yec'� * Dep of QntaA:e yy(ot -xs and +ath�er aPFs 7112 ` T ra k_ F . Ci 4135344769 LABOREKb uuuf 10/06/200 00:20 _4135344769 SEP- 23.51 --- A \ro:\ 1 rr' ��n L~' , File Nc. - �� APPLICATION ( §10. ) 6 1,112.E TYRE OR. PRISM ALL Tame of Applicant 1, .._ . _1 �.,.�..- _ -,,., 4 4 I l ./Adds *.ss, else e: 0 ato Address: 3_ status.ot -App icanr Owtaer Contract Purchaser _ Lessee 2 (explain): �5 4 viC Job Location: 1, ►( 4 mt.! .,`. 1N* & 44 .' t ... . ?arcet 1d: Zoning Map (TO BE FILLED IN BY THE BUILDING DEPARTMENT) ✓5, 'Existing Use of Structure/Property 1r .. • esyription of Proposed LI ork/Prolect/Occ * the Agational sheets if ngcessary): : ;f; -I. • . • ,. � C(,fi" i./ r ..-s r • - . " • • K U c)(-- i t 7. Attached Plans: , Sketch Plan Sits Plan ' Engineerec!/Sunreyed Plans Answers to the fottowng 2 Questions may be obtaired by chec %ing wish Me Oufdiog Dept or D1onefirtg Dep,prtrrr?nt F11es. 8. Mara Special PormitNariarrce/F 'ding ever been Issued for /on the site? U.0 DON'T KNOW ./ YES_ IF YES, date issued: IF ''1'SS: Was the permit recorded at the Registry of Deeds? ", CJ DON'T KNOW_ _ ___ _ YES IF YES: enter Book __ _ Page andfor Document*. S. Dom the site contain a brook, body of waterer wetlands? NO � 0O14'7 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) • FAIRGROUNDS BP- 2005 -0423 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: Tents BUILDING PERMIT Permit # BP- 2005 -0423 Project # JS- 2005 -0078 Est. Cost: Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: NEW ENGLAND LABORERS TRAINING TRUST FUND AT: FAIRGROUNDS Applicant Address: Phone: Insurance: 37 EAST ST (508) 435 -6316 () HOPKINTONMA01748 ISSUED ON:10/12/04 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT 2 10 X 20 TENTS BY ARENA 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: ��jj�� � Final: Smoke: Final: 0 / /6 / -a `f''d'1 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 10/12/04 0:00:00 31578/77 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo , 10. Do any signs exist on the property? YES 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 MUST BE COMPLETED, or PERMIT CM BE DENIED DUE TO LACK OF INFORMATION. rhia cob= to be filled in by the Building Department 1 Required Existing Proposed By Zoning Lot size Frontage Setbacks frnnt - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved parking) # of - Parking Spaces #' of Loading Docks Fill: { vo1 -time - -& location) 13. Certification: I hereby certify that the info ««ation contained herein is true and accurate to the best of my knowl :••e. ✓D�F1'E APPLICANT'S SIGNATURE `N . L hal NOTE: ls�ua of �a zoning permit does not relieve an — - IioanV ' u men to Comply it PIY all . � zoning requirements and obtain all required permits from the B- and Health, Conservation Commission, Department of Pubiio Works and other applicable per granting authorities. FILE # \--‘ i 1 - , II i„,,,, \ bUF 24 2004 File No. — � �_... _e � rc n y p i III 1i • ZONING PERMIT APPLICATICN____(§Z ' PLEASE TYPE OR PRINT ALL INFORMATION n1 `, ' n 4 ✓1. Name of Applicant: b 1 Cre•- i �t�s _ 1p V \ s z CA _ i`N`1-c ✓Address: 3D' A u S tt \ L� r. 1 S t — ✓l 5 b' - 7 - 0 7 2 2— Al Owner of Property: 3 COQ /I •D AAr5 ( 0..) Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain): ,,g( Job Location: 7 CD Un4 cior5roLiv-tcl.S ' Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) A . Existing Use of Structure/Property Des ription of Proposed Use/Work/ProjectlOccupation: (Use additional sheets if necessary): d ,G .e. — Se- -k OAT - V 724 .. a c-T — 7 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 PermitNariance/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 ✓ , DONT 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) t-----614,Q. 7 4.f;t1 C' Arks t-- 4ev\A--s• NORTHAMPTON, MA Infield c Gate 1 DCL0 OCT. 9,10 I 11 2004 Raku Demo I NORTHAMPTON'S FINEST RESTAURANT'S P o — I Live Fiber 100-A Festival Dining Tent Jazz MORGAN BUILDING #2 Arts 200-b I I L'0 X ` 1- 0 Center Massage Il 903 1 907 19091911 913 915 917 919 921[ 925 927 929 9311933 937 939 i 4014031 405 407140914111 413 141514171419 - 3 901 941 900 904 906 908 910 912 916 918 920 922 924 928 9301932 9341 936 940 4001402 40414061408 4101 412 1414 416 1418 805 807 809 1 811 815 817 819 821 823 827 8291 831 835 800 ��� ^ s , 4 804 806 808 812 816 818 820 822 826 830 832 1834 18361838 842 S U A N 701 705 707 709 713 717 1 727 731 733 17371 739 743 30113031 305 1307 30913111 313 1315 3171319 70417061708 710 1712 716 718 7201 722 724 726 730 173217341736 738 601 605 6071609 611 617 619 6211623 625 627 6311633 6351637 639 643 300130213041 306 3081310 3121 314 3161318 600 642 604 1606 608 1612 616 618 620 624 6301632 634 636 MORGAN BUILDING 41 501 505 5071509 5111 513 517 519 521 523 525 527 531 15331535 537 500 Herrell's 532 ( I Silent Auction I CIO Ice Cream - 2,0./3 0 Eric Carle Museum SHOW OFFICE Res 00MS — 201 2051207 209 21112131 215 1 217 1219 2211223 233 235123712391 241 1243 245 12471249 25112531255 202 2041206 2081 210 214 216 218 220 222 232 234 238 240 244 246124812501 252 103 1105 10711091111 1 1 5 117 119 121 123 133 135 137 139 141 145 1147_14911511153 V 0 \ 43 4 D L 1001102104106108 110 112 114 116 1181 120 MAIN 13213411361 138 11401 142 11441 146 1501 152 EXHIBITION TENT GATE FAIRGROUNDS BP- 2005 -0350 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: Tents BUILDING PERMIT Permit # BP- 2005 -0350 Project # 3S- 2005 -0078 Est. Cost: Fee: $175.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: Paradise City Arts Festival A : FAIf(R.Oz NDS Applicant Address: Phone: Insurance: 30 INDUSTRIAL DR EAST (413) 587 -0772 () NORTHAMPTONMA01060 ISSUED ON :9/24/04 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT 7 TENTS FOR PARADISE CITY 10/9,10,11/04 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: OK / (31{ -J e THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATION Certificate of Occu an CY — %� Signature: p FeeTvpe: Receipt No: Date Paid: Check No: Amount: Building 9/24/04 0:00:00 6827 $175.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 - 1272 Building Commissioner - Anthony Patillo r ye s 10. Do any signs exist on the property? YES__ 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 MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION. This column to be filled by the Building Z e rt.aoc, '' Required Existing Proposed By Zoning Lot size Frontage Setbacks - frnnt - side L: R: L: R: i - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &paved Far yig) # of - Parking Spaces #' of Loading Docks Fill: { vol -ume -& location) . 13. Certification: I hereby certify that the information contained herei is true and accura to the best of my knowledge. /,_ � �/ ` O -�z1 7 DATE t' • f'' ✓ I PLICANT 's SIGNAT • , 0 ..� � �1 NOT / s /- noe of a zoning permit does not relieve an app • ants b rden to oompiy with zoning requirements end obtain. axii required permits from th . zoo . of Health, Conserve Commission, Deportment of Public, Works and other appifoeble permit granting euthoritic FILE # File No. ZONING PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL IN O • r• ZION 1, Name of Applicant: 1 16_... ... _ - L,. 1 9 -14L t i /Address: G . : c� . _ Telephon - • 9 / 7 7/ / 2 c i 1 - V Owner of Property: 1 . _4. .... _ _ .., c Address:_ FOLA-"-- l' �r t L�� Telephone: cit 3 . Status of A I — ono ,:: .,tic ? - .vner rsnntraot P urchaser Other (explain): r 5 Job Location: _ ,12 /ii «.i . _ «. Parcel Id: Zoning Map# �L - Parcel #�� District ( s): — . _.. (TO BE FILLED IN BY THE 1:3UILDIN DEPARTMENT) 5. Existing Use of Structure/Property i di ,r, 216,1. or � 1-P - 6I�2- l 19- 6. De ription of Proposed Use/Work/Project /Occupation: (Use additional sheets if necessary): •V 014/ 6 1 1 I - I t / 71 r Yi 071M I I k It f t- ' 6'-' s / r 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 PermitNariance/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 V 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) FAIRGROUNDS • BP- 2005 -0267 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: Tents BUILDING PERMIT Permit # BP- 2005 -0267 Project # 3S- 2005 -0078 Est. Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: HAMPSHIRE FRANKLIN & HAMPDEN AT: FAIRGROUNDS Applicant Address: Phone: Insurance: P.O. BOX 305 (413) 584 -2237 (112) NORTHAM PTON MA01061 ISSUED ON: 9/3/04 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT TENTS 20 X 20 9/2- 9/9/04 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: $ i( q- ,a v M6� THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 9/3/04 0:00:00 MO $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo • 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 NCB IF YES, describe size, type and location: 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DOE TO LACK OF INFORMATION. Thin coiemm to b. fitied . -. ».....-..._... w.............._..�_ ee ..,._ -- -, -- by the Bi].t Aepestrur Required Existing Proposed By Zoning Lot size Frontage Setbacks - side L: R• L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &pared parking) # of Parking Spaces ` cf Loading Docks Fill: { vo1 -ulne -& location) 13. Certification: I hereby certify that the information contained here: is true and accura to the best of my knowledge. * G �r PLICANT's SIGNATURE > r I,/ NOTE: Ise eof a zoning permit does not relieve an .. lioanrs bur- - t- - • mpty with zoning requirements and obtain': oil required permits fro the Board of He -4 h, Conserve Commission, Department of Public Works and other appiioabie permit gra ng authoritic FILE # E .d eit.:TT 170 QE 2nd '';'' a 1 1 1 L4 AUG 3 1 2004 I L) I File No. DC t' of B f-li4G INSPECTIONS N „_ MAOIr. - : NG PERMIT APPLICATION (§10 . 2) PLEASE TYPE OR PRINT ALL INFORMATION C 1. N ame of Applicant:_ Telephone: c2,0 I ;7 �ddress: —. ��l✓! ..1,— �'1/��" �' V Owner of Property: pi ,4f j,1/ Address: Telephone: 3. Status of A,. '1-a^`: t/ r+,vner ,_ : „ _r - mntract Purchaser -nn __Other (explain): r Job Location: ?a,e/21/??1 Parcel Id: Zoning Map ("3 Parcel# i � ! District(s): _ ED IN BY THE BE Fl t3JILDIN DEPARTMENT) 5. Existing Use of Structure/Property /� /.j/, II..i •' ` � / 6. ycription of Proposed Use/WorklProject/Occupa5on: (Use additional sheets if necessary): CI 1 ( ��ry^1/L o a. dri. °' '_ ` f l' 'text &d - 4 t r `�' ,N ' y le /r • Vd/e9” — I b rf l //j/6`i r fly' `y / ' rje-"✓ri 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 PermitNariance/Firding ever been issued for /on the site? NO _ D CN'T KNOW! 7 ._ 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) j•d eObrii ib0 OE 2nd FAIRGROUNDS BP- 2005-0256 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: Tents BUILDING PERMIT Permit # BP- 2005 -0256 Project # JS- 2005 -0078 Est. Cost: Fee: $575.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: HAMPSHIRE FRANKLIN & HAMPDEN AT : FAIRGROUNDS Applicant Address: Phone: Insurance: P.O. BOX 305 (413) 584 -2237 (112) NORTHAMPTONMA01061 ISSUED ON :8/31/04 0 :00 :00 TO PERFORM THE FOLLOWING WORK: ERECT TENTS 9/2/04- 9/19/04 5 STAGES, 18 TENTS 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: OM q- 3.0 y"1 THIS PERMIT MAY BE REVOKED BY THE Y OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGUL Certificate of Occupancy signature: !/ FeeType: Receipt No: Date Paid: Check No: Amount: Building 8/31/04 0:00:00 3920 $575.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo 10. Do any signs exist on the property? YES 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 MUST BE COMPLETED, or PERMIT CM BE DENIED DUE TO LACK OF INFORMATION. This column to be filled in by the Building Department Required • Existing Proposed By Zoning Lot size Frontage Setbacks - front - side L: R: L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &pawed parking) # of Parking Spaces t of Loading Docks Fill: { vo1 -time - -& location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowled e. _ ✓D�II E : 2 ( LICANT '' SIGNATURE NOTE: an 3J LO e of a zoning permit does not relieve an piioanta bu en oompty With Seri zoning requirements and obtain all required permits from the Board of H ith, Conservtation Commission, Department of Public) Works and other appliosble permit granting authorities. FILE # t l j L A UG 3 -- 2004 i File N V� DEPT OF BUILDING INSPECTIONS Z • ING PERMIT APPLICATION ( §10 . 2) Nf'P'HW PTONMA 01060 PLEASE TYPE OR PRINT ALL INFORMATION Name of Applicant: , \" YTh c. _ ./Address: 6 L i ( /4) C 1 h (' Ib t,/ ry elephoe : 7 j 3 c A Owner of Property: ra..,Y ' `'' e Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser /Lessee Other (explain): A - Job Location: ■,, ry 165 i rS Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) -/5. Existing Use of Structure/Property & if t t}rU h RLA, _. Des ription of Proposed Use/Work/Project/ cupation: (Us additional sheets if necessary): "d1/5:e. o tr )h-eii lit/1tet4j c � _ 1 j � � �, j of r e.c 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 PermitNariance/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 ✓ DONT KNOW YES IF YES: enter Book, Page and /or Document # 9. Does the site contain a brook, body of water or wetlands? NO ✓ DONT 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) FAIRGROUNDS BP- 2005 -0145 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: Tents BUILDING PERMIT Permit # BP- 2005 -0145 Project # JS- 2005 -0078 Est. Cost: Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: NORTHAMPTON HUNTER & JUMPER AT: FAIRGROUNDS Applicant Address: Phone: Insurance: 69 TAYLOR RD (413) 625 -9967 SHELBURNEMA01370 ISSUED ON :8/11/04 0 :00 :00 TO PERFORM THE FOLLOWING WORK: ERECT TENTS 9/11 -14 - 20 X 80 & 20 X 20 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: O k ?- 1 t ' O 4 1 THIS PERMIT MAY BE REVOKED BY THE CI OF NORTHAMPTON UPON VIOLATI OF ANY OF ITS RULES AND REGUL IONS. Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 8/11/04 0:00:00 308 $100.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo 07/08/2004 11:55 FAX 14135254334 ROCK 102 I.AZER 99.3 0 001 i r sa ir s TE r Allii - 11Kili .Asi, awn. . — _ — — ARiylleAdy ilLr+Mr Ow* Er -�I/ �' WESTERN ■�nnwn ® RADIO GROUP a = _ I - . ,.z I WES E ERN �ASSAC US O RADIO G U S — 1' • to: { A :i- - -¢ h date: Th\b � Larry Goldberg Vice President ft — General Manager FAX #: ¶ Th giad 1E 1 V of pgs' - S ' (in cludes, cover sheet) Program Director JUL - 8 2004 � .., 1' Neat Mirsky from: .....iyxofmillahmatip l' Business Manager NORTHAMPTON,MA 011 0 Luke Donahue MESSAGE: � Traffic Director '\ \ - \N \ , + , 0_ ,. Kristin McCauley ,\ oil, . \ kvst'1 , 45 Fisher Avenue • East Longmeadow MA 01028 p 413.525.4141 f 413.525.4334 10. Do any signs exist on the property? YES 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 MUST BE COMPLETED, or PERMIT CAW BE DENIED DUE TO LACK OF iIiYORMATION This oo3. v= to be by the »a . tenon t Required • j • Existing Proposed By Zoning Lot size Frontage • • Setbacks - frnnt - side L: R• L: R: - rear Building height Bldg Square footage %Open Space: (Lot area minus bldg &payed parking) # of - Parking Spaces of Loading Docks Fill: {volume-4S location) - 1 13. Certification: I hereby certify that the information contained herein is true and accurate to - the best of my knowledge. �E — A APPLICANT'S SIGNATURE Q fkiL NOTE: tsaivanoe of ea =mina permit does not relieve an applioant's burden to ■ompiy with ail =ening requirements and obtain ail required permits from the Board of Health, Conservation Commission, Department of public Works and other applicable permit circuiting authorities. FILE I JUI. 19 2004 ;J 1 File No. pF rr P�' +LD+Mf 1 ti r , c ,., ' G ERMIT APPLICATION ( §10.2) PLEASE TYPE OR PRINT ALL INFORMAT ✓1. Name of Applicant t t l_ %,\\ \ l) ♦ ./Address: l � \ t,cuv l�yQ IQ�� VO\9\gQ elephone: u � S�.S - y \ • Al Owner of Property: \ �. L C ��J� � c Address: Telephone: OA 3 \ Sa4 - Z L 31 3, Status of Applicant: Owner Contract Purchaser Le Other (explain): ✓i Job Location: C ' ' r Parcel Id: Zoning Map# Parcel# District(s): (TO BE FILLED IN BY THE BUILDING DEPARTMENT) ✓5. Existing Use of Structure/Property De riptioon of Proposed Use/Work/Project/Occupa 'on: (Us, e additi nal sheets it necessary): 0 ti 1414#2.0-Eli- 8 lfl i c. m } 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/Variance/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 DONT KNOW YES IF YES: enter Book Page and /or Document # 9. Does the site contain a brook, body of water or wetlands? NO ✓ DONT 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) C 'CL ao ts- FAIRGROUNDS BP- 2005 -0079 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: Tents BUILDING PERMIT Permit # BP- 2005 -0079 Project # 3S- 2005 -0078 Est. Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Sizeisq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: SAGA COMMUNICATION OF N E INC AT: FAIRGROUNDS Applicant Address: Phone: Insurance: 45 FISHER AVE EAST LONGMEADOWMA01028 ISSUED ON:7/20/04 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT 30 X 30 TENT HOG & SPIT LAZER 99.3 8/7/04 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: © f ( ^ G , O _A THIS PERMIT MAY BE REVOKED BY THE C Y OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. ' . ° Certificate of Occu•an Si nature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 7/20/04 0:00:00 24912 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo ,Jul 09 04 04:06p p . 2 10. Do any signs exist on the property? YFS ` 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: 4 w~ 11. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This cohmtn reserved for use by the Building D w' w-tmeni EX STG PROPOSED SAS k :; IN E �� F. Lot [� d S {+j„ir iaC/� - J.�IJ l Size w ` ... y °r ' r � '+„ '� yy 4 s s rv. 's Y� Frontage Setbacks Front s Side L: R: L: R: '°; 1i Rear Building Height y " _ a Building Square Footage % Open Space: (lot area „ ry, , S minus building Et paved parking # of Parking Spaces # of Loading Docks Fit[: (volume a location) 12. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. �]- - U I�� Date: / � d i Applicant's Signature 1 - �•� -ti--.= NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all required permits from the Board of Health, Conservation Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. 000 -pcif -Jul 09 04 � • .� � njj �5 e P. 1 I r 1 . } � i 4 11 ,IUL 2004 _ _ile No . C t ma`r F�S£S'P�e �r fife �t a G a � a ° P f .� f ; le Type or print all information and return this form to the Building ' Inspector's Office with the $1.5, filing fee (check or money order) payable to the City of Northampton 1. Name of Applicant: 1 \le-L1 Ens) 4 ck V'�1�i.✓, H orSe- Sla p `•,: �l V )81- Sa S Too6 Address: 11.1 �rM;�a�l .•.�T" K�d1ySTc��1 i'►�1 14 , oO36y Telephone: T tree. Co v nT .l F' i„ 6 r'o u .mod T) 7r! /-14o f 2 70 2. Owner of - Pi- ro C y Address: t sj r ST N o rT let a vv a VA Telephone: y 13 - 2z 3-2 3. Status of Applicant: Owner _ Contract Purchaser Lssee Other (explain) 4. Job Location: ''< /✓� y /nV �" _" -�T> -` '""r";�-. � - i - sss- Z ee""" 3^ 1C •,,+"�`,ti ..�f� s g4,yr_" 5 , a„+ . ^'' �� ;s .` �* r-g- 'j"i"' ._.,, a + .'"' -- r„s;.R�` --sy. +.,. t .c. Hi•. -.e mss, �. -,. 7 I ,, v. �--< °s c ^"[ 7• 't .r S aae�7'...z— 'S. .: -a r t`"+ � a°'„t -� t.. v -.� - _ - .. . r .._ -Nd,' -� „i, J� rr u�"g�zz i13 o c° i,.•T 1 _. ra - :r z H s...- ""_..,,wr•5�.�s "':R ru :sa s ....�., ,.�..�.�., .,......,..�.. " ....,` :` i :- r.... ,�_•,.....�.,;i,n.,z.> -� u � .- _..._..�...:�; .�, - ,a 5. Existing Use of Structure /Property: 0. /Veto eizy /4 /?J/vle.'y r2 f �A / "ote c . S rai - 6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary): 170: rs A1.0 liuW ,1171244/ 3 - roves, / 5 4 / • f 4 " #4/4S - 7- � s � - 4 , a 7 - 3 f T c ' 7" f c' � ' / 1 , e ' ' Y o r I nS / ric t� 7- 023- -o 7. Attached Plans: fr Sketch Plan _ Site Plan Engineered /Surveyed Plans 8. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page and /or Document # 9. Does the site contain a brook, body of water or wetlands? NO DONT 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) FAIRGROUNDS BP- 2005 -0059 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: BUILDING PERMIT Permit # BP- 2005 -0059 Project # JS- 2005-0078 Est. Cost: Fee: $275.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN Zoning: URA Applicant: New England Morgan Horse Show AT: FAIRGROUNDS Address: Phone: insurance: 89 Hawthorne Village Rd NASHUANH03062 ISSUED ON :7/14/04 0 :00 :00 TO PERFORM THE FOLLOWING WORK: ERECT 11 TENTS FOR NE MORGAN HORSE SHOW 7/25- 7/31/04 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: 9r 7- 9.3 -0 THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO F ANY OF ITS RULES AND REGULATIONS � Certificate of Occupancy - -� Signature: � ( FeeType: Receipt No: Date Paid: Check No: Amount: Building 7/14/04 0:00:00 1105 $275.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo -i.).!),I : t iti•RITTI 1' tit(tl lD 11itIliWiiIiin \(tYLililli VIVIlll'c:lli) trill ;tW Yillill li l'tiYi ‘Ii11.1 ! ti ii )1.1' -` ( lC ttt ifi tate of 1titance . . ., REGISTERED ■ • Y i ! ' APtUUTIDtI Date Work Performed { ' ISSUED BY - ' 1 CONCERN Rs. - !� : � GRAN?T�vILLE COMPANY - : 1 #', f —i �F ;Ac :T:VTLLC � 1 _s w �, r - 76.2 1 1 /1I / °5 803- 663 -7 ?31 This is to certify" that the materials described on the reverse side hereof have been flame- I retardant treated (or are inherently nonftamable). FOR ASTRUP COMPANY AT 2937 WEST 25th STREET — CITY CLEVELAND __. STATE OHIO _ 44113 Certification is hereby made that: (Check 1 "a" or "b ") • (a) The articles described on the reverse side of this Certificate have been treated with a ftame- -= retardant chemical approved and registered by the State Fire Marshal and that the application i .- -, of said chemical was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fin Marshal. �- Nanse of chemical used. _ Chem. Reg. No. - s Method of application [ L__.! (b) The articles described on the reverse side hereof are made from a flame-resistant fabric or material registered and approved by the State Fire Marshal for such use. • Trade name of flame - resistant fabric or material used S NL A T N T A Rea. Na. �� 76 The flame Retardant Process Used WILL NOT Be Removed By Washing (will or wig not) . T. L. COLEMAN _ By J. SRI CE KEEL ,DG SUPERVISOR Nome of Production Superintendent 7'44 L i�`F' �r�. r �� 1 E' fl )� '� "‘ l: `�r j 1 ,! 7.; � ). �� 1 If T r� 17rr7 � ?r ) � � � r r r l_ �� , l , , � i i ;i i TI C i 1 �, i1. j.iJ i ��, T T t li l , t . j , 'T �iliCY- iI 1,li t r.(' ,, fit �I i ir We hereby certify this to be a true copy of the original " CERTIFICATE OF FLAME RESISTANCE" issued to UL "original copy" of which has been filed with the California State Fire Marshal. The ASTRUP COMPANY By — 60 .00 VD Control/lot # .. _ . w , _ Quantity _ 2616 TENTAGE SALA 51817 31IN WHITE Customer order * _ Description 07179 768427 -1 Astrup Invoice * Product Code DORCHESTER AWN. CO 230 O.K ST Pc.,0c0KC .wA 02359 / , • e . i;.,1ffl itri l ttri iiiMitrIiu1 Y1'a STi ffilTO 1 ITI heir(.ii liii lltlf)Il��ii; 67 i1 '1''(i i li1! i Vi f, Cert of ame 3&eitana _. �, ` < r w ill r; y REGISTERED 1 Dale Work Performed _ APPLICATION ISSUED SY -i CONCERN No. GRANITEV ILLS COMPANY '11\. t jt ! GRANITEUILLE • •SC $ � ; �' [ F •76.2 S L 1/09/95 803-SO-7231 t ,? This is to certify that the materials described on the reverse side hereof have been flame• retardant treated (or are inherently nonflamable). FOR ASTRUP COMPANY AT 2937 WEST 25th STREET cmT ' CLEVELAND STATE OHIO 44113 i • Certification is hereby made that: (Check "a" or "b") . (a) The articles described on the reverse side of this Certificate have been treated with a flame- - _� retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical was dome in conformance with the laws of the State of California and the Rules • and Regulations of the State Fire Marshal. • Name of chemical used Chem. Reg. No. . _ Method of application - g (b) The articles described on the reverse side hereof are made from a flame- resistant fabric or 1 material registered and approved by the State Fire Marshal for such use. I Trade name of flame - resistant fabric or material used GALA TENTAGE _ Reg, No. F +76•2 The flame Retardant Process Used MILL NOT Be Removed By Washing (will er will not) r T. L. COLERAN • $y d. SRI CE KEEL s QC SUPERVISOR i Nome of Production Svper;rdendent Title if r I_.., I j a i �,. , � , t 1 � .r � t T 7r iT� �,' lir�if�) �� ,� .� �. � �•� r i ' k { i t ; I � �.' , 1.t L( t (�+ 1 ( .,L;1,1 I U �. .t 1T' It l 1,! 1d LI t, Ili; .� i . P I i if�i � � t.� if I ti�al � � .(jl�(I . PLC 1, i rn� I � ��' �� � � �� We hereby certify this to be a true copy of the original" CERTIFICATE OP FLAME RESISTANCE" issued to us, "original copy" of which has been filed with the California State Fire Marshal. The ASTRUP COMPANY B '"1 -� 125.00 TO CentrV # — ___ Quantity 2616 TENTAGE GALA 51801 311N EMERALD Customer order* .. _.. _ Description ._ ...._ 07502 768421 -5 Astrup Invoice * __ Product Code _ _ . r - 3 1%' ' 2( �' T DORCHESTER AWN. CO ct,r.. 1 + ,ASTA..t„L =sc C I 1 230 'OAK ST PLltOR •M6 02359 J r e44 it fd ct "- - `l4 -r, L5.5 sw.y.. £ '4G,.tat N' dt h3 -3 ,— .>a-t0 • ik umil 1� ��ti1 �r� __7 ikZt;�1' 11�ikai:iwai iii41 1 Mail ri Ligli it i tsi, 11Irr w. .51. 5 Qlertificate of 3i!iauw xanrr , essuEO ��, � E .,.....„._ i OA it [SSUiD. DORCHESTER A ;G 6116/92 - Z30 OAK STRE FEM13EtOKE, MA. 02359 e y This is to certify that 300Y DS GALA 51817 31" WRITE ��w__ .. louane.ty} iDevc rout •': f 7 68427-7 50361 5 121192 5 ---- -- shipped on `' (Part Numbert toa:e) t rnvOtCe N at �' against your Purchase Order Na. 19S? , 0 i (a) has been treated by Registered Application Concern No _ _ . with a Dame- retardant ~' chemical approved and registered by the California State Fire Matshat under Chern. Reg No. using ____________ _ ... chemicals " A 0 - 4 , (b) is made from a flame resistant fabric or material registered and z�proved by the California Stale Fire -� ! ::*4 . El Marshal for such use under trade name GALA lwG ._ EJR IIIEI� Reg No _ . en --- - ` 1 , THESE GOODS ALSO MEET CPM 84 St ECIFICATION R.... : 701 SPECLFICATIO • , I The Flame Retardant Process Used ._.__w11-1= NOT Be Removed By Washing. � 't ., (wilier writ nail .• , i � -� THE - ./ .r� r- . . , .vy. !�f eft - COMPAN By _ • .z..—:-- Title a. r i j . . � � r . a . . , � � . = t r i . . . . . . r 1�rV- !.`.j. T E , !T?T- I ru:uar f.,tt�V ivii-.af:�l�-lf� -:1t i1:.U= ri - i1:tft _tt�:U�11:..u' ri.: r, Eik ~that_' r-' l • " 1 :J ri41' ; ;; ;d}; 13411, - 11th 1 13t;i1;3:.1 ;44111 - 414 :∎:ri• i'iIV a j 1 f1a' al�fla�i 1: 1 r , :„ Certificate of FTtauw 3Veit iknwt �: ,� ls�ufa rtl DATE 1$SUfb- $� � __:, . , DORCHESTER AWNING 6/16:!.? .1 a: 230 OAK ST. �s $ „! �ppt t PEMBROKE, NIA. 42359 ¢ � G s f 234Y 0S G. -N LA 51901 31" EMERALD I, _ This is to certify that __ 2 �___--__-_ _-- _.._.__.. I lOuanf.t, 1 � T T 1 trE x + +p:!On1 .. 768421 _ shipped on 5/23 9? 50361 ___ ,� (Part Number! 10a!ei ttnvoICe No) i j ` against your Purchase Order N. 1 �" 1 1 = lay has been treated by Registered Application Concern No wNtt a 1$arne- retardant chemical approved and registered by i; C- � Slate- Fee Marshal vriaer Chem- neg. No. r:: r _ using _ ____ chemical 1 1:t.. tbl rs made from a Dame resistant iaonc or materiai re9.s;e ed and approved by the California State Fite # Marshal for such use °nrlP, t *aide nam ?GAI;.A_ LRECtU _ flee No _-_------ E - i 6 .? - F. ,"" The Flame Retardant Process Used W ILL d `_ Be Removed By Washing. .: 'w► ,win C. 1 41011 , ! 1 �� THE � 1 . . COMPANY ®>,. / .�1Zz 4 ..✓J 1 rifle .mot ' . �=' 1r = ._1'11•.11 lt1: :.TIT - '.1MiKtl +Ur :.i1:1ktl :tL1tt.i►:.11:_tl: tt� ii:,tt:.1f..�11 }- 1} -ihti V :tl. -.ti: ttitAt: t► at: t► t: tt -. 11.`V � - - . . ,, y-• r ,.t S.rgt..„ 2„ - 5 - 44.4.14: - I.E. . 4.1- 55 5�-U4 es:, • W y`I --e-4, t_Z Vim?' 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Noil7arnM M,:: ::11C.'66 .?..15') E - a - s 58.1:72 k ) FAIR ST - FAIRGROUNDS BP- 2004 -1297 GIS #: COMMONWEALTH OF MASSACHUSETTS Map: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: Tents BUILDING PERMIT Permit # BP- 2004 -1297 Project # JS- 2003 -1481 Est. Cost: Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 871200.00 Owner: HAMPSHIRE FRANKLIN & HAMPDEN zoninURA Applicant: NORTHEAST BENEFIT HORSE SHOW AT: FAIR ST - FAIRGROUNDS Applicant Address: Phone: Insurance: 18 SURREY LANE (508) 759 - 9512 0 BOURNEMA02532 ISSUED ON :6/17/04 0 :00 :00 TO PERFORM THE FOLLOWING WORK: ERECT 30 X 50 & 20 X 20 TENT FOR 6/27/04- 7/3/04 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: Q/( � y - a 8.-,., __la. THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATIO OF ANY OF ITS RULES AND REGULATIONS. er Certificate of Occupancy Signature: FeeType: Receipt No: Date Paid: Check No: Amount: Building 6/17/04 0:00:00 649 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo