25C-251 (12) I 1
1 +'AR,,NG j I i J f 11 r i Q 1 1 , ; ,
t 1 r > o IG,,,,
_ / - J..— _,a:_:_._ `- - - - --A r'AH,ING I �i �
11 7 Y
1 \ r r Ji i m= I– - ( I I n _
POND I I NORSE IARAING
A R[ N I
-- (-- - - - -- ' ' I
I
a I
r r I1 III: i
I I _ RN7 -d , _ r[
�, --- O iO GA I \ ROCA( - '4' 1 A
— — — " _ _ - - -_ r° -- I i — — — — �� — — — — l ! _ •
.— — —.. _ EAHIBITORS O4TE — -- -- — — — Prr)r0 / � .._^ a - -. "C _Zt - -_— -� —" I O I h
+ 4 F'n! iO1 / RACE TRACK b
I
1 0wf R /
79 SCALES � � •N �
_ \ i
S.
N ( 1 1 ...... i
\ �I PARING ^ / .. _. - ,� RLI \ .
Z Cl
z
�'_'° °�^
—� o t - — [wpAri,,,,,Riir
o
-- p MAIN CA rE - - J _> t _ I +>\
-- *i C , /(N5 r 1 I a A
PAcIl1 '-� ' o
______r_ , �� L
iOrL_ DGi
n R ESr �� \ _ ._. a . _ ..--o TUNN[L , , L 7. _ _ _ _- UR00M5 _. t
- - � L 1 031.0 Ji, / / �� ►(
a1 -� � 5r
11+0 f l�` �.
` - - a� _n_.. a__�..a __,_a �_ • EUWE /A/ ROL
I
EO.f A
FRANK Al — _i
a^ � GR ANOS IA NO jjjLsoN
PART uurVEI O I
GRE �� M(Y(lqu l� � 1 I F 1 -N " F N�RI)ION — I
._ -. - -- HALL DIN G Q , II S 011 fll out i _ a
(AIR STREET JJ 4 O -
rlRSr LD I l I EAST GAff
-- - - -- - -_ - - - - - -- / REST In
o
t _ -. (AIR S{RE -
THREE COUNTY FAIRGROUNDS
, I )/"-",
'E'
NORTHAMPTON MASS. f or
-t)
PARKIN()
SCAL DATE. MAY 1981
too so is so g oo .w 1 -- —
` � - K v
J ;
o
?( J
A�uFR MuN TLCtr, JR • ASSOCIAI[S, IHC ((: ^S!O JJ �.f rs .4' • m
, Ir � � m
„(11AN P
h 6 _ v.
S. 0 , * •
aaDarhnsrtta MAW _
r r DEPARTMENT OF BUILD
D' G INSPECTIONS 4 _ =F f
212 Main Street • Municipal Building
Northampton, Mass. 01060 No '
WORKER'S COMPENSATION INSURANCE Al
I, .c.Cab FjeA bk/k l1l-i N43 ),rmpd 4R' l / 2i9
(liccnseelperm,ittce) S a CI T eirti
with a principal place of business/residence, at:
P 2 , °2- �,,,^ -�' p hon 9/36/9' ,,.3'”)
0 � 5 honer-
(su city /st to /Tip)
do hereby certify, under the pains and penalties of peril.tn ;, that.
( 1<farn an employer providing the following worke s colnpensancn coverage for my
employees working on this job:
/ea a hi 1, NS ACC Ativcc CO WC `J- 0Q3y0 ° ? , .0.3
(Insurance Company) (Policy Number) (Exp ,l)ion tare)
( ) I am a sole proprietor, general onuactor or homeowner (circle one) and have 'aired
the contractors listed below who have the following worker's compensation policies:
i
(Name of Contractor) (Insurance Corn-may/Policy Number) (E.�ir -aeon Date)
}
(Name of Contractor) (Insurance Company Poticy Number) ( Expiranon Dale)
't
i (Name of Contractor) (Insurance Com an um
y Number) (Expiration Date)
1. _ (Name of Contractor) (Innuance Company/Policy Number) (Expiration Date)
(attach additional shed if necessary to mckudc information pertaining to all co radon)
1 ( ) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
• NOTE: please be aware that while hemeownera who employ paaom to do maintenance, wusrueioa or repair work on a dwelling of
not more than throe units in which the bomoowwer resides cc oa the grounds appurtenant thereto are not generally considered to be
employera under the worker's compensation Act (GL152,s1 1(5)), application by a homeowner for a license or permit may evidence the
legal rtet of an employer under tan Woriac't Compensation Act_
I understand that a Dopy of this aiatcme t may be forwarded to the Dcpertmme of Industrial Accident& Office of Insurance for the
coverage verification and that failure to secure coverage under section 25A of MOL 152 can lead to the imposition of criminal penalties
consisting of a fine of up to S1,.500.00 and/cc imprisonment of up to one year and civil penalties in the form of a Stop Wort Order and a _
fine of 51O0.00 a day against uric.
For degutnrrtal Use off'
Permit Number
' . iC.././—l—ler.A4 NO 2 6 Map# Lot 4
Signature of Liccnsee/Permittee y/
Version1.7 Commercial Building Permit May 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW - (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑
SECTION 11 - 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, 69.0.0E S -' A \\ C..2 O S 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.
Signed under the pains and penalties of perjury.
Prin ame
j ` - 1 1 / 6 Z---
ignature of Owner /At - Dat
SECTION 12 - CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder :
License Number
Address Expiration Date
Signature Telephone
SECTION 13 - 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 ❑
Versionl.7 Commercial Building Permit May 15, 2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION'CONTROLPURSUANT TO 780 CMR 116 (CONTAINING MORETHAN=35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name (Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Version1.7 Commercial Building Permit May 15, 2000
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ _ Private ❑ Zone: Outside Flood Zone ❑ Municipal ❑ On site disposal system ❑
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location) i I
A. 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 DON'T KNOW YES
IF YES:. enter Book Page and /or Document #
B. 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:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:.
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location:
' Version 1.7 Commercial Building Permit May 15, 2000
SECTION4=` CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC `FEET or ENCLOSED ED SPACE
Interior Alterations Existing Wall Signs Existing Ground Signs Additions ❑ Roofing 11 ----
❑ ❑
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ]
❑ Accessory Building [ ] Repairs [ ]
• ReRcA,,G. 14s VA Z 4 F N r6 Q AR KS ‘26-1 e/12 $i`'AGjc1
- - DE,Se - Tr4 3 • 0 v e z i , Ail, 'S N, c le Late ( " 4 —
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly I A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑
A -4 ❑ A -5 ❑ 1 B ❑
B Business ❑ 2A. ❑
E Educational ❑ 2B I ❑
F Factory ❑ F -1 ❑ F•2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1 -1 ❑ 1.2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ I
S Storage ❑ S -1 ❑ S -2 ❑ 5B ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard index 780 CMR 34): I Proposed Hazard index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
- ,4 p. OFFICE I S 'T.-N-11'44, ' � i
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION , -�. ,, „� !�,,, °, �,x : ,;:
� x
1st ,,, � . ; n ;- �;
Floor Area per Floor (sf)
1st q�
2nd
' ..,'
4,
3rd
3rd 4th at _; : ;;�, ;, ��� . . . ''.*�,
a •
4th 1;i k •t' '
4 €y. '
Total Area (sf) Total Proposed New Construction (sf) ,, , `'
a 9? ��
Total Height (ft) ��,
Total Height ft ��,
Version1.7 Commercial Building Permit May 15, 2000
C.t-y- :off Northampton
7. ;')f ::,Bi ilding Department
-- - 212 Main Street �Ftt W
;Room 100
Y r
Q'� 1 �� �`''-t‘dortha"mpton, MA 01060
phone 413-5137-1240 Fax 413 - 587.1272
APPLICATIdN3C�..CbNSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
1.1 Property Address:
This section to be completed by office
F 12 STMT Map t e- L ot Un it:
Zone Overlay District
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record: H/1.6,1n s 11.1 Re �A'Li-' "'� 1 ),0 '6D1 1, n'IP) 1 6it�GtLT14/24L ScC �efy Ai 12 J ..- �L o rJ V1/14. C)' > — a3os
J Current Mailing Add
Name ;Print; Address:
'
13 5F — ?.a-37
} Signature Telephone
2.2 Authorized Agent: / 3 6 S�
i2..t,(e � h . S 1-i 9 1 I ere. as s _ /\./ o 12 ✓Y1A D/ 0 6 J— G,?a s�
Na 'Print; Current Mailing Adcress.
/
ignature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item i Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Building T (a) Building Permit Fee
/0, ob
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) / o, D 0 Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
, Signature:
Building Commissioner /Inspector o Buildings Date
itirt BP- 2003 -0503
GIS #: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit # BP- 2003 -0503
Project # JS- 2003 -0831
Est. Cost: $10000.00
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: HAMPSHIRE FRANKLIN & HAMPDEN
AT: FAIRGROUNDS - FAIR ST
Applicant Address: Phone: Insurance:
P.O. BOX 305 (413) 584 -2237 (112)
NORTHAMPTONMAO1061 ISSUED ON :11/14/02 0 :00 :00
TO PERFORM THE FOLLOWING WORK :REPAIR & REROOF (2) BARNS OVER EXISTING
(1) LAYER
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:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 11/14/02 0:00:00 999 $100.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo