38B-006 (12) FEE$ 25, 00 /tent R E C ` VE1
MAY 1 12012
File No. ONS
l igintIttla__A-Vt7 , erAlliS1515111 :7 4 - TAA1.2_ , .,:::: PariVntrPF4:2_,,..efffg_ ___,_., .,; ji4÷5:47:
PIease type or print PH information and return this form to the Building
Inspector's Office 'check or money order) payable to the
City of Northampton
/ Name of Applicant: s .ct i- ■ C. ti Q j,a ` 1-.o�L�..nl ku.+ 1 - 6 w,k,
,Address: i? C t,JO.)J , S ) /e t t ' Telephone: X 413) s'� - Z ` , - 0
✓L. Owner of Property: `,?I•`t )L C, IUe e .
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
74. Job Location: -1- UG-cA A I PaJuatse. 1 ► i
.ter .,-m _ a . _ ` � - .. .
R ,- , .te =' c-7... -.si $
V . Existing Use of Structure /Property:
LIST EVENT
. ) . 0 1 1 - CuMP'I.ev■ Cell ,eK,) (`A let'"''"
6. Description of Proposed Use/Work /Project/Occupation: (Use additional sheets if necessary):
V LIST DATES OF EVENT'
' 5iti . 1 zo . 2ot f irruJ- 1213o
NO OF /SIZES OF TENTS ' 11 {
WHEN TENTS READY FOR INSPECTIONI :i, -'4 IT, 2.011- (21,0a
7. Attached. Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special Permiti variance /Finding ever been issued for /on the site?
NO DONT KNOW V / 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)
W:Doo xnenzTORMS \O _inalsBu... __ r\Zonina_Pernit -A li=rior.- v2srve.doc 8/4,2004
WEST ST BP- 2012 -1016
GIs #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 38B - 006 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- 2012 -1016
Project # JS- 2012- 001750
Est. Cost:
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 9365.40 Owner: SMITH COLLEGE OFFICE OF TREASURER
Zoning: SI(100)/WP(6)/ Applicant: SMITH COLLEGE OFFICE OF TREASURER
AT: WEST ST
Applicant Address: Phone: Insurance:
COLLEGE HALL 4
NORTHAMPTONMA01063 ISSUED ON:5/17/2012 0:00:00
T O P E R F O R M T H E F O L L O W I N G W O R K : ERECT TENTS I N QUAD 1 PARADISE RD 5/20/12
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House # Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 5/17/2012 0:00:00 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner