38B-006 (70) City of Northampton
Massachusetts
:,:.
DEPARTMENT OF BUILDING INSPECTIONS , rr
212 Main Street • Municipal Building fz�1 t
,.. Northampton, MA 01060
_ I}; TENT PERMIT APPLICATION
MAY Z 2 2016 ��,'�''��
ii (For Tents over 120 square feet)
Electric, Piumbing&Gss Inspections
Northampton, MA 01000 Permit Fee: $25.00 Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: .-g I'A G��l��e, Rbc,L�tA
Address: ))-rte t)E,3J JLl- e t Telephone: 01111 �-3 -2-K5
2. Owner of Property: c3 r'N A ego
Address: Telephone:
3. Status of Applicant: Owner Contractor
4. Tent Location Address): SeP_ 0M I-rf ,•n) Io+ WWeed L,Ill + Seed-ye 11))
Parcel1D Zo�mgyN1 P #� � -Paricel ��z C3strIbt(s� y r r
_ u�
(TQs13LLEb LN Bdf TBUILTJINGPRtMEtJTj
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: 1-20 ',,- Z0 ' Tp,r`)
Occupant Capacity: f-A"y
Dates of Use: May 2-91" —'I �(,t►�C µ 2,01 S�
►�le� c T-y'cl 11ea• 2.4,2.01 al'At, 2Qhi
7. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
8, Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: -Z APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities._