31A-324 (11) Z City of Northampton
r Massachusetts
A.
DEPARTMENT OF BUILDING INSPECTIONS
IV
LL 212 Main Street • Municipal Building
Northampton, MA 01060
Goe
TENT PERMIT APPLICATION
(For Tents over 120 square feet)
°P �0 Permit Fee: $30.00 Check #
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: Smith College Richard Korzeniowski
Address: 126 West Street Telephone (413) 585-2458
2. Owner of Property:
Address: Telephone.
3. Status of Applicant:_Owner _Contractor
4 Tent Location Address): 8 Paridise Road - President's House
Presidents SSW Commencement Reception
Parcel ID: zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: Number of Tents Connected
Occupant Capacity:
Dates of Use: Thursday, August 15, 2019.
Inspection Thursday, August 15, 2019, before 12:00 (noon)
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: -ZS `20I 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.