13-038 TENT - RIER VALLEY MARKET City of Northampton �3P-2o2l-tz $
o
I.
�.� Massachusetts
i 3
c ' DEPARTMENT OF BUILDING INSPECTIONS
s. .� E� � ti
c, g � t" 212 Main Street • Municipal Building J,.kW" � \`Ca
c',p ,t-^.,+„! Northampton, MA 01060 'CP '�
�G7
Dy fV
TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Permit Fee: $30.00 Check # 13330
' PLEASE TYPE OR PRINT ALL INFORMATION
\
1. Name of Applicant: t�\V a J a..\\Q,y M outk-f.,-k \ _
Address: 33 O N OY t-h n o3 Sfi Telephone: (�k3J 1 s?4.- 210(O 4
2. Owner of Property: NA►ch O e\ 's P ax-V,� �e n t a,\s Ir c..
Address:1221 't\A \ Sfi } Y`�a.\me 4A Q(O4Da Telephone:(LOS)SGV3k
3. Status of Applicant: Owner ✓Contractor
4. Tent Location Address): 330 N b rt-V\ King J it(e t iC
Parcel ID: Zoning Map# /3 Parcel# 0.3 2 District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)D
5. Use of Property: Residential: Commercial: ✓
6. Description of Tent:
Size: �Cj ' X : O' E-oXY1e Tent
Occupant Capacity: 5 0
Dates of Use: O5/Oc 121 O 1.D/0 41 2 Y
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: l _ �" if 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.
Crtifitat& of FL&we Re #acL
", ISSUED BY Manufactured by Date treated or
e • % Snyder Manufacturing,Inc. Fred's Tents &Canopies manufactured
c ,
;: 3001 Progress Street 420 Hudson River Road
'i''Nee"�or Dover,OH 44622 4/2020
Waterford,NY 12188
F-140 �
This is to certify that the materials described below have been flame-retardant treated(or are inherently
nonflammable)
FOR Michael's Party Rental
1221 South Main Street
Palmer, MA 01069
Certification is hereby made that:(Check"a"or"b")
a)The articles described below 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 done 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
X (b)The articles described below are made from a flame-resistant fabric or material registered and approved by
the State Fire Marshal for such use.
x
NFPA-701-2015 (large scale)
Trade name of flame-resistant fabric or material used White Blockout Reg.No. 140.01
The Flame-Retardant Process Used WILL NOT Be Removed By Washing
Plant Supervisor
Fred's Studio Tents & Canopies, Inc. '; (J
6A°
Product Description Customer Invoice# 43395
15x30 Center Peak