38B-006 (2) 10. Do any signs exist on the prope ty? YES NO
IF YES, describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property? YES NO
iF YES, describe size, type and location:
11. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common
plan of development that will disturb over 1 acre? YES NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
12. ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENTED DUE TO LACK OF INFORMATION
This column reserved
for use by the Building
De arlment
EXISTING PR OPOSF -D
Lot Size
Frontage
Setbacks Front
Side L: R: L• R: R:
Rear
Building Height
Building Square Footage
Open Space: (lot area 0 - -
minus building & paved
arkinq
of Parking Spaces -
of Loading Docks
Fill:
(volume & location)
13. Certification: 1 hereby certify that the information contained herein is true and accurate to the best of
my knowledge.
/Date. �� Applicant`s Signature ox%
NOTE: Issuance of a zoning'permit does not relieve an applicant's burden to comply with all zoning
requirements and obtain all required permits from the Board of Health, Conservation Commission,
Historic and Architectural Boards, Depa=ent of Public Works and other applicable permit granting
authorities.
�T:lDocuments'� UrI ✓S1orilE .ui 8/4/2004
FA 25, 00 /tent
File No.
? - -
PIease type or print all information and return this form to the Building
Inspector's Office - 'c or rnon- ey order) p to the
City ofNor tharnpton
�i Name of Applicant: S' C.1105C
,Address: 12 UeA S �l m l ' Telephone: (q())
✓2. Owner of Property: S C. U n�
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
�4. Job Location: Yft<3:CAo.ce Nuin�� ;' arc�•�c jZ�G4
Existing Use .of Structure /Property:
LIST EVENT �°
• N('.42 S`jltolot I 1 eG
6. Description of Proposed Use/Work /Project/Occupation: (Use additional sheets if necessary):
LIST DATES OF EVENT"
• oi' &-11 Pet. SI.X-L Tt,- 1 ? -9 - F.II
NO OF /SIZES OF TENTS'
2- je�
Zo zo I - lu ", � �• C�: + *ec�rc�
WH EN TENTS READY FOR INSPECTIONI t' � IL 0 0
7. Attached. Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special Pe mit /Variance /Finding ever been issued for /on the site
NO DONT KNOW 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 ff
9. Does the site contain a brook, body of water or wetlands? NO v" 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)
PRESIDENTS HOUSE & SEELYE LAWN BP-2012-0266
GIS #: C OMMONWEALTH OF MASSACHUSETTS
Me.-Bloc 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 -0266
Project # JS- 2012- 000431
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 Applicant: SMITH COLLEGE OFFICE OF TREASURER
AT. PRESIDENTS HOUSE & SEELYE LAWN
Applicant Address: Phone: Insurance:
COLLEGE HALL 4
NORTHAMPTONMA01063 ISSUED ON :911612011 0:00:00
TO PERFORM THE FOLLOWING WORK .-ERECT 3 TENTS 9/2/11 - PRESIDENT'S HOUSE
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 Occu anc �� /4 fzM-C � nature:
�4 f.f
FeeType: Date Paid: Amount:
Building 9/16/20110:00:00 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner