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ssachusetts
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45
DEPAR I T OF BUILDING INSPECTIONS y 1
t o
DEFT OFBt11LDINO "ammo' � - n S rest • Municipal Building
4314`''' � C
NORTMAm- • Nor hampton, MA 01060 dh' Via\
TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Permit Fee: $25.00 Check #� 15 C7� l /
0
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: C. c? C - (015 Refl 6'41 rh-e S
Address: 4 5 T ( , ' J r , J Telephone: 1 3" S �Z - (o5 / 3
2. Owner of Property:
Address: Telephone:
/
3. Status of Applicant: V Owner Contractor
4. Tent Location Address): 4 /5 -fin a ti S , c 1 \ Or is)-e.
_. i .. -::..� k; ; a .., .t �, �' ,a. n, S P ,p ... - :s:.c -� xa. z as,4
te ._ . • ° . =
5. Use of Property: Residential: Commercial: V
6. Description of Tent:
Size: L/ 0 ry 0
Occupant Capacity: 5 0
Dates of Use: c) 3 P)
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: 9 )1 APPLICANT'S SIGNATURE 1 C.✓J'
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._
RECEIVED
ap 2 7 20ff ity of Northampton
Massachusetts
,1•:4Ar• 1T OF BUILDING INSPECTIONS
,�. 211 Main Street • Municipal Building
r Northampton, MA 01060 At
TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Permit Fee: $25.00 Check #
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: (a Ct - ( I } 1 ��'E t ei r r o+✓
Address: L ..5 .1-r, �kc "� r. a, i /.,J r r ki Telephone:
2. Owner of Property:
Address: / Telephone:
3. Status of Applicant: V Owner Contractor
4. Tent Location Address): L I 5 '7„ / Or , ✓ c.
Parcel ,t Y; Zoning,M p Parcel # .' Olstkoks)
ao BE Fly 04 By TOE ,BLUING `t EFR MEF
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: :) 5 Z a
Occupant Capacity: S - I
Dates of Use: A
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: 9 ) 2/ )1 APPLICANT'S SIGNATURE l^!
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._
45 INDUSTRIAL DR BP- 2012 -0305
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25A - 185 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 -0305
Project # JS- 2012- 000495
Est. Cost:
Fee: $50.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 948344.76 Owner: COCA COLA COMPANY THE C/O GORDON JENKINS, TAX DEPT
Zoning: GI(100)/ Applicant: COCA COLA COMPANY THE C/O GORDON JENKINS,
TAX DEPT
AT: 45 INDUSTRIAL DR
Applicant Address: Phone: Insurance:
P O BOX 1734
ATLANTAGA30301 ISSUED ON:9/27/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: ERECT20 X 20 & 40 X 60 TENTS 9/30/11
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 9/27/2011 0:00:00 $50.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner