38B-006 (14) 10. Do any signs exist on the property? 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 (ciearing, grading, excavation, or filling) over 1 acre or Is it par 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 COMPLE I Li.), or PERMIT CAN SE DEEMED DUE TO LACK OF INFORMATION
This column reserved
for use by theBuJ&rg
D • • mYmenr
EXISTING
PROPOSED . :4P c- r 7
Lot Size .
Frontage •
Setbacks Front 1
•
Side L R: :• R:
Rear
Building Height .
Building Square Footage I
% Open Space: (lot.area . :~ : '
minus building & paved
i + ►";, , V .�
carkir . . .
# of Parking Spaces
p of Loading Docks
Fin:
1 J .. ,
(volume & location)
13, Certification: i hereby certify that the information contained herein is true and accurate to tree best of
my knowledge.
R ate: 3,/ti, 0 1 A pplicant's Signature 0.1/
NOTE: Tsstance of - a zoning permit does not relieve an applicant's burden to comply with all zoning
requirements and obtala all required permits t orn the Board of Health, Conservation . Coat fission,
Historic and Akr aitectural Boards_ Department of Public Wori. and other applicable permit granting
authorities,
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FEE$ 25, Ot7 ' /teat
File?�%o. ,, . 1
Please type or print all information and return this forx to the Building
Inspector's Office - •. . (check orrnoney order) pafabJe to. L
Chi ofNortbampton
/l. Name of Applicant: Sly. ON C4 II ec �� �� V45./ t.-A ,0 ,.,)
, A d d r e s s : Pa) .S ri/ eQ T ' 0 S u i -Z-'/ S y
A. Owner of Property: .S tt )k C. 11 o
Address: 12 L L) i e Telephone: (41 s cis -24 4
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
7 4 . Job Location: S e.4.Iy e . Lo.W /� 6y bcwty 11,11 ( 9 - - S eel y e ( br iit)
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Existing Use of Structure/Property: •
LIST EVENT ' O r , e v` �- c o'• �e/t Cot- e.
• h �0 C ��J•'1
6. Description of Proposed Use/Work./Project/Occupation: (Use additional sheets if necessary):
V LIST DATES OF EVENT:
- 0 "ala„i Ac,9 u3) 3 1 , Zoo/ Cis tar% -a C ?ill
NO OF /SIZES OF TENTS ' A - lo
1 � 1 \V... ;__. •_ o N •i •0' Pa�.d�, i .. .J ' 1 ZO 9 t00 N
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
B. Has a Special Permit/Variance /Finding ever been issued for /on the site?
NO DON? KNOW YES IF YES, date rued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: enter Book Page /^ and /or Document
.Does the site contain z brook, body of water or wet ands? NO V DONT KNOW YES
IF YES. has a permit b_en or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date rued:
(Fora Untrue: On Och =r Side)
S, %: Do-,r c r`: 03�'S'. ; _>;r"^4r'�L "— iJ2'•P:3t•. �ssr:.doc d «•2004
•
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2 SEELYE DR — DEWEY HALL BP- 2010 -0185
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 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- 2010 -0185
Project # JS- 2010 - 000194
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: 2 SEELYE DR — BY DEWEY HALL
Applicant Address: Phone: Insurance:
COLLEGE HALL 4
NORTHAMPTONMA01063 ISSUED ON :8/18/2009 0:00:00
TO PERFORM THE FOLLOWING WORK: ERECT 20 X 20 TENT
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: �L
Final: Smoke: Final: 0 K 3f - of
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 8/18/2009 0:00:00 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo