31B-179 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 sigrs 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 COMPLE I ti). or PERMir CAN BE DENIED DUE TO LACK OF INFORMATION
This column reserved
for use by the Bra7dfng
D • ataeat
EXISTING PROPOSED _., iTY
Lot Size s
Frontage ,
Setbacks Front i
•
Side L: R: L• R: ;t:. R:
Rear
Building Height ..immi
Building Square Footage J
% Open Space; (lot area ,,.... -
minus building & pave d
i *"" ""°
carkiria
# of Parking Spaces
# of Loading Docks
I Fill:
(volume & location)
13. Certification: I hereby certify aiat the information contained herein is true and accurate to the best of
my knowledge.
/Date:. / -1'S- -O 1 Applicant's Signature
NOTE: Issuance of a zoning permit does riot relieve an applicant's burden to comply with aLl zoning
requirements and obtain all required permits r ora the Board of Health, Couser' acion Commission,
Historic and Architectural Boards_ Department of Public Wori and other applicable permit granting
authorities.
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FEEEE$ 25, 00 /tent ' '
1 iS (n File No.
Please type or print all information and return this form to the Building
Inspector's Office . . (check or money order) payable to the
City of Northampton
/ Name of Applicant: 56"■ ` + ef I l es e ;Sa kwt CIA •0 Wal<,
,Address: la_ L W C'J T ,0 Telephone: ( c 113) ! c�) - 2'I U _
A. Owner of Property: S N, \'L C o )' e S `
Address: Telephone:
3. Stau!s of Applicant: Owner Contract Purchaser Lessee Other (explain)
74. Job Location: TR4/ 4 4 L &Li r\ ) -, ` 1r o P e s } S )'QQ
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. =.�:= .!r.'41b J.'�.r.= 4:�._r,�:.- +_.i::� .: lac sr ri.. r "c•�.....w.::e.:r^ al.:..- 5 '":� J.�w.�.y^ =a.Wi- off; ^'ti -4.�;
i . Existing Use of Structure/Property:
LIST EVENT • (" PGf Gc v te 1ZQ. O FP i 0
5. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
V
LIST DATES OF EVENT
NO OF /SIZES OF TENTS ' I 2,o k A 10 i e , ,)-.-
oa ?!1k... .;.__OP_ O- t ' 4 tki . C ii -Pr 1 0:) d
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special Permit/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 i
P.Does the site contain a brook, body of water or wetlands? NO Y 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 Contiru s On C?-„er side)
F% :\Dori L'.C.)RMS4. :;c^";r31. a ._._.. rZati =; P it `_77oii=i n`7-2n ry :.doc c/
Z0021 ZLZTLBSCTf XYd ST:ZT 8002 /ZZ /fO
. 25 HENSHAW AVE BP- 2010 -0056
GIS #: COMMONWEALTH OF MASSACHUSETTS
r , , 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 -0056
Project # JS- 2009 - 000085
Est. Cost:
Fee: PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: SMITH COLLEGE
Lot Size(sq. ft.): Owner: Smith College
Zoning: Applicant: Smith College
AT: 12 PROSPECT STREET
Applicant Address: Phone: Insurance:
126 WEST ST (413) 585 -2424
NORTHAMPTONMA01060 ISSUED ON:
TO PERFORM THE FOLLOWING WORK:Tent DAVIS LAWN DAY GARRETT RECEPTION
JILY 17
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 ( % fq
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo