38B-006 (11) FEE$ 25, 00 /tent
File No.
PIease 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: ST``% 1 . 1\0 ( 1 1 ..■:k.L , A koe )-t-ti-
/Address: 1 1. G i,)�.s S )-'` r ' 013 ) 5 C C
A. Owner of Property: S C ∎ f L C, ite5e
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) !,
59 74. Job Location: P',r,S w4rLA"\ TI
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` Existing Use of Structure /Property:
LIST EVENT ' MM ``
6. Description of Proposed Use/Work /Project/Occupation: (Use additional sheets if necessary):
LIST DATES OF EVENT' .
NO OF /SIZES OF TENTS , ' ! _ 20 i 10 I a ,, ,� 3 - 4 'a• , 10 i Lek �� Cr, rrn ec } f'.
WHEN TENTS READY FOR INSPECTIONI e t Ore, 12 : U K./ 3. Z o ► .
7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. i-ias a Special Permit/Variance/Finding ever been issued for /on the site?
NO DONT KNOW V 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
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)
WilDoco. `,FORMSlc ___ _ __cr�r`Z.o- ___ p° mit- A_oolimrior.- pzsive_doc S/4'2004
WEST ST BP- 2012 -1015
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- 2012 -1015
Project # JS- 2012 - 001750
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(6)/ Applicant: SMITH COLLEGE OFFICE OF TREASURER
AT: WEST ST
Applicant Address: Phone: Insurance:
COLLEGE HALL 4
N O RTHAM PTO N MA01063 ISSUED ON: 5/17/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: ERECT 3 9X 10 & 20 X 20 TENTS - AINSWORTH
ITT PRK LOT - 5/3
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 5/17/2012 0:00:00 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner