38B-006 (13) FEE# 25, 00 /tent - . 1 HC�,,CRVCV
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File No.
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Please type or print all information and return this form to the Building
Inspector's Office 'check or money order) payable to the
City ofNorthampton
/ Name of Applicant: 50,1 -L C. 110 c kLL:.A Ki c -., ,,,; k.
/Address: 12G tJeA- S. .) e } Tele phone: �� I S j i Z� Shy
A. Owner of Property: M , VI C 11(JC
Address: Telephone:_
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
/4. Job Location: l'ac -, :o 0. Il(, W24} S )./o 7, k, 14 }
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I . Existing Use of Structure/Property:
LIST EVENT'
•
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
V
LIST DATES OF EVENT'
f r,clo , Mc.. 1 E3 , 2 U i 2_ —) hto,,, 1 y 21, L012
NO OF /SIZES OF TENTS • I- 20 A-301 } e.)--
.
wiiEN TENTS READY FOR INSPECTIONI e Fr i LL/ , f 1 , 2 2 14”, ,. 1, 0 0 ?Ai
7. Attached. Plans: Sketch Plan Site Plan Engineered /Surveyed Plans
8. Has a Special Permit/Variance /Findingg 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)
■%: Do 1enm\ FORMS'' ∎orsmal2uildms- i�c*wrrnr`Zonine Permit- •Cppllmtion- D2ssNe.doC 8/4/2004
WEST ST BP- 2012 -1012
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 -1012
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
NORTHAMPTONMA01063 ISSUED ON: 5/17/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: ERECT 20 X 30 TENT - FACILITIES PKG LOT
5/13/12
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