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38B-006 (14) City of Northampton Massachusetts >� * DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 EA; RECEIVED TENT PERMIT APPLICATION 64) • 1 1 at „ ( For Tents over 120 square feet) �J T O F BUILDING INSPECTIONS p : mit Fee: $25.00 Check # PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: S N I-1 `. I e 1— LL 1 k Address: 12 G Ucj- S j) - Telephone: 2. Owner of Property: Address: Telephone: 3. Status of Applicant: Owner Contractor 4. Tent Location Address): c�3 EIM ��ic�e.�- /,zeee 1- 1 )1 4 06-e Parcel D 4 Zoning Map fi, Parcel ' ; , ,x. Distnct(s) , (TO _BEFILLED IN B' ,THE BUILDING,GDEPARTNIENT) 5. Use of Property: Residential: Commercial: ✓ 6. Description of Tent: Size: - — 20 Zo tC ,) Occupant Capacity: — I V20 --2O)1 Dates of Use: 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: 6-- 212 1L APPLICANT'S SIGNATURE 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._ WEST ST BP- 2012 -1014 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 -1014 Project # JS- 2012- 001750 Est. Cost: Fee: $50.00 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 NORTHAMPTONMAO1063 ISSUED ON:5/17/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT 2 20 X 20 TENTS - ALUMNAE HOUSE 33 ELM ST 5/17 -5/29 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 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner