38B-006 (16) City of Northampton
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DEPARTMENT OF BUILDING INSPECTIONS t'
`y 212 Main Street • Municipal Building ' 44,,,,,„.,,,„;.R
Northampton, MA 01060 9r
TENT PERMIT APPLICATION i .1 ; 2012
4
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(For Tents over 120 square feet) ._
Permit Fee: $25.00 Check #
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: ‘S r41 Co I Pe, e 1��ciLzinA ko f}en -J W.; i.'
Address: )2(, Lk Si Telephone: 0 1 S3 " 5
2. Owner of Property: 6 (h' 1'1, C. i! e5c,
Address: Telephone:
3. Status of Applicant: Owner Contractor
4. Tent Location Address): y'c I/ v L. • 1,,,i--,„:„,,, e e y 1Q 4. Lily R
2'3 L,/ e:) d S4reel
6T6:4 12246 44 `` i 3 x a ROW r r 6 t ;,
P Dlstncts �,� ..,,,�«.... �.,
�TO:BE EVEP.1t�( a:Ntfi3„aDINi IT-EPAO: ENl
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: 1 _ a i A 20 1
Occupant Capacity:
Dates of Use: JI -3 I () ' `f .. 20 1.2 .
ie "It a� S -30- z 12_ o L kr J11J t„o,.,
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: ' APPLICANT'S SIGNATURE C4
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 -1104
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 -1104
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:6/12/2012 0:00:00
TO PERFORM THE FOLLOWING WORK:SEEYLE /LILLY HALL PARKING LOT - 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:
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 6/12/2012 0:00:00 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner