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38B-006 (17)
r - L �1 a r: FEES 25, 00 /tent _ b 2012 .. I I" - L ,3FECTiON. - 6 202 pEr NOR FiU : A o oso File 1 � © . THA �i DEPT OF SUI ,- - Please type or print all information and return this form to the B> ilding Inspector's Office - (check or money order) payable to the City of Northampton / 1 . Name of Applicant: St * & C„ it e, Q . `�,,,L,.A t< 1 -1 .n v 3 i„,, IA. •' /Address: I2-. L . ) - S tree, } - / Telephone: (`i IA) • eS -N s 3 /2. Owner of Property: 3N .10,,- C, it vc i - Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) 74. Job Location: ieS.dewcsz Haoe 5 "P., raelli2 —. R O cLc i � r~ ----. "--� � � _ � . - � - ----mo _. _ - e -..- E =- mac. r = . _ is Fy e- - - -m - ° _ • g a-r — 'S - .�-'--�^ . fi � -. � ' .3 -, rte° .� - -- u- a - 2 4 E GR..,� g' Y .. � F6 1 E 66 F,E. •C � �`� � -�. "_`°`" ..cam`_ ° = E' �F,aE IMV J e - rte_ - ` Existing Use of Structure/Property: LIST EVENT' 6 e 25 . Cacil)c' 1 r So !S CocK1 - 6. Description of Proposed Use /Work /Project/Occupation: (Use additional sheets if necessary): V LIST DATES OF EVENT' ►. r • 2 } Iv1..� 11 '2v +Z �U Nk,Y 2 2o i2 f*, +� 5 .1;, a (,.,3;, ifM NO OF /SIZES OF TENTS Z_ 10 ' 2cr ( ^,A 2. - ` i ,& t ie. C ,, e,..J<4 WHEN TENTS READY FOR INSPECTIONI 4 . koy 1 Lol Z ,.. 12'OO . 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special Perrnit/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) W:Doc.: RMS \c ar,B _ -_ : vx Zoning.- Permit- Applimnon- passive_doc 8 /42004 WEST ST BP- 2012 -1103 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 -1103 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: PRESIDENT'S HOUSE - 2 - 20 X 20, 2 9 X20 TENTS 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