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38B-006 (18) City of Northampton 3A ' 57,, -- - s '6;` , Massachusetts r :::'..:,;P: , v x .•4 w� 1. • I t DEPARTMENT OF BUILDING INSPECTIONS Y 9 w '§' -: l' • .i 1 212 Main Street • Municipal Building � � ' Northampton, MA 01060 ` ..'° I !V—'. -- - -. TENT PERMIT APPLICATION lli ' 8 ?OP (For Tents over 120 square feet) c , ; +J,,„ C, t;Q P mit Fee: $25.00 Check # PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: smiJk C !le e ',:c•L i kof-7-en Address: 126, (-)CJ ,$,}faeI Telephone: (-t1 58C 2. Owner of Property: 3 P ' 14 ' `v f) e,c., Address: Telephone: 3. Status of Applicant: Owner Contractor 1 4. Tent Location Address): q:?-- I L. h1 S 7 O 1 PrtangW#E4 i r ZWgaga qfgN;,s Fo °,.. ,`x.. a �1LL'Ep -jt*1 BYYY ITI E gIJiL.DiNG b£ PABIM T) 5. Use of Property: Residential: Commercial: 6. Description of Tent: Size: a () ' /-- 2,0 I Occupant Capacity: Dates of Use: air), 11 2012 --)' uh Ia,2J12 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 - 7- '20I Z APPLICANT'S SIGNATURE \ i 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 -1129 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 -1129 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:6/15/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:49 ELM ST 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 6/15/2012 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner