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06-055 (5) � M i° City of Northampton Massachusetts � �' * y` et. A..-' s t e' , DEPARTMENT OF BUILDING INSPECTIONS y ) i 7 \ z . 212 Main Street • Municipal Building Q .A. , 0 '. " _ s Northampton, MA 01060 b ... ir , )% �P- TENT PERMIT APPLICATION r 2012 (For Tents over 120 square feet) of BU, �.ecr;c;, NORTHAMF AA01060 Permit Fee: $25.00 Check # & LEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: m ( '.1 Q � T M` 0 bell Address: 3 49 1'-C CJL C 1�t Y ` k 21 1' e 21 1 Telephone: ye-5 71 0 6 2. Owner of Property: �) y: elrr 1'� CA 1 1C i 1 e ck- Cal �l ( _ f� �* Address: t �� CYO 1 ` P-CX Telephone: `� 3 ~J 6 —7766 3. Status of Applicant: V Owner Contractor 4. Tent Location Address): 3 L49 'A a 4 fl i U t ) (t 14 t-s G Parcel ID: Zoning Map # Parcel # District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Use of Property: Residential: Commercial: V c-� , 6. Description of Tent: �/� (/ j / Size: � k lar� �' l Occupant Capacity: /0o Dates of Use: au 9 J '7 (6 c q p - d/ 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. 9 1 z SI DATE: -7 1 ( APPLICANT'S SIGNATURE I �' . I►I. t ,' .._. [r'.I /► A_ 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._ 349 HAYDENVILLE RD - LINDA MANOR BP- 2013 -0114 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 06 - 055 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- 2013 -0114 Project # JS- 2013 - 000181 Est. Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 617245.20 Owner: LINDA MANOR LLC Zoning: SR(100)/ Applicant: LINDA MANOR LLC AT: 349 HAYDENVILLE RD - LINDA MANOR Applicant Address: Phone: Insurance: 349 HAYDENVILLE RD (413) 586 -7700 0 LEEDSMA01053 ISSUED ON:7/30/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT 80 X 100 TENT 8/24/12 8/28/12 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 7/30/2012 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner 349 HAYDENVILLE RD - LINDA MANOR BP- 2013 -0114 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 06 - 055 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- 2013 -0114 Project # JS- 2013 - 000181 Est. Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 617245.20 Owner: LINDA MANOR LLC Zoning: SR( 100)/ Applicant: LINDA MANOR LLC AT: 349 HAYDENVILLE RD - LINDA MANOR Applicant Address: Phone: Insurance: 349 HAYDENVILLE RD (413) 586 -7700 0 LEEDSMA01053 ISSUED ON:7/30/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT 80 X 100 TENT 8/24/12 8/28/12 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 : ?-^02 THIS PERMIT MAY BE REVO ..' 1 OF NORTH PT0 UP , N V TION OF ANY OF ITS RULES AND ' " � I 6, �! � Certificate of Occupanc Signature: FeeType: Date Paid: Amount: Building 7/30/2012 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner