38B-006 (24) City of Northampton
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Massachusetts *`
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060 7r�
AUG 232012
TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Dt t
Permit Fee: $25.00 Check #
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: S;,.,1.}i, Co Ile, e �e( -ko � �'(o {�`ehr
Address: )'2(„ tie- S,}ree -1 Telephone: 013) 6-3 - 2245 9
2. Owner of Property: '3 (h L C., i) e5 a.
Address: Telephone:
3. Status of Applicant: Owner (� _Contractor
4. Tent Location Address): in 1 f uA t / 1- TT rc,', ^ 1),)a
10(a LGLJC.' t .aIe)�. LA e .
RCe ro:a .,,.gw* mwimw*o r r twRbl&triEfN F a s r'... .: sMR .''. ,P o;t.a'u ..r .
5. Use of Property: Residential: _ Commercial:
6. Description of Tent:
Size: 20 x 10 ev% A-.
Occupant Capacity:
Dates of Use: (.4.)0,,N (►C. ' At.y14s) 2S 20I L (.1 eh) I b► 1 /J;. 1 0. z_wL. (61‘), n.,..�
I C*4 - � }y. iue�� ►� 26, za i 2 114.
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: V 23 - 201 2 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._
126 WEST ST BP- 2013 -0277
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- 2013 -0277
Project # JS- 2013- 000064
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: 126 WEST ST
Applicant Address: Phone: Insurance:
COLLEGE HALL 4
NORTHAMPTONMA01063 ISSUED ON:9/10/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: ERECT 20 X 20 TENT - 8/28/12- 8/30/12 - ITT MAIN
DOORS
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 9/10/2012 0:00:00 $25.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner