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39A-034 (12) City of Northampton Massachusetts .7 MIMI DEPARTIONT Or B17ILDY140 YNS1'ECs"YONS `• 212 brain Street • Ruildin Hunici al �' "a P 4 °•. Northampton, aa► 01060 "yv"�•�' '+1 7 J ' SEP i 120I TENT PERMIT APPLICATION �_ (For Tents over 120 square feet) Electric, Plumbing&GaE Im_;pections Northampton. tv9A 01060 Permit Pee: $25.00 Check # �A SSA} PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: �lr LK'~ 'k Jkl'FS N rt(A aAA,� Address:. I ta- A f�2_ a n Telephone: 2. Owner of Property: N� yli ✓ ���.,L Address: 3(.e V—rkV>q Telephone: (� 3_ Status of Applicant: 'Owner Contractor 4. Tent Location Address): Par..cel:Ip_:__�ontn�Map.#...;:.:`:�:,-. ;.::.4Aatcel.#::'r�:;: :': :-•...: •:.::.District(s]' :�:::.. :.i•::: ,;.,;.":.: ':,. .:::,..;,, ::.,,:..,. (79 QLeILLEp.IN_BY THE:6UILDING DEPARTMENT` 5. Use of Property' Residential; Commercial; 6. Description of Tent: ` S go — 2-�. Size: 2o x ` Occupant Capacity: q�n1�� ftb� IV Dates of Use: 7_ ALL INFORMATION MUST BE CQMN-ETED.PrRMIT CAN BE DENIED OUE TO LACK OF INFORMATION. 8. Certification. 1 hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE., �l k4 APPLICANT'S'SIGNATURE NOTE, Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements and obtain all requlmd pemuts from the Conservation Commission,Department of Public Works and other applicable permit granting authorities._ TO/10 39Vd 1d3Q C39 NOlN ZLZTL858Tt,1 Ob:ZT VTOZ/TT/60 115A CONZ ST-FAIRFIELD INN BP-2015-0290 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 39A-034 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Tents BUILDING PERMIT Permit# BP-2015-0290 Project# JS-2014-001605 Est.Cost: Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 126759.60 Owner: TALA HOTELS HOLDING LLC Zoning. GB(100)/URC(0)/ Applicant: TALA HOTELS HOLDING LLC AT. 115A CONZ ST - FAIRFIELD INN Applicant Address: Phone: Insurance: 115A CONZ ST (413) 587-8100 NORTHAMPTON MAO 1060 ISSUED ON:911212014 0:00:00 TO PERFORM THE FOLLOWING WORK.ERECT (2) 20 X 40 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 Sisnature: FeeType: Date Paid: Amount: Building 9/12/2014 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner