25C-231 (6) City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
\ y Northampton, MA 01060
TENT PERMIT APPLICATION
(For Tents over 120 square feet) Q
Permit Fee: $25.00 Check # 2�l"!
PLEASE TYPR PRINT ALL INFORMATION
1. Name of Applicant: �� `A `A l-4 /- I/4`' V`
Address: 1 J T /Y(j � T Telephone:.
2. Owner of Property: M u�A ck
�q t
Address: l S 7 (3 Y,ct S Telephone: Ll
3. Status of Applicant: (I/Owner Contractor
4. Tent Location Address):
Parcel ID: Zoning Map# Parcel# Distdct(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: y Commercial:
6. Description of Tent:
Size: 30 X
Occupant Capacity: -7
Dates of Use: 5C] t-
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: I APPLICANT'S SIGNATURE
- '' -fT
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._
157 BRIDGE ST BP-2015-0334
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:25C-231 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-2015-0334
Project# JS-2015-000618
Est.Cost:
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): 5837.04 Owner: MOROCHO MANUEL T&JOSE TENESACA
Zoning: URC(100)/ Applicant. MOROCHO MANUEL T & JOSE TENESACA
AT. 157 BRIDGE ST
Applicant Address: Phone: Insurance:
116 VILLAGE PARK RD
AMHERSTMA01002 ISSUED ON.912212014 0:00:00
TO PERFORM THE FOLLOWING WORK.ERECT 30 X 40 TENT 9/27/14
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 9/22/2014 0:00:00 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner