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23B-046 (266) 30 LOCUST ST BP-2017-1365 GIS If: COMMONWEALTH OF MASSACHUSETTS Map:Block: 23B-046 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:TENT BUILDING PERMIT Permit# BP-2017-1365 Project JS-2017-002272 Est.Cost: Fee:$30.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq.fl.): 1325051.64 Owner: COOLEY DICKINSON HOSPITAL INC zoninLr M(99)/WP(2I)/URB(l)/ Applicant: COOLEY DICKINSON HOSPITAL INC AT: 30 LOCUST ST Applicant Address: Phone: Insurance: 30 LOCUST ST (413) 582-2216 0 NORTHAM PTON MA01060 ISSUED ON:5/25/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:30X40 TENT FOR JUNE 7TH EVENT 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 II 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: FeeTvpe: Date Paid: Amount: Building 525/20170:00:00 S30.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner City of Northampton I Massachusetts t, y ( ` DEPARTMENT OF BUILDING INSPECTIONS `212 Main Street a Municipal Huiltling Northampton, MA 01060 a:¢ Com_ 1 7 - 1301/4C TENT PERMIT APPLICATION C.- (For Tents over 120 square feet) �I In125 5 /^ p � Permit Fee: $30.00 --- .) Check # 90So 704 L ,_, ,_,///!oPLEEASE TYPE OR PRINT ALL INFORMATION ,.J /� 1. Name of Applicant: COl e`/ 0 if k, nao,7 //o / iir ` / Address: ?D "or (// S % ,C ,, Telephone: SD 2- .21 / 3' 2. Owner of Property: COO/c v D icif i'iSai Nosp i TA / Address: c1fi'-c Telephone: 3 ft al 3. Status of Applicant: wn 7 Contractor sanr 4. Tent Location Address): J C /v c U J f W 2/ IS'AGr; Di. Mc Catint L•-t,,:/-154( Parcel ID: Zoning Map# Parcel# .'District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Use of Property: Residential: Commercial ' \ 6. Description of Tent: Size: .3 0�>4• 7 6 [[ Occupant Capacity: / .2 3------ Dates of Use: r It WC. / rip 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: ai DA 1 APPLICANT'S SIGNATURE c7:.--et t(1/4/ :f{r ' 'C%Ij(:- 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.