16A-002 (8) 300 NORTH MAIN ST-LOOK PARK BP-2017-1397
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 16A-002 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-2017-1397
Project# JS-2017-002326
Est.Cost:
Fee: $30.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.R): Owner: LOOK PARK C/O RAY ELLERBROOK LOOK MEMORIAL PARK
Zoning: URA(51)/WP(20)/URB(2)/HB(0)/WSP(0)/ Applicant: LOOK PARK CIO RAY ELLERBROOK LOOK
MEMORIAL PARK
AT: 300 NORTH MAIN ST- LOOK PARK
Applicant Address: Phone: Insurance:
300 NORTH MAIN ST
FLORENCEMA01062 ISSUED ON:6/1/2017 0:00:00
TO PERFORM THE FOLLOWING WORK 40X80 TENT - FOR 7/15/17
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:
FeeTvpe: Date Paid: Amount:
Building 6/1/2017 0:00:00 $30.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton 16
Massachusetts -�
U
t DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Mimiclpal euildin4 �I
>f-'t Northampton, mit 01060 ph g»"
TENT PERMIT APPLICATION
(For Tents over 120 square feet) G ,1"; /
Permit Fee: $30.00 Check t.'_
PLEASE TYPE OR PRINT ALL INFORMATION
1 Name of Applicant: I r cIAV 4N7vb..0 SLO ire Sid FErn V/fL. LK c
Address: P. 0 got. r?‘ l ?Nht=Dnt Telephone: WS "" &VJ
Po �Zt/6
/ � QO6'
2. Owner of Property: F.O0V- PAN2-
Address: 3ou Al, FVtM S i SOtact'' MT Telephone: Y/3 -STY – S S`S
3. Statue of Applicant_Owner )C)Contractor �f � f
4. Tent Location Address) I,&)L /'(1t'IC7 /161,11A-2 f 4tY t'-(ELA
Parcel ID: Zoning Map#.. . Parcel# pietntes)
(TO BE FILLED IN BY TME BUILMNGDEPARTMENT)
5. Use of Property: Residential: Commercial: X-
6
6. Description of Tent:
Sze'.
Occupant Capacity: t}ptem Cit✓!✓
Dates of Use: �U�t /4 /0/ 7` (io BESET UP 2/01/.7)
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.
till
+s
DATE: f !l y .20 2.0 17APPLICANT'S SIGNATURE r^'r'r ,k'L�Zi`.
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with aM zoning requirements
and obtain all required permits from the Conservation Commission,Department of Public Works and other
applicable permit granting authorities.