31B-253 (18) City of Northampton
Massachusetts w� ,
l 111
DEPARTMENT re BUILDING INSPECTIONS
212 Main Northampton,
• ., M 01l Building
Northampton, 4@ 01060 '12gy o`0>
TENT PERMIT APPLICATION a5 3
RECENE�L
i (For Tents over 120 square feet) o
MAY 1 5 2018 I Permit Fee: $30.00 check # D ��
oFPNoa.�nM ,
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant Smith College Richard Korzeniowski _
Address'. 126 West Street Telephone. (413) 585-2458
2. Owner of Property:
Address'. Telephone'.
3. Status of Applicant_Owner _Contractor
a. Tent Location Address) 33 Elm Street- Front Lawn of Alumnae House
Registration Tents
Parcel ID: Zoning.Map# "t, Parcel#' 4+"t `*Valnct(s)
(TO BE FlU.EDhIN BY THE BUJIWING DEPARTMENT)
5. Use of Property: Residential_ Commercial_
6. Description of Tent:
Size. 1-20' x 20' and 1-20'x 30' Tent
Occupant Capacity:
Dates of Use. May 17, 2018 to June 6, 2018
Inspection May 16, 2018 after 12:00 (noon)
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: .7 - I I ZC I l�I 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 grangng authorities. /
-(,1 5 I 16 !'�