31B-249 City of Northampton
Massachusetts
I DEPARTMENT OF BUILDING INSPECTIONS '+
212 Win Street a Mrnicipal auildLng10 MJF+ OD
Northampton, W D1060 'r Yjy' `M1J
0,P- Ig-1 7
RECEIVED TENT PERMIT APPLICATION
JUN ) 219 (For Tents over 120 square feet)
DEPT OF BUILDING INSPECTIONS Permit Fee: $30.00 Check# /011
NORTHAMPTON,MA01060
PLEASE TYPE OR PRINT ALL INFORMATION
I. Name of Appiicant:-PGr'�,I PaA- j LLC
Address: 172 for(ey e Nr H wrrw Sn�i{„Umd/ah !�p O/o73Telephone: z//3 - ?3 0- 6S%b
2. Owner of Property: 1122, e;2
Address: IJo✓/M rL wLQ&n M19 6104,.2 Telephone: q 1 -Sb-N -x700
3. Status of Applicant:_Owner Contractor //��
4. Tent Location Address) SIN CdII2r� P cc, .Py3 -CcL k,r
r CA,n_En ( J OoLq-j.r.v IL., MP 010(,6
DEPAR 'p}
5. Use of Property: Residential:_ Commercial: x
6. Description of Tent:
Size: dno X
Occupant Capacity: a7U0 geopte
Datesofuse:,PuU us+ 9 AQ�us+
7. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
s. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: 102 a,� Oty APPLICANT'S SIGNATURE r;
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.
City of Northampton
• r,
Massachusetts
� G
r 1Z
D!NeLR T OF BUILDING INSPECTIONS
� 212 Naan Stxeet • Municipal Builtlinq SRC
Noxthsmpton, NA 01060
RECEIVED e�P- `J- 13a--7
TENT PERMIT APPLICATION
JUN 1 2018 (For Tents over 120 square feet)
OFPT OP BUILDING,iNSPccTIONS Permit Fee: $30.00 Check # OI
NOnTHAMPTON,MA01060
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant �0. P -fir I /?er0al-\ z,( r
Address: /-79 Cd(1<fgg l-oHi. r. r�SouHn,,.w�i/en MAIL/elAelephone:
� I
2. Owner of Property: 4+A/\ CoIItSc
Address: A)0;1AaMOfo M /1' )/6(o3 Telephone: q1 -S9r[I - a7�6U
r
3. Status of Applicant:_Owner X Contractor
4. Tent Location Address): `n.. +k CO�'t e Cawrn U3 (-C'ikr
ka /e)rte kn✓A poi NIA /t/n ( U
5. Use of Property: Residential:_ Commercial: X
6. Description of Tent:
Size: Qo -
Occupant Capacity: 166 peoDIC
Datesof Use' llu005f Y, '20/a
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: APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all mining requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities.