31A-324 (10) City of Northampton
✓ Massachusetts
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{� DEPARTMENT OF BUILDING INSPECTIONS S��iI
212 Mnin Street Municipal Building $ ���
North mptan. IM 01060 X�
TENT PERMIT APPLICATION �1
p( 23 2019 (For Tents over 120 square feet) --;L# 7,gs IV
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ermit Fee: $30.00 Check
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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
4. Tent Location Address): 8 Paridise Road - President's House
Number of Reception Events for Commencement and Reunion
ParcellD Zoning Map# 'r°• Parceljll ,,*"i Distnct(s) '�r
90 BE FILLED.IN BY THE BUILDING.DEPARTMENT)
5. Use of Property: Residential Commercial
6. Description of Tent
Size. Number of Tents Connected
Occupant Capacity:
Dates of Use: Tuesday, May 14th,to May 28th, 2019
Inspection Tuesday, May 14, 2019 before 12.00 (noon)
7. ALL INFORMATION MUST BE COMPLETED' PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
B. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge. 1
DATE: 'd ry.1d19 APPLICANT'S SIGNATURE
NOTE: Issuance 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.