31B-179 (39) City of Northampton
' F Massachusetts *o�0;114
DEP
212A .NEA`T OF BUILDING INSPECTIONS213 Msin ethmp • Municipal 9uiltlinqNPrthup<on, MA 01060
RECEIVED
TENT PERMIT APPLICATION
n2 2019 ,For Tents over 120 square feet) uV
owT Oc ounown msREcnoss
Permit Fee. $30.00 Check IVgWA ✓�y v
NORTHAMPTON.MA010e0
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PLEASE TYPE Ok 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. Statue of Applicant'._Owner _Contractor
4. Tent Location Address): Davis Center, 12 Prospect Street,On Front Lawn
Mini-Maker Faire
R Del"7O. A91 '.h1eD E?11L a
5. Use of Property: Residential:_ Commercial:_
6. Description of Tent:
Size'. 1 -20'x 20'
Occupant Capacity:
Dates of Use: April, 13,2019
Inspection April 12, 2019, Any Time
7 ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
e. Certification: 1 hereby certify that the information contained herein is true and accurate to the best
of my knowledge. n
DATE: `l-IO '2014 APPLICANT'S SIGNATURE Lk
NOTE: Issuance of a permit does not relleve 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 authorttles.