31A-324 (12) City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
ae 212 Main Street • Municipal Building yr
Northampton, MA 01060
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VDD ENT PERMIT APPLICATION
AilG ` I
2019 (For Tents over 120 square feet)
IANVI M�pol"V Mq� CTION per it 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
Presidents Fall Party
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial.
6. Description of Tent:
Size. Number of Tents some Connected
Occupant Capacity:
Dates of Use:— Friday, September 6, 2019
Inspection September 5, 2019, 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:��� " ?0 IC1" ?O��l 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 granting authorities.