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31B-179 10. Do any signs exist on the property? YES NO IF YES,. describe Size, type and location: Are there any proposed changes to or additions of sigrs intended for the property? YES NO IF YES. describe size, type and location: 11, Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or Is it part of a common plan of development that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 12. ALL INFORMATION MUST BE COMPLE I ti). or PERMir CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Bra7dfng D • ataeat EXISTING PROPOSED _., iTY Lot Size s Frontage , Setbacks Front i • Side L: R: L• R: ;t:. R: Rear Building Height ..immi Building Square Footage J % Open Space; (lot area ,,.... - minus building & pave d i *"" ""° carkiria # of Parking Spaces # of Loading Docks I Fill: (volume & location) 13. Certification: I hereby certify aiat the information contained herein is true and accurate to the best of my knowledge. /Date:. / -1'S- -O 1 Applicant's Signature NOTE: Issuance of a zoning permit does riot relieve an applicant's burden to comply with aLl zoning requirements and obtain all required permits r ora the Board of Health, Couser' acion Commission, Historic and Architectural Boards_ Department of Public Wori and other applicable permit granting authorities. V+ 0ocarneussOP.IviZori ww-i::- ^- Z.oc=s- Ptr piiarion ;a..-:v_irx 8'4,2OO COOQj ZLZTLSSCT6 XNd ST :ZT SOOZ /llifo FEEEE$ 25, 00 /tent ' ' 1 iS (n File No. Please type or print all information and return this form to the Building Inspector's Office . . (check or money order) payable to the City of Northampton / Name of Applicant: 56"■ ` + ef I l es e ;Sa kwt CIA •0 Wal<, ,Address: la_ L W C'J T ,0 Telephone: ( c 113) ! c�) - 2'I U _ A. Owner of Property: S N, \'L C o )' e S ` Address: Telephone: 3. Stau!s of Applicant: Owner Contract Purchaser Lessee Other (explain) 74. Job Location: TR4/ 4 4 L &Li r\ ) -, ` 1r o P e s } S )'QQ ":14.1=4::::7-- . _vie -. • i o - - :.G K'T.= X:ti... -; t.�.�"' 7—T _ " + '�C:. . , �T.�iGb�^S' — ?L _, ? n r "Y y— •i.� ;�'a• .. i �..� =.a. —s i s ,y3: �� ^_ � �,. - .. - .. +r"s��I�: i �P. �.i^�?.w�1 :1�. ^ �, r •- �_�,���- � _.�s" ^� :� ,. - 1 _ ^.s': ?"�� rtrrar,in.. :.atrAgji _f % • 'n. t__ Cg i s i._ ..., :_. J .v_'r 5- 7. _ =s_ _'� Z^, .e s.. ; . xry T-7;1 r rgu ' ,^.. rc .. i,urK:' - j..T:�? -�C1'e.. aietp 4 1 . '. `1� G70P' ^ " y . =.�:= .!r.'41b J.'�.r.= 4:�._r,�:.- +_.i::� .: lac sr ri.. r "c•�.....w.::e.:r^ al.:..- 5 '":� J.�w.�.y^ =a.Wi- off; ^'ti -4.�; i . Existing Use of Structure/Property: LIST EVENT • (" PGf Gc v te 1ZQ. O FP i 0 5. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): V LIST DATES OF EVENT NO OF /SIZES OF TENTS ' I 2,o k A 10 i e , ,)-.- oa ?!1k... .;.__OP_ O- t ' 4 tki . C ii -Pr 1 0:) d 7. Attached Plans: Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special Permit/variance /Finding ever been issued for /on the site? NO DONT KNOW ✓ YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page /' and /or Document i P.Does the site contain a brook, body of water or wetlands? NO Y DONT KNOW YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained , date issued: (Form Contiru s On C?-„er side) F% :\Dori L'.C.)RMS4. :;c^";r31. a ._._.. rZati =; P it `_77oii=i n`7-2n ry :.doc c/ Z0021 ZLZTLBSCTf XYd ST:ZT 8002 /ZZ /fO . 25 HENSHAW AVE BP- 2010 -0056 GIS #: COMMONWEALTH OF MASSACHUSETTS r , , CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Tents BUILDING PERMIT Permit # BP- 2010 -0056 Project # JS- 2009 - 000085 Est. Cost: Fee: PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SMITH COLLEGE Lot Size(sq. ft.): Owner: Smith College Zoning: Applicant: Smith College AT: 12 PROSPECT STREET Applicant Address: Phone: Insurance: 126 WEST ST (413) 585 -2424 NORTHAMPTONMA01060 ISSUED ON: TO PERFORM THE FOLLOWING WORK:Tent DAVIS LAWN DAY GARRETT RECEPTION JILY 17 POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building ( % fq 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo