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38B-006 (15) 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 signs 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 COMPLETED, or PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION This column reserved for use by the Building De • artment EXISTING PROPOSED -_`. RE b 3Y Lot Size 1_ Frontage j.. Setbacks Front • S ide L: R: L: R: 1 - Rear i:. Building Height (Building Square Footage • % Open Space: (iot area ^` ` minus building & paved parkin # of Parking Spaces # of Loading Docks ;. Fill: (volume & location) 13. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. 11 -20) Z Applicant's Si ate: w pp � Signature NO l E: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning regnirements and obtain all required permits from the Board of Health, Conservation .Commission, Historic and Architectural Boards, Department of Public Works and other applicable permit granting authorities. W: Documents` = ORviEbri arB ildinE- spec. =-' Tor irs -P.f.nr.th-A3yplimnon- passive -doc 8/4/2004 FEE0[ 25, 00 /tent File No. _ ____ DEPT. OF BUILD N ,, ',,PECTIONS .nr A ,- C lL - w . mss , 1 ,,, . x - ' +Y �1 l b1 , L ,- . � Q � 6 '". .` ., .,+FIL`*Fio:F?C. ..: •vxr .l!*. naU k�rv.. ♦ ..f �� Please type or print all information and return this form to the Building Inspector's Office 'check or money order) payable to the City ofNorthalnpton /l. Name of Applicant: . •INN ■ .1 "L C Ile) Q ��-44 {tof C^ .a,v A 1 /Address: 12 L G-k, }- S ki iaeA 'Telephone: L (f 3) s 8 .i -2 `j i L� /2. Owner of Property: S IN-, v L C I . Z Address: Telephone: 3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain) .f nn y , /4. Job Location: cac4 1 3 -s s i l� 12 c 1.t�C�J T S J r- 3. e ` u ') � U y , . t ` �._ '. 1 F 7:,';'- -- -r' - -- - �-- 0 .sue - - �` : - - -.—. = � y� f 6 x.- , pi I . Existing Use of Structure /Property: LIST EVENT. Ltnv..( h J'4' U. 1:e., J ✓ 6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary): LIST DATES OF EVENT' NO OF /SIZES OF TENTS • 1 — 20 ' 0 T n } WHEN TENTS READY FOR INSPECTIONI:: 1r iaG H•. y 2 5, 2U iL . 1° k- . 1- 4 7 1 7. Attached. Plans: Sketch Plan Site Plan Engineered /Surveyed Plans 8. Has a Special Permit /Variance /Findingg ever been issued for /on the site? NO DONT KNOW V 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 # 9.Does the site contain a brook, body of water or wetlands? NO 4., DON'T 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 Continues On Other Side) W.Do:--a.-oer, FORMS , oe ctor' [ Z o nme -Pe , lt- AIIplimt;on- pzssrve.doc 8/4/2004 AninimmoilIMPIIIIIMINIIINIIIIIIISPo WEST ST BP- 2012 -1013 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B - 006 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- 2012 -1013 Project # JS- 2012- 001750 Est. Cost: Fee: $25.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: Homeowner as Contractor Lot Size(sq. ft.): 9365.40 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning: SI(100) /WP(6)/ Applicant: SMITH COLLEGE OFFICE OF TREASURER AT: WEST ST Applicant Address: Phone: Insurance: COLLEGE HALL 4 NORTHAMPTONMA01063 ISSUED ON:5/17/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: ERECT 20 X 30 TENT FACILITIES PARKING LOT 126 WEST ST 5/25 - 5/28/12 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 5/17/2012 0:00:00 $25.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner f