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Ji ll ile No.
.ING P IT APPLICATION (§10.2)
Plea R ` ` information and return this form to the Building
Inspector's Office with the i5 filing fee (check or money order) payable to the
City of Northampton
1. Name of Applicant: e W e ftca, I mo , A M o r cat s In cars oS 1wAl.t)
Address: 145 1 f oo k d k, e S -t' k 1 ", d i1� i4 Telephone:
2. Owner of Property: �t �' �o tn� l i ll .0 u n
Address: V.C 1/ S i Telephone: Ll I
3. Status of Applicant: Owner ✓ Contract Purchaser Lessee Other (explain)
4. Job Location: V c 4 y r 0,J n d S
Parcel Id: Zoning Map# Parcel# District(s):
In Elm Street District In Central Business District
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure/ Property: It M urvd <,
6. Description of Proposed Use /Work /Project /Occupation: (Use additional sheets if necessary):
Ce- c T re r te., _' i S e. L- K %i e-cA c , ;,a rz,vt ,
o T e,y S o -- ss a 0
Wi nS CeC-= , o 0 a,
7. Attached Plans: Sketch Plan X— Site Plan Engineered/ Surveyed Plans
8. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and /or Document #
9.Does the site contain a brook, body of water or wetlands? NO t,/' DONT KNOW YES
ti
IF YES, has a permit been or need to be obtained from the onservaon Commission?
Needs to be obtained Obtained , date issued:
(Form Continues On Other Side)
W:\ Documents\ FORMS\ original \Building- Inspector\Zoning- Permit - Application- passive.doc 8/4/2004
FAIR ST- FAIRGROUNDS BP- 2013 -0061
GIs #: COMMONWEALTH OF MASSACHUSETTS
Map:Bloc 25C - 251 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- 2013 -0061
Project # JS- 2013- 000072
Est. Cost:
Fee: $250.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq. ft.): Owner: HAMPSHIRE FRANKLIN & HAMPDEN AGRICULTURAL SOCIETY
Zoning: SC(100)/URB(1)/ Applicant: NEW ENGLAND MORGAN HORSE SHOW
AT. FAIR ST- FAIRGROUNDS
Applicant Address: Phone: Insurance:
181 BROOKDALE ST (781) 585 -9006 O
KINGSTONMA02364 ISSUED ON. 711712012 0:00:00
TO PERFORM THE FOLLOWING WORK: ERECT10 TENTS FOR MORGAN HORSE SHOW
7/19/12
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 7/17/2012 0:00:00 $250.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner