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25C-251 (62) 06/1112014 10:32 14135671272 NTON BLD DEPT PAGE 41101 Cit}y�) cif Northampton � � X515}�µY�� SfYf r ' �►' JUN 1 2 2014 '�' z��g ��hus�t;ts i. � Off' aQ2ZY1YN'G Tti!' .LCT'IL1�7S �} �r Electric, Pun bmg e, Gas, • '"" No r i�=c . "C!• tsnir, tsee� • Municipal Building �'.w,. arthamp•Can� MA DiC6o r?F g;: h TENT�PERMIT APPLICATION (For Tents over 120 square feet) Permit Fee; $25,00 Check#�94d'� PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: e CU k Q-� Address; Ll ,,_,J��2 _j_ lZ 6f=- Telephone: 2. Owner of Property: S�< - Address: Telephone: 3, Status of Applicant: ► owner Contractor 4. Tent Location Address): /q (Z%l�'1A-, �0/ Pare;lt�.�.�R.tl?l7g._.ap#�..parcel# I ...,. - :,: • tTQ.sET(LL50IWAY., ikAUll.DINGDEPARTA?IENT� 5. Use of Property: Residential:. _ Commercial: 5• Description of Tent: Size: `4 u Occupant CBpaoity: 0 Dates of Use; `4 t 7. AJILj b ATj N MUST BE COMPLETED,P I C >3 N B. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: I APPLICANT'S SIGNATURE N01'E:Issuance of a permit does rud relieve an applicant's burden to comply with an zoning requirements And obtain all required permits from the Cormerve6on Commission,Depariment of Public Works and other applicable permit granting authorities.— FAIR ST-FAIRGROUNDS BP-2014-1338 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 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-2014-1338 Project# JS-2014-002237 Est. Cost: Fee: $25.00 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: HAMPSHIRE FRANKLIN & HAMPDEN AGRICULTURAL SOCIETY AT. FAIR ST - FAIRGROUNDS Applicant Address: Phone: Insurance: P O BOX 305 (413) 584-2237 () NORTHAMPTONMA01061 ISSUED ON.611212014 0:00:00 TO PERFORM THE FOLLOWING WORK.ERECT 20 X 40 TENT FOR BEER FEST 6/14/114 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 6/12/2014 0:00:00 $25.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner