25C-251 (64) FEE$25, 00 /tent ,
File Alo.
Please type or print aII information and return this form to the Building
Lispector's Q�ce _ 'cheer ormoneyordler)payabje to die
City ofAlor�iampton _
Name of Applicant:
/Address: ' Telephone:
/2. Owner of Property:
Address: Telephone:
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
14. Job Location:
ama-
G
_
Existing Use of Structure/Property:
LIST EVENT
•
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary):
V LIST DATES OF EVENT"
NO OF/SIZES OF TENTS*
WHEN TENTS READY FOR INSPECTIOMI!
7. Attached.Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special Per rnit/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 Pegistry of Deeds?
NO DDNT KNOW YES
IF YES: enter Book Page and/or Document f
9.Does the site contain a brook, body of water or wetlands? NO V" 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)
V":1DaMmi:w&FC Lk:-C10-4_i aTL3 a d:_Q i^s c* Zoain�-?emit-��li rinn-p�csn e.doc E/4,2004
FEE$25, 00 /tent
n �t�
ZC09
File NTO.
Please-type or print all fir;formation and return this form to -the Building
Inspector's Office 'check or-money order)pa y ble to the
Utv ofAlorthaampton
Name of Applicant:
V/Addre - ,I te— 7 Telephone
✓1. O�nmer of Property:
Address: - c�F' C� elephone: _
3. Status of Applicant: Owner Contract Purchaser Lessee Other (explain)
14. Job Location: Zia�' �G} �
OMER RIM
`, Existing Use of Structure/Property: r
LIST EVENT
6. Description of Proposed Use/Work/Project/0ccupation: (Use additional sheets if necessary):
LIST DATES OF EVENT: `— / 71
NO OF/SIZES OF TENTS
WHEN TENTS READY FOR IN5PECTIOI�Ti� � ` /'•����.
7. Attached.Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
S. Has a Special Permili/Variance/;=finding ever been issued for/on the site?
NO DONT KNOW V/ YES IF YES, date issued:
IF YES: Was the permit recorded at the Pegistry of Deeds?
NO DDNT KNOW YES
IF YES: enter Book Page and/or Document f
9.DDes the site contain a brook, body of water or wee jands? NO 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 Continues Dn Other Side;
R?Boc nen�1 . : sn�g?e*mr-�?*�i ; n Dzssivc.doc S/�20D�i
BP-2009-1021
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeory:Tents BUILDING PERMIT
Permit# BP-2009-1021
Project# JS-2009-000501
Est. Cost:
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(sq.ft.): Owner: HAMPSHIRE FRANKLIN&HAMPDEN
Zoning: Applicant: MICKA JEREMIAH
AT: FAIRGROUNDS - FAIR ST
Applicant Address Phone: Insurance:
P O BOX 422 (413) 461-6782 ()
EASTHAMPTONMA01027 ISSUED ON.61412009 0:00:00
TO PERFORM THE FOLLOWING WORK:ERECT 20 X 30,20 X 40, 10 X 20 & 40 X 100
TENTS 616/09
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 6/4/2009 0:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo