25C-251 (67) City of Northampton
4l5 Sr''.
Massachusetts
a- l — DEPARTMENT OF BUILDING INSPECTIONS
fain Street • Municipal Building
ire
Northampton, MA 01060 '--
J AUG - 42 14
3
Electric, Pumb;n T NT PERMIT APPLICATION
Northam tong Gas Inspections
p MA 01060
For Tents over 120 square feet)
Permit Fee: $25.00 Check#
PLEASE TYPE OR PRINT ALL INFORMATION
P
1. Name of Applicant: b oun / 2 )' Q{�
Address?h,_eg, ( PO Telephone:0 I'`7� �- v
2. Owner of Property: `� 11
Address: T tf IV M 10-A Telephone:
3. Status of Applicant: Owner Contractor
4. Tent Location Address): oZ0 X I o In T ifJ,t�
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE_FILLED_IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: ' 2d x L� c)
Occupant Capacity: o2 b e°'-J\
Dates of Use: Z,-A " 1 o C I q
7. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
8. Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all o ' g requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities._
FAIRGROUNDS-FAIR ST BP-2015-0148
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-2015-0148
Project# JS-2015-000261
Est. Cost:
Fee: $75.00 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: NORTHAMPTON HUNTER & JUMPER
AT. FAIRGROUNDS - FAIR ST
Applicant Address: Phone: Insurance:
69 TAYLOR RD (413) 625-9967
SHELBURNEMA01370 ISSUED ON.8/4/2014 0:00:00
TO PERFORM THE FOLLOWING WORK.-ERECT (3) 20 X 40 TENTS 8/7-8/10/14 -
NORTHAMPTON HUNTER & JUMPER
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 Sitnature:
FeeType: Date Paid: Amount:
Building 8/4/2014 0:00:00 $75.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner