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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