38B-006 (71) City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONSr
_ u 12 Main Street • Municipal Building
L Northampton, MA 01060 Ntr '
i
28 2015
Electric, Plumbing&Gas fnspectlOrp TENT PERMIT APPLICATION
Northampton, MA 07060
(For Tents over 120 square feet)
Permit Fee: $25.00 Check #
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: �.-A 1A Q figs e
Address: )2(� tjcjj r S�} ecI Telephone:
2. Owner of Property: c3 rn 4 e. 1 e o
Address: Telephone:
3. Status of Applicant: Owner Contractor i \ I
4, Tent Location Address): S e Q- kcko� �'� k a� �iC'A (" 1 I
,2.. S ex,(Y 9-
Paree_11D±�Zonmy M_ ap#�� �a.,��scet#� 'ice � district(s� t.� � �-3-:•
(TO,�B�1LLED�N B�Y'f ,• BUILDING`�`�>=P•Rjt,MEI�Tj j
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: 1 ' 10 ti ! +ems
Occupant Capacity:
b
l �
Dates of Use: 5V1o,`6zr �1 ef c{ ZJIJ
.S �cr, cr 1 =-, 2.) � of �tr i2�4J
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: '2 -20I APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities._
�, /-.--; .( a� x"K
City of Northampton
rg Massachusetts `
rd
TMENT OF BUILDING INSPECTIONS Jrl.
Main Street • Municipal Building
AuG('��7 Q v Northampton, MA 01060
L, ,,n &Gas insp
Electric. Plur',��, A
tiorlhamplon MA Oi0�0
TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Permit Fee: $25.00 Check#
ii C
PLEASE
!?�TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: M r h e `R LcL,-A k o o-ek io t L;G`°
Address: ) [„ ( �e J �,�rye-f _Telephone: f; �� �,�5 'Zcf fy
2. Owner of Property: c3 P , C. Il ese-
Address: Telephone:
3. Status of Applicant: Owner Contractor l-
4. Tent Location Address): 111 "N NV � � ma,, v% T iy``c e
�T®,,�; 1LI�D�N S1'TE�BUILL]1N�'D�P�Rj�MENT�
5. Use of Property: Residential: Commercial:
6. Description of Tent:
Size: 1 - 10i&2-0'
— 10 i&Z.0' je,4.
Occupant Capacity: c'4h
Dates of Use: r r t AR � J�� a ,ZO 1 i lo
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: U®' 2 -ZJ APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities._ /Ae��
l�
City of Northampton
7
R Massachusetts
-_ DE NT OF BUILDING INSPECTIONS J rlt
212 n Street • Municipal Building ��}
orthampton, MA 01060 } Y
&Gas Irsaz�ions
ectric.Plumbing MA
El 01060
NoTtharr,pton,
TENT PERMIT APPLICATION
(For Tents over 120 square feet)
Permit Fee: $25.00 Check#
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: 5,�Jk C 11!?5 e f�iC►�o°t� �o i?2n�;� W ;L�
Address: ))-(� i, cjj I Telephone:
2. Owner of Property: J('h C. ll r?5 ,
Address: Telephone:
3. Status of Applicant:-Owner Contractor
4. Tent Location Address): UA 1 e 110(tS e
N5 Elm cj/vc>
��,,�iE�- 1,LL'ED;�;B�''fE BUILD(t�IG�TJ)rP�RT�NIEt�TJ
5. Use of Property: Residential: Commercial:
6. Description of Tent: }}
Size: �' � rnl� ► 2n �J rL=NneciFP,�
Occupant Capacity:
Dates of Use: 6 2
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: 6-Z? -2 J 11
APPLICANTS SIGNATURE
NOTE: Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements
and obtain all required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities._
S