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25C-251 (88) FAIRGROUNDS-CIRCUS SMIRKUS BP-2016-1133 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 BUUILDING PERMIT Permit# BP-2016-1133 Project# JS-2016-001942 Est. Cost: Fee: $90.00 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: NORTH STAR AT. FAIRGROUNDS - CIRCUS SMIRKUS Applicant Address: Phone: Insurance: 45 AMHERST RD (413) 582-0193 O SUNDERLANDMA01375 ISSUED ON:3/24/20116 0:00:00 TO PERFORM THE FOLLOWING WORK.ERECT 3 TENTS (BIG TOP,CONCESSION & BACKSTAGE) 7/14,15,16 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 3/24/2016 0:00:00 $90.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner of Northampton A " p ���t Massacl Lusetts . MAR A w� OF BUDDING INSPECTIONS . or�` v�pr1'fD1JS Ma' Street • Municipal Building r DEPT. or �'%0jcC`0 thtss NOAiHANT CI ampon 1 MA 01060 bly'" 71 TENT PERMIT APPLICATION (For Tents over 120 square feet) rte► Permit Fee: $30.00 Check# �q ' ` �QD PLEASE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: /vim r /l� 77"_, Address: 15 A w.1n S,rH�,rr 14,�,rj9r';�/3�,�elephone: �r 3 - S� 2 —e�t'3 2. Owner of Property: ji��r., y!'r fry /Cit►^ j�',1 h. I� M,o .�f� �^,r e H 17�v r ��? i x Address: l--A i YLI vo v" C-3 �1 F� r �jt Telephone: Lj 's 3''j 3. Status of Applicant: Owner &-<ontractor 4. Tent Location Address): ,jqb-4 k C v K ►�g rD v n �S , 44'r T LJ-1�2W 41*1 AW if 5. Use of Property: Residential: Commercial: ew v�N E L�yT' E�95/On G 04 S' E T'6r 6. Description of Tent: 3 +F-,, 5 G g Cd7 7�f'` / , rGv� m� rkas Size: Occupant Capacity: __16 i g L�12 Dates of Use: 7JI N 7/ 5 l a s%U 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: 3 10 APPLICANT'S $IGNATURE _/��,_=� Pzx, 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.