23B-046 (259) 30 LOCUST ST-COOLEY DICKINSON BP-2016-1429
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23B-046 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: TENT BUILDING PERMIT
Permit ar BP-2016-1429
Project# JS-2016-002455
Est. Cost:
Fee: $30.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Homeowner as Contractor
Lot Size(so. ft.): 1325051.64 Owner: COOLEY DICKINSON HOSPITAL INC
Zoning: M(99)LWP(21•)/URB(11.! A_v_nlicant: COOLEY DICKINSON HOSPITAL INC
AT: 30 LOCUST ST - COOLEY DICKINSON
Applicant Address: Phone: Insurance:
30 LOCUST ST (413) 582-2216 ()
NORTHAMPTONMAO1060 ISSUED ON:6/2/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:30 X 30 TENT IN BACK OF MCCALLUM
BUILDING
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: i.isu:ation:
Final: Smoke: Final: Q//, g /K ? -----
THIS PERMIT MAY BE REVOK ! HE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND RE 111
Certificate of Occupancy :I,nature: CX-C44-61) A4
FeeType: Date Paid: Amount:
Building 6/2/2016 0:00:00 S30.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
Al&
City of Northampton
' Y-•\<` . i.. Com!
:,y• - �. Massachusetts
Orel! f '' DEPARTMENT OF BUILDING INSPECTIONS w; 1v
c J'•.
212 Main Street • Municipal Building %
Northampton, MA 01060CD cc.
'�•�'1%1q-•�%j<\`�
N c
I a= TENT PERMIT APPLICATION
Lu ct
cc
N 2 (For Tents over 120 square feet)
Permit F : $30.00 Check # 93 7?
PLEASE PE OR PRINT ALL INFORMATION
1. Name of Applicant Sc_o / '1m/2 cc t/v-1
52= 7 r y
Address: v
_10 .4C ,77-- Telephone: J
2. Owner of Pro—p-erty: "GV JJ/C liC ,')S ON i/O Sr/ T A/
Address: J 0 ,/e) G civ J Telephone: i 1" z r 3
3. Status of Applicant: Owner Contractor P/O gE
i A of Mc CC{.CC{.//vm , i
4. Tent Location Address): -1— A � �.k � `�
Parcel ID`. Zoning Map#; -:Parcel# .y Oistncf(s)
(TO BE FILLED IN BY,THE:BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial: x
6. Description of Tent
Size:
X 90
Occupant Capacity: 1 S. 0 c�
Dates of Use: J V h e L7 T i4
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: /7 ~ /6 APPLICANT'S SIGNATURE fP.--4 / t_
NOTE:Issuance of a permit does not relieve an applicant's burden to comply with all zoning requirements
and obtain ail required permits from the Conservation Commission, Department of Public Works and other
applicable permit granting authorities.
IPMENIMMINIMEMNIIMW