38B-006 (110) City of Northampton
•'• "' Massachusetts c'z
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building .?
Northampton, MA 01060 'Mry y�P
RECEIVED TENT PERMIT APPLICATION
� (For Tents over 120 square feet) Q
YAY i 5 2018 gp
Permit Fee: $30.00 Check # ��' O _ I
DEPT OF 6UILDINQ INSPECTIONS f
N091HAMPTON,MA01060
PLEASE TYPE OR PRINT ALL INFORMATION
t. Name of Applicant Smith College Richard Korzeniowski
Address'. 126 West Street Telephone. (413) 585-2458
2. Owner of property.
Address Telephore.
3. Status of Applicant:_Owner _Contractor
4. Tent Location Address): 126 West Street- In Parking Lot
FM Lunch Tent
Parcel ID[°Zorling;Map# }?4rtParcel#tj$`.fi'F*LipL1. Distdd(s)' ` • `
90 BE FI(1EPJN UJhF BIIILDING;RE2ARTMENT)
5. Use of Property: Residential: Commercial:_
6. Description of Tent:
Size: 1-20' x 30' Tent
Occupant Capacity.
Dates of Use: May 17, 2018 to May 23, 2018
Inspection May 17, 2018 before 12.00(noon)
7. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
& Certification: I hereby certify that the information contained herein is true and accurate to the best
of my knowledge.
DATE: - 20 )J APPLICANT'S SIGNATURE
NOTE: Issuance of a permit does not relieve an applicants 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.