32A-246 (3) BRIDGE ST- LAMPRON PARK BP-2019-1157
GIS#: COMMONWEALTH OF MASSACHUSETTS
:Block: 32A-246 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permh: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateamv,TENT BUILDING PERMIT
Permit BP-2019-1157
Project JS-2019-001876
Est Cost:
Fee: $30,00 PERMISSIONIS HEREBY GRANTED TO.
Const.Class: Contractor: License: r
Use Group: TOWARD HARMONY TAI CHI & QIGONG
Lor Siae(sa.ft.): 43995.60 Owner: NORTHAMPTON CITY OF
Zoning: URC 991/ Applicant: TOWARD HARMONY TAI CHI & QIGONG
AT: BRIDGE ST- LAMPRON PARK
Applicant Address: Phone: Insurance:
ISSUED ON:4/18/2019 0:00:00
TO PERFORM THE FOLLOWING WORK60x30 tent - LAMPRON PARK
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 Df Occupancy Signature:
FeeTvoe: Date Paid: Amount:
'Building 4/18/20190:00:00 $30.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
City of Northampton
Massachusetts
DEPARTMENT OF BNIB➢ING INSPECTIONS
5
212 Hain Street • Municipal Building �?
NortTaniptan, HA alOfiO
RECEIVED
APR 18 2019 T NT PERMIT APPLICATION
DFPT OF awi DIN,R SPFcnONS or Tents over 120 square feet)
NORTHAVrrON.renm1111
Permit Fee: $30.00 Check#
PLEASE TYPE OR PRINT ALL INFORMATION I
1. Name of Applicant: 1A �ti�r M( / l n - 1�6 �riN-o r-� -T" lA1
Adtlress'. I� C `):.oY �� t#a�7 '1 1Jt't(% TelephonL4l Sibl$4fb�
2. Owner of Property: sir'
Address: Telephone:
3. Status of Applicant:_Own _Contractor
4, Tent Location Address): S _ La — e_ d 74 3y G
Parce4)5D},`�Zonrg'Mapi# :, ;w 'iCarcel# Distnct(s1r. ' ' r `'r %: E
(70 BE FILLED IN KY THE BUILDINGDEPARYMENT)
5. Use of Property: Res'ufen6aC Commercial:_
fi. Description of Tent:
Size: O.c 070'
Occupant Capacity: $(J
Dates of Use: A) 7 1 19
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: q' to t9 APPLICANT'S SIGNATURE Vi/� V
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 permitgranting aulhorMes.
AMNRC
Permit application received by:
t
Staff initials: y lT Date:
Approved by43 Date:
TYPE Single Use Seasonal Use Tournament Use
Fee Due $
Amount Paid Date
Amount Paid$ Date
CASH CHECK N DATE Staff
Facility Use Checklist
Staff must make sure the following is included with application for use:
❑ Certificate of Liability enclosed
The following must be submitted before any practices or games(usage of fields)begins:
❑ Fees enclosed
❑ List of Coaches enclosed
❑ Rosters enclosed,including name and address of each player
o Rosters must be current and be organized by team.
o Player listed must be actively playing on that team in the current season.
❑ CORI checks done on all coaches (youth leagues)
❑ Restroom keys picked up (for those facilities that have restrooms)
❑ Portable restrooms ordered(for those facilities without restrooms or for large events).
❑ Schedules, including home and visiting team name,division, date, game time and location
Updated March 2019
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