25C-251 (126) City of Northampton
Massachusetts
' y DEPARTMENT OF BUILDING INSPECTIONS a's
212 Main Street • Municipal Building yJGti. Ob
—'� ,pNorthamtonMA 01060
I q 5? ------
H ECEIVED
TENT PERMIT APPLICATION r._.
(For Tents over 120 square feet)
JUN 2 0 2019
Permit Fee: $30.00 Check # DEPT OF BUILDING INSPECTIONS
NO 3THAMPTON.MA 01060
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: P l( l Sfo/n e-/l i
Address: I? Co66jeIrs ( 1 e l Telephone:_mR
2. Owner of Property:8Q/nai2i--e, F-7'-aOk/l1r n CG1-�d 7��1�>+CLIP� /b/C�l iL�i/J�/lQ� �J�/eTL
Address:--,W /V�lephone:
3. Status of Applicant: Owner Contractor
4. Tent Location Address):, FQ✓/ ll% 61 f�/ 1��On. /�� 1 J`
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Use of Property: Residential: Commercial:_ 6,V
6. Description of Tent:
i
Size: 0
Occupant Capacity: �Y //
Dates of Use: //e2// 7 /1 7 / L 9
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: l 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.