25C-251 TENT PERMITS City of Northampton
/� ox"r2rirl.
Massachusetts ��s•
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building i- •D
\\ �� Northampton, MA 01060 J cs
le)\'\
414 \� .Z/ /yol5
B <20,91
TENT PERMIT APPLICATION
^'OArwi
�nti '^as , (For Tents over 120 square feet)
, �> Fir .
Permit Fee: $30.00 Check #
AST, a25/
PLEASE TYPE OR PRINT ALL INFORMATION /J
1. Name of Applicant:: 4 CC Jiro-�e, Oc. �r�k 40 ec ,�.4 Ir Jr P� eI4J
Address: -_'6 /l/9"'027ela -, -50S4/h rc/r1 or Telephone: (U '/I ,6) 30 C
2. Owner of Property: 7"A-c C- C'1 i ly /a-11" rpgAis
Address: 3 7 tC/s 5f N =7�ti 'rJ Telephone:l 7/� ��/ 22'?
3. Status of Applicant: Owner Contractor
4. Tent Location Address): ± J / / 'cr' /y5'�.
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) 11
5. Use of Property: Residential Commercial: 1 1 .
6. Description of Tent:
/
Size: ?30 //
Occupant Capacity: 4_ 2
Dates of Use: 0‘ " ‘26-0
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: -5745/2./ APPLICANT'S SIGNATURE ecL' / 7e,71, -
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.
City of Northampton
l•
•• Massachusetts
I� DEPARTMENT OF' BUILDING INSPECTIONS
.4_
} 212 Main Street • Municipal Building cD
Northampton, MA 01060
TENT PERMIT APPLICATION ,�'�•
(For Tents over 120 square feet) n�,,�'•0 28
0�nUr 1
Permit Fee: $30.00 Check #
Aso°�S
PLEASE TYPE OR PRINT ALL INFORMATION I
1. Name of Applicant: -ga rd Fa/ler (CHC✓�4r 0),°'i ned-icuT'1g f✓'..4rer2 C iLda)
Address: 3 7i26,/-2,nCi Yr, 5otl7iiing°i'c9� UT Telephone: (5Z OZ
2. Owner of Property: ,�7 rc r- (70a. 1�y /Zri!y-7 zoki
Address: _5- Cei c Ar)or7 "SIC kirly /di Telephone(93)-$8/ — 2Z-s
3. Status of Applicant: Owner X Contractor
4. Tent Location Address): /
J�� JJ' 1 �cl Prrl -sA
/Vo/ /���Gi prnp>��j / '/ll
Parcel ID: Zoning Map# Parcel# District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT) �J'C
5. Use of Property: Residential: _ Commercial:
6. Description of Tent:
Size: �C�X 90i
Occupant Capacity: 10
Dates of Use: Oe
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: --/2-�1Z APPLICANT'S SIGNATURE C
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.