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22D-065 (5)
BP-2022-0552 77 FLORENCE RD COMMONWEALTH OF MASS CHUSETTS Map:Block:Lot: 22D-065-001 CITY OF NORTHAMP N Permit: Temp Structure (Tents) PERSONS CONTRACTING WITH UNREGISTERE CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY F ND (MGL c.142A) BUILDING PE MIT Permit# BP-2022-0552 PERMISSION'S REBY GRANTED TO: Project# TENT Contractor: License: Est. Cost: Const.Class: Exp.Date: • Use Group: Owner: A CLAWSON SETH A& BUNK DANA Lot Size (sq.ft.) Zoning: WSP Applicant: A CLAWSON .ETH A& BUNK DANA Applicant Address Phone: Insurance: 77 FLORENCE RD FLORENCE, MA 01062 ISSUED ON:05/18/2022 TO PERFORM THE FOLLOWING WORK: 10X30 TENT 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: , Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHA PTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • 1' • )2 . TAD, Fees Paid: $30.00 212 Main Street, Phone(413)587-1240,Fax:(413) 87-1272 Office of the Building Commissioner aYH"-MPS City of Northampton ?i" °tit S�5 ... Sic fi '" Massachusetts 4? 3._ 'ee It t 6e- DEPARTMENT OF BUILDING INSPECTION 212 Main Street • Municipal Building i. csD.erefi ` Yy-` Northampton, MA 01060 sbh RCN ©Ci S TENT PERMIT APPLICATION (For Tents over 120 square feet) Permit Fee: $30.00 Check #;ILL P SE TYPE OR PRINT ALL INFORMATION 1. Name of Applicant: bas\T1 Vr\ \\ Address: -1 r `O� �� V(( en(e jliaelephone: P)i j- q_s 2. Owner of Property: Address: J)O L. Telephone: ,JCS\`j\ 3. Status of Applicant: 1.- Owner Contractor 4. Tent Location Address): �UC ehLt �OCZC a atOu Parcel ID: Zoning Map# Parcel# District(s) (TO BE FILLED IN BY THE BUILDING DEPARTMENT) 5. Use of Property: Residential: Vr Commercial: (7‘r 6. Description of Tent: U Size: 1O)c30 Occupant Capacity: I—) 0 Dates of Use: I Z� 7. ALL INFORMATION MUST BE COMPLETED; PERMIT CAN BE DENIED DUE TO LACK ORMATION. 8. Certification: I hereby certify that the information contained herein is true and accurate to the best of my knowledge. DATE: ' �f� � _ APPLICANT'S SIGNATUR � NOTE: Issuance of a permit does not relieve an applicant's burden comply with all zoning requirements and obtain all required permits from the Conservation Commission, artment of Public Works and other applicable permit granting authorities.