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20.152 Signed Fireworks PermitNORTHAMPTON CITY COUNCIL FIREWORKS DISPLAY PERMIT Applicant: Northampton Arts, Inc. Address: 240 Main Street #1, Northampton, MA Telephone Number: (413) 587-1069 Date & Time of Display: 12/31/2020 @ 6:15 p.m. Rain Date: 1/01/2021 Location of Display: E. John Gare Parking Garage, 85 Hampton Avenue, Northampton, MA Owner of Location: City of Northampton Estimated Length of Display: approximately 15 Minutes Operator(s) Of Display: Robert Gutowski Type of Display: Largest Shell Size to be Fire 1.5 inch tubes Fire Department Permit Received (Date): November 19, 2020 FOR CITY COUNCIL USE ONLY Date of Application: November 19, 2020 Submitted to City Council: November 19, 2020 Approved by City Council: ____December 3, 2020___________________________________________ Conditions or Restrictions:___________________________________________________________________________ _____________________________________________________________________________________ The applicant is required to publish notice of the fireworks display in a newspaper of general circulation in the city at least one (1) week prior to the date of the display. Notice must also be given on a local radio station at least once during the week preceding the display. Notify the Council Clerk of the dates of advertisements. Failure to advertise or notify Clerk shall result in revocation of this permit. Newspaper:____________________________________ Date:______________________________ Radio: _______________________________________ Date: ______________________________ ____________________ Clerk to the City Council Certificate Of Completion Envelope Id: 8C89C0075C2C47289EA7CA2F956F0D37 Status: Completed Subject: Please DocuSign: 20.152 Fireworks Permit.doc Source Envelope: Document Pages: 1 Signatures: 1 Envelope Originator: Certificate Pages: 1 Initials: 0 Laura Krutzler AutoNav: Disabled EnvelopeId Stamping: Disabled Time Zone: (UTC-05:00) Eastern Time (US & Canada) 210 Main Street Northampton, MA 01060 lkrutzler@northamptonma.gov IP Address: 50.235.91.10 Record Tracking Status: Original 12/16/2020 12:00:16 PM Holder: Laura Krutzler lkrutzler@northamptonma.gov Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign Status: Original 12/16/2020 12:01:06 PM Holder: City Signatures Processing cpo@northamptonma.gov Location: DocuSign Security Appliance Status: Connected Pool: StateLocal Storage Appliance Status: Connected Pool: City of Northampton Location: DocuSign Signer Events Signature Timestamp Laura Krutzler lkrutzler@northamptonma.gov Administrative Assistant, Northampton City Council City of Northampton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 50.235.91.10 Sent: 12/16/2020 12:01:05 PM Viewed: 12/16/2020 12:01:18 PM Signed: 12/16/2020 12:01:37 PM Freeform Signing Electronic Record and Signature Disclosure: Not Offered via DocuSign In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 12/16/2020 12:01:05 PM Certified Delivered Security Checked 12/16/2020 12:01:18 PM Signing Complete Security Checked 12/16/2020 12:01:37 PM Completed Security Checked 12/16/2020 12:01:37 PM Payment Events Status Timestamps