23A-146 CLOVERDALE PRESCHOOL Commonwealth OfMassachusetts
City of North amp ton Map: Block Lot:
23A 146 001
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to Cloverdale Nursery School
I Certify that I have Inspected the E School known as CLOVERDALE NURSERY SCHOOL
located at 130 PINE ST, in the City of Northampton
The Means OfEgress Are Sufficient For The Following Number Of Persons:
BY STORY
Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE .
Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location
MORNING PRESCHOOL 24 BASEMENT
CI-2016-0058 03/03/2016 03/03/2017
Certificate Number Date Certificate Issued Date Certificate Expires Building Oficial
A COPT'OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEW NEAR ALL ENTRANCES_
212 Alain Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*Fax:(413)587-1272
City of Northampton
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Application Sent on February 3, 2016
PREMISE NAME: CLOVERDALE NURSERY SCHOOL
PREMISE ADDRESS: 130 PINE ST
OWNER(S) OF RECORD:
OWNERS: ADDRESS:
FLORENCE MA 01062 el- e413 3.-Ar
TELEPHONE NO:
NAME ON CERTIFICATE: CLOVERDALE NURSERY SCHOOL
TYPE OF BUSINESS
USE GROUP:
INSPECTION FEE $100
Please complete and return this application to the Department of Building Inspections, 212 Main Street
Northampton, MA 01060. We will contact you to arrange a time to inspect your property. If this information is
not correct, or if you no longer own this property, please note any changes at the bottom or on the back of this
form and return it to the building department. Feel free to contact us if you have any questions. We can be
reached at (413) 587-1240. Thank you.
Applicant name: -�V
Applicant Title: L o/z
Telephone
Preferred inspection time/date i .
Comments: