23A-134 (24) /Opt HAMP) p'.. S.+Ow S,�
4 ,4 The Commonwealth of Massachusetts ��;5..
City of Northampton
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New and Renewal Certificate of Inspection sew '�1
In accordance to 780 CMR Chapter 1 (The Ninth Edition of the Building Code) and Chapter 110 and the Acts of 2004,to further
enhance fire and life safety,this certificate of inspection is issued to the premise or structure or part there as herein identified.
Issued to Identify Name of Establishment: Certificate No.
HILL INSTITUTE 0036
Located at Identify property address including street number, name city or town and county Certificate Expiration
77 PINE ST, Northampton 09/30/2024
23A-134-001
Use Group Classifications Allowable Occupant Load
E BASEMENT-15 / 1sT LOWER LEVEL-35 /
2ND LOWER LEVEL-21 / NEW LOWER LEVEL-99
This certificate of inspection is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected for
general fire and life safety features.This certificate shall be framed behind clear glass and/or laminated and posted in a conspicuous place within the space as directed
by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Name of Municipal
Fire Chief Building Inspector JONATHAN S. FLAGG Date of Inspection 09/08/2023
Signature of Signature of Municipal
Municipal Fire Chief Building Inspector Date of Issuance 09/08/2023
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City of Northampton
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7 I DEP TMENT OF BUILDING INSPECTIONS yJ D+r
.ay I �Q23 212 Main Street •nMunici01060Building 171'jIlli �'`1,�C�
N
, MA
1 PERIODIC INSPECTIONS
DEPT.OF BUILDING INSPECTIONS L5/
NORTHAMPTON.MA 01060
APPLICATION FOR REQUIRED INSPECTION
A3�77/3 L/ r�
I Application Date: I/2 6 /23
PREMISE NAME: H•;II I'11Stl,1i4 e
PREMISE ADDRESS: g3 I il)e S ee�
OWNER(S) OF RECORD:
8 i►I Lil st`tufe.
OWNER ADDRESS:
Th3 ri n e S eef
TELEPHONE NO: ( 413) 5 84- 1725
NAME ON CERTIFICATE:
Hill T»S-ifu.fie
TYPE OF BUSINESS: A rl.s aod Cra S Sc I
USE GROUP:
INSPECTION FEE: $ IO . O�
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:
Applicant Title: J
S+01 —A-elMIn1Spe or
Telephone e ah( .
Summer - (`I-13) 527- 837'1 Self, —Tun ('ti9 58i../-- / 725
Preferred inspection time/date ��
?:00 ,z,n). / Self, 7, 2023 (Thur Ore f
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