37-060 COI 01/17/2024 �j"""" � The Commonwealth of Massachusetts
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New and Renewal Certificate of Inspection ''�/
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.
NORTHEAST CENTER FOR YOUTH & FAMILIES 0002
Located at Identify property address including street number, name city or town and county Certificate Expiration
272 GROVE ST, Northampton 01/15/2025
37-060-001
Use Group Classifications Allowable Occupant Load
R-1/I-3 40
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 1 CHIEF ANDY PELIS Building Inspector JONATHAN S. FLAGG Date of Inspection 01/17/2024.•
Signature of Signature of Municipal , I )
Municipal Fire Chief Building Inspector ' If ., TO. Date of Issuance 01/17/2024
City of Northampton
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y vi DEPARTMENT OF BUILDING INSPECTIONS yJ om'
aee9'"i: 212 Main Street • Municipal Building
Northampton, MA 01060 WON
PERIODIC INSPECTIONS
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APPLICATION FOR REQUIRED INSPECTION
PREMISE NAME:
PREMISE ADDRESS: OWNER(S) OF RECORD: 272 66cDVE ST AibR77-1/4P1r rorV
OWNERS: Alot?Th'Cl3 7 C.� g PDe_.. y67477-1 '-
ADDRESS: ST: TELEPHONE NO: 913-42.7' 6955
NAME ON CERTIFICATE: dv ��J /�4m��
TYPE OF BUSINESS i(f Dr�.ff� E.gs4 Cep 4'1 �-on- y`S
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: ID012c-r Lb Vdane 460//7/
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Applicant Title: ?°"‘I`) /1---6' fiv/an,
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Telephone
17//3 lie 7
Preferred inspection time/date
q),42/1,)
Comments: 4)0J274i1/4,n/D74- 2>
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Basic Periodic Inspection Checklist