44-052 (6) * } The Commonwealth of Massachusetts 1
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�i Ci of Northampton „ ��
City
Partial Certificate of Occupancy
In accordance with 780 CMR, Section 5120.0 (The Eighth Edition of the Massachusetts State Building Code, Single and Two Family Dwellings),
this Partial Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified.
Identify Name of Building of Space Within Certificate No.
Issued to
Roy Omasta BP 2012 - 0243
Identify property address including street number, name, city or town and county
Located at
1140 Florence Road
Northampton, Hampshire, Massachusetts
Use Group
Classification(s) Residential Two Family R3 - 5B
This Partial Certificate of Occupancy 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 allow for the use as herein described and in conformance with any and all conditions as
identified below. It shall be posted in a conspicuous place within the space as directed by the undersigned. Tampering with the contents of the certificate is strictly
prohibited.
Conditions of Use Rear unit Only of Two Family Residential - No use of the attached garage before drywalled fire
separation is in place. All fire warning systems must be operable. Structural and Safety Systems
Must Be Maintained
Name of Municipal Date of Final Map /Plot:
Building Official Charles Miller Inspection 11 -05 -2012
Signature of Municipal Date of
Building Official Issuance 11 -05 -2012 44 -052