23B-046 (242) Commonwealth OfMassachusetts
City ofNorthampton Map: Block: Lot:
23B 046 001
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to Cooley Dickinson Hospital
I Certify that I have Inspected the I2 Commercial Building known as Cooley Dickinson Hospital
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located at 30 LOCUST ST, RI in the City of Northampton
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The Means OfEgress Are Sufficient For The Following Number Of Persons:
BY STORY
Story Capacity Story Capacity
Third floor 87 Fourth Floor 61
Fifth floor 24 Basement 47
Conference Room-Second Floor 125 Conference Room-Ground Level 262
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location
Ground Floor Out patient 35 Kittedge Surgical Ground Floor Lab 221 Kittedge Surgical
Addition Addition
Ground Floor Central Sterile 60 Kittedge Surgical First Floor Surigical Daycare 112 Kittedge Surgical
Addition Addition
First Floor Waiting Room 58 Kittedge Surgical First Floor Operating Rooms 85 Kittedge Surgical
Addition Addition
CI-2015-0030 01/28/2015 01/28/2016 �- 4'—
Certificate Number Date Certificate Issued Date Certificate Expires Buildi g Offi al
**A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEDNEAR ALL ENTRANCES
212 Main Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*Fax:(413)587-1272