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23B-046 (257) 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 located at 30 LOCUST ST, in the City of Northampton 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 Addition Ground Floor Lab 221 Kittedge Surgical Addition Ground Floor Central Sterile 60 Kittedge Surgical Addition First Floor Surigical Daycare 112 Kittedge Surgical Addition First Floor Waiting Room 58 Kittedge Surgical Addition First Floor Operating Rooms 85 Kittedge Surgical Addition CI-2016-0046 01/12/2016 01/12/2017 Certificate Number Date Certificate Issued Date Certificate Expires Buildi g O cial, Kyle J. Scott **A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEW NEAR ALL ENTRANCES 212 Main Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*Fax:(413)587-1272