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38A-048 (4) City of Northampton Massachusetts T OF BUILDING INSPECTIONS 212 i Street • Municipal Buildings w _ , O +y�'� orthampton, MA 01060 8 sty ' •�, c ERIODIC INSPECTIONS DEPT.OFF iLGitV 1NSPE NJR7NAniPFIN, CT10Ng �'A070'0 Application Sent on March 9, 2016 PREMISE NAME: SERVICE NET PREMISE ADDRESS: 91 GROVE ST OWNER(S) OF RECORD: OWNERS: ADDRESS: NORTHAMPTON, MA 01060 TELEPHONE NO: /�� - � r •7-,7yy NAME ON CERTIFICATE: SERVICE NET TYPE OF BUSINESS USE GROUP: INSPECTION FEE $0 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: "j1 ' Telephone Preferred inspection time/date Comments: Commonwealth Of Massachusetts City ofNorthampton Map: Block: Lot: 38A 048 001 In Accordance With The Massachusetts State Building Code, Section 110, This CERTIFICATE OF INSPECTION is issued to SERVICE NET INC I Certify that I have Inspected the Rl Group Residence known as Grove Street Inn located at 91 GROVE ST, in the City of Northampton The Means OfEgress Are Sufficient For The Following Number Of Persons: BY STORY Story Capacity Story Capacity First Floor 5 Second Floor 15 BY PLACE OF ASSEMBLY OR STRUCTURE Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location CI-2016-0099 04/26/2016 04/26/2017 Certificate Number Date Certificate Issued Date Certificate Expires Build ng fficial, yle J. Scott **A COP Y OF THIS CERTIFICATE HUST BE POSTED IN CLE-AR VIE['NEAR ALL ENTRANCES ** 212 Alain Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*Fax:(413)587-1272 6ro vc, t/ f-IRE AC ARM AN D FM17-RGENCY CONINIUN I GiAll-I ON AN U 'I:S 1, j, b 11....................-- ....... :aR,)PFP—Y WMIRMATtON' ------------------ ............ .......... ..................................... J .. .......... .......... 2. N STA Ll—A T 10 N,S ERVI CE,AND TESTI iG C 0 NT RACTOR IN F 0 P110 AT 10 N, 1) ........... ---—----------------- exi,........ ........... ......................... YPE OF SYSTEM OR SERVICE ;1,5,$31 wo 1, o, 11 M 3.1 Control Umt_ 70 • ServiceNet Integrated Human Services 129 King Street Northampton, MA 01060 413.58...130 • 'Fax 413.582.4252 •'r www.servicenet.org • Susan L. Stubbs, C.E.O. Partner Agency r. 3 22 Sow"FwWow; .,u.. w Az_ .e €41, . �_� a ... - i IQSAI t .i� iiia t{51x9�CbGti Cligll X:xti( i.4 _r'__._ neon; 9daa is i,(71 ;1mu >•, w 309yo€a.,. 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P9rtner Agency 75��Tl NG r is '1i➢Iral 4ai #1�ULat�ru< ""`"�, t)s:ki't4i�la€ass �i7�iettl�ar I,.t Cara>treet 3 ............._..._..... 7,12 Afl arm,,£riitiilltr,g OcIvira '71 7 13 laaaci2li3 rx,l ,.3.' " (z.o i Eic�Y �tnn�3zet'a6"a;. ��b�asnt s ss>>-a�;'raa-'•k cRLia"i STe+e F1 s �7iw rk CiiR#a I c E.I at•"' ".:rPYaLuc 111N r, x �.,_• �_,,, 3 ServiceNet Integrated Human Services 129 King Street • Northampton, MA 01060 • 413.585.1300 • Fax 413.582.4252 • www.servicenet.org • Susan L. Stubbs, C.E.O. Partner egeaq C, NOTIFICA710NF, THAT TESTINIG IS SYST ENI RE ST OR E OT 0 N 0 RM At-0 P F R A7; N pp T, C`RTIFICATION --77 C.. 1. rr 1-10 ) In tO.-, ServiceNet Integrated Human Services 129 King Street Northampton, MA 01060 413.585.1300 Fax 413.582.4252 • www.servicenet.org • Susan L. Stubbs, C.E.O. Panne.ft.ry F Saw, 2-, l t i ............................................. pis . ................... .............. L�v' 0 ell JET AM, . ...... ........... 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