32C-143 (21) City of Northampton ✓
� Massachusetts ,��.• �- ��.,;
DEPARTMENT OF BUILDING INSPECTIONS y.
212 Main Street • Municipal Building
, Northampton, MA 01060 5� �h
PERIODIC INSPECTIONS � (qS
Application Sent on April 7, 2016
PREMISE NAME: C.S.A.C.
PREMISE ADDRESS: 297 PLEASANT ST
OWNER(S) OF RECORD: 44
OWNERS: ADDRESS:
NORTHAMPTON, MA 01060
TELEPHONE NO:
NAME ON CERTIFICATE: C.S.A.C.
TYPE OF BUSINESS
USE GROUP:
INSPECTION FEE $150
Please complete and return this application to the Department of Building Inspections, 212 Main Street,
Northampton, MA 01060. We will contact you to arrang6 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: on
5 - 6, �s ki
Applicant Title:
Telephone
Preferre inspection time/date
Comments:
COMMOnwealth OfMassachusetts
City ofNorthampton Map: Bloch: Lot:
32C 143 001
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to C.S.A.C.
I Certifythat I have Inspected the B Commercial Building known as Community Substance Abuse Clinic
located at 297 PLEASANT ST, in the City of Northampton
The Means OfEgress Are Sufficient For The Following Number Of Persons:
BY STORY
Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location
8 1st fl
CI-2016-0109 05/17/2016 05/17/2017
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
**A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIE TV ATEAR ALL ENTRANCES
212 Main Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*rax:(413)587-1272