05-001 (35) Commonwealth Of Massachusetts
City of Northampton Map: Block:
05 001 001
•
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to HIGHVIEW OF NORTHAMPTON
I Certify that I have Inspected the 12 Nursing Home known as IIIGIIVIEW OF NORTHAMPTON
located at 222 RIVER RD, in the City of Northampton
The Means Of Egress 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
All 120 Bids
C1-2017-0009 07/14/2016 07/14/2017
Certificate Number Date Certificate Issued Date Certificate Expires Builds g U tial, Kyle J. Scott
**A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEW NEAR ALL ENTRANCES **
212 Main Street-Rm 100*NORTI IAMPTON,MA*Phone:(413)587-1240" Fax:(413)587-1272
_ City of Northampton 0,..:,$.7.17--75,-,;,.c Massachusetis- �.4i-ti4: DEP�1Z1"E T OF BUILDING INSPECTIONS7 j . 212 Mair. Street • Munic-pa_ Buildng`, Northampton, MA 01060
PERIODIC INSPECTIONS
Application Sent on May 6, 2016
PREMISE NAME: HIGHVIEW OF NORTHAMPTON
PREMISE ADDRESS: 222 RIVER RD
OWNER(S) OF RECORD:
OWNERS: ADDRESS:
LEEDS, MA 01053
JUL -- 8 - 1 ,---
\ ,I
TELEPHONE NO: LI 0'� _ 15 s - ;.iS
NAME ON CERTIFICATE: HIGHVIEW OF NORTHAMPTON
TYPE OF BUSINESS
USE GROUP:
INSPECTION FEE $210
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: ,.,
,J�se34, ).z ;
Applicant Title:
t c1: C;y di• s t C, l k,k1, ti
Telephone
H \•3 5 - V1(r)
Preferred inspection time/date
Comments: