25C-168 (4) City of Northampton
[' ,T, Massachusetts
Iyp,•
1`
4 DEPARTMENT OF BUILDING
• INSPECTIONSilding
212 Main Street • Municipal Building s 3z.
Northampton, MA 01060 210:v arD‘
INSPECTOR
Louis Hasbrouck COMPLAINT FORM Chuck Miller
Building Commissioner Assistant Commissioner
Received via: Telephone [ ] Complaint No.:
Personal Hy Date: o?/03/ib , 20 r6
Letter [ I Time: AM [ J 36PM [ ] _
Email [ ] Telephone No. : (f.`lb ))i :phi[ E
Complainant's Name: PL-CY AIJn 6R R0 J e H
Complainant's Address: 2-6 ° ° ' P Ss.
Complainant's Email: ac.Krf20Yalwo - wrti
Complaint received by:
Violation(s) of: [ ] Chapter 350, Zoning Ordinances, City of Northampton
[ ] 780 CMR, Massachusetts State Building Code
Complaint reported against:
Name: Telephone No. : ( )
Address: S -5'1 ORC -F-1f4fa j-�Rz'
eT
Location of complaint: W 41/ } fv]lap: '26G Lot //i d
Signature(s) of Complainant(s):�/ a
Nature of complaint: f 7L[.u15itJP-r)n, J
ZorklikJEL JIG/,PTI0,J -
-ff-f e i_IEN-r Fc R_ THeicz SACK ?A1 IrJC LOT
75 ,,ort- coc E. iT (LIALe&IP-cfs, taro_p A, L iy-
- -fur-IR- 6'G-H i ;s Cop-is 7AkJfl v GN PN %nv✓Abil
tAy rTF�(2-0i9 k. e7t-r i r 4 * 1, ,(2.,-K ?nRc . <F>46‹ y4,R9
Logged: Yes [ ] No [ ]
Investigation: Yes [ ] No [ ] Investigated by: