23B-046 (264) Commonwealth Of Massachusetts
City of Northampton Slap: Block; Lot:
236 046 001
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 12 Commercial Building known as Cooley Dickinson Hospital
located at 30 LOCUST ST, RI in the City of Northampton
The Means Of Egress 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-2017-0039 01/18/2017 01/18/2018 14
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Certificate Number Date Certificate Issued Date Certificate Expires Building Of cial, yle J. Scott
"A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEW NEAR ALL ENTRANCES**
212 Slain Street-Rm 100*NORTHAMPTON,MA Phone:(413)587-1240*Fax:(413)587-1272
City of Northampton
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OW' Massachusetts Am L.
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esti .;:I" DEPARTMENT OF BUILDING INSPECTIONS .s fq.
, ^. 212 Main Street • Municipal Building `� yCb
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Northampton, MA 01060 ""��
PERIODIC INSPECTIONS
Application Sent on December 16, 2016
PREMISE NAME: COOLEY DICKENSON HOSPITAL r--
PREMISE ADDRESS: 30 LOCUST ST
OWNER(S)OF RECORD: i JAN -5 2017 ;
OWNERS: ADDRESS ST: 30 LOCUST ST L -- - I 1
NORTHAMPTON, MA 01060 _ 0 -'9
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TELEPHONE NO: \t-} 5-S.2.-2-1 t/
NAME ON CERTIFICATE: COOLEY DICKENSON HOSPITAL
TYPE OF BUSINESS
USE GROUP:
ll
INSPECTION FEE $220 )
Please completete - 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: 5A
Applicant//Tid l
Telephone
CIO - Sg2 -- 331,3
Preferred inspection time/date
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