38A-048 (5) Commonwealth Of Massachusetts
City of Northampton Map: Mork: 1,01,
38A 048 001
i( Ac_ce cdauce :virh The Massachusetts State Sufic]:ng Code, Sactian 110, This
CERTIFICATE OF INSPECTION
is issued to SERVICE NET INC
I Certify that I have Inspected the RI Group Residence known as Grove Street Inn
located at 91 GROVE ST, in the City of Northampton
The Means Of Egress Are Sufficient For The Following Number Of Persons:
BY STORY
Story Capacity Story Capacity
F'nt Floor J Sxxund Flog V3
BY PLACE OF ASSEMBLY OR STRUCTURE
Mace of Assembly or Structure Capacity Location Race of Assembly or Structure Capacity Location
r!
Cl-2017-0086 04/11/2017 04/11/2018 tl
Certificate Number Dote Certificate issued Dow Certificate Expires Building official, ole J Scott
*1 COP POL7lIIS Cl:'RiiJiC4Tl_'MUSE BE POS%ID IN CLisl/t IiHIT N illALL tabDKtINOES' *
2)2 Main Street-Neu IN• NORTII;1MPI ON,MA•Plu" (ll3)5117-}240• Eu$JUl W7-1272
City of Northampton
.9
Massachusetts
si
DEPARTMENT OF BUILDING INSPECTIONS
212 Main street • Municipal Building
Northampton, MA 01060 'h rr'
!NiaR30
---- Application Sent on March 1 , ap17
PREMISE NAME: GROVE ST INN n ,/ `q pol Q"( `7C
PREMISE ADDRESS 91 GROVE ST V r
OWNER(S) OF RECORD lye
OWNERS. ADDRESS ST 129 KING ST
NORTHAMPTON MA 01060
TELEPHONE NO X1 3 55C- 1300
_.. _....
NAME ON CERTIFICATE: GrOVt 54' IAi97 ru/Lc.J1C
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 arrange a time to inspect your property. If this information is
not correct, or if you no longer own this propertyplease 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 he
reached at (413) 587-1240- Thank you
Applicant name:
-3O\ r \kAcke5 ..—
Applicant Title. L \ L�
Telephone yO 49 t3- aS r3
Preferred inspection time/date
Comments:
Basic Periodic Inspection Checklist