24C-006 (4) Commonwealth OfMassach use tts
City of Northampton Map: Block: Lot:
24C 006 001
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to Cheryl Boulais
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I Certify that I have Inspected the E Daycare known as Meadowlark Day Nursery
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
located at 283 PROSPECT ST, 700 in the City of Northampton
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The Means Of Egress Are Sufficient For The Following Number Of Persons:
BY STORY
Story Capacity Story Capacity
1st Floor 26 2nd Floor 15
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location
CI-2020-0008 11/01/2019 11/01/2020 Tjl�
Certificate Number Date Certificate Issued Date Certificate Fxpires Building Official
**A COPY OF THIS CF.RTIFICA TF,,W IST BF POSTF,D IN C EAR tiIF,W NF,.AR ALL ENTRANCES
212 Main Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*Faz:(413)587-1272
Ci typEof)l Nimrthampton
Massachusetts
A
DEPARTMENT OF BUILDING INSPECTIONS y
212 Main Street • Municipal Building if a
Northampton, MA 01060 SI
---EI---QED
APPLICATION FOR REQUIRED INSPECT N OCT 3 1 2019
DEPT of eulLol
NORTHAMp-ro'INSPECr1pNS
ON,MA 01060
PREMISE NAME: MEADOWLARK CHILD CARE
PREMISE ADDRESS: 283 PROSPECT ST
OWNER(S) OF RECORD: 01er�L :B41j
OWNERS:
ADDRESS: ST
TELEPHONE NO:
NAME ON CERTIFICATE:
TYPE OF BUSINESS ,
USE GROUP:
INSPECTION FEE $100
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:
Applicant Title:
Telephone
Preferred inspection time/date
_�►9
Comments: