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:� � '� � DEPARTMENT OF BUILDING INSPECTIONS
21 Main Street • Municipal Building J6.
Northampton, MA 01060 •
WEPT OF SUP DING INSPECTIONS PERIODIC INSPECTIONS
NORTHA\p ON Pot;01060
PREMISE NAME: HCRC HEALTH CARE RESOURCE CENTERS
PREMISE ADDRESS: 441 PLEASANT ST /Zl�
OWNER(S) OF RECORD: (
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 Buildinq 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:
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Applicant Title:
Telephone
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Preferred inspection time/date
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Basic Periodic Inspection Checklist
Structural Items
All structural and associated components(foundation,roof,walls,support members,stairs,sidewalks,etc.)are
maintained in a safe and sound condition.
❑ Buildings are maintained in compliance with the Massachusetts Board of Fire Prevention Regulations and the Massachusetts
State Building Code.
Required occupancy separations are provided and maintained.Examples are dwelling unit/corridor,unit/unit,
commercial/commercial or residential/commercial separations.
Commonwealth Of Massachusetts
City of Northampton Map: Block: Lot:
39A 023 001
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to HCRC
I Certify that I have Inspected the facility known as HCRC Health Care Resource Centers
located at 441 PLEASANT ST, 30200 in the City of Northampton
The Means Of Egress Are Sufficient For The Following Number Of Persons:
BY STORY
Story Capacity Story Capacity
I st&2nd floor 31
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location
CI-2021-0009 03/19/2021 03/19/20229 31 % `'
is
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
**A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEW NEAR ALL ENTRANCES **
212 Main Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*Fax:(413)587-1272