83 PINE ST - HILL INSTITUTE 2021 CERTIFICATE 23 )-134--0°J
City of Northampton
Pr Massachusetts
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DEPARTMENT OF BUILDING INSPECTIONS y
212 Main Street • Municipal Building Otis, cD
Northampton, MA 01060 SNW 31)"
PERIODIC INSPECTIONS
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APPLICATION FOR REQUIRED INSPECTION
PREMISE NAME: Hi(1 Institute
PREMISE ADDRESS: 83 Pine Street
OWNER(S) OF RECORD:
OWNERS:
ADDRESS: ST: 83 f/he Street
TELEPHONE NO: (413) 584- i725
NAME ON CERTIFICATE: H;II lnstifitte
TYPE OF BUS NfS,
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USE GROUP: d
INSPECTION FEE $ /50.00
Please complete an pplication 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:
Chris y cLn n7e l .
Applicant Title:
School Ad minlsfator
Telephone
(4/3) 584-r725
Preferred inspection time/date
The ihs1ectr0n rs sctied .led - r �I hhes, Sep/. 14 at 8 -oo
Comments:
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The Commonwealth of Massachusetts 5s sr6,�
1 City of Northampton * `
New and Renewal Certificate of Inspection
In accordance to 780 CMR Chapter 1 (The Nineth Edition of the Building Code) and Chapter 110 and the Acts of 2004, to further
enhance fire and life safety, this certificate of inspection is issued to the premise or structure or part there as herein identified.
Issued to Identify Name of Establishment: Certificate No.
HILL INSTITUTE 0013
•
Located at Identify property address including street number, name city or town and county Certificate Expiration
83 PINE ST, Northampton 09/14/2022
Use Group Classifications Allowable Occupant Load
- E Basement—15/1st Lower Level-35/2"d Lower Level-21/New Lower Level-99
This certificate of inspection is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected for
general fire and life safety features.This certificate shall be framed behind clear glass and/or laminated and posted in a conspicuous place within the space as directed
by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Name of Municipal
Fire Chief Building Inspector Jonathan Flagg Date of Inspection 09/14/2021
Signature of Signature of Municipal & - C►'' n"
Municipal Fire Chief , Building Inspector Date of Issuance 09/14/2021