24C-006 (6) The Commonwealth of Massachusetts
City of Northampton
Y�f,t S k!y jl`wlT.
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.
MEADOWLARK CHILD CARE 0014
Located at Identify property address including street number, name city or town and county Certificate Expiration
283 PROSPECT ST, Northampton 09/21/2022
Use Group Classifications Allowable Occupant Load
E/I-4 26
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 S. Flagg Date of Inspection 09/21/2021
Signature of Signature of Municipal ;
Municipal Fire Chief Building Inspector , I% Date of Issuance 09/21/2021
Ci tyPEciThitiorthampton
/ Massachusetts 4„.
itt11`I ' DEPARTMENT OF BUILDING INSPECTIONS yt
:.6*.; 212 Main Street • Municipal Building J`•.,. Jca
Northampton, MA 01060 R
074/C -00 t'&D
PREMISE NAME: MEADOWLARK CHILD CARE SEP 2 1 2021
PREMISE ADDRESS: O^W� `NE'R(S) OF RECORD:
OWNERS: Che I A.JO�1 a 5 NORT,P6omp, N,MA OEp SONS
ADDRESS: ST: 283 PROSPECT ST
TELEPHONE NO: 3 � _ )aS I
NATY ME E OOF BUSINESSETICATE: Chao (2 o AAa i5 I Meadcn,Jlar►L C1 i\d Lax
USE GROUP: �D
INSPECTION FEE $100.00 �ri /#(ql1 ov
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:
Cli e,nd I u,I a is
Applicant Title:
OVVv r 1 lDi rCC}CY
Telephone
1-I13-Sg(o- IciSI
Preferred inspection time/date
Comments:
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.
Q? Required occupancy separations are provided and maintained.Examples are dwelling unit/corridor,unit/unit,
commercial/commercial or residential/commercial separations.