17A-054 (12) The Commonwealth of Massachusetts
47
I, A City of Northampton w
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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.
KINGDOM HALL 0019
Located at Identify property address including street number, name city or town and county Certificate Expiration
165 BRIDGE RD, Northampton 11/09/2022
17A-054-001
Use Group Classifications Allowable Occupant Load
A-3 225
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 11/09/2021
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Signature of Signature of Municipal t; ;
4.2 •c-DIr
Municipal Fire Chief Building Inspector Date of Issuance 11/09/2021
41( /o/qh/ _Ti s ch 0.7
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS .
212 Main Street•Municipal Building f:_
Northampton,MA 01060 fit' •o��`
PERIODIC INSPECTIONS
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APPLICATION FOR REQUIRED INSPECTION
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PREMISE NAME: ONZAzlz '13 do ►++ Wall
PREMISE ADDRESS: OWNER(S) OF RECORD:
OWNERS: N c r t-bu,r,pfon �'Q ��da�.vn +-� Y eLovaL s W { , ss�
ADDRESS: ST: 165 BRIDGE RD
TELEPHONE NO: 14 ( 3 —5fs'lei —G:/S`
NAME ON CERTIFICATE: J.<, dvm /-(a(i o f re 14oVa 's W + nPss�s
TYPE OF BUSINESS
C ie,v rc
USE GROUP:C, re,la 1ti(o YlAe tiers
INSPECTION FEE $100.00
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: n a ✓n e)h C j c v e j-e (
Applicant Title: 5toc-re-ar y
Telephone 40,3 -S S - 74,n
Preferred inspection time/date Hov1c +1J`aelA 1=� duy io;Do - ia 60 of J a0 `z1, 00
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.