32C-169 (24) c L..La.- .10L ( 1 : rJ6.1 Ma/TA.
City of Northampton
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DEPARTMENT OF BUILDING INSPECTIONS T? ,'
212 Main Street • Municipal Building fs1dC.
Northampton, MA 01060 gij
PERIODIC INSPECTIONS C�
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APPLICATION FOR REQUIRED INSPECTION 7
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PREMISE NAME: COLLABORATIVE FOR EDUCATIONAL SERVICES MA°1°socNs
PREMISE ADDRESS: OWNER(S) OF RECORD: 228 Pleasant St., Northampton, MA 0'060
OWNERS: Collaborative For Educational Services
ADDRESS: ST: 97 Hawley St., Northampton, MA 01060
TELEPHONE NO: 413-586-4900
NAME ON CERTIFICATE: Collaborative For Educational Services
TYPE OF BUSINESS: Non-profit educational agency
USE GROUP:
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: Sherry Smith
Applicant Title: Director of Special Education
Telephone: 413-588-5260
Preferred inspection time/date: Wednesday afternoons between 12:30 -3:00pm
Comments:
The Commonwealth of Massachusetts
City of Northampton
Ilk 1.01
New and Renewal Certificate of Inspection
In accordance to 780 CMR Chapter 1 (The Ninth 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.
COLLABORATIVE FOR EDUCATIONAL SERVICES 0007
Located at Identify property address including street number, name city or town and county Certificate Expiration
228 PLEASANT ST, Northampton 03/30/2023
32C-169-001
Use Group Classifications Allowable Occupant Load
125 E
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 03/30/2022
Signature of Signature of Municipal
Municipal Fire Chief Building InspectorTYTJaUQI&..
J , Date of Issuance 03/30/2022