24D-001 (29) ��� �� //�/~� -_
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Massachusetts
D�ARTMFNT OF BUILDING INSPECTIONS
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PREMISE ADDRESS. OVVNER(G)OF RECORD GAN KE8HET PRESCHOOL
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ADDRESS: ST 253 PROSPECT ST
TELEPHONE
NAME ON C[RT|F|CATL
TYPE BUSINESS
e"3C4400 t-,
USE GROUP:
INSPECTION FEE $100
Please complete and return this application tothe Department mfBuilding Inspections, 212 Main Street,
Northampton, [0A 01060 We will contact you in anunOo a time to inspect your property If this /nfo/rra|/on /a
not correct, or if you no longer own this property, please note any changes at the bottom or on the back of this
fumn and return it to the building department. Feel free to contact un if you have any questions We can be
reached ut(413) 587-124O Thank you-
Applicant name
�~M~T 05- "8
Applicant 7lUe
Telephone
Lf�«�'
Preferred inspection time/date �
---- - --- ------~--~----~ /
Comments: �
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,Basic Periodic Inspection Checklist
Structural Items
maintained in t sal'c and wund condition.
State Building Code
Guardrail%and handrails are maintained in.safe and sound condition I landrail re4uircd ibir staiN with thrci4�or inorc ri-sers or
required by the MassachuscM Slate Building Code.(ivardrail required forwallk.%a,, in swith adjaLCtiltdrop,off