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17A-054 (13) jPu&) - i 6-2) - /71167q 7(09 City of Northampton Massachusetts t • w ! �, DEPARTMENT OF BUILDING INSPECTIONS i� d^; _ i 212 Main Street•Municipal Building • gf Northampton,MA 01060 • y3r}. PERIODIC INSPECTIONS NOV - 9 2022 DFPT.OF BUILDING INSPECTIONS ��T�A mA tATION FOR REQUIRED INSPECTION 7/3 PREMISE NAME: KINGDOM HALL PREMISE ADDRESS: OWNER(S) OF RECORD: OWNERS: Norfliah,pton CYenx rega>fion c ;el ovu�f W f�rss 5 ADDRESS: ST: 165 BRIDGE RD t7 TELEPHONE' NO: K, dc,.,Nall - Kt113 -5 '�{ ' oIS9 eDYIfa�T p H Dan AChevtt'He 1413 -Sllb - 7679 NAME ON CERTIFICATE: Ki,je,, Nail of fe fNr55c.5 TYPE OF BUSINESS Gy �u rG� USE GROUP: Cavi�r� 624id)✓r Meru 6er5 INSPECTION FEE $100 0GC2 b 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: Damon e hev'epeif Applicant Title: Sec'e-0 ry IcJ e • Telephone 1 (j -S-06. 6 7 9 Preferred inspection time/date Noll day -{-tItrov� h F� c!a i t©o c c -Id:bO ° I ° 6 O - L o C Comments: Basic Periodic Inspection Checklist The Commonwealth of Massachusetts �=s 4 City of Northampton ,a ss 14i 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. KINGDOM HALL 0043 Located at Identify property address including street number, name city or town and county Certificate Expiration 165 BRIDGE RD , Northampton 11/30/2023 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 CHIEF JON DAVINE Building Inspector JONATHAN S. FLAGG Date of Inspection 11/14/2022 Signature of Signature of Municipal Municipal Fire Chief Building Inspector -0QDate of Issuance 11/014/2022