24D-001 COI (2) oa<-"MP 0 The Commonwealth of Massachusetts -.5° ,
,4 City of Northampton W f
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=--� New and Renewal Certificate of Inspection sbw ''
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.
CONGREGATION B'NAI ISRAEL/GAN KESHET PRESCHOOL 0022
Located at Identify property address including street number, name city or town and county Certificate Expiration
253 PROSPECT ST, Northampton 05/31/2024
24D-001-001
Use Group Classifications Allowable Occupant Load
E/1-4 41
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 05/18/2023
•
Signature of Signature of Municipal
Municipal Fire Chief Building Inspector I ► s Date of Issuance 05/18/2023
(.5C-J-LtabAild- -1/11-'1AA. 6)1 (
MAY 1 8 2023 q '. CYO
i i City of Northampton C. ' --` 6Ltr" s
Massachusetts - `'o,
, ,,r e DEPARTMENT OF aUILOING INSPECTIONS r 4
212 Main Street • Municipal Building '.e
Northampton, IA 01060 a�4 or,
PERIODIC INSPECTIONS 1
P/A,ICC)/b 14ZZ-- 1
APPLICATION FOR REQUIRED INSPECTION
PREMISE NAME:C D" k'r,.1r61 ISt2.A „/ >w l ,1-tr57- 'iZ,f 'Crtz%o C..-
PREMISE ADDRESS: OWNER(S)OF RECORD:
OWNERS: is/DO cti`r
ADDRESS:ST:TELEPHONE NO: ZS Pa,0 >'� &T SP ,T -r +-t►3-5161-1'-3S ti 3 e Z•
NAME ON CERTIFICATE. (770).1 tGrs- 'a,{ '1- ez 64- (,,,,,
TYPE OF BUSINESS it Cda --eCre-oWi' ....-
USE GROUP:
INSPECTION FEE$100
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:
-co 140 LDeStWO ti-J-1-1-4
Applicant Title:
' ' cn--rao L- a -Ec.t-ry
Telephone
L-)" - 51.5Lf— 35ci3 E-XXa 2.-
Preferred inspection tim ate ,
reval _If l`' 0100 i' -'
Comments:
I
Basic Periodic Inspection Checklist
Structural Items
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