23D-037 07/13/203 COI WILD GARDEN OF CHILDHOOD o0.`",,,, The Commonwealth of Massachusetts �5 �^.5
�(, tl City of Northampton W io
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N-:: v New and Renewal Certificate of Inspection bw �'�^
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.
WILD GARDEN OF CHILDHOOD 0029
Located at Identify property address including street number, name city or town and county Certificate Expiration
11 ORMOND DR, Northampton 07/31/2024
23D-037-001
Use Group Classifications Allowable Occupant Load
1-4 30
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 07/13/2023
Signature of Signature of Municipal r
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Municipal Fire Chief Building Inspector J�. b ki, Date of Issuance 07/13/2023
City of Northampton
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Massachusetts ?
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I DEPARTMENT OF BUILDING INSPECTIONS y b
212 Main Street • Municipal Building tiss �tiC
Northampton, MA 01060 N1, .)>
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PERIODIC INSPECTIONS +pb121cf (P1-1.- ( {4./Kab
RECEIVED -
JUL 12 2023 , p - LICATION FOR REQUIRED;INSPECTION
DFPT OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
PREMISE NAME:
l 61- (��,✓o�� r / ( 0 l2-ni ON o bYL.
OWNERS: Cc-,A ;c *L �' �c J ..cam . Jd 1e.c,-f kr.r, c e_ d✓'-.
ADDRESS: ST: TELEPHONE NO: Li
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NAME ON CERTIFICATE:
TYPE OF BUSINESS
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: Candice Chouinard Wild Garden of Childhood
Applicant Title:
Telephone: 413-231-4454
Preferred inspection time/date before 8:30 am after 4:45pm
Comments: \-n1 1 Gr c.)-t' C I'`dd j 1. C 0114
Basic Periodic Inspection Checklist