31B-261 COI 03/29/2024 ,
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,, 212 Ma61 Street•Municipal Building 4'
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APPLICATION FOR REQUIRED INSPECTION
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PREMISE NAME: People. 105-iii-Qte of Hor1tiaryip-1-01,-)
PREMISE ADDRESS:OWNER(S)OF RECORD: 6,e) Gio-Hrtic St-. Nor th ampi-on , (34 A olowo
OWNERS:
ADDRESS: ST:TELEPHONE NO:
NAME ON CERTIFICATE: People 1 rIsti-to it.
TYPE OF BUSINESS Chat
USE GROUP:
INSPECTION FEE$100
Please complete and return this application to the Department of Buildinq 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: COUVi1t.13 rY\cKvinej
Applicant Title:-hkrector
Telephone L41'6 -n8ii-86i
Preferred inspection time/date crnricig,9 - Hor cAe\ 201 , 2,021 ( 10: 6c)
Comments:
Basic Periodic Inspection Checklist
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The Commonwealth of Massachusetts
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City of Northampton •.. •
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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 Certificate No.
Identify Name of Establishment:
0011
PEOPLE'S INSTITUTE
Located at Identify property address including street number, name city or town Certificate
and county Expiration
38 GOTHIC ST, Northampton 03/29/2025
31B-261-001
Allowable Occupant Load
Use Group Classifications
E/I-4 364
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 And ,-wv-Yelis Building Inspector Kevin Ross Date of Inspection 03/29/2024
Signature of Signature of Municipal
Municipal Fire Chief Building Inspector ///77Z Date of Issuance 03/29/2024