23A-291 (4) ,
SIEGFRIED FORTH
ARCHITECT
116 PLEASANT STB1?ET
SUITE 331
EASTFIAMPTON, MA 01027
413- 529 -9434
WILDWG,PAEARIMAT
CITY OF NORTH
I Siegfried Forth, Architect, certify that THE RENOVATION AT 190 NONOTUCK ST.
UNIT SIX NORTHAMPTON, MA [ELDER CARE ACCESS LLCJ
Building Permit # gOi). has been built under my control and in accordance with the approved
building plans, and that such plans do conform to the provisions of the Massachusetts State Building code.
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The Commonwealth of Mas = -0"
City of Northampton
Certificate of Occupa c
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In accordance with 780 CMR, Section 5120.3 (The Seventh Edition of the Massachuetts State Building Code)
this Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified.
Identify Name of Building of Space Within [_Certificate No.
Issued to Golden Moments Adult Day Health Spa BP- 2012 -0684
Identify property address including street number, name, city or town and county
Located at
190 Nonotuck Street (unit 3)
Northampton, Hampshire, Massachusetts
Use Group Maximum
Classifications) (B) Bussiness Use occupancy is 1
person per 100
SQFT
This Certificate of Occupancy 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 allow for the use as herein described and in conformance with any and all conditions as identified below. It
shall be posted in a conspicuous place within the space as directed by the undersigned. Failure to post the certificate, failure to comply with conditions or, tampering
with the contents of the certificate is strictly prohibited.
Conditions of Use Required exits to remain clear, required inspections be maintained per 780 CMR.
Name of Municipal Charles Mil -r Date of Map /Plot:
Building Official _ Inspection 03/22/2012
Signature of Municipal Date of
Issuance 03 22
Building Official 2012 23A -291 /f / /
190 NONOTUCK ST BP- 2012 -0684
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 23A - 291 CITY OF NORTHAMPTON
Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Zoning Permit BUILDING ILDING PERMIT
Permit # BP- 2012 -0684
Project # JS- 2012 - 000455
PERMISSION IS HEREBY GRANTED TO:
Contractor: License:
STEPHEN CAMP 082531
Lot Size(sq. ft., : Owner: HICKS KATHERINE M
Zoning: Applicant: STEPHEN CAMP
AT: 190 NONOTUCK ST
Applicant Address: Phone: Insurance:
46 EAST ST (413) 527 -7124 () WC
EASTHAMPTONMA01027 ISSUED ON:2/7/2012 0:00:00
TO PERFORM THE FOLLOWING WORK: REMOVE PARTITIONS,FRAME NEW
WALLS,BLDG 1 HANDICAP BATHROOM
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Under round Service: Meter:
Footings:
Rough:g,-°1 " C� r , - Rough: Seek House # Foundation:
Driveway Final:
Final: Final: ✓1/./ t
� Rougg Frame: )\ ` ,/k
Gas: Fire Department Fireplace /Chimney:
Rough: Oil: Insulation: 0K �(
Final: Smoke: Final: 0 g �
THIS PERMIT MAY BE REVOKED BY THE C " OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND ' C ►' .�
fr
Certificate of Occupancy z/ Signature: i AlcAee &fdtoCAC
FeeType: Date Paid: Amount:
Building 2/7/2012 0:00:00 $336.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner