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City of Northampton
Massachusetts
DRPABT OF BDILDING INSPECTIONS
212 Main Street Nwicipal Building JdJ, jCs
MorttaxFton, bm 010,0 "dVy 'yah
PERIODIC INSPECTIONS
PREMISE NAME: LEEDS VILLAGE ASSOCIATES
PREMISE ADDRESS: 260 MAIN ST
OWNER(S) OF RECORD:
OWNERS: LEEDS VILLAGE ASSOCIATES
ADDRESS: ST: 665 MAIN ST HOLYOKE
TELEPHONE NO:
NAME ON CERTIFICATE:
TYPE OF BUSINESS
USE GROUP:
INSPECTION FEE $260
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 N 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) 5887-1240.. Thank you. q�/(
ApPI11A
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Appy nt Title:
c�e( q MaraQ�,r
Telep
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Preferred inspection time/date
Comments:
Basic Periodic Inspection Checklist
Structural Items
All structural and associated components(foundation,roof,walls,support members,stairs,sidewalks,etc.)are
maintained in a safe and sound condition.
-. Buildings are maintained in compliance with the Massachusetts Board of Fire Prevention Regulations and the Massachusetts
State Building Code.