17C-253 (25) City of Northampton 190- Z.Si�
f? a\. Massachusetts
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\ /2L2,aaln 3=r t • tw !Pal Building oC�
MA
Nortaavpton, 03060 h
PERIODIC INSPECTIONS
PREMISE NAME: CLINICAL SUPPORT OPTIONS
PREMISE ADDRESS: 29 NORTH MAIN ST
OWNER(S)OF RECORD:
OWNERS: I E C I to tce' So O Id�S
ADDRESS: ST: 29 NORTH MAIN ST
TELEPHONE NO:
NAME ON CERTIFICATE: _ �~
TYPE OF BUSINESS
USE GROUP:
INSPECTION FEE $200
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
fans 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: Lei Q,,,,
M-41 12L
Applicant Title: ,
�;��2y ✓t'Sfl�
Telephone L/1 '>-32 5--�,;27/11`3 ^5--�,; ^nt-
7
Preferred inspection timeldate
Comments:
i
I
Basic Periodic Inspection Checklist
Stractural Items
All structural and associated components(foundation,roof,walls,suppon members,stairs,sidewalks,etc.)are
City of Northampton
Massachusetts
I�PBRTMENT OF BUILDING INSPECTIONS
212 Naim etraet • � Pal Building
Northampton, M 01060
PERIODIC ISSPECTIONS
PREMISE NAME: SERVICE NET INC APR ( i
PREMISE ADDRESS: 91 GROVE ST
OWNER(S) OF RECORD: .—'„�
oE��
OWNERS 6erUPCeAIe-I' -- ----
ADDRESS: ST: 91 GROVE ST
TELEPHONE NO: 4t,3 2. ,5'0 - 5117-
NAME
1 2NAME ON CERTIFICATE:
TYPE OF BUSINESS
USE GROUP:
INSPECTION FEE $150
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:
Applicant Title:
1 J,'CEC�-nC OF RL.Ft\Telephone
q13 - D50-
Preferred
II13 - a50-Preferred inspection timeldate
Comments:
Basic Periodic Inspection Checklist
structural Items
I I 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.