32C-029 Partial Certificate of Occupancy 11 Brewster 2014-03-14
The Commonwealth of Massachusetts
City of Northampton
Partial Certificate of Occupancy
In accordance with 780 CMR, Section 120.3 (The Eighth Edition of the Massachusetts State Building Code)
This Partial Certificate of Occupancy is issued to the premise or structure or part thereof as herein identified.
Issued to
Identify Name of Building of Space Within
Certificate No.
xx
xxealth Center
BP-xx
Located at
Identify property address including street number, name, city or town and county
Certificate Expiration
xx Street
xx, Hampshire County, Massachusetts 01062
Use Group
Classification(s)
xx (xx) use
This Partial 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 temporary 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
Partial Certificate of Occupancy for phase 1A. All structural and safety systems must be maintained.
During future renovations, all means of egress must be kept clear at all times and access to construction areas must be restricted to contractors only.
Name of Municipal
Building Official
xx
Date of
Inspection x2013
Map/Plot:
Signature of Municipal
Building Official
Date of
Issuance x
xx