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32A-088 (18) n .„CJ City of Northampton :4 )r., ;P ,,t,,,i o SAS• i•.SAC R�C ' Massachusetts 2'1.7 *'- �4G. •• • 'TMERT OF BUILDING INSPECTIONS . . \ ,•r.e;.%.Y % AUG 1 21• Mai Street • Municipal Building J. �� _.V ,-. l 2022 orthampton, MA 01060 sl`1V Tox ERIODIC INSPECTIONS DFp I D g5) T.OF BUILDI :._,__ ER NORTHAmpr,,sP�E�CT ✓`! PREMISE NAME: GA �*}-tN PREMISE ADDRESS: OWNER(S) OF RECORD: 2,S 6--eA-� Ark=t Alor ion/ OWNERS: ADDRESS: �� 1 TELEPHONEE NO: /3,3 CP'S / (-. 0 t-Vii..6 /1-1/e, ....„:caLiz NAME ON CERTIFICATE: TYPE OF BUSINESS .- e 6 )bA1714- C cnJ/07Z ( HAIR.s�o et/�tis5).. ._. _._.,_.._. USE GROUP: 3 2 i b7A L P2ob141M S>/4- INSPECTION FEE $150.00 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: -1j-d-'( /2-)-5::::: Applicant Title: �,,,,/ ✓t-i'jCePs AleC!t. �,.._._.. Telephone Preferred inspection time/date , r 231 k4-v6,s..v� . r.__ _......_...:.w.s._...._. w._... 0/74. .�1,.�� �/'1 G /011-*1 - G'G� 1� U'oS3 i -- ... Comments: Basic Periodic Inspection Checklist Structural Items All structural and associated components(foundation,roof, walls, support members, stairs,sidewalks,etc.) re maintained in a safe and sound condition. Buildings are maintained in compliance with the Massachusetts Board of Fire Prevention Regulations and a Massachusetts State Building Code. Required occupancy separations are providedand maintained. Examples are dwelling unit/corridor,unit/un t, commercial/commercial or residential/commercial separations. oa ^"'P'7„ The Commonwealth of Massachusetts 5,5- , s,c, 44 (# t ,A : City of Northampton m �y • ¢sue. a .. SV p` New and Renewal Certificate of Inspection s 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 Identify Name of Establishment: Certificate No. GANDARA CENTER 0020 Located at Identify property address including street number, name city or town and county Certificate Expiration 25 GRAVES AVE, Northampton 08/17/2023 32A-088-001 Use Group Classifications Allowable Occupant Load R-3 GROUP HOME 16 RESIDENTS / 3 STAFF 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 _ CHIEF JON DAVINE Building Inspector Jonathan Flagg Date of Inspection 08/22/2022 Signature of Signature of Municipal Municipal Fire Chief Building Inspector ,2' /i ' : Date of Issuance 08/22/2022 1