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23B-043 ON CALL URGENT CARE APPLICATION 2022 ls i'`�'' rj The Commonwealth of Massachusetts - t. City of Northampton 3 W rl\.. Ikli' l! -Z ir .7 New and Renewal{�rtiftcate of Ins pection 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. ONCALL URGENT CARE LLC 0046 Located at Identify property address including street number, name city or town and county Certificate Expiration 51 LOCUST ST UNIT 1 , Northampton 12/01/2023 23B-043-001 Use Group Classifications Allowable Occupant Load B 25 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 Building Inspector Jonathan Flagg Date of Inspection 12/01/2022 Signature of Signature of Municipal Municipal Fire Chief Building Inspector 9 SL � I' Date of Issuance 12/01/2022 , v 2313 -O43-Do ( - DDT City of Northampton • .'' Massachusetts ' I N 1- ' ' DEPARTMENT OF BUILDING INSPECTIONS y � 212 Main Street•Municipal Building Northampton,MA 01060 s,'W bt'' i PERIODIC INSPECTIONS fC_�Iw / PREMISE NAME: ON CALL - PREMISE ADDRESS: OWNER(S) OF RECORD: a OWNERS: t�1,.CAlI Ulr t Colt-.c ( l.0 �I ( t�c `''�} S-tv.�} plc,-i�w,mp'1-tom ry�W otC�(co J ADDRESS: ST: 51 LOCUST ST TELEPHONE NO: +-I13- `}-�'y'-� NAME ON CERTIFICATE: 6k15.401 eo TYPE OF BUSINESS : lett,clicat oFfit.,e_/ ys►Lian of 1_,L U USE GROUP: 3 INSPECTION FEE $100.00 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: jud-c. Sc✓e-vtSCn Applicant Title: Prot 't` - Y1'tavvo. Telephone -ti --t 'I - 1-Cx3ES C' y13-3-x0 -1-114 Preferred inspection time/date ; P-ny h►^A-4- lo<- ► g c - - L 9 lz) i I2z 1 L)y f ry call rry 3z0-312 1 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 he Massachusetts State Building Code. Required occupancy separations are provided and maintained. Examples are dwelling unit/corridor, unit/unit, commercial/commercial or residential/commercial separations. Guardrails and handrails are maintained in safe and sound condition. Handrail required for stairs with three or more risers or as required by the Massachusetts State Building Code. Guardrail required for walkway areas with adjacent drop off exceeding 30".