23B-043 51 lOCUST ST UNIT 1 ONCALL COI 11/06/2024 is �: r The Commonwealth of Massachusetts : , ,
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New and Renewal Certificate of Inspection
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 0048
Located at Identify property address including street number, name city or town and county
Certificate Expiration
51 LOCUST ST UNIT 1 , Northampton 12/01/2025
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 Date of
Fire Chief Building Inspector Kevin Ross Inspection 10/02/2024
Signature of Signature of
Municipal Fire Municipal
Chief Building Inspector Date of Issuance 11/06/2024
City of Northampton
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Massachusetts <<�
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• i SEP 26}'f DEPARTMENT OF BUILDING INSPECTIONS
2024 212 Main Street• Municipal Building v�
Northampton,MA 01060
OFP Or ruitnrrt,iNcaE PERIODIC INSPECTIONS
NONTHA•,r„i:,h.MA 01060 CTIONS f 6 $ (go
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APPLICATION FOR REQUIRED INSPECTION
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PREMISE NAME: Ovt( ' 11 tt-vr"t N4-4- l—t-C
PREMISE ADDRESS: OWNER(S) OF RECORD: cij Lot_wst- ch-,cv1' STE 1 Nor Pit*t•vviptvn n''ft 610bD
OWNERS:
ADDRESS: ST: TELEPHONE NO: c-1, I.ou�a�
NAME ON CERTIFICATE: 14ori1a neon. MA' pioeo
TYPE OF BUSINESS
o( C"1 of-ha."'
USE GROUP: 6_ Z Jc
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
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: 4-t'e SO.t bf
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Applicant Title:
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Telephone
1-113320 - /Ial P: `-113 -5t34 -74z-xic►
Preferred inspection time/date
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Comments:
Basic Periodic Inspection Checklist