23A-146 COI 06/04/2021 City of Northampton
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Northampton, MA 01060 sts���/// �Y.`3f�
PERIODIC INSPEC NS fp I / _ gg' / t /
PREMISE NAME: FLORENCE CONGREGATIONAL CHURCH 4.�E;-
PREMISE ADDRESS: 130 PINE ST
OWNER(S) OF RECORD:
J ee a CA4 aOWNERS:
ADDRESS: ST: /� a P!/YI--",S ti ' /
TELEPHONE NO: L//3 _ 6.47L — /--5 L
NAME ON CERTIFICATE: ,/ O4)C,/f1C C. adNGReG/-ridomi— tiwc /y
TYPE OF BUSINESS
1-/ (..se- of Was /20
USE GROUP:
INSPECTION FEE $150.00 /
ease-comptete-arrd-retttrrt'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:
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Applicant Title:
Telephone
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Preferred inspection time/ ate
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Comments:
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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 the Massachusetts
State Building Code.
I Required occupancy separations are provided and maintained. Examples are dwelling unit/corridor, unit/unit,
commercial/commercial or residential/commercial separations.
Commonwealth Of Massachusetts
City of Northampton Map: Block: Lot:
23A 146 001
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to FLORENCE CONGREGATIONAL CHURCH
I Certify that I have Inspected the A4 Church known as Florence Congregational Church
located at 130 PINE ST, 30500 in the City of Northampton
The Means Of Egress Are Sufficient For The Following Number Of Persons:
BY STORY
Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location
Sanctuary 300 1st floor Gallery 30 1st floor
Parish Hall 130 1st floor Cobb Unit 71 1st floor
Pilgrim Fellowship 37 1st floor Chapel 50 1st floor
Sunday School 25 2nd floor Sunday School 35 2nd floor
CI-2021-0014 06/04/2021 06/04/2022 1a % I'. 30p i
Certificate Number Date Certificate Issued Date Certificate Expires I Building Official
**A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEW NEAR ALL ENTRANCES **
212 Main Street-Rm 100*NORTIIAMPTON,MA*Phone:(413)587-1240*Fax:(413)587-1272