18D-001 PLANET FITNESS COI 10/16/2023 o CHAMP>O< ��j.-��►
The Commonwealth of Massachusetts ��5., s ,�
( City of Northampton
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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.
PLANET FITNESS 0040
Located at Identify property address including street number, name city or town and county Certificate Expiration
138 (122) NORTH KING ST, Northampton N/A
18D-001-001
Use Group Classifications Allowable Occupant Load
A-3 327
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 S. FLAGG Date of Inspection 10/16/2023
Signature of Signature of Municipal I 1
Municipal Fire Chief Building Inspector i A\N. Date of Issuance 10/16/2023
City of Northampton
'`Illr Massachusetts ,��? ' . - <
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> i �` DEPARTMENT OF BUILDING INSPECTIONS s, 4e
e v`/11,t 2 Main Street • Municipal Building `�tif•., �
� Northampton, MA 01060 4.61.Y .1
OCT PERIODIC INSPECTIONS
l 3 2023
Nor,T d G. !s S G(1 cs, l b/I CqM � INSp
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Mq 07o;ONS' . I•ATION FOR REQUIRED INSPECTION
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PREMISE NAME: Pia"tf FincJS
PREMISE ADDRESS: OWNER(S) OF RECORD:
OWNERS:Shp/nit Wneitcv, %ohn ilckcr
ADDRESS: ST: TELEPHONE NO:
122 A/ Ito, ST Ab 144,4wiri bt, tic/ 0 4 o yl 3-727- rr'a',f
NAME ON CERTIFICATE: Piellt1-Firt1 S
TYPE OF BUSINESS
USE GROUP:
INSPECTION FEE $100
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:
gra atelli-ho,d V gai\Diec)(\co\A, 1rN\q, , C oA_
Applicant Title:
49,044/ M16nm9 c/
Telephone
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Preferred inspection time/date
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Comments:
Basic Periodic Inspection Checklist