38B-075 (10) Commonwealth Of Massachusetts
City of Northampton Map: Block: Lot:
38B 075 001
In Accordance With The Massachusetts State Building Code, Section 110, This
CERTIFICATE OF INSPECTION
is issued to Lathrop Home
I Certify that I have Inspected the I2 Nursing Home known as Lathrop Home
located at 215 SOUTH ST, 30400 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
1st Floor I0 Units 2nd Floor 20 Units
3rd Floor I I Units
� n
CI-2021-0015 06/07/2021 06/07/2022 2
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
**A COPY OF THIS CERTIFICATE MUST BE POSTED IN CLEAR VIEW NEAR ALL ENTRANCES **
212 Main Street-Rm 100*NORTHAMPTON,MA*Phone:(413)587-1240*Fax:(413)587-1272
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APPLICATION FOR REQUIRED INSPECTION
Application Date: // Z S 1 Z
PREMISE NAME: ( Xt 71,1 0 `0 /471The
PREMISE ADDRESS: 3l 5oijm 5T ov iAft (ty /14 8-
OW N E R(S) OF RECORD: 6aaA ti 61W-C-'INS
OWNER ADDRESS: at-Trka Q C)
TELEPHONE NO: "I4 13— iyi— rv, C. ks-(1Z.- ( (0 1 h r t P 6 Q '
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TYPE OF BUSINESS: I_ c,T i-RV1/t
USE GROUP: Determined by the Building Department r
INSPECTION FEE: Determined by the Building Department ��L/ Cr. ' 4Gy
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: —rfttCc( Ca.ritli
Applicant Title: f"Pr t.Tl ue II)11f'e_Q111‘r
Telephone: q13-- 51(14- Zifb S
Preferred inspection time/date: ' � N 'f
Comments:
Map/Plot: Determined by the Building Department
02/01/2013