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0091 CAP'N CARLETON'S RD
0�Z976� 1 . . S E o Jq� it s. r 1 fi F o kF A E _� r� �� -. �_,- - � - j I _ F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OF BARNSTABLE Map ✓ (UJ Parcel .,.Application #24 I ''J•b l b& Health Division E :{� f` '' ' Date Issued I NLi Conservation Division Application Fee �v" � ��""'" '` Permit Fee Planning Dept. � ;� - ""`"'"'�� ����li t�j f. Date Definitive Plan Approved by Planning Board 3 Historic - OKH _ Preservation / Hyannis Project Street Address C A P-M) N C A k (TO N R -0 i 'Village C 0 T 1 T Owner 0 3 C ie T b let I A)o h_5 Address Telephone 7'I 0 62 76N R r 0 2 -7 $ Permit Request ��/�oyC E« /t'����c c s Gig yG G L�4fS 106ra e ROT Pepli e /167D cf Cc 020o ✓)p 920 /71 94 -ru 000 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 9 0 0 p Construction Type w°0 A Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) ler aths: Full: existing new Half: existing new existing-3—new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION .. (BUILDER OR HOMEOWNER) Name `T� FS t-ndog (MOO(ZE CA(? Telephone Number Sot 5-0 7 -10:? U Address /5 G 0 E,(6 71,4 AR License # C S f-04 _ Home Improvement Contractor# a 0 Email /h00 d C %�1 y 9 S AT YA NO() Ca fiM Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Gv4ST-C 1-n4 SIGNATURE DATE —7 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. Xf ADDRESS VILLAGE OWNER j DATE OF INSPECTION: `Aj FOUNDATION FRAME INSULATION FIREPLACE r" - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ' FINAL F r i GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. L� ?lie Commorrivealth of Massachusetts Departrami of 1n&slrial Accidents 0}f ice of 1m estigations 600 Washington Street y Bosun,CIA 02111 fmviv niasmgov/dia Workers' Compensation Insurance Affidavit:BuilderslContractarsJEIectricians/Plumbers Applicant Information Please Print Legibly Name(BtlsineessflOrganvationllndivi�al): zTAm ES °°2 E D IIA M v o tz E C A eP EtiT z y Address: ( 5 G 0-C- C (✓ tFA OK 'F_A-S T FA 4- r10 v r H 0 a-15 CitylStatel : -O S 3 Phone.4"l- d'� E o l 3 Are=amaemplOyeruith player?Check the appropriate box: Type of project(required): I. 4. ❑I am a general contractor and I employees(full azrdfor yart-time). s Have lured.the sub-contractors 6. ❑New coflsfzucfiion 2.❑ I am a sale proprietor or partner- listed on the attached sheet. 7- ❑Remodeling slip and have no employees. These sub-contractors have 8. ❑Demolition w Q for me in any capacity- employees and have tvadcers', °�� Y9. ❑Building addition [No❑ink ers' comp.insurance Comp-insurance-1 required_] 5_ ❑ We are a corporation and its 14❑Electrical repairs or additions 3.❑ ]am.a homeoumer doing all work ofdcen have exercised their 11.❑Plumbing repairs or additions mysel€[No workers'camp- right of exemption per MGL 12.❑Roofrepairs insurance required.]1 c.152, §1(4),and we have no employees.[No worimm' 13.❑ Other comp-insurance rewired.] 'Any applicant Heat checks box Fl mast also fiIl out the section below showing their waikeie icznpensatien policy infor=wdan_ 1 Homeowners who submit[firs affid2vd indirating they are doing all walk and then hire antside contractors nmst submit a new aftidavit in&cauag such_ iCantractms that check this boat must attached as additional sheet showing the name of the sub-canitrctm and state whether or not those entities have employees. Ifthesub- aatnactorshiveemployee%theymusrpmsn--idetheir trorken'romp.policgnumber. lam an euiplo.�,or float is pr4n,ding tvarkers'compaisatiatt itmirance for my*enrplvj,ees Bellow is die pvUcy and job site informaEvu.Insurance Company Name: 14 C �_ j�-62 T I F-/ C'97 L Policy 4,*,or Self--ins.Lit.4: F-kpiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page.(shoving the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,500 00 andfor one-year irnprisoRIneut,as well as ci%ril penalties.in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy ofthis statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerh3y under pains and ttafties ofpetjury that the information-proiidzd abmra is byre and carrect Sienature: Date: Phone i�: OBFcial use only. Do not write in this area,to be cottspTeted by city ortonrn o,;f j`iczaL City or Town.: Permitllicense Issuing Authority(circle.one): 1.Board of Health 3.Building Department 3.-MylrosQn Clerk 4.Electrical Inspector 5.Plumbmg Inspector 6.Other Contact Person: Phone#: Information and Instinctions ` Massachusetts&e,eral Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pmsuantto this site,an enployez is defined as."_.every person in the service of another under any contract of bire, ► express or implied,oral or wrhnm" An anpkyer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a Joint enterprise,and inch Aing the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,associafion or other Iegal entity,employing employees. However the owner of a.dw-eIling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do mahtenance,construction or repair work.on such dweIliag house or on.the grounds or Mudding appur tenant thereto shall not because of rush employment be deemed to be an employer" MGL chapter 152,§25C(6)also stains that,"every state or local licensing agency shalI withhold the issuance or renewal of a license or permit to operate a business or to construct bu-9dmgs in the commonwealth for any applicani:who has not produced acceptable evidence of compliance with the insurance.coverage required-" Additionally,MGL chapter 152, §25C(7)states-Neither the comm onwmIth nor any of its political subdivisions shall enter into any contract for the performance ofpublio work until acceptable evidence of compliance with the incrtr;rn ce.. requi ements of this chapter have been presented in the contracting aui-homiy." App4c znts Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone numbers) along with their certi6acate(s) of marn"a„ce. Limited Liability Companies(LLC)or Limited Liabiliiy"ParEaerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidayk maybe submifind to the Department of Industrial Accidents for conffimation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retuned to the city or town that the application fur the permit or license is being requested,not the Department of rndustTial Accidents. Should you have any questions regarding the law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license rromber on the appropriate lime. City or Town Officials r _ Please be sure that the affidavit is complete and pried legibly. The Department has provided a space at the bottom of the affidavit for you tD fill out in the event the Office of Investigations has to contact you regarding the applicant'_ Please be sure to fill in the permitllicrose number which will be used as a reference number. In addition,an applicant that must submit multiple perrnit(license applications in any given year,need only submit one affidavit indicating current policy io o=ation Cif necessary)and under"Job She Address"the applicant shotdd write"all locations in (city or" town)-"A copy of the"affidavit that has been officially stamped or marked by the,city or town may be provided to the applicant as proof that a valid affidavit is on file for fume permits or licenses A new affidavit must be.filled out each year.Where,a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i-f,-. a dog license or permit tD bum leaves said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call- The Department's address,telephone and fax nu mber- The wesltb of Ma, -us-its . Depa t tint off liidusIdal Aoaidents Cdlice ofT)C,Ve&Qgatio= (500 WasbhO as St=t Boston,MA G1 I II T(�L 4 617 727-4900 Qxt 4D6 QX 14M-MASSAFE Fax 4 617-727-7749 Revised 4-24-07 ¢ LF..mas.,�_gavldia I _ ' AFYC Guide to Woad Constr-udiorr irr Ffi;g�14 end Areas:110 Hzph WradZone Massachuset-fs Checkdst fo» Compliance(7so aqR s3of I.l)r Ch=L . - - CampLiancc 1-1 SCOPE- Wind Speed{Isar_gusf)- _------ .—.— _—.-—.---____.._— _. 110 mph Wind Exposure Category B Wind Exposures Category-----------------Engineering Required For Entire Pro)ed.__._.....__._._._...__..__._......._C . 12 APPUCA.BILriY -Number of Snifter(a roof which ems 8 in 12 slope shall be considered a story) stories 5 2 stories Roof Prcfi 2) ---- 512:12 Mean Roof Height _�___(Fg 2)--�_._--.--_----- ft _<33' Building Widff,W —Fig 3)----�.—__:_..—_—_ft S 80' Building Length,L ___ ----------__---- (Fig 3) ----__-.-- — •ft 5 80' Building Aspect Ratio(L11O _.-_------_-__---(Fig 4)-�-- --___--- _ 5 3:1 Nominal Height of Tallest DpeningZ 12 FRAMING CONNECTIONS General compliance wlfi 2.1 FOUNDATIDN Foundation Walls meeting requirements of TB0 CUR 5404.1 Cona ............... . ......__......._..._._...__..._....__......._...._.__..............._..._.._....--•--•--•-----._.._.r._. Cona Masonry......---------------- ----— ------ - - —--- 22 ANCHDRAGE TO FDUNDATIDNt13 5J8'Anchor Bolis•imbedded or 518'Proprietary Mechanicdl Anchors as an alternative in concrete only Balt Spacing-general..........._.................... (Table4)—._.--.--_--._- __ in. Bolt Spacing from endrjoint of plate—_-_— .-(Fig 5)--.-- in.5 6'-12'. Bolt Embedment-concreta _-- _ __.(Fg 5).---- --•—__--- in.>T' Bolt Embedment-masonry---.__—,___—__.—(Fg 5)_—_—`-----_-__-- in_>1s' Plate Washer_._--_—_.— 5)--- -------- '-3'x 3'x Y< 3.1 FLOORS Floorffrarning member spans cheded ___—_----(per 7B0 CMR giapt>:r 55)_____------ Maximum Floor Opening pimerision-- -- --(Fig 6)-------_----____-----_—:.-__--•_ Full Height Wall Sfuds at Floor Openings less than 2'from Exterior Wall(Fig 6).........................-..__......... Mk-dmvm Floor Joist Setbada; SuppDMng Lroadbearing Waifs or Shearwall_—___—(Fig 7).__—.--•_-.-------_ ft 5 d Maximum Cantilevered Floor Joists Supporting Lbadbearing Walls or Shearwall------(Fig B) ft _ -F1oorBracing at Endwalls—--- --------- __-_---------(F9 9)-- ----_-•_-._.—---------. Floor Sheaftu ngType Floor Sheathing Tbicimess—_—_._—__—.----(per T80 GMR Chapt!:r 55).---- Floor Sheathing Faste ring_....._...._------______— ___:_.(fab[e 2)__d nails at in edge!_in field 4A WALLS ' Wan Height L_aadbearing walfs.____.____—_______--(Fig 10 and Table 5)___ ___ ft 510' No,n _oadbaaring walls___—_--- ------(Fig 10 and Table 5)-_--_.—___ft's 21Y Watt Stud Spacing _—__-__..—.(Fg 10 and Table 5)_ __—.—fn_5 247 o-r. Wall Story Cffsetr ___—_ __._.__.-------_'(Fgs 7&8)--_.-.---------- --•_ft 5 d ' 42 LXTERIDRWALLS' Wood Studs L Dadbearmgvratls------.--•-----. -•-• --(Tabfe?3--_.-_.__..----_--.mac --ft_in. Non-Lnadbearing walls.-----_------.----.-._{fable 5)_—___._._.----.Zx --ft_in. . �- Gable End WaA Bracing' Full Heaghf Endwali Studs._.___- ---.(Fig 10)_ . , -------_—, WSP-Attic Floor Length—_-_ _ (Fig 11) —_. _- __ -ft*'W/3 Gypsum Ceiling Length(if WSP not used) • .___-:-(Fig i t)---._---•_ _ft z 0.9W - and 2 x4 Continuous Lateral Brace @ 6 ft o-r-_ (Fig 11)----_._--•-------------_:._ or 1 x 3 ceding furring strips @ 1 T spacing•min.with 2 x 4 blor.Iang @ 4 ft spacing in end joist or truss bays Double Tap Platt= SpTime Length - —__—_-- —(Fig 13and Table 6)_.____ ___.-_-_._ft Spline CanneC:fion(no.of 16d common nails)—.(Table ---•--_— a A FYC guide to *7nd Areas: 110,mpff lend Zafle ' Massachusetts Check11•t for CO1rLPEA.Uce 990 CM115301.Z-r_r)j Laadbea-ing Wall Connections - Lateral (no_of 16d common (Tables 7) ---- NDri4xsadbearing Wall Connections Fetal(no.of16d common nails)--- -•--(fable 8) -__--__------ Load Bearing Wall openings(retard largest opwing but check all openings for cofripliance to Table 9) Header Spans . -—-_-- _-_(Table 9) -�_. _ft_ir. 11' Sill Plate Spans _. --Fable 9)____--__.-_..--_ft_in,c 11' Fug Height Studs (no. of Non4_aad Bearing Wall Openings(record largest opening but check all openings for campftance to Table 9) Header Spans..-----•----•--__.-------- -_-._(Table 9)___-__ _-_ft_in_51Z Silt Plate Spans.--- _ ---(Table 9)_ _ft_in. Full Height Surds (no.of studs) (Table 9) --- Extarior Wall Sheathing to Resist Upfdt and Shea[Simuftaneously4 Minimum Building Dimension,W Nominal Height of Tallest Openfngz ................. ----------._--- ---_`E Br Sheathing Type--- Edge Mail Spacing---- --(Table 10 or note.4 if less)--_.__-___. in_ Feld Nail Sparing.-----------.-.(Table 10) Shear Connection (no.of 16d common nails)(Table 1 Percent FLA-Height Sheathing.------.- (fable l D)-____------__ 5%Addfffonal Sheathing for Wall with Opening>•6'a(Design Concepts)-_______-_. Ma)dmum BLillding Dimension,L Nominal Height of Tallest OpeningZ---=----------------------------------------------------- Sheathing Type--------------(note 4) ---.--- Edge Nail Spacing--_------_--_--(Table 11 or note 4 if �?- Field Nail Spacing (Table 11)__ ,---- --•--_ in- Shear Connection(no. of 16d common nails)(Table 11)...._..-,-___ --•--•— Percent Full-Height Sheathing-__ (Table 11)____ 5%Addrtional Sheathing for Wall wilh-Opening>B'8'(Design Concepts)__.-_______' Watt Cladding Rated far Wind Speed?----- _-- -• -- _ -- ---- 5.1 ROOFS Roof framing member.spans checked?____.(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang --------------------__.---------_-__-_(Figure 19) ___---_-_ft s smaller of 2'or Ll3 Truss or Rafter Connections at Loadbearing Walls - Proprietary Connectors UPS -- --- ------ _ .(Table 12)___ ------ --- [r pft Lateral----- - -- - -(Table 12)- --. -----L= Pff Shear----------- '_-_.--(Table 12)---- -- — Pff- Ridge Strap Connections, if collar ties not used per page 21_._ (Table 13)--------- -T= plf Gable Rake Outiooker------------------__._____------(FigLire 2D) --------- ft s smaller of 2'or L12 ' Truss or Rafter Connedons at Non-Loadbearing Walls Proprietary Connectors Uplift - ----- - -.(Table 14) -- -_------U= lb. Lateral(no-of 16d common nail. _..(Table 14)---------------------------------- L= . lb. Roof Sheathing Type--_--�-_ _-_----(per 780 CMR Chapters 58 and - 7116'. RoofSheafhing Thidmess------.- - ------- - — — > Roof Sheathing Fastening—_.---__ -__.----•(Table 2)___ ---__---•— • _ S Notes: •1. • This check ist shall be met in its entiret;excluding the specific exception noted in 2,to comply with the regLgre rents of TSD CMR53D121.1 Item 1. If the chec)dst is met in its entirety then the following metal straps and hold downs ara not required per the WFCM 110 mph Guide: - a. Steel Straps per Figure 5 b, 2b Gage Straps per Figure 11 c. Upfdt Straps per Figure 14 d_ All Straps per Figure 17 e_ Comer Stud Hold Downs per Figure iaa and Figure 18b 2 'Exception:Opening heights ofup to 9 fL shag be permiliad when 5%is added fn the percent full-height sheathing requirements shown in Tables I and 11. 3_ The bottDm sill plate in exlEirior walls shag be a minimum 2 in-nominal tivdmess pressure treated#2-grade- ' r ATVC Grride fo, Wood Corrvirua on izr Rai h H'ind.4reas_ I10 aylr 11,'rudZoae Massachusetts Checklist for Compliance(790 chYlts�.ot 4. a. From Tables 113 and 11 and lomfion of wall sheathing and Burld'ung Aspect Ratio,determine Percent Ful-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows: t Panels shall be installed'%ft strength axis parallel to studs, n. All horizontal joints shall occur over and be nailed to framing. i2 On single stnty mnstruciiorn,panels shall be attached to bottom plates and top inember of the double top plate_ iv. On two story mnstructon,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of pane.Upper afththment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall-be a double row of Bd staggered at 3 inches on center per figures below:Vertical:and Horizontal NarTing for Panel Attachment 5. Glazing protectory a)*new house or horizontal addition—required if project'is 1 mule or closerfo shore(generally,south of Rte.2B or north of lam-6) b)vertical addition—not required unless there is extensive renovation to the first boor c)repiammentwiridows—needs energy conservation mrnpilarir~only(chap 93) 6_Wood Frame Construction Manual (WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. WriB•rTM EDGERESrs or+ roc usEsd 1JA _5� ATel= Il II 1 - - i LI 11 fi t r a 11 K [ t / M R< t F it (i I. C; {( i t 1 .m ; — CLt r tsx r r� - 1ILt}C a Q , i 1 �hCr � t! LE t - _ c� u u� '-tI S i 3J5' 11 11 1 r n F _ ItAli - -_ - - - ROUE2>=EDGE STAB 3`hdld ruXPArrEFx �+ nouaLE i,1AlLBDGE spruM DEML Sew Detail on Nexf Page - Vertical and HoiizflnlalHaIng Detail• for Panel Attachma nt Vertical and Horizontal Nailing far Panel Attachment i ��Sr�ad'h i MAS& Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b a rn s to b le.m a.u s Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, C) AC Q W ,as Owner of the subject property hereby authorize 11 A M S to act on my behalf, in all matters relative to work authorized by this building permit application for: C ( CAPTPI✓U Cd -7 1 � (Address of Job) r 7I Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 Town of Barnstable Regulatory Services oFt r�iy,� Richard V.Scali,Director Building Division MMSfABM ' Tom Perry,Building Commissioner s63¢ �m 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the'owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The.undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules.and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use.this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against-the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently.used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 040215 I Office of Cousnmer A$afti&Business Regulation, : OME IMPROVEMENT CONTRgCTOR istration: ",20592 Type,` ?^ Expiration:imw DBA V r -:MOORE'CARPENTRY= :7 MES MOORED - i 15,GOEEETTA DR EAsTE�ilPOUTK MA 02536 � -� .Y. Undersecretary t r Massachusetts -Department of Public Safety . Board of Building Regulations and Stan dards C - uons nr�u uurOl�ii liei riSirT i oc��5rriii'_r License:.CSFA-045959 FTTI; JAWS S MOORF,- �r 15 GOELETTA Dot I EFALMOVITi1VIA 01_�) %'�^ �/e ►' Expiration' Commissioner 11/24/2016- �i •.' M1 7 License.or registration valid for individul use only before the expiration date. If foundreturn'to: f Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid without signatur Restricted-'One-and two-family dwellings or any accessory building thereto, irrespective of size. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS r , , 1 I i , r i , r r i _ -- , r 1 1 SPActS oe Ao� r 4 RAf . . aX , • I�DS� 13 (CACkET � ; , 1 , , - - C4 y , I r • , , 1 I. • r • 7— a orl-f 4 t�• G tAl FIT..!r re we-4 f • r -- --- --.. - - - ----- - - .-- - -- ---- — ---- - -=-- - ' --- -- i a X,lo : J o+ST 1:00f : r3 (CAckE.T ' FL Post (3As� �T`cb) 5 v� �v�t�0� 3�`� �t 4 €©_GE2GOAle; �r j4jQ AV 13 p7 H E/V oS ------------ r O ................ m . _ ..._._._.._,.__. _..__..___.,...____.. ____.. DATE(NIMIDDIYYYYI L CERTIIFICATE OF LIABILITY INSURANCE 7 24 15 IFICATE HOLDER TIFICATE IS ISSUED AS A MATTER 07 YY���R ALTERNFERS NRTF� COVERAGE AFFOIGHTS UPON THE RDED 81f 11�E POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR AUTHORIZE BELOW. THIS CERnr-1CATE OF INSu TM CE DOES S NOTATE HOLDER. A CONTRACT BETWEEN THE ISSUING INSURER(S), REPRESENTAWE OR PRODUCER, I,c a9 must be endorsed. If SUBROGATION IS WAIVED,subject to IMPORTANT: If the certificate holder is an ADDITIONAL INSURE ,e ennddorsm nL A statement on this certificate does not confer rlghtf3 to the the terms and conditions of the policy,certain Policies may require certificate holder in Ileu of such endorsaonent( TA PRODUCE �` (5091 759-3822 United Insurance Agency, Yno.99 Main Street NAlcaP.0. Box 1013INsuRER�s1 A_FFoavlr�covEaA6eBuzzards Bay, Ili 02532 :Acce tance Zndemni•AF,ICINSUREJames Moore :Moore Carpentry 15 Goeletta Dr INSURER E: R Falmouth, MA 02536 IrauRERF: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF DWG ANY REQUIREMENT,INSURANCE E LISTED 5OVVCONDITION OF ANY CONTRACEN T HAVE BE OR OTHER R DOCUMENT WITH RESPECT TOLWHI PERIOD INDICATI�, NOTWITH CERTIFICATE MAY BE ISSUED O OF MAY 1i ERTAES-LIMITINSURANCE S O `Y O EVE R REDUCED 8Y PAID CLAIMS BED HEREIN IS SUBJECT TO ALL THE TER EXCLUSIONS ANDCON � U ►AIDDn MMID Off YYN UNITS TYPE OF INSURANCE POLIO NU ER L R 6/20/15 6/20/16 S 1 ^000 000 p, GENERALLIABILITY CLOO196244 AIMYIG T-0 R( END $ 100.000 �( COMMERMAL GENERAL LIABILITY MED17c, n1am omen S 5 000 CLAW-MADE a OCCUR PERSONAL&ADV INJURY S 1 000,000 GENERALAGGREGATE $ 2 000 000 PRODUCTS-COMP/OP AGO S 2 000.000 GEN'L AGGREGATE LIMIT APPLIES PER & 4 I LOC Nt IN LIMT X POLICY P0 Ea xclaerA) AUTOMOBILE LIABILITY BODILY INJURY(Par paleon) S ANYAUTO BODILY INJURY(Per eccldanl) & ALLOWNED SCHEDULED AUTOS NON-0WNED PR PE erpecidern Ai AA & HIRED AUTOS _AUTOS & EACI4 OCCURRENCE $ UMBRELLALIAB OCCUR AGGREGATE 3 rXCE96 LIAB CLAIMS-MIAM & DF RETENTION fi 6/14/15 6/14/16 X WC STATU- OTH- B WORKERS COMPENSATION WCC50050101242015 100,000 _ AND EMPLOYERS'LIABILITY YIN EL.6 CA H AC DENT ANY PROPRIEIDRIPARTNERIEXECUTIVE NIA EL D19EASk-_g& M LOYEF 100 000 OFFICERANEMSER EXCLUDED? (M(Indarory In NH) EL,DISEASE- OLICY LmAIT S 500 000 If Yea daaulbe ui>d<+r DESCRIPTION of OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEIMcLES (Attach ACORD 101,Addidonal RGal0dw Schedule,If more epics is reqtArad), Remodeling contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept Barnstable,D, t nAURF.P7wFftRRgRwMTATM tAr ®198812010 ACORD CORPORATION. All rights reserved, ACORD 25(2010105) The ACORD name and logo are reglstered marks of ACORD Phone: Fax: (508) 790-6230 E-Mall: Town of Barnstable Geographic Information System July 24,2015 038028 AW #30 - 038036 038029 #40 #115 038035 038030 #0 #105 E 14�L� 038033 �aN P #60 Q� S �A3 038040 #124 038034 #91 Z. 038041 #100 pyl SAMA0R� 038031 301 038042 038 #100 #71 038054 03SD59 0 r et #99 #55 -_ l DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:038 Parcel:034 boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel V=100'may not meet established map accuracy standards. The parcel lines on this map Owner:DUWORS,ROBERT M Total Assessed Value:$309700 are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner: Acreage:0.54 acres Abutters w boundaries and do not represent accurate relationships to physical features on the map Location:91 CAP'N CARLETON'S RD such as building locations. Buffer /� Page 1 of 1 z BLS; BAS., 2.; k. 12 i I i file:/A\isvisions\gis\sketches15\2422_2522.jpg 7/24/2015 I Qt I b� 4 1 1 ' i i V 1 YYw. ' �wY t� - .. 1. (`r r ` � r r •V i I i �� �� �� �� -�—, n �.� — ��. �_.. __ J i s � i �• i` ' ,`' .�. � ._. ,� i r �, + � �', i � � i,� � � �{ ;,;r�,� l.. --. �: R e,.r `l�� �:a` nil 7 .rc 3.. •.! � �- C�- � a �' � � � � � � - � � �- � � �- ��! � � Aq, to I ow 6Ar+A V, C s o be,r ►��ul C_) Ctl1 5ob - 6q SZv r Duwor's—91 Cap'n Carleton Rd, Cotuit June 18, 2015 The Health Director authorized a partial condemnation for the deck prohibiting its use in its current state and ordering it to be repaired or replaced in accordance with the requirements of the Mass State Building Code. A letter announcing this action was sent by registered mail to the property owner. Two laminated stickers were posted on site— one taped to the living room/office slider(facing inside) and the other inserted into a crevice between the deck rail and hand rail. (Photos on file). On the same date, a separate letter was also sent by registered mail to the property owner concerning violations of the state sanitary code including the septic capacity and the number of bedrooms observed, inoperable or missing smoke and CO detectors as well as other miscellaneous repairs ordered. The property owner was ordered to correct two violations within 24 hours: the smoke and CO detectors and the removal of lock on the lower level garage door to serve as a substitute secondary means of egress. Upon confirmation of the property owner's receipt of the letter, Regulatory and Legal staff attempted to obtain contact information for the house manager through the property owner's counsel to no avail. This failed attempt was an effort to arrange a follow-up compliance inspection for the items identified in the 24 hour notice. I reported to the site with Tim O'Connell for a compliance check regarding the 24 hour orders. Mike answered the door and provided his cell number(508-858-9522). There was a new combo smoke & CO unit(uninstalled) in the kitchen for the first floor. Tim hung it up on an empty picture hangar in the hallway to at least get the unit in nearer to the first floor bedroom. Mike reported that the second floor unit was a combo unit but when we checked it was determined that it was in fact simply a smoke detector. Mike stated that he would call the owner and let him know to replace it. Tim advised this matter must be resolved immediately but that he need only buy a simple carbon monoxide detector for the second floor as an operable smoke was already installed. Mike agreed that if the owner doesn't respond today he would go to the hardware store and purchase the unit himself. He will communicate with Tim to confirm the purchase and arrange a follow up inspection later or in the alternative provide a photo by email until we can return. The lower level garage door was now locked from inside by a dead bolt and was easily unlocked with a turn of the wrist and the use of a door knob. This correction allows all occupants to exit the premises. Before we left the site we confirmed that condemnation order was still posted. (Photos on file). 3 i DATE: June 19,2015 TO: Building File FROM: Robin C. Anderson, ZEO RE: Inspection LOCUS: 91 Cap'n Carleton Rd, Cotuit M&P: R038-034 ZONING: RF Single Family Residential WEATHER: Approx 70 degrees, sunny—light breeze PRESENT: Tim O'Connell,Health Inspector Mike Bellavance,House Manager Reported to the site on June 17,2015 with Tim O'Connell. Found a four bedroom, 2-bath home with an unfinished basement and garage under constructed in 1978. The original building permit refers to a three bedroom septic system. The house was tidy but suffers from neglect. The yard is unkempt. The house is perched on a hilly lot at a higher elevation than street level. There is a driveway that leads directly to a 2 car garage(contained within the foundation)and another circular driveway that is currently overgrown. There is no lawn or landscaping and no apparent attempt at manicuring or maintaining the site in a tamed but natural fashion; it's simply overgrown and scruffy. The back yard slopes down and remains a wild mass of pricker bushes and weeds. There were two vehicles and a large dumpster(containing household debris) in the driveway in front of the garage. One vehicle looks to be unregistered and likely not drivable. The overgrown circular driveway was empty but for our municipal vehicle. We were admitted to the property by Mike Bellavance,House Manager. He reported that there are 4 occupants. Mike for 2 months,one resident for 1.5 years and the other two occupants for 2 months also FIRST FLOOR-Bedroom We entered from the front door. Off to the left was a small bedroom. There was a single bed,a bureau and a TV. This was the manager's room(Mike). Continuing down the hallway, is a bathroom. The kitchen/dining room is to the right and directly opposite on the left is an office/living room. Kitchen/Dining Room The L-shaped kitchen is dated and the appliances are old. The small cabinet to the right of the refrigerator was broken and the counter top piece sat askew on top of the unit. The sink contained breakfast dishes but in general the place was neat and Spartan. The first floor almost appeared unused. The dining area directly abuts a Formica peninsular. The outside wall contains a failed glass slider. A note reminding occupants to not open the slider is taped to the glass at eye level. When I lifted the curtain I found that the inside groove of the stationary glass door was stuffed with newspaper. I could feel the air moving through the unit and when I dropped the curtain back in place it continued to move with the gush of outside air. The dining area contained a table and chairs. An unopened book about addiction was on the table along with a few other items. A 1 portable pantry was on the hallway wall directly behind the peninsular. Food items and miscellaneous provisions were displayed and ready for easy reach. On the far end is separate area but an open continuation of the dining room. It may have been used either as a den or perhaps a more formal dining room at one time. Currently, it is devoid of any furniture. A dog bowl, leash, a 40 lb bag of chow and a bike were the only items in the room. On the opposite end of the house is a living room/office with a fireplace and slider. The room was furnished with a couch and chair as well as a work station and office chair. The slider is another old style aluminum framed unit typical of the original construction date in 1978. The unit was very difficult to open and I got it open just enough to squeeze out sideways onto a wooden deck. (im and I were reluctant to force the door open any more.) The first floor smoke detector was missing. There was no CO detector on the first floor. DECK The deck has obviously been neglected. It is deteriorating and rotting. Some places were brittle and other boards were so spongy that Tim was afraid he may step through the deck. There was a serious amount of rot near the sliders and particularly where the hand rail meets the house.The unit is slightly buckled in the middle. (This is visible in at least one photo.) I walked around the deck and found the mid section to be pulling apart and off-kilter. I photographed this as well. SECOND FLOOR The second floor contained three bedrooms and a full bath. Tim measured all bedrooms (including the one on the first floor). The room on the left contained two bunk beads and a bureau. The room was clearly occupied. The room at the end of the hall was also occupied and contained a single bed and bureau. The room on the right contained a single bed occupied by its sleeping resident during the inspection. GENERAL Through out the entire house not a single window or door was open to allow fresh air to come in even though it was a warm spring day. The sleeping occupant had a fan on the floor near the bed facing him. The smoke detector upstairs was tested and found to respond properly. A fire extinguisher was mounted on the hallway wall upstairs and there was also one on the first floor as well. No CO detector was found on the second floor. BASEMENT—GARAGE The lower level was unfinished..There was a new front-loader washer and dryer installed. A door to the left at the bottom of the basement staircase was locked. Mike stated he did not have a key but we could enter the garage from outside. We walked around to enter the garage and found it to be unfinished and used for storage of furniture and miscellaneous items. We found an operable Smoke and CO combo unit in basement. 2 I lAl -A-L6, S PAO -f- +� h � I ` ,� � �+ .B �� � � .. .r r ,� � � � 1 -.__ t .> ' r . i ��' � y rr � < J _ DATE: June 19,2015 TO: Building File FROM: Robin C. Anderson, ZEO RE: Inspection LOCUS: 91 Cap'n Carleton Rd, Cotuit M&P: R038-034 ZONING: RF Single Family Residential WEATHER: Approx 70 degrees, sunny—light breeze PRESENT: Tim O'Connell,Health Inspector Mike Bellavance,House Manager Reported to the site on June 17, 2015 with Tim O'Connell. Found a four bedroom,2-bath home with an unfmished basement and garage under constructed in 1978. The original building permit refers to a three bedroom septic system. The house was tidy but suffers from neglect. The yard is unkempt. The house is perched on a hilly lot at a higher elevation than street level. There is a driveway that leads directly to a 2 car garage(contained within the foundation)and another circular driveway that is currently overgrown. There is no lawn or landscaping and no apparent attempt at manicuring or maintaining the site in a tamed but natural fashion; it's simply overgrown and scruffy. The back yard slopes down and remains a wild mass of pricker bushes and weeds. There were two vehicles and a large dumpster(containing household debris) in the driveway in front of the garage. One vehicle looks to be unregistered and likely not drivable. The overgrown circular driveway was empty but for our municipal vehicle. We were admitted to the property by Mike Bellavance,House Manager. He reported that there are 4 occupants. Mike for 2 months, one resident for 1.5 years and the other two occupants for 2 months also FIRST FLOOR-Bedroom We entered from the front door. Off to the left was a small bedroom. There was a single bed,a bureau and a TV. This was the manager's room(Mike). Continuing down the hallway, is a bathroom. The kitchen/dining room is to the right and directly opposite on the left is an office/living room. Kitchen/Dining Room The L-shaped kitchen is dated and the appliances are old. The small cabinet to the right of the refrigerator was broken and the counter top piece sat askew on top of the unit. The sink contained breakfast dishes but in general the place was neat and Spartan. The first floor almost appeared unused. The dining area directly abuts a Formica peninsular. The outside wall contains a failed glass slider. A note reminding occupants to not open the slider is taped to the glass at eye level. When I.lifted the curtain I found that the inside groove of the stationary glass door was stuffed with newspaper. I could feel the air moving through the unit and when I dropped the curtain back in place it continued to move with the gush of outside air. The dining area contained a table and chairs. An unopened book about addiction was on the table along with a few other items. A 1 portable pantry was on the hallway wall directly behind the peninsular. Food items and miscellaneous provisions were displayed and ready for easy reach. On the far end is separate area but an open continuation of the dining room. It may have been used either as a den or perhaps a more formal dining room at one time. Currently, it is devoid of any furniture. A dog bowl, leash, a 40 lb bag of chow and a bike were the only items in the room. On the opposite end of the house is a living room/office with a fireplace and slider. The room was furnished with a couch and chair as well as a work station and office chair. The slider is another old style aluminum framed unit typical of the original construction date in 1978. The unit was very difficult to open and I got it open just enough to squeeze out sideways onto a wooden deck. (im and I were reluctant to force the door open any more.) The first floor smoke detector was missing. There was no CO detector on the first floor. DECK The deck has obviously been neglected. It is deteriorating and rotting. Some places were brittle and other boards were so spongy that Tim was afraid he may step through the deck. There was a serious amount of rot near the sliders and particularly where the hand rail meets the house. The unit is slightly buckled in the middle. (This is visible in at least one photo.) I walked around the deck and found the mid section to be pulling apart and off-kilter. I photographed this as well. SECOND FLOOR The second floor contained three bedrooms and a full bath. Tim measured all bedrooms (including the one on the first floor). The room on the left contained two bunk beads and a bureau. The room was clearly occupied. The room at the end of the hall was also occupied and contained a single bed and bureau. The room on the right contained a single bed occupied by its sleeping resident during the inspection. GENERAL Through out the entire house not a single window or door was open to allow fresh air to come in even though it was a warm spring day. The sleeping occupant had a fan on the floor near the bed facing him. The smoke detector upstairs was tested and found to respond properly. A fire extinguisher was mounted on the hallway wall upstairs and there was also one on the first floor as well. No CO detector was found on the second floor. BASEMENT—GARAGE The lower level was unfinished. There was a new front-loader washer and dryer installed. A door to the left at the bottom of the basement staircase was locked. Mike stated he did not have a key but we could enter the garage from outside. We walked around to enter the garage and found it to be unfinished and used for storage of furniture and miscellaneous items. We found an operable Smoke and CO combo unit in basement. 2 Town of Barnstable oFt„E t Regulatory Services Richard Scali Director * Public Health Division * BAMSrnaLE, v MASS. Thomas McKean, Director �{jpl 059• a,� 200 Main Street FD Mp`l Hyannis, MA 02601 Office: .508-862-4644 Fax: 508-790-6304 June 18, 2015 Robert M. Duwors 1808 Main Road i Tiverton, RI 02878 PARTIAL CONDEMNATION NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II- MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION. Your property located at 91 Captain Carleton's Road, Cotuit, MA was inspected on June 17, 2015 by Health Inspector Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable and Robin Anderson, Zoning Officer for the Town of Barnstable. The following violations of the State Sanitary Code were observed: 105 CMR 410.750 (G): Conditions Deemed to Endanger or Impair Health or Safety Observed that the back deck on the exterior of the dwelling has several severely rotten decking boards. It was also noticed that deck was sagging in some areas and multiple footings are cracked along with other structural defects. 105 CMR 410.831(D) Until building permits have been obtained from The Town of Barnstable Building, Division and deck has been repaired in accordance with Massachusetts State Building Codes you and all occupant(s) of said dwelling are ordered to refrain from the use of deck located in the rear of dwelling. Also please refer to the separate order letter from the Health Division in regards to multiple state sanitary violations which must be corrected within the established deadlines as written in the enclosed order letter. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a. fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER O RDER OF T BOARD OF HEALTH Ho as A. .McKean, R.S., CHO Director of Public Health Town of Barnstable Cc: Charles McLaughlin, Esq. Town of Barnstable Cc: Mike Bellavance, Occupant House Manger Cc: Robin Anderson, Zoning Officer Town of Barnstable Cc: Thomas Perry, Building Commissioner, Town of Barnstable Certified Mail#7014 1200 0001 0358 1175 Town of Barnstable s Regulatory Services + BARNSTABL& v� MAS& �f ��� Richard Scali, Director A 1639. Public Health Division Thomas McKean, Director 200 Main Street; Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 June 18, 2015 Robert M. Duwors 1808 Main Road Tiverton, RI 02878 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION Your property located at 91 Captain Carleton's Road, Cotuit, MA was inspected on June 17, 2015 by Timothy B. O'Connell, R.S., Health Inspector for the Town of Barnstable and Robin Anderson, Zoning Officer for the Town of Barnstable. The following violation(s) of the State.Sanitary Code were observed: 105 CMR 410.300 and 310 CMR 15.00: Sanitary Drainage System • There were a total of four (4) bedrooms observed within this dwelling; one (1) on the first floor of the dwelling and three (3) located on the second floor. The existing septic system (Permit# 78-644) was engineered for three (3) bedrooms not for four (4). 105 CMR 410.500: Owner's Responsibility to Maintain Structural Elements • Observed missing flooring boards within dinning area. • Sliding glass door not operable within dinning/kitchen area which had newspaper stuffed in large voids where the frame meets wall. • Exterior trim around said sliding glass door is rotten and is not weather tight. • Multiple areas (siding, trim boards and window sills) on the exterior of the dwelling are rotten and do not exclude; wind, rain, snow and rodents. They are not watertight, free from chronic dampness, in good repair and in every way fit for the use intended. • Sliding glass door within living room area does not open without excessive effort. Observed that the back deck on exterior of dwelling has several severely rotten decking boards. It was also noticed that deck was sagging and multiple footings are cracked compromising its integrity. • Observed rotten exterior window sills on multiple windows. QAOrder Iettersll-lousing violations\Rental ordinance 91 capt Carltons 6-18-15n.doc I . I i 105 CMR 410 501: Weathertight Elements: • Sliding glass door in dinning area had large gaps between glass door and door frame. • Multiple areas on exterior of dwelling are not weather tight as mentioned above. 105 CMR 410.482- Smoke Detectors and Carbon Monoxide Alarms: • There were no operable smoke or carbon monoxide detectors on first floor of the dwelling. • Missing carbon monoxide detector on second floor of the dwelling. 105 CMR 410.450- Means.of Egress: • Both sliding glass doors were found to be inoperable or in such a state of-disrepair it is rendered too difficult to operate. At least one slider is intended to serve as one of two means of required egress (from the dwelling) under the Mass State Building Code; the first being the front door. Until such time that one unit is repaired or replaced,you are hereby ordered to immediately unlock the interior garage door, said door shall serve as a temporary but acceptable substitute means of egress from the dwelling. You are directed to correct the violations listed above within twenty-four(24) hours of your receipt of this notice by installing smoke detectors and carbon monoxide detectors in accordance with Mass Fire Codes; by keeping two means of egress operable as mentioned above in the Means of Egress Section. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by obtaining building permit(s) from the Town of Barnstable Building Division and removing one (1) of the four bedrooms. This may be done by removing door and creating a five (5) foot cased opening; by repairing or replacing all exterior siding, trim, and window sills that are rotten and do not exclude wind, rain, snow and rodents; that are not watertight, free from chronic dampness, in good repair and in every way fit for the use intended. You are directed to correct the violations listed above within thirty (30) days of your receipt of this notice by obtaining building permit(s) from the Town of Barnstable Building Division and repairing or replacing both sliding glass doors mentioned above so they are weather tight and open with reasonable ease; by replacing floor boards within dinning room area; by repairing deck with a proper building permit obtained from The Town of Barnstable Building Division. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. However, these violations must be corrected within twenty four hours regardless of any request for a hearing. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. QAOrder Ietters\Housing viol ati ons\Rental ordinance 91 capt Carltons 6-18-15n.doc PER ORDER OF T BOARD OF HEALTH Thomas A. McKean, R.S., O Director of Public Health Town of Barnstable Cc: Charles McLaughlin, Esq. Town of Barnstable Cc: Mike Bellavance, Occupant (House Manager) Cc: Robin Anderson, Zoning Officer Town of Barnstable Cc: Thomas Perry, Building Commissioner, Town of Barnstable QAOrder Ietters\Housing violations\Rental ordinance 91 capt Carltons 6-18-15n.doc I a 9 I Nut' QI�1 9`1 M r A I F. x- - r--, F, MAI, r �4 Iwo 7F NT l 1 1 -3T m f- rg`. �� -.. �,;.� J Ir ! 1}_ i ��. t� 5ARNSTABLE ' 1 �C �. - �: _ - _ - ' y �i' __.3'r':. �_._ _ ',.- _ -_ -. — - _ - _ _ -. _ � ems- _ __. _ __ �-�- _. - i�; ��� i �j r � ` ..�_g f ' J h� � .� �� � ,�.._� :� � ,� , , r';�r ,_ � i, .. �{ k dv " i .4•ram •t, �i , s � a RYugJtz_ ' 4 ' •=af r h� `r ' 1 ' �,�-'" �.i-'ice`"=• 'v,, �" ,� _ � ��� e.. , `�, .rl�' �J r � ' ,, akk� � � � -yC• NISTABLE p w w d x S a^ �M r a s C> TONIN ()F BARMABLE 2: 7, t L. - - Mrs fIIIiIIlf�ifllil �sa1/�I0 f/f Ilal ffilii!!f�l�ilff 1 P1.7 STA B f _ y r t mfF w. �.Vwi .�+ �•'z: Y� � r w S TA S L E Qy/ �� eqn CRA- y _ r f } r' _' . 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S TA B L JE -C v r rt ' • r i �1 pARNSTAB E J mar JILV ��._• � � � '`y � � ` ��� -.. ft —.fry` �� - Ll -r 1. Kim .� ! -�• - 'vie^ � _i� IF 7�; j swxxe,,.�..�,,, ���.,. �; y � y r - s + S .may TA 8 L i-. � �. �.�.«.. i �. "��. _a�: ;�, t .. >,• „, • � ,�,�. . ,, �, T.r Aw t " ♦ .fir, �. AP • .L ® .rr 4 i t 7 •. VA. a � l � Y w1 .y J:. -Y IJ f `rd — r �ti �; 1 qv w , ' , 10 4 ti o� r� I - 8; too" WE*Xz OtM 41 IWO I j a; 0 G � � O� � � � I l y �l _•per i BARNSTABLE DATE: June 19,2015 TO: Building File FROM: Robin C. Anderson, ZEO RE: Inspection LOCUS: 91 Cap'n Carleton Rd, Cotuit M&P: R038-034 ZONING: RF Single Family Residential WEATHER: Approx 70 degrees, sunny—light breeze PRESENT: Tim O'Connell,Health Inspector Mike Bellavance,House Manager Reported to the site on June 17, 2015 with Tim O'Connell. Found a four bedroom,2-bath home with an unfinished basement and garage under constructed in 1978. The original building permit refers to a three bedroom septic system. The house was tidy but suffers from neglect. The yard is unkempt. The house is perched on a hilly lot at a higher elevation than street level. There is a driveway that leads directly to a 2 car garage(contained within the foundation)and another circular driveway that is currently overgrown. There is no lawn or landscaping and no apparent attempt at manicuring or maintaining the site in a tamed but natural fashion; it's simply overgrown and scruffy. The back yard slopes down and remains a wild mass of pricker bushes and weeds. There were two vehicles and a large dumpster(containing household debris)in the driveway in front of the garage. One vehicle looks to be unregistered and likely not drivable. The overgrown circular driveway was empty but for our municipal vehicle. We were admitted to the property by Mike Bellavance,House Manager. He reported that there are 4 occupants. Mike for 2 months,one resident for 1.5 years and the other two occupants for 2 months also FIRST FLOOR-Bedroom We entered from the front door. Off to the left was a small bedroom. There was a single bed,a bureau and a TV. This was the manager's room(Mike). Continuing down the hallway, is a bathroom. The kitchen/dining room is to the right and directly opposite on the left is an office/living room. Kitchen/Dining Room The L-shaped kitchen is dated and the appliances are old. The small cabinet to the right of the refrigerator was broken and the counter top piece sat askew on top of the unit. The sink contained breakfast dishes but in general the place was neat and Spartan. The first floor almost appeared unused. The dining area directly abuts a Formica peninsular. The outside wall contains a failed glass slider. A note reminding occupants to not open the slider is taped to the glass at eye level. When I lifted the curtain I found that the inside groove of the stationary glass door was stuffed with newspaper. I could feel the air moving through the unit and when I dropped the curtain back in place it continued to move with the gush of outside air. The dining area contained a table and chairs. An unopened book about addiction was on the table along with a few other items. A 1 I 1 portable pantry was on the hallway wall directly behind the peninsular. Food items and miscellaneous provisions were displayed and ready for easy reach. I On the far end is separate area but an open continuation of the dining room. It may have been used either as a den or perhaps a more formal dining room at one time. Currently, it is devoid of any furniture. A dog bowl,leash, a 40 lb bag of chow and a bike were the only items in the room. On the opposite end of the house is a living room/office with a fireplace and slider. The room was furnished with a couch and chair as well as a work station and office chair. The slider is another old style aluminum framed unit typical of the original construction date in 1978. The unit was very difficult to open and I got it open just enough to squeeze out sideways onto a wooden deck. (im and I were reluctant to force the door open any more.) The first floor smoke detector was missing. There was no CO detector on the first floor. DECK The deck has obviously been neglected. It is deteriorating and rotting. Some places were brittle and other boards were so spongy that Tim was afraid he may step through the deck. There was a serious amount of rot near the sliders and particularly where the hand rail meets the house. The unit is slightly buckled in the middle. (This is visible in at least one photo.) I walked around the deck and found the mid section to be pulling apart and off-kilter. I photographed this as well. SECOND FLOOR The second floor contained three bedrooms and a full bath. Tim measured all bedrooms (including the one on the first floor). The room on the left contained two bunk beads and a bureau. The room was clearly occupied. The room at the end of the hall was also occupied and contained a single bed and bureau. The room on the right contained a single bed occupied by its sleeping resident during the inspection. GENERAL Through out the entire house not a single window or door was open to allow fresh air to come in even though it was a warm spring day. The sleeping occupant had a fan on the floor near the bed facing him. The smoke detector upstairs was tested and found to respond properly. A fire extinguisher was mounted on the hallway wall upstairs and there was also one on the first floor as well. No CO detector was found on the second floor. BASEMENT—GARAGE The lower level was unfinished. There was a new front-loader washer and dryer installed. A door to the left at the bottom of the basement staircase was locked. Mike stated he did not have a key but we could enter the garage from outside. We walked around to enter the garage and found it to be unfinished and used for storage of furniture and miscellaneous items. We found an operable Smoke and CO combo unit in basement. 2 u!. - M �_ WN r � '�' 91 Caa'n Carleton Rd . . Cotuit 5/15/2014 =�• ,� a .. 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P i 1 c�I M "a plop `p�j s�uolapeo u,dao �6 00 6 �' y. _�ry - III sn I � r -..- -dono ► .e.aatw n 91 Cap'n Ca ton's Rd, Cotuit /14 n S'� �`�� V ql ,® V/ 1. * owes y 5��1��� • • 1 • • d' / 410 M ��� �� � S � �� �� . ram► � � ,� i � � � � � � � u : - R.A , S� d� 5�`�F 1 ,�� :� 1 Cap'n Carleton Rd, Cotuit 8/15/14 1 �7 ter¢.�-• _ i 91 Cap'n Carleton's Rd , Cotuit 8/15/14 iL I i ,r. .y . J; M- ohm"ifleton's Rd, Cotuit 8/15/14 t to } 91 Cap'n Carleton Rd, Cotuit I� _ 1 't 1 r � . / . � • • • � ���. �_ �� , �-. t � . _ __ - i-�( �.,. � .,�,. �, _ �.,�. fi �. rs r " _ _ _ - _ f c 19A � j f victims mom tells t t r: �f� YE of search efforts �sz L � � s Vivienne Walker is askedtoidentifyherz3-year- old pregnant daughter in a ° first of 8 witnesses surveillance video that was olds an essay that his father,Jim Barnes,wrote about his childhood friend who called Wednesday played in the courtroom. he Lusitania a hundred years ago today.MERRILY CASSJDY/CAPE COD TIMES Vivienne Walker,the first By Haven Orecchio-Egresitz of eight witnesses called t horecchio@capecodonline.com Wednesday to testify in the i trial of Quoizel Wilson,who # - a BARNSTABLE — Trudie is accused of murdering Hall Rorl>a>s R�fa >3 Hall's mother stood tall and in July 2010,was handed tis- appeared calm as she began' sues as she wept. A old, 1 eometimee KaKe up in the small hours, and her testimony in Barnstable Walker and Hall's husband, SEE TRIAL, A4 Chlnk about Ronnie• Ronnie and down were both eleven years Superior Court,but she broke down in tears of er being of 191h-1915• He h9A v k.. great pale back lathe longnRo years � COTUIT r t :::i:T-Z", _ O v bwn, SLI with " & t f 101 . :•' ems'.. -' h_6" seruseowner , 'n j -"iN 5 By C.Ryan Barber Downs responded to a dis- 'x,z r �''k, z�*if n q 1 y � rbarber@capecodontine.com. turbance inside the house and Rriy &ice_ " y .cFF �3 found several men whom he 23> �Fffihf� �a� F COTUIT — Barnstable described uia police report as I. police were told that the gray "highly intoxicated."Neigh- Cap' '..wr ( _ .tYE.R"NL i•2+q. �'<7%` �(' S 26 ,S' 'fa P f . Colonial on n Carleton's . bore who complained that �FK4Road was a sober house. as many as a dozen people But on a Saturday night in i March 2014, Officer David SEE HOME, A4 I An undated photo I the Cunard liner Lusitania.ASSOICIATED PRESS FILE ' GILMOUR Select-A-Spray • _ a Nozzle with Metal Body 1 GILMOUR GILMOUR SM"U87 1 2,750 Sq.Ft. 3,000 Sq.Ft. $8.99 EA Oscillating Sprinkler Oscillating Sprinkler $ ° 6.99�, $9.99. � �X >: GILMOUR GILMOUR Front Lever Nozzle Single Outlet Electronic How much Winter's with BPatterns WateringTimer SI01:11]779 SKlk M7191 do they'earn? long reach $12.99. $29.99.- mic Our searchable database Cape real estate sales volume cetown shows what Cape town falls but median values were Gilmour. Compare employees are paid:capecod- up in April. C3 GARDENING INNOVATION • • times.com/datanet. Watering Options! &Save' r I B7 Crossword............................... ................. C8 Obituaries...............................A7 Everything for Building,Remodeling&Home Improvement Since 18951 ....... C5 Massachusetts A5 Opinion...................................A8 - !ELLFEET�,ORLEANS�SOUTH_DENNIS_MARTHA.SVINEYARD:, IDDLEBORO.- B6. Nation&World......................A6 ©2015 .,, r I _TI W 3 �7 •-.1 ncAbL MCAPE COD .......c4Y W a re Online . w a photo galley f E y from the Online puo Flom izel Wilson murder Page Al a trial: � codtimes. Read the agreement betwee were staying at the ho the COtuit homeowner 1 r Ens and that the meo � 2� # R use the town of Barnstable r � � , s ti rR Du Owner, obert at the 4Hir � r � , � referring to one of the Wors, was renting the °nlme version of this story: u� graphs. He also photo- Property illegally,s capecodtinies.com. s d said it bulleth Pointed out Yet an her night �'as oleandblo a of ght when front bloodstains tenants at 1 the c � K and back seats. Road 9 Capin Carleton's After finding the car were anything but sober. end to a pending cry and dis- "An occasional against DuWorS ���, covering recent nal slip is , who face t_ a b phone calls Of-living Part char r n� Yv dui $} #� etween Hall g in a sober house but charges der refusing to pa y and Wilson Y this fines for failin t � g�� and other ork was party central,,, gore- , � � � 4 officers went to his John Ea �� said sober liter th nt and other officers gar'co-president of ert Asouse as the prop i k r�, eiviewed the.Landfall Y t andliis wife. Association Home Owners the c ies were the dismissed.•,. 3qs :-':- At that ociation boar 'i hazgesweredis �- time,Wilsonsaidhehad was no d There missed. _ � 5::; seen Hall during her trip »one supervising the MY first goal was to gel in h p to the house. this agreement AW bland,but theirrelationshi A e criminal done and the hadalw P Y ar later al case w always been , Barnstable wound » L- n Ito ;York Officials have able McLaughlin said. "This_• ��-_ testified. P nic off' yea d. agreemen shed an been a co This has _ But onAug,3,2010 York w' t with DuWors that a operative process 'rnr: _ Wits ksaid, ill allow and I would one him like think alledhimand to'continue to k meetin ,tha askedfora running the sober h we're going to con g recorded' house but continue to Wilson theninterview, will requtre him to re get that cooperation from the told police that h gister it = a as arent y� Pro ert » :;,v, 4 had had a se a1 Pro Property, p y ram: = sexual relations in P subject- McLaughlin r r a with Hall and hip . g the residence to augt said t « unbornc I�ar Possible the town inspection and an annual a shocking lack of regulatory is ,-ry _ .-- hildw his,York said. bl P sts oversight ore - - ,����� �•" � ��=::`-3 In his Y more visits ght man opening if com dated b t Wednesday? ng statement continue. plaints state that would, x Y he Tday,Gah fore am . f o boisurgedjurors In the a require someone Ple, �!, toc nsiderthat Wils agreement, q s° ne to have "is wife d Wilson last month,Barnstable offi- demonstrate a level oftraininga �� � when gthefirstinterview, cials acknov and,perhaps, r hedemedhavingsex'with federal la edge that two the state.»P 'lice from Hall laws the Americans e Hall's mother,looks.at the'u With Disabilities Act and the "It doesn't exist,"he said. Court on Wednesday.She was he first witne t��the owner of Thrift eazd from the Fair Housing Car g Amendments it, my°�tWO cents on it, who is charged with killing Hap.MERRILY casslDvi reported the Avalon stolenRental Act,give addicts protected amazing,fora ble as iur whsaidter status and supersede local folksiins ecover for addic- after zoning restrictions allo vulnerable as our ' it was not returned when sched-. DuWors to rent to more th g ' tion,that there isn' of the bloodied°We o�photos three unrelated tenants. level of oversight required for g car found ti the "It can't be a site where folks these properties." C' i� commuter lot,and he identified, who are actively co ere folks DuWors and his attorney, it as part of his fleet. s Gallbois either drug or alcohol havg Kathryn Be turii either a safe haven " e requestsforan�interview. a ra,� company's protocol for clean- tant To On Tuesda said Assis- �' 01 ing cars when the Town Attorney ,resid they McLau eY Charles quietnei y entsofthe m and he said employees vac com 1 ' g timely gtiborhood offPutnam ghlm."If we et Y Avenue said the and wash the cars aryl Y wished the �r d� rented before they are that tplusn la that can be.verified town had co r � MOM, }m outages• P as itma have nsultedthemwhile The cleanin had in the past —has ctive Aeg°tiatmgtheagreementwith a protocol will users on the-site,,it loses its DuWors. become essential to the defense protective status and we At the eleventh hour,we if Galibois introduces a bloody take action on it' will find out there's some fingerprint found on the carImmediately. type j belon stoa that The doctor is aware that w of agreement,".said neigh- III ig different Centerville mean business and this lace boy Sherry Jackson. "No one man.He discussed the P involved us,No one asked if we finger- needsto be „Print in his opening statement, DuWors run Properly. York points out interior views of a rental care and that man's n agieedthat the occu- 'anted to attend a meeting,"table commuter parking lot that was found asap°tential witness name was read Pancy of the sober house must Jackson said the agreement dstains and bullet fragments.York testified screening, tress duringjurY comply with the state's sari ll anOv'DuWors to continue ierl0r Court,STEVE HEASLIP�CAPE COD TIMES "It's o and building codes. DuWp OTing the association's rules, going to be an incredibly has owned the home since 1 gg which prevent businesses from mtenseEase.It'sgoingtobeav hasO ' 9 operating re was emotional » ' �g to prop g in the neighborhood mussing,Barnstable police Sgt. „ case,: Galiboistoldthe McLaughlin said B records, ' and permit only sin Nich- John York found the To '' lam lust asking this,when staff a arnstable rentals• ! e-fairuly Avalonshehadrentedinthe es I stand to question witnesses, maximum to cupan�e the lledto Barnstable commuter ar that I receive the same atten- week. "Clearly, that's es,"g Y next be multiple families "g to ,�k TrndeauaskedYorktodescxibe tionthatyou'regoingtogivethe "It'snotan said."If it goes back to where Photos of thecar'sinterior commonwealth." unlimited level it was a couple s Presented to the jury. thathe Theme of occupancy that's allowed » P ununers ago °rt morning, ',I'manw�resume this McLaughlin said „ then we're going to have to do "Itishumlan�sh,,,York said, g,isschedW dtolastmore that isconstrainedIt isalevel somethin » than two weeks, shat by public g about it. w safety considerations 12 r The agreement brou —Follow C.Ryan Barber on T e <<i,!Fn ,tl a'�. .•.yYr,; coI7ttnnn g t an +w[tt2r: 4;:.>- Q7 cii A rn �Yfy AP Landfall Association,Inc. Post Office Box 2029 Cotuit,Massachusetts 02635 June 11, 2013 Thomas K. Lynch _� o Town Manager Town of Barnstable �' c Town Hall—367 Main Street Hyannis, Massachusetts 02601 —' cn RE: Complaint regarding violations of zoning regulations at 91 Captain Carleton's oad Cotuit, MA co rn Dear Sir: Landfall Association, Inc. is the homeowners' association for the Landfall development located off of Putnam Avenue in Cotuit. We are writing to raise a formal complaint to the Town of Barnstable over the conduct of a business, a half-way house, in a house designated by the Town of Barnstable as a single family home in a residential area of Cotuit. Landfall Association, Inc. is a nonprofit corporation formed to manage the common areas of the Landfall Development pursuant to restrictive covenants filed with the Barnstable Land Court. The Association recently contacted and met with Jessica Rapp Grassetti, Barnstable Town Councilor representing Precinct 7 which includes Cotuit. Councilor Grassetti advised the association to contact the Town Manager directly with our complaint specifically to request the town to move affirmatively to curtail illegal utilization of the premises located at 91 Captain Carleton's Road (town locator #038034) in the Landfall development off Putnam Avenue in Cotuit, Precinct 7 of the Town of Barnstable. The owner of record of the property is Robert DuWors who we understand does not live in the residence but rather resides in Mashpee. All lots in the Landfall development are zoned as Use Code 1010...Residential Property with Single Family use. Members of the Board of Directors have been advised that the house is being used as a residence for up to ten persons who are said to be involved in a substance abuse treatment program. The Association has been unable to confirm the number of residents or the actual use. However numerous unrelated adult persons are frequently seen coming and going from the residence. More than eight automobiles have been observed at the house on numerous occasions. It is the board's understanding that Mr. DuWors is a clinician who treats persons with substance,abuse issues and that he is using the residence as a halfway house for his patients. A copy of a webpage for the Mashpee Mental Health Center advertising its "Cotuit Center" is attached to this letter. Robert DuWors is listed as President of the Mashpee Mental Health Center. Landfall Association operates as a neighborhood association pursuant to Restrictive Covenants filed in the Massachusetts Land Court and appended to each and every deed of property in the development. Those covenants state that houses in the development are for single family use only and further state that no commercial business may be carried on at any residence. It would appear that Mr. DuWors' lot is in violation of both of those covenants. The Association has in the past had problems collecting dues from Mr. DuWors and he has consistently evaded service by the Barnstable Sheriff for the past two years. Further, since the property is zoned for single family use, it is clear that the current use of that property is in violation of the zoning regulations of the Town of Barnstable. In addition, the Board contends that the operation of a halfway house constitutes a commercial business which is similarly prohibited by the zoning regulations of the Town of Barnstable for that lot. The Board understands that Town of Barnstable personnel from the zoning department have visited the property and that some correspondence from that department has been forwarded to the homeowner. The Board has been advised that this will be a lengthy process. We fear that the homeowner will ignore correspondence from the Town in the same way that he has ignored correspondence from our homeowners' association. What the association has been unable to determine is whether the premises located at 91 Captain Carleton's Road has been licensed by any agency of the Town of Barnstable or the Commonwealth of Massachusetts. If not, the association would like the town to determine whether this facility is being operated without proper licensure. Obviously there are liability implications for the Town of Barnstable if the town continues to allow an unlicensed entity to provide mental health services to Barnstable residents. A number of our association members have come forward to complain about the numerous strange people wandering the streets of Landfall and loitering around 91 Captain Carleton's Road. We have a number of children who live with their parents in the development and we expect the number of children to increase substantially during the summer as grandchildren make their annual visits. The Board and members of the association fear a multitude of strange persons loitering in our neighborhood with children present. We are asking your assistance in assuring that the Town of Barnstable is making all of the correct timely efforts to correct this situation and to return our neighborhood to a peaceful and safe environment. Would you and your department heads please look into this matter and provide Landfall Association and its members with a written report in the next thirty days. That report would include the town's assessment of the alleged violations and an action plan for remedy. Thank you for your consideration. LANDFALL ASSOCIATON,INC. By: Walter Heyde, President r Cc: Landfall Board of Directors Tom Geiler, Regulatory Services Thomas McKean, Board of Health Wayne Miller, Board of Health Ruth Weil,Town Attorney Chief Paul MacDonald, Barnstable Police Department Robin Anderson,Zoning Jessica Rapp Grassetti, Precinct 7 Town Councilor i I Cotuit Center Page 1 of 2 COTUIT CENTER Treatment Facility For Adults With Dual Diagnosis Issues ir The Cotuit Center,a part of the Mashpee Mental Health Center,provides residential care to post-detoxified,chemically dependent adults.The program and its highly skilled staff offer added expertise in treating individuals whose substance abuse is complicated by psychiatric illness. Clients in the residential program may be admitted from the community or following a brief inpatient stay. Residential clients participate in a structured program on a daily basis with Master level Clinicians.Treatment length of time varies per resident, with a minimum expected stay of one month and many choosing to remain in residential treatment six months or longer. Individuals receive a mental health evaluation by a licensed clinician, have access to a Mashpee Mental Health Center Staff Psychiatrist and other prescribers expert in the treatment of dual diagnosis disorders. Treatment includes the following: Twice weekly individual psychotherapy and daily group therapy and/or Twelve Step Program participation, along with milieu therapy are essential components of the holistic treatment experience. These services are reimbursable through insurances, and residents are asked to pay a fee to support their housing expenses,which in some instances is reimbursable through insurances,on'a case by case basis:- Please contact Mashpee Mental Health Center tdlearn more about these services and to make application for admissiori'W. e accept all major insurance plans. http://mashpeementalhealthcenter.com/Cotuit—Center.html 6/11/2013 Cotuit Center Page 2 of 2 Phone 508-477-5488 Fax:508-477-9334 thRaslt uaeA4entatlieatth�ema ii.cort+ A part of Mashpee Mental Health Center,all staff have been trained by Robert DuWors,Ph.D.,Instructor in Psychiatry at Harvard Medical School in his Rhode Island research center in Mindfulness and Neurofeedback techniques,which are also made available to residents as adjunctive treatment interventions which are also integral aspects of the services provided residents.There are two onsite staff members and a maximum number of ten residents. Program Features i:ti!i�t Therapy Re�aose Prevention w-:.e•^,2::3vf�.^rt2::;2t;ASo-tPEEHEA'.''ttL'E;STER.C;;tA. Ail Rtchts Rese,-&,O L http://mashpeementalhealthcenter.com/Cotuit—Center.htm] 6/11/2013 June 14,2013 TOWN OF BARNSTAR.E 2013 JUN 18 A4 10- S 1 Executive Office of Health and Human Services Department of Mental Health 25 Staniford Street DIVISION Boston,MA 02114-2575 To Whom It May Concern: We currently live in Landfall Association of Cotuit,MA,where we have specific dues paid and covenants in existence for our neighborhood. Our covenants stipulate that only single family homes are allowed. We recently learned that of 91 Cap'n Carelton's Road in our development there is a Group Living Environment(GLE). We believe this is run by the homeowner,Robert M.Duwors. It is our understanding that Mr. Duwors is a LSW in MA and that he either-owns or works u�the ivicii%ar rIealflc Ccnecrur Mashpee,MA. He also has an office in Tiverton,RI which is on the internet that indicates he has a PH.D. from Harvard. Our development residents were not notified that a GLE.would be allowed in our neighborhood. .When trying to find out how this type of facility is licensed,we can't find one. I contacted both the Mashpee Mental Health Center and his Tiverton office to ask for the license information and was told that they do not know. I also left a message and sent an email to him stating that we are his neighbors and we wish to understand what is going on at this house. Our Association has forwarded a complaint/inquiry to the Town of Barnstable to see if approval is needed or was given by the Town. They have forwarded an inquiry to him as well. As of this date,he has not responded. They have a web site at www.mashpeementalbealtheenter.com which lists the"Cotuit House"as a residential treatment home for individuals with dual diagnosis.These individuals may stay from one month up,to 6 months. We don't seem to be able to find out if the Mashpee Mental Health Center is licensed by the State,and how they are able to open and then just begin a group home without the Town.of Barnstable or the State of MA approval and without notice given to residents. We are requesting a review of this situation for us and appreciate any information or assistance you may provide. Sincerely, Elizabeth and Reed Nichols 48 Cap'n Isiah's Road Cotuit,MA 02635 508-280-9498 CC: Robin Anderson,Town of Barnstable Landfall Association q I Own Car I horn �OFTHE t � The Town of Barnstable Office of Town Manager DST A�T 9 snxMAA�i E g- 367 Main Street,Hyannis,MA 02601 BABSTABLE i639• Office: 508.862.4610 � -�EM-W� 1639-2014 Fax: 508.790.6226 www.town.bamstable.ma.us Citizens' Resource Line: 508.862.4925 Thomas K. Lynch,Town Manager Mark S. Ells,Assistant Town Manager tom.lynch@town.barnstable.ma.us mark.ells@town.bamstable.ma.us 4c)Nj 1 Co4al June 3,2014 Mr. Walter Heyde,President Landfall Association, Inc. P.O. Box 2029 4Z. ZE O Cotuit,MA 02635 - Z: v Re:Your letter of May 28,2014 Dear Mr. Heyde, C i w Thank you for your letter of May 28`h regarding your concerns.about 91 Captain Carle on Road C Cotuit. We share the belief that each neighborhood in Barnstable should be safe and peaceful. However,we differ as to your assertion that the Town of Barnstable has not responded to alleged violations of Town regulations or that it has been reluctant to enforce them. The Town is not"looking the other way"arid,actually,quite the opposite is true.As Building Commissioner Tom Perry told your group on May 9th,both he and his staff responded to complaints of overcrowding last summer.Numerous visits to the property were conducted at random times of the day and night and no conditions were observed that would have suggested any violation of town ordinances or state building and health codes. On at least one occasion, Mr. Perry knocked on the door and was denied entrance which,absent a court warrant,was entirely within the occupant's right to do. You were also told at the May 9`h meeting that, other than the failure to comply with the town's rental registration ordinance,there currently are no violations of Town ordinances or regulations that have been recently observed at the property. Subsequent to the May 9`h meeting,Building Commissioner Tom Perry conducted an internal inspection of the property on May 15`h at the invitation of the property owner and again found no ordinance or code violations. As also discussed on May 9"',the property is in a zoning district that allows the occupant "family"(consisting of even a single person)to rent out rooms to as many as three(3)boarders. Thus,occupancy by as many as four(4)unrelated persons at the property is expressly permitted by the Town's zoning ordinance. Hence,with this history,there has been absolutely no"probable cause"for the Building Commissioner to seek a court warrant to compel entry into and inspection of the interior of the property. It is vital that you understand that the Town must act according to law and that failure to do so could readily violate the occupants' civil rights, exposing the town and its staff to civil rights claims. This is especially so with respect to individuals recovering from substance addiction who are a protected class affirmed as such by a long line of federal court decisions, including a U.S. Supreme Court decision exactly on point. As to specific conditions of concern at this property,Mr. McLaughlin suggested that it would be appropriate that the association meet with Chief MacDonald to receive his guidance on departmental response to activity that might warrant a police response. That meeting has now occurred and I understand that the meeting was both productive and helpful. It is also important for you to recognize that lack of sobriety is not a crime. Therefore,resident intoxication,taken by itself, is not a circumstance or fact that would,or could,warrant any enforcement action by the Town. You have also misquoted Mr. McLaughlin's statements at the May 90'meeting as both Commissioner Perry and he reported that only one male,not"several males",was observed intoxicated during a recent medical call to the property. Ultimately,you know that all of our outstanding public safety officials and our building/zoning staff are ready to and will respond immediately to any conditions which would warrant their intervention,guided by legal requirements that protect the civil rights of all citizens. We both should expect no less. Very truly yours, Thomas K. Lynch cc: Honorable Martha Coakley Honorable Brian Mannal Town Council President Jessica Rapp Grassetti Police Chief Paul MacDonald Richard Scali,Director,Regulatory Services Thomas Perry,Building Commissioner✓ Robin Anderson,Zoning Enforcement Officer Thomas McKean,Director,Board of Health Dr. Wayne Miller,Chair,Board of Health Ruth Weil,Town Attorney Charles McLaughlin,Assistant Town Attorney Patrick Cassidy,Cape Cod Times. i °I INE t° The Town of Barnstable Office of Town Manager �p�� AST '^ MASS. 367 Main Street Hyannis,MA 02601 BAMSTABLE 1639. ,0�' Office: 508.862.4610 e, ��•�79 a,`��'m.rns wurons rnu•osrEtrnuE•v[st eumve A Fax: 508.790.6226 www.town.bamstable.ma.us Citizens' Resource Line: 508.862.4925 Thomas K. Lynch,Town Manager Mark S. Ells,Assistant Town Manager tom.lynch@town.barnstable.ma.us mark.ells n,town.barnstable.ma.us June 3,2014 Mr. Walter Heyde,President Landfall Association,Inc. P.O. Box 2029 Cotuit,MA 02635 Re: Your letter of May 28, 2014 Dear Mr. Heyde, Thank you for your letter of May 28t'regarding your concerns about 91 Captain Carleton Road, Cotuit. We share the belief that.eaeb neighborhood in Barnstable should be safe and peaceful. However,we differ as to your assertion that the Town of Barnstable has not responded to alleged violations of Town regulations or that it has been reluctant to enforce them. The Town is not"looking the other way"and, actually,quite the opposite is true. As Building Commissioner Tom Perry told your group on May 9th,both he and his staff responded to complaints of overcrowding last summer.Numerous visits to the property were conducted at random times of the day and night and no conditions were observed that would have suggested any violation of town ordinances or state building and health codes. On at least one occasion, Mr. Perry knocked on the door and was denied entrance which,absent a court warrant,was entirely within the occupant's right to do. You were also told at the May 9`h meeting that,other than the failure to comply with the town's rental registration ordinance,there currently are no violations of Town ordinances or regulations that have been recently observed at the property. Subsequent to the May 91'meeting,Building Commissioner Tom Perry conducted an internal inspection of the property on May 15u'at the invitation of the property owner and again found no ordinance or code violations. As also discussed on May 9 h,the property is in a zoning district that allows the occupant "family"(consisting of even a single person)to rent out rooms to as many as three(3)boarders. Thus, occupancy by as many as four(4)unrelated persons at the property is expressly permitted by the Town's zoning ordinance. . Hence,with this history,there has been absolutely no"probable cause"for the Building Commissioner to seek a court warrant to compel entry into and inspection of the interior of the property. It is vital that you understand that the Town must act according to law and that failure to do so could readily violate the occupants' civil rights, exposing the town and its staff to civil rights claims. This is especially so with respect to individuals recovering from substance addiction who are a protected class affirmed as such by a long line of federal court decisions, including a U.S. Supreme Court decision exactly on point. As to specific conditions of concern at this property,Mr. McLaughlin suggested that it would be appropriate that the association meet with Chief MacDonald to receive his guidance on departmental response to activity that might warrant a police response. That meeting has now occurred and I understand that the meeting was both productive and helpful. It is also important for you to recognize that lack of sobriety is not a crime.Therefore,resident intoxication,taken by itself, is not a circumstance or fact that would, or could,warrant any enforcement action by the Town.You have also misquoted Mr.McLaughlin's statements at the May 9"'meeting as both Commissioner Perry and he reported that only one male,not"several males",was observed intoxicated during a recent medical call to the property. Ultimately,you know that all of our outstanding public safety officials and our building/zoning staff are ready to and will respond immediately to any conditions which would warrant their intervention,guided by legal requirements that protect the civil rights of all citizens. We both should expect no less. Very truly yours, /L Thomas K. Lynch cc: Honorable Martha Coakley Honorable Brian Mannal Town Council President Jessica Rapp Grassetti Police Chief Paul MacDonald Richard Scali,Director,Regulatory Services Thomas Perry,Building Commissioner Robin Anderson,Zoning Enforcement Officer.v Thomas McKean,Director,Board of Health Dr. Wayne Miller,Chair,Board of Health Ruth Weil,Town Attorney Charles McLaughlin,Assistant Town Attorney Patrick Cassidy,Cape Cod Times Landfall Association,Inc. Post Office Box 2029 Cotuit,Massachusetts 02635 TOWN OF BARNSTABLE May 28, 2014 � 201 a JUN —2 P11 1 12: 50 Thomas K. Lynch Town Manager Town of Barnstable �� �,� Town Hall—367 Main Street Hyannis, Massachusetts 02601 RE: Complaint regarding violations of zoning regulations at 91 Captain Carleton's Road Cotuit, MA Dear Sir: Landfall Association, Inc. is the homeowners' association for the Landfall development located off of Putnam Avenue in Cotuit. We are writing to follow up on our formal complaint to the Town of Barnstable dated June 11, 2013 asking the town to enforce town regulations against the owner of the premises located at 91 Captain Carleton's Road in Cotuit. The property owner has been continuously conducting a business, variously referred to as a half-way house, or a "sober house", or a residential treatment center, in a house designated by the Town of Barnstable as a single family home. Directors and other members of the Association recently met with Jessica Rapp Grassetti, Barnstable Town Councilor representing Precinct 7 which includes Cotuit, Town Counsel Ruth Weil, Associate Town Counsel Charles McLaughlin and Building Commissioner Tom Perry. Subsequently directors met with Police Chief Paul MacDonald. Each of the town officials were helpful and seemed interested in resolving this problem. However Tom Perry and Charlie McLaughlin stated to the group that there was presently no probable cause for the town to enter the premises at 91 Captain Carleton's Road. Landfall Association is concerned by the reluctance of the town to take any' action at the premises. Last year when there were as many as thirteen persons living on the premises and as many as eight cars in the yard, town officials found no excuse to enter the premises. Charlie McLaughlin stated that the town was reluctant to take any action against a sober house, despite the fact that the recent police report clearly indicated that "several males inside were "highly intoxicated", and "this was an unsafe residence". Charlie also pointed out that from a legal perspective, if the residents are actively using, they are not eligible for the special protections afforded persons in treatment for substance abuse. The police report also indicated that the hard- wired smoke alarms all had wires cut to prevent activation. Surely deactivated fire alarms present a safety hazard in a rental property. It is true that the town has summoned the owner to court relative to his failure to register the house as a rental property. But despite the fact that the Landfall homeownerswere led to believe that it is common for the town to seek cease and desist orders and to conduct a BIBS inspection at properties like this one, nothing was done. Landfall Association wants you to tell us why such routine actions were not taken in this case. Obviously there are liability implications for the Town of Barnstable if the town continues to look the other way regarding open and obvious violations of town regulations. We are once again asking your assistance in assuring that the Town of Barnstable is making timely efforts to correct this situation and to return our neighborhood to a peaceful and safe environment. Would you and your department heads please look into this matter and provide Landfall Association and its members with a written report in the next thirty days. That report would include an explanation of the failure to the town to seek a cease and desist order and the town's timetable and action plan for remedy. Thank you for your consideration. LANDFALL ASSOCIATON,INC. By: Wt&', Walter Heyde, resident Cc: Landfall Board of Directors Tom Geiler, Regulatory Services as Per w in missioner Thomas McKean, Board of Health Wayne Miller, Board of Health Ruth Weil,Town Attorney Charles McLaughlin,Associate Town Counsel Chief Paul MacDonald, Barnstable Police Department Robin Anderson,Zoning Jessica Rapp Grassetti, Precinct 7 Town Councilor Honorable Brian Mannal Honorable Martha Coakley Patrick Cassidy,Cape Cod Times l JOHN R. HIC IN B O THETY1 10 CAPTAIN CARLTONS ROAD COTUIT, NIA 02635 '-' cD CELL PHONE: 508-31 4-0892 ENLUL: JUICINDOTII'v-40L.COM a May 8, 2014 1 Jessica Rapp Grassetti,President Barnstable Town Council -- Thomas K. Lynch, Barnstable Town Manager — c; G Ruth Well,Esq., Barnstable Town Attorney Thomas Perry, Barnstable Building Commissioner Re: 91 Captain Carltons Road, Cotuit Ladies and Gentlemen: I am unable to attend Friday's meeting with the Board of Directors of Landfall Association, and I wanted to express my concern about the appalling situation at subject premises. It is most disturbing that a member of the medical profession and a member of the association would flagrantly violate applicable law and association covenants by conducting a commercial enterprise for his own personal gain. This enterprise is not only illegal but poses a threat to the personal safety and well being of the community, and residents rely on Town officials to keep them safe. While it is frustrating that not much progress has been made in ternunating this enterprise in over a year, it is heartening that the Bureau of Substance Abuse has prohibited treatment sessions at the residence and that Town officials will meet with the association's directors tomorrow. My hope is that the meeting will be productive and result in a game plan for bringing this matter to a successful conclusion. In this regard, I offer the following thoughts for the meeting. ® identify violations of state and local laws and regulations that are allegedly violated and determine if there is any disagreement between Town officials and the directors regarding same. Identify the association's covenants that are allegedly violated. Determine what actions Town officials might take to address these violations, including those which do not involve litigation, e.g. revoking certificate of occupancy and approaching the medical licensure board.. G Determine what actions the association might take to address these violations and verify that any required procedural steps required by the by-laws have been taken. Develop a game plan of next steps for Town officials and the association_ Thank�ou for your cooperation and assistance in this important matter. Very truly yours. t , oFTti The Town of Barnstable Barnstable Office of Town Manager an-americacftr 9` 'ass. 367 Main Street, Hyannis MA 02601 1639. A�0 www.town.barnstable.ma:us 2007 Office: 508-862-4610 Fax: 508-790-6226 Email: tom.lynch@town.barnstable.ma.us Thomas K. Lynch, Town Manager INTEROFFICE MEMORANDUM TO: Ruth Weil—Legal Tom Perry-Building ` FR: Thomas K. Lynch DT: June 12, 2013 RE: Landfall Association,Inc complaint of 91 Captain Carleton's Road, Cotuit Please see the enclosed for your review and advice. Thank you, Tom Enclosure TKL:j p 1110E'.'•. Landfall Association, Inc. Post Office Box 2029 } ; , Cotuit,Massachusetts 02635 jL- June 11, 2013 Thomas K. Lynch Town Manager Town of Barnstable Town Hall—367 Main Street Hyannis, Massachusetts 02601 RE: Complaint regarding violations of zoning regulations at 91 Captain Carleton's Road Cotuit, MA Dear Sir: Landfall Association, Inc. is the homeowners' association for the Landfall development located off of Putnam Avenue in Cotuit. We are writing to raise a formal complaint to the Town of Barnstable over the conduct of a business, a half-way house, in a house designated by the Town of Barnstable as a single family home in a residential area of Cotuit. Landfall Association, Inc. is a nonprofit corporation formed to manage the common areas of the Landfall Development pursuant to restrictive covenants filed with the Barnstable Land Court. The Association recently contacted and met with Jessica Rapp Grassetti, Barnstable Town Councilor representing Precinct 7 which includes Cotuit. Councilor Grassetti advised the association to contact the Town Manager directly with our complaint specifically to request the town to move affirmatively to curtail illegal utilization of the premises located at 91 Captain Carleton's Road (town locator #038034) in the Landfall development off Putnam Avenue in Cotuit, Precinct 7 of the Town of Barnstable. The owner of record of the property is Robert DuWors who we understand does not live in the residence but rather resides in Mashpee. All lots in the Landfall development are zoned as Use Code 1010...Residential Property with Single Family use. Members of the Board of Directors have been advised that the house is being used as a residence for up to ten persons who are said to be involved in a substance abuse treatment program. The Association has been unable to confirm the number of residents or the actual use. However numerous unrelated adult persons are frequently seen coming and going from the residence. More than eight automobiles have been observed at the house on numerous occasions. It is the board's understanding that Mr. DuWors is a clinician who treats persons with substance abuse issues and that he is using the residence as a halfway house for his patients. A copy of a webpage for the Mashpee Mental Health Center advertising its "Cotuit Center" is attached to this letter. Robert DuWors is listed as President of the Mashpee Mental Health Center. Landfall Association operates as a neighborhood association pursuant to Restrictive Covenants filed in the Massachusetts Land Court and appended to each and every deed of property in the � 1 development. Those covenants state that houses in the development are for single family use only and further state that no commercial business may be carried on at any residence. It would appear that Mr. DuWors' lot is in violation of both of those covenants. The Association has in the past had problems collecting dues from Mr. DuWors and he has consistently evaded service by the Barnstable Sheriff for the past two years. Further, since the property is zoned for single family use, it is clear that the current use of that property is in violation of the zoning regulations of the Town of Barnstable. In addition, the Board contends that the operation of a halfway house constitutes a commercial business which is similarly prohibited by the zoning regulations of the Town of Barnstable for that lot. The Board understands that Town of Barnstable personnel from the zoning department have visited the property and that some correspondence from that department has been forwarded to the homeowner. The Board has been advised that this will be a lengthy process. We fear that the homeowner will ignore correspondence from the Town in the same way that he has ignored correspondence from our homeowners' association. What the association has been unable to determine is whether the premises located at 91 Captain Carleton's Road has been' licensed by any agency of the Town of Barnstable or the Commonwealth of Massachusetts. If not, the association would like the town to determine whether this facility is being operated without proper licensure. Obviously there are liability implications for the Town of Barnstable if the town continues to allow an unlicensed entity to provide mental health services to Barnstable residents. A number of our association members. have come forward to complain about the numerous strange people wandering the streets of Landfall and loitering around 91 Captain Carleton's Road. We have a number of children who live with their parents in the development and we expect the number of children to increase substantially during the summer as grandchildren make their annual visits. The Board and members of the association fear a multitude of strange persons loitering in our neighborhood with children present. We are asking your assistance in assuring that the Town of Barnstable is making all of the correct timely efforts to correct this situation and to return our neighborhood to a peaceful and safe environment. Would you and your department heads please look into this matter and provide Landfall Association and its members with a written report in the next thirty days. That report would include the town's assessment of the alleged violations and an action plan for remedy. Thank you for your consideration. LANDFALL ASSOCIATON,INC. By: Walter Heyde,�resi ent 1 Cc: Landfall Board of Directors Tom Geiler, Regulatory Services Thomas McKean, Board of Health Wayne Miller, Board of Health Ruth Weil,Town Attorney Chief Paul MacDonald, Barnstable Police Department Robin Anderson,Zoning Jessica Rapp Grassetti, Precinct 7 Town Councilor f � 1 COTUIT CENTER Treatment Facility For Adults With Dual Diagnosis Issues t The Cotuit Center, a part of the Mashpee Mental Health Center, provides residential care to post- detoxified, chemically dependent adults.The program and its highly skilled staff offer added expertise in treating individuals whose substance abuse is complicated by psychiatric illness. Clients in the residential program may be admitted from the community or following a brief inpatient stay. Residential clients participate in a structured program on a daily basis with Master level Clinicians.Treatment length of time varies per resident, with a minimum expected stay of one month and many choosing to remain in residential treatment six months or longer. Individuals receive a mental health evaluation by a licensed clinician, have access to a Mashpee Mental Health Center Staff Psychiatrist and other prescribers expert in the treatment of dual diagnosis disorders. Treatment includes the following: Twice weekly individual psychotherapy and daily group therapy and/or Twelve Step Program participation, along with milieu therapy are essential components of the holistic . treatment experience. These services are reimbursable through insurances, and residents are asked to pay a fee to L support their housing expenses, which in some instances is reimbursable through insurances, on a case by case basis. Please contact Mashpee Mental Health Center to learn more about these services and to make application for admission.We accept all major insurance plans. Phone 508-477-5488 Fax: 508-477-9334 Ml Mentul a.shpee ` ait1�.C'..n€_:�i.l.cczi:a .?. a A part of Mashpee Mental Health Center, all staff have been trained by Robert DuWors, Ph. D., Instructor in Psychiatry at Harvard Medical School in his Rhode Island research center in Mindfulness and Neurofeedback techniques, which are also made available to residents as adjunctive treatment interventions which are also integral aspects of the services provided residents.There are two onsite staff members and a maximum number of ten residents. - I f i� Qt C3 v� cJ o .o L ED Z o = Z o w ru _ Er w Ir xz— CD R1 �� m 0 c 0-1 � o DZ N o� 3 o � � O-N�+CD• W- Z-Ow)v ro o w --i •(Ji30f� - D 0 j Hr fwl D o O FILE REVIEW ')treet .Name Village ' Printed Name . Signature Date Contact # Ohl 0f, v LAM hvw,• . / �. /�•�alf�'�Z S �y /� �ZB 04�0 „ i �+� .Qtc04 i 4-��c,r��►� rc.e=�r•. '�o�U S /"1 f7 sag"y�� �q�8 Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Monday, May 05, 2014 11:05 AM To: Scali, Richard Cc: Perry, Tom; Smith, Tracey Subject: Duwors-6/9/14 Richard, I was in court at 9 AM this morning with Tim (Health) as Mr. Duwors was scheduled to arraigned. Charlie McLaughlin did appear on our behalf shortly after we were seated. Mr. Duwors was a no show but he did have an attorney there to represent him. (I did not know him and didn't quite catch his name but he exchanged business cards with Charlie). The four of us spoke outside in the lobby and agreed to continue the matter until Monday, June 9, 2014 in order to attempt to arrange for an inspection and obtain information directly Duwors. His attorney declared the property to be a sober house. I interjected that the occupants were found to clearly be not sober including the "house manager"who is no longer there. Charlie discussed the fact that Duwors has not filed or proven that he is entitled to sober house status in accordance with the state of Massachusetts. We then discussed the hazards that were noted on site by the Fire Chief during a recent emergency response. His attorney agreed it would be in the best interest of his client for us to get in to inspect the property. Charlie mentioned there is a meeting between the HOA and the town on Thursday and noted how contentious it is anticipated to be. I asked Charlie if he planned on attending and he responded in the affirmative. I then suggested to the attorney that in a demonstration of goof faith, Duwors should allow us to inspect the dwelling and identify the number and names of the occupants before that meeting. This action would allow us to inform the abutters that Duwors is cooperating and working with us while we sort out the actual use (sober house or not). Both attorneys liked this idea and it was agreed that Duwors would be approached with that objective in mind. Mr Duwor's attorney will advise Charlie directly about whether or not an inspection can be arranged before the HOA meeting. w96in Robin C. Anderson Zoning Enforcement Officer T6wn of BarnstabCe 200 Main Street Hyannis, NA 026oi 5o8-862-4027 5/5/2014 CI r - Message Page 1 of 1 Anderson, Robin From: Lewis, Charlie Sent: Wednesday, April 30, 2014 9:36 AM To: Anderson, Robin Subject: DuWors I have an office address for Mr DuWors Robert DuWors 1 1800 Main Street Tiverton RI phone 401-624-7281 4/30/2014 .1 F _ i i i t 1 .r i ii f W 4 f . : Z f , Virginia M. (Kelley) OuWors, 87 Mashpee — Virginia M. (Kelley) DuWors,87,of Mashpee,died at her home J6*n.28,2014:She was"the mother of Robert M. DuWors of Cotuit and wife bf the'.late Cletus.H. DuWors, to whom she was married 63 years. She graduated from St.Margaret's Hospital School of Nursing.After rais- ing her family in Milton,she retired-to Popponesset. In addition to.her son,she is Sur- vived by her daughters,Janice Lowe L of Mashpee and Judyth DUWors Sack of Woburn;two. siblings; and c six grandchildren'. W U a O w F� O z Lawyer Neville Bedford - Providence Attorney - Avvo.com Page 1 of 5 )KA For Lawyers Sign in Register AvvoHave no legal fear Research Legal Advice Ask a Lawyer Find a Lawyer Review Your Lawyer Lawyer's name-OR-Practice area City,State-OR-ZIP Qll Home > Divorce/Separation Lawyers > Rhode Island > Providence > Neville Joseph Bedford Neville Joseph Bedford /�v v� _1 0 1 Review . Rating .a.::.. ***** r Current or former �. Superb -- -- client?Write a review Experience OO OO OO OO i0 11 Endorsements Industry Recognition OO OO OO OO OO Lawyers: Professional Conduct OO OO OO OO OO Endorse this lawyer What is the Awo Ratite Contributor Level 12 View contributions Email Lawyer Lawyer's website Send to a friend VERVIEW \CTICE AREAS 42%Divorce/Separation 12 years,188 cases 22%Uncontested Divorce —- 12 years,69 cases 10%Criminal Defense 12 years,42 cases— 9%Child Custody 12 years,48 cases Show all areas of practice v SAND Fees WENT TYPES Free Consultation(33 minutes) Payment types Cash,Check VTACT Attorney Neville Bedford ►S Email this lawyer ORMATION 321 South Main Street 0 Visit lawyer's website 5th Floor-Heritage Building Providence,RI 02803 Office:401-348-6723 9View map I Edit this address JGUAGES SPOKEN English http://www.avvo.com/attorneys/02803-ri-neville-bedford-1357386.html 1/30/2014 Duwors 91 Cap'n Carleton Rd, Cotuit,MA 02635 Massachusetts Rhode Island Mashpee Mental Health Clinic, Inc MMHC Changed to: Mashpee mental Health Center, Inc Date of Filing/Organiziation Date of Filing/Organiziation 02/09/2004 10/22/2013 Registered Agent Registered Agent Neville Bedford Bedford Neville 91 Captain Carletons Rd 321 S Main St#500 Cotuit, Ma 02635 Providence, RI 02903 President: Robert M Duwors Incorporator Robert Duwors, PHD Treas Robert M.Duwors Director Robert Duwors, PHD Sec: Robert M Duwors 1808 Main Rd, Director: Robert M Duwors Tiverton, RI 02878 Date of Closure Reported in CC Times 9/6/2013 Attorney Neville Joseph Bedford 321 S Main Street 5t' Floor- Heritage Building Providence, RI 02803 401-348-6723 'The commonwealth of Massachusetts William Francis Galvin - Public Browse and Search Page 1 of 3 The Commonwealth of Massachusetts William Francis Galvin Secretary of the Commonwealth, Corporations v Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 MASHPEE MENTAL HEALTH CENTER, INC. Summary 0 Screen Help with this form Request,a Certificate I The exact name of the Domestic Profit Corporation: MASHPEE MENTAL HEALTH CENTER, INC. The name was changed from: MASHPEE MENTAL HEALTH CLMC, INC. on 2/25/2004 Entity Type: Domestic Profit Corporation Identification Num er1--4Q08.60459 Date of Organization in Massachusetts: 02/09/2004 Current Fiscal Month / Day: 12 / 31 The location of its principal office: No. and Street: 91 CAPTAIN CARLTONS RD. City or Town: COTUIT State: MA Zip: 02635 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: a Name: NEVILLE BEDFORD No. and Street: 91 CAPTAIN CARLTONS RD City or Town: COTUIT State: MA Zip: 02635 Country: USA The officers and all of the directors of the corporation: Title Individual Name Address (no Po Box) Expiration http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 4/10/2013 iTheS%,ommonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 2 of 3 First, Middle, Last, Address, City or Town, State, Zip Code of Term Suffix PRESIDENT ROBERT M. 91 CAPTAIN CARLTONS RD. NONE DUWORS COTUIT, MA 02635 USA TREASURER ROBERT M. 91 CAPTAIN CARLTONS RD. NONE DUWORS COTUIT, MA 02635 USA SECRETARY ROBERT M. 91 CAPTAIN CARLTONS RD. NONE DUWORS COTUIT, MA 02635 USA DIRECTOR ROBERT M. 91 CAPTAIN CARLTONS RD. NONE DUWORS COTUIT, MA 02635 USA business entity stock is publicly traded: — The total number of shares and par value, if any, of each class of stock which the business entity is authorized to issue: Par Value Per Total Authorized by Articles Total Issued Class of Stock Share of Organization or and Outstanding Enter 0 if no Par Amendments Num of Shares Num of Shares Total Par Value CNP s0.00006 100 s0.00 0 Consent Manufacturer — Confidential — Does Not Require Data Annual Report Resident For Profit Merger Allowed Partnership Agent — — Select a type of filing from below to view this business entity filings: ALL FILINGS Administrative Dissolution Annual Report " Application For Revival � Articles of Amendment http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 4/10/2013 .; The'vommonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 3 of 3 i Uiew,Filings N=MiEegrch I Comments ©2001 - 2013 Commonwealth of Massachusetts All Rights Reserved Help http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 4/10/2013 r _Virginia M. DuWors, 871 CapeCodOnhne.com Page 1 of 1 E`] 4 �! •R./. '�•�`�."� ��:. i" .1O 1�aP7Y5�„M�"�,!.�4b �Py` � I Virginia M. DuWors, 87 January 30,2014 2:00 AM MASHPEE—Virginia M. (Kelley) DuWors, 87, of Mashpee, died at her home on Jan.28, 2014. She was the wife of the late Cletus H. DuWors,to whom she was married 63 years. She graduated as a registered nurse from St. Margaret's Hospital School of Nursing.After raising her family in Milton, she retired to the Popponesset neighborhood of Mashpee. She loved her family more than anything and she will be sorely missed. She is survived by her children, Robert M. DuWors of Cotuit, Janice Lowe of Mashpee, and Judyth DuWors Sack of Woburn; her siblings, John J. Kelley and Ruth McDonough, both of West Roxbury; and her six grandchildren. Visitation will be from 11 a.m.to 12:15 p.m. Friday,Jan. 31,2014,at Chapman,Cole&Gleason Funeral Home, 74 Algonquin Ave. at Route 151, Mashpee.A funeral Mass will begin at 1 p.m. at Christ the King Church, 3 Jobs Fishing Road, Mashpee, followed by burial at Massachusetts National Cemetery in Bourne. For online guest book and directions, please visit www.ccgfuneralhome.com. Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. ry http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20140130/OBITS02/40130032... 1/30/2014 RI SOS Filing Number: 201329761400 Date: 10/22/2013 10:56 AM Filing Fee: $35.00 • `;1.� STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS —' = Office of the Secretary of State N Division of Business Services 148 W.River Street M Providence,Rhode.Island 02904-2615 0 0� � 1 NON-PROFIT CORPORATION ARTICLES OF INCORPORATION The undersigned, acting as incorporator(s) of a corporation under Chapter 7.6 of the General Laws of Rhode Island, 1956,as amended,adopt(s)the following Articles of Incorporation for such corporation: 1. The name of the corporation is MMHC 2. The period of its duration is(if perpetual,so state) Perpetual 3. The specific purpose or purposes for which the corporation is organized are: To provide professional counseling and therapeutic services for mental health clients on-and off-site. 4. Provisions, if any, not inconsistent with the law, which the incorporators elect to set forth in these articles of incorporation for the regulation of the internal affairs of the corporation are: FILED"~` 2013 Form No.200 /D Revised:12MS _ a RI SOS Filing Number: 201329761490 Date: 10/22/2013 10:56 AM Filing Fee: $35.00 r,�.. d -C., • C-) STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS N Office of the Secretary of State tv Division of Business Services �- 148 W.River Street Providence,Rhode Island 02904-2615 UJ r � rn NON-PROFIT CORPORATION ARTICLES OF INCORPORATION The undersigned, acting as incorporator(s) of a corporation under Chapter 7-6 of the General Laws of Rhode Island, 1956,as amended,adopt(s)the following Articles of Incorporation for such corporation: 1. The name of the corporation is MMHC 2. The period of its duration is(if perpetual,so state) Perpetual 3. The specific purpose or purposes for which the corporation is organized are: To provide professional counseling and therapeutic services for mental health clients on-and off-site. 4. Provisions, if any, not inconsistent with the law, which the incorporators elect to set forth in these articles of incorporation for the regulation of the internal affairs of the corporation are: FILED"`' Form No.200 Revised:IMS aate.of Rhode Island and Providence Plantations - Public Browse and Search Page 1 of 2 State of Rhode Island and Providence • Plantations Office of the Secretary of State Division Of Business Services 148 W. River Street Providence RI 02904-2615 (401) 222-3040 MMHC Summary Screen Help with thisform Request:a Certificate The exact name of the Domestic Non-Profit Corporation: MMHC Entity Type: Domestic Non-Profit Corporation Identification Number: 000849388 Date of Incorporation in Rhode Island: 10/22/2013 The location of its principal office: No. and Street: # City or Town: # State: # Zip: # Country: # The mailing address or specified office: No. and Street: City or Town: State: Zip: Country: Agent Resigned: N Address Maintained: Y The name and address of the Registered Agent: No. and Street: 321 SOUTH MAIN STREET, #500 City or Town: PROVIDENCE State: RI Zip: 02903 Name: NEVILLE BEDFORD The officers and all of the directors of the corporation: Title Individual Name Address http://ucc.state.ri.us/CorpSearch/CorpSearchSummary.asp?ReadFromDB=True&UpdateAl... 1/30/2014 State of Rhode Island and Providence Plantations - Public Browse and Search Page 2 of 2 First, Middle, Last, Address, City or Town, State, Zip Suffix Code, Country INCORPORATOR ROBERT DUWORS, 1808 MAIN ROAD PHD TIVERTON, RI 02878 USA DIRECTOR ROBERT DUWORS 1808 MAIN ROAD P.H.D. TIVERTON, RI 02878 USA Purpose TO PROVIDE PROFESSIONAL COUNSELING AND THERAPEUTIC SERVICES FOR MENTAL HEALTH CLIENTS ON AND OFF SITE. Select a type of filing from below to view this business entity filings: ALL FILINGS IF Annual Report Annual Report-Amended Annual Report- Reinstatementa Articles of Amendment I Click Here to access 2006 and 2007 annual reports filed and imaged prior to July 25, 2007. Identification Number is Required ,View FiIFiI ngs r=New;Search y;l © 2007 - 2014 State of Rhode Island and Providence Plantations All Rights Reserved Help http://ucc.state.ri.us/CorpSearch/CorpSearchSummary.asp?ReadFromDB=True&UpdateAl... 1/30/2014 RI SOS Filing Number: 201329761490 Date: 10/22/2013 10:56 AM Filing Fee: $35.00 STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS —4 Office of the Secretary of State N Division of Business Services N 148 W.River Street Providence,Rhode Island 02904-2615 o CD- rn i,') NON-PROFIT CORPORATION ARTICLES OF INCORPORATION The undersigned, acting as incorporator(s) of a corporation under Chapter 7-6 of the General Laws of Rhode Island, 1956,as amended,adopt(s)the following Articles of Incorporation for such corporation: 1. The name of the corporation is MMHC 2. The period of its duration is(if perpetual,so state) perpetual 3. The specific purpose or purposes for which the corporation is organized are: To provide professional counseling and therapeutic services for mental health clients on-and off-site. 4. Provisions, if any, not inconsistent with the law, which the incorporators elect to set forth in these articles of incorporation for the regulation of the internal affairs of the corporation are: -- Fi FD Revised:12/05 14•J d To: Peps 5 o/5 2013-0 e-17 21:19:04(GMT) From.Neville BOdTord 5. The address of the initial registered office of the corporation is: >treet Address,not P.O.Box) 321 S. Maid St #500 Providence, RI 02903-7108 _, RI _ and the name of its initial registered agent at '....Y,I..—$I (Zip Code) such address is Neville Bedford, (Name of Agent) 6. The number of directors constituting the initial Board of Directors of the Corporation isfour(4) 3 and the names and address of the persons who are to serve as the initial directors are: (not less than directors) Name Address Robert Duwors,Ph.D. 1008 Main Road,Tiverton,RI 02878 James Derry IT70 Main Road,Tiverton,Rl02878 Daniel Gallagher 7 Brookfields Avenue,Barrington,RI 02806 Liam Murphy 14 Statler Avenue,Somerset,MA 02725 7. The name and address of each incorporator is: ro c, o car^ Name Address o :��f Robert Duwors,Ph.D. Ti c') 1808 Main Road,Tiverton,RI 02878 —4 C> V) .: 8. These Articles of Incorporation shall be effective upon filing unless a specified date is provided which shall be no later than the 30`'day after the date of this filing Under penalty of perjury, I/we declare and affirm that I/we have examined these Articles of Incorporation, including any accompanying attachments, and that all statements contained �j herein are true and c rect. Date: Signature of each Incorporator i RI SOS Filing Number: 201329761490 Date: 10/22/2013 10:56 AM pHOOf SJOE "t""', State of Rhode Island and Providence Plantations A. Ralph Molhs Secretary of State NOPE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS I,A. RALPH MOLLIS, Secretary of State of the State of Rhode Island and Providence Plantations, hereby certify that this document, duly executed in accordance with the provisions of Title 7 of the General Laws of Rhode Island, as amended, has been filed in this office on this day: October 22, 2013 10:56 AM A. RALPH MOLLIS Secretary of State o�NoKD avo pRO`/ ooft o m a � y Who, �O\y �0. 1636 98443-1-875966 Memo to: Ruth Weil, T m Perry 'om Lynch From: Len Gobeil, Trust Fund Date: January 16,2014 RE: Sober Living Homes Town Manager Tom Lynch asked me to forward the attached information to both of you for your perusal. His questions concerned the"Sober House" legal status. #1 Application from Sarah Crosby 28 Cedar Street Hyannis The home (New Life Homes) is allegedly owned by Rachel Banas Pulizzi with a Post Office Box in Sagamore Beach. (see attached W9) �L .� o I searched for a 28 Cedar Street on the Property look-up TOB and could find no �o such address Both women appeared for the Lombard interview and said they would get me an invoice in order that Lombard trust could make a rent payment. #2 Application from Jeff Parker (Advanced Sober Living) 91 Captain Carlton Road Cotuit The home is owned by John Junior(see attached W9) I searched for Captain Carlton Rd, Cotuit and could find no listing for that address. Mr. Parker appeared before the Lombard committee asking for funds. He is the second person from that address asking for rental assistance;� o My questions: -' a A) Are these homes legal in these neighborhoods? ) �, (_el B) Have they applied for licenses? —ice C) Are they real or are they scams? `'y �� Thank you. � Len G ei . Lom and Trust Fund Porm ii■1e9 Request for Taxpayer Give form to the (Rek November2005) identification Number and Certification . requester•Do not' Department of the Treasury send to the IRS. Intemal Rdvenue Service �i Name(as shown on your income tax return) m m °• Business name,if different from above 0 Y ° �r ° Individual/ Exempt from backup W N ' a check appmpriatebox: ❑ Sole proprietor ' El ElPartnership El Other► ................. ❑ withholding N7 N �9ddress(number,street,and apt or suite no. Requester's name and address(optionaQ " a ° 44r c,.% state,and code ' U CCO 4 m List account number(s)here(optlonaQ Taxpayer Identification Number(TIN) Enter your TiN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid backup withholding.For individuals,this is your-social security number(SSN).However,for a resident • alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other entities,It is your employer identification number(EIN).If you do not have a number,see How to'get a T7N on page 3, or Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number number to enter. MIN Certification Under penalties of perjury,I certify that 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and P. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been noted by the Internal Revenue Service(IRS)that 1 am subject to backup withholding as a result of'a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. f am a U.S.person(including a U.S,resident alien). Certification instructions.You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you.have failed to report all Interest and dividends on your tax return.For real estate transactions,item 2 does not apply. For mortgage interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the Certification,but you must provide your correct TiN.(See the lAtructions on page 4.) Sign Signature of Here U.S.person ► Date a An individual who is a citizen or resident of the United Purpose of Form (L.� A person who is required to file an information return with the States, IRS, must obtain your correct taxpayer identification number • • A partnership, corporation, company, or association (TiN)to report,for example,income paid to you, real estate created or organized in the United States or under the laws transactions, mortgage interest you paid,acquisition or of the United States, or abandonment of secured property, cancellation of debt,or s Any estate(other than a foreign estate)or trust See contributions you made to an IRA. Regulations sections 301.7701-6(a)and 7(a)for additional U.S. person.Use Form W-9 only if you are a U.S. person informatlon. (including a resident alien),to provide your correct TIN to the Special rules for partnerships.Partnerships that conduct a person requesting it(the requester)and, when applicable,to:. trade or business in the United States are generally required 1. Certify that the TiN you are giving is correct(or you are to pay a withholding tax on any foreign partners'share of waiting for a number to be issued), income front such business,-Further, in certain cases where a 2.Certify that you are not subject to backup withholding, or Form W-9 has not been received, a partnership is required to $. Claim exemption from backup withholding if you are a presume that a partner Is a foreign person, and pay the U.S, exempt payee. withholding tax.Therefore, if you are a U.S. person that is a In 3 above, if applicable,you are also certifying in that as a partner in a partnership conducting a trade or business in the U.S.person,your allocable share of any paitnership income United States, provide Form W-9 to the partnership toestablish your U.S.status and avoid withholding on your from a U.S.trade or business is not subject to the share of partnership Income. withholding tax on foreign partners'share of effectively connected income. The person who gives Form W-9 to the partnership for Note.If a requester gives you a form other than Form W-9 to purposes of establishing its U.S.status and avoiding request your TIN,you must use the requester's form if it is withholding on its allocable share of net income from the substantially similar to this Form W-9. partnership conducting a trade or business in the United For federal tax purposes,you are considered a person if you o in the following cases: These U.S.. are: owner of a disregarded entity and not the entity, Cat,No.10231X Form W-9 (Rev.11-2005) i Advanced sober Living 91 Captain Carlton Road Cotuit Ma. 02635 Date 20 Dec.2013 To whom it may concern, This is to confirm that Jeff Parker is a resident of A.S.L. in good standing. A.S.L. is a sober living environment for men. Jeff pays a weekly rent of $140.00. Jeff lost his sole source of income and is in danger now of losing his housing. Jeff is in arrears $ 680.00 I am confident that with assistance Jeff's chances for success will greatly iticrease. Any questions please feel free to contact me at, 5o8-776-9186 House Manager John junior r i Lombard Intake Form: Page 1 of 4 r' LOMBARD TRUST FUND INTAKE FORM Date: /a 0 NAME: ADDRESS: C fff i/f.1iV C 1WZ;rd1V %? Q TELEPHONE#: (HOUSE) ( ) (CELL) Q eo— 0 C?9.5-- Number of Members in Household: NAMES: AGE: SECTION l: INCOME INFORMATION Are you currently employed? YES pfloQ (circle one). Are you paid MONTHLY or WEEKLY (circle.one) Please provide your gross income and assistance that you receive from: Employment: $ EADC: $ D . General Relief $ Social Security $_ VA Benefits $ Pensions $ Unemployment $ This intake form must be completed in full. 1 If you have any questions call Len Gobeil at(508) 862-4701 I ` Lombard-Intake Form: Page 3 of 4 f Did you receive a referral for Lombard Trust Fund Assistance? Yes Circle One) What was your referral agency? ---- Did that agency certify you as income eligible? Yes or No (Circle One) Have you previously applied to the Lombard Trust Fund? Yes. N�(Circle One) When did you apply? SECTION 5: PERSONAL STATEMENT In this section give us a brief description of why you are applying to the Lombard Fund. SECTION 6: SIGN-OFF I, 5440W ?����� state that the information provided above is accurate. ,WCNM!tMEZ7 Sworn to under the pains and penalties this (90 day of 20,& This intake f6rm must be completed in M. 3 If you have any questions call Len Gobeil at(508) 862-4701 i Lombard Intake Form: Page 2 of 4 Gross income and assistance section continued: Child Support: $ .Q Other Income $ Please add all your sources of income. TOTAL INCOME: $ SECTION 2: ASSETS An asset is money that you have and items that you own. Money that you have available Items that you own CASH: $ ® CAR: $ SAVINGS' $ ® ITEM: $ OTHER: $ 0 ITEM: $ SECTION 3: ORDINARY EXPENSES Please detail the specific nature and amount of your expenses. (Rent, oil,heat, electricity,.cell phone, cable,) C) cis e'E G 61W,l e VZZY //U I -AkZaR.s ?'d �� � Hai•�L SECTION 4: ADDITIONAL FUNDING To maximize Lombard Trust Funds for residents of the Town of Barnstable, applicants must make efforts to exhaust all other available-resources. Use this section to describe your efforts to obtain other funds. Chec ff other funds you have applied for this year: Emergency Assistance(DTA) Elder Services i MedicaidCape Cod Council of Churches Needy Fund - Salvation Army St. Vincent De Paul CORD RAFT Program(H.A.C) Fuel Assistance Please give the details of funds you have been awarded this year and which organization provided it. Also, if you have applied for funds from a group that is not listed above please provide that information below. This intake form must be completed in full. 2 If you have any.questions call Len Gobeil at(508) 862-4701 Lombard Intake Form: Page 4 of 4 AUTHORIZATION TO RELEASE INFORMATION BY AND TO THE LOMBARD TRUST ___,residing at understand and agree that in the course of processing my application for the receipt of Lombard Trust Funds that the Trustee and/or his agents may need to verify the information contained in this application. I hereby authorize and agree that any entity listed by me on the.herein application may disclose to the Lombard Trust and/or its agent(s), copies of any and all documents and/or other information said entities have in their possession regarding me. I further understand and agree that vi accordance with the guidelines of the Lombard Trust efforts will be made to work with other agencies to maximise benefits received as well as to coordinate the disbursement of limited funds. I hereby waive and release the Lombard Trust from any restrictions that may be imposed by law regarding the disclosure of the information contained in the herein application and authorize the disclosure of same,without prior notification to me. A photo static copy, thermo fax copy, or other chemically produced reproduction of this authorization and release, shall serve in its stead. Signed this day of 0 , 20/-Y This intake form must be completed in full. 4 If you have any questions call Len Gobeil at (508) 862-4701 wrrn i -9 Request for Taxpayer Give form to the (Rek November 200� ►dentificaiion Number and Certification . requester.Do not' Department oftheTreasury •• send to the IRS. Intemal Rdvenue service N Name(as shown on your income tax return) , Itc a•. Business name,if different from above C ' m y & C� Lir o Individual/ Exempt from backup Check appropriate box: ❑ Sole proprietor ❑ Corporation ❑ Partnership ❑ Other► .-. ❑ withholding --- 0 y �d 7 dress(number,street and apt or sulfa no.) Requester's name and address(optional) c •• Q. o C"k "M slate,and code mList account number(a) ere(optlonalo EM Taxpayer Identification Number(TIN) Ester your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid �y backup withholding.For individuals,this is your-social security number(SSN). However,for a resident alien,sole proprietor,or disregarded entity,see the Part I instructions on page 3.For other entitles,It is your employer identification number(EIN).If you do not have a number,see How to'get a 77N on page 3, or Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number number to enter. Certification Under penalties of perjury,I certify that: 1.. The number shown on this form is my correct taxpayer identification number(or 1 am waiting for a number to be issued to me),and 2. I am not subject to backup withholding because.(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that i am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. 1 am a U.S.person(Including a U.S.resident alien). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you.have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply. For mortgage interest paid,acquisition or abandonment of secured property.cancellation of debt,contnbutions to an individual retirement arrangement(IRA),and gen@rally,payments other than interest and dividends,you are not required to sign the Certification,but you must provide your correct TIN.(See the i Atrudons on page 4.) $(gn Signature of y Here I U.S.person 10- Date ► LS Purpose of Form } e An individual who is a citizen or resident of the United A person who is-required to file an information return with the States, IRS, must obtain your correct taxpayer identification number • A partnership, corporation, company, or association (TIN)to report,for example, income paid to you, real estate Created or organized in the United States or under the laws transactions,mortgage Interest you paid,acquisition or of the United States, or abandonment of secured property, cancellation of debt,or s Any estate(other than a foreign estate)or trust. See Contributions you made to an IRA. Regulations sections 3O1.7701-6(a)and 7(a)for additional U.S. person.Use Form W 9 only if you are a U.S.person information. (including a resident alien),to provide your correct TIN to the Special rules for partnerships.Partnerships that conduct a person requesting it(the requester)and, when applicable,to:. trade or business in the United States are generally required 1. Certify that the 11N you are giving is correct(or you are to pay a withholding tax 9n any foreign partners'share of waiting for a number to be issued), income from such business..-Further, in certain cases where a 2. Certify that you are not subject to backup withholding,or Form W-9 has not been received,a partnership is required to $. presume that a partner is a foreign person, and pay the Claim exemption from backup withholding if you area U.S, ithholding tax.Therefore, if you are a U.S. person that is a , exempt payee.3 above, if applicable,you are also cent' to that as a partner in a partnership conducting a trade or business in the �Y• 9 United States, provide Form W-9 to the partnership to U.S.person, your allocable share of any partnership income establish your U.S.status and avoid withholding on your from a U.S.trade or business is not subject to the share of partnership income. withholding tax on foreign partners'share of effectively connected income. The person who gfves Form W-9 to the partnership for purposes of establishing its U.S.status and avoiding Note.If a requester gives you a form other than Form W-9 to withholding on its allocable share of net income from the request your TIN,you must use the requester's form if it is partnership conducting a trade or business in the United substantially similar to this Form W-9. States*Is in the following cases: For federal tax purposes,you are considered a person if you a The U.S.owner of a disregarded entity and not the entity, are: Cat,No.10231X Form W79 (Rev.11-2005) � � Cann u',v{.���1 k'_-�, z 0 y 0 z b r n c r� A MM DD YYYY ❑ Delete NFIRS -1 01921 U L-94J 1 011 1 2014 11 114-0000180 000 ❑ FDID * State* Incident Date * Station Incident Number Exposure Change Basic * p * ❑No Activity ❑Check this box to Indicate that the address for this incident is provided on the wildland Fire Census Tract I $ Location* Module In Section B "Alternative Location Specification". Use only for wildland fires. ®Street address 91 "� CAPTAIN CARLETONS RD [:]Intersection ❑In front of Number/Milepost Prefix Street or Highway Street Type Suffix �'` ❑ I Rear of u J COTUIT I 1 102635 -1 ❑Adjacent to Apt./Suite/Room City State Zip Code ❑Directions Cross street or directions, as applicable C Incident Type * El Date & Times Midnight is 0000 E2 Shift & Alarms 321 IEMS call, excluding vehicle I Check boxes if Month Day Year Hr Min Sec Local Option dates are the Incident Type same as Alarm ALARM always required 12 1 I I D Aid Given or Received* Date. Alarm * 04 01 2014 06:03:00 u Shift I Alarms or arms District Platoon ARRIVAL required, unless canceled or did not arrive 1 ❑Mutual aid received U ® Arrival 1 041 1 011 1 2014 06:07:00 F;3 2 ❑Automatic aid recv. Their FDID Their 3 []Mutual aid given State CONTROLLED Optional, Except for wildland fires Special Studies 4 ❑Automatic aid.given I I ❑Controlled " " II I I Local Option 5 ❑other aid given Their LAST UNIT CLEARED, required except for wildland fires I U N None Incident Number Last Unit Special Special ❑ ® Cleared __J �1J 2014 07L .00:� Study ID# Study Value F Actions Taken * Gl Resources * G2 Estimated Dollar Losses & Values Check this box and skip this section if an Apparatus or LOSSES: Required for all fires if known. Optional for non fires. ri I Provide advanced life I Personnel form is used. $I1 ' U ,� None Apparatus Personnel Property000 000 Primary Action Taken (1) Suppression I U Contents $1 1000 ,1 000 Additional Action Taken (2) EMS 1 0002 1 0005 PRE-INCIDENT VALUE: Optional I U I I Other IProperty $1 , 0000 000 f ❑ Additional Action Taken (31 ❑ Check box if resource counts I include aid received resources. Contents $1 000 / 000 ❑ Completed Modules Hl*Casualties❑None H 3 Hazardous Materials Release I Mixed Use Property ❑Fire-2 Deaths Injuries N ❑None NN Not Mixed se ❑Structure-3 Fire f , � ❑ 2 0 Education useU 1 Natural Gas: .la,.leek, no eveueiion or xazMac aaciana ❑Civil Fire Cas.-4 Service 2 ❑Propane gas: <zl lb. tank des in name Bap grill) 33 Medical use Gasoline: vehicle fuel tank o Residential use Fire Sere. Cas.-5 Civilian�� ❑ 4 0 3 r portable container ❑EMS-6 51 Row of stores X H2 Detector 4 ❑Kerosene: fuel burning equipment or portable storage 53 Enclosed mall ❑HazMat-7 Required for Confined Fires. 5 ❑Diesel fuel/fuel Oil:vehicle fuel tank or portable 58 Bus. & Residential ❑Wildland Fire-6 6 [_]Household solvents: home�offic. spill, .1...0 1 59 Office use 1❑Detector alerted occupants p only ❑}{Apparatus-9 ❑ 60 Industrial use 7 Motor oil: from engine or portable container ❑X Personnel-10 2❑Detector did not alert them 8 [-]Paint: from paint cans totaling< 55 gallons 63 Military use Arson-11 65 Farm use ❑ U❑Unknown 0 Other: special xar.Mac actions required or.pill >55gal., 00 Other mixed use PI.—aempl.t. the xarMat form J Property Use* Structures 341❑Clinic,clinic type infirmary 53 9 ❑Household goods,sales,repairs 342❑Doctor/dentist office 579 ❑Motor vehicle/boat sales/repair 131 ❑Church, place of worship 3 61❑Prison or jail, not juvenile 571 ❑Gas or service station 161 ❑Restaurant or cafeteria 419®1-or 2-family dwelling 599 ❑ Business office 162 ❑Bar/Tavern or nightclub 42 9❑Multi-family dwelling 615 [:]Electric generating plant 213 [:]Elementary school or kindergarten 4 3 9❑Rooming/boarding house 62 9 ❑Laboratory/science lab 215 ❑High school or junior high 449❑Commercial hotel or motel 700 [:]Manufacturing plant 241 ❑College, adult education 459❑Residential, board and care 819 ❑Livestock/poultry storage(barn) 311 ❑Care facility for the aged 4 64❑Dormitory/barracks B82 [:]Non-residential parking garage 331 ❑Hospital 519❑Food and beverage sales 891 ❑warehouse Outside 936❑vacant lot 981 [-]Construction site 124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard 655 ❑Crops or orchard 946 ❑Lake, river, stream Lookup and enter a Property Use code only if 669 ❑Forest (timberland) 951 ❑Railroad right of way you have NOT checked a Property Use box: 807 ❑Outdoor storage area 960 ❑Other street Property Use 1419 919 ❑Dump or sanitary landfill 961 ❑Highway/divided highway 931 ❑Open land or field 962 ❑Residential street/driveway 11 or 2 family dwelling J NFIRS-1 Revision 03 11 99 i Cotuit FD 01921 04/01/2014 14-0000180 I Kl Person/Entity Involved LOCI Option Business name (if applicable) Area Code Phone Number ❑Check This Box if U -- I " I I " same address as Mr.,Ms., Mrs. First Name MI Last Name Suffix incident location. I U U Then skip the three U duplicate address Number Prefix Street or Highway I Street Type lines. Suffix Post Office Box Apt./Suite/Room City U U-UU State Zip Code ❑More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary K2 Owner ElSame as person involved? Then check this box and skip I I I I I (• The rest of this section. u u Local Option Business name (if Applicable) - Area Code Phone Number ❑ Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as U U Then skip the three u duplicate address Number Prefix Street or Highway Street Type Suffix lines. I U I I Post Office Box Apt./Suite/Room City State Zip Code L Remarks Local Option Ambulance 262 treated and transported one pri 2 to CCH,, see SARF for more pt info. j, Authorization I Unknown Staff Member Officer in charge ID Signature Position or rank Assignment Month Day Year Check ® I I I Box if Unknown Staff Member same Position or rank Assignment Month Day Year as Officer Member making report ID Signature in charge. Cotuit FD 01921 04/01/2014 14-0000180 MM DD YYYY 01921 U 1 41 U 2014 j 14-0000180 1 1 000 Complete FDID State Incident Date Station Incident Number Ex Narrative posure Narrative: Ambulance 262 treated and transported one pri 2 to CCH, see SARF for more pt info. Cotuit FD 01921 04/01/2014 14-0000180 i A MM DD YYYY NFIRS - 9 1 01921 U 1 41 U 1 2014 L1 1 14-0000180 1 000 ❑Delete Apparatus or FDID * State* Incident Date * Station Incident Number * Exposure * ❑Change Resources B Apparatus or * Date and Times Sent Number Use Actions Taken Of * Check ONE box for each Resource Check if same as alarm date X apparatus to indicate its main use at the Month Day Year Hour MinI—I People incident. ID 1261 Dispatch 21 411 11 2014 06:03 Suppression U U Arrival ®141L lj 2014 06:07 �1 ®EMS Type 92 Clear ®��L� 2014 07:10 ❑other ID 1262 Dispatch ®L�L� 2014 06:03 ❑Suppression Arrival ®���� 2 014 0 6:0 7 �� ®EMS Type 76 clear ®IL�IL� 2014 06:48 I ❑other 3 ID I� Dispatch ❑U U U II ❑ pP Su ression u U Arrival ❑ LJ II I ❑ L� ❑EMs Type U Clear ❑UL�II II ❑Other U U ID Dispatch ❑ ❑Suppression U U Arrival ❑��LJ�� �� ❑ �� ❑EMS Type U Clear ❑ L—j-_11 � ❑Other U U 5❑ ID I� Dispatch ❑L�" I I ❑Suppression U I I ❑�U I� u ❑ �� ❑Other EMS Type Arrival ❑ U Clear I I I I aID Dispatch ElU U U ❑Suppression U U Arrival ❑"L J EMS U U Type U Clear ❑ ❑Other ID Dispatch ❑ ❑ Suppression U u Arrival ❑ L-i�� �� ❑ U ❑EMS Type U Clear ❑L--j L--j L----i L----] ❑Other U U $� l�ID Dispatch ❑"" U u [:]Suppression Arrival El"LJ II 1 ❑ I ❑EMS L Type U Clear ❑ �Lj�� �� _1 Other U U 9❑ ID L Dispatch ❑"" I� 'SuppressionU U Arrival El L��1 �� ❑ []EMS Type U Clear ❑ L._.1 ❑Other U U Type of Apparatus or Resources Ground Fire Suppression Marine Equipment More Apparatus? 11 Engine 12 Truck or aerial 51 Fire boat with pump Use Additional 13 Quint 52 Boat, no pump Sheets 14 Tanker & pumper combination 50 Marine apparatus, other 16 Brush truck Support Equipment Other 17 ARF (Aircraft Rescue and Firefighting) 61 Breathing apparatus support 10 Ground fire suppression, other 62 Light and air unit 91 Mobile command post Heavy Ground Equipment 60 Support apparatus, other 92 Chief officer car 93 HazMat unit 21 Dozer or plow Medical & Rescue 94 Type 1 hand crew 22 Tractor 71 Rescue unit 95 Type 2 hand crew 24 Tanker or tender 72 Urban Search & rescue unit 99 Privately owned vehicle 20 Heavy equipment, other 73 High angle rescue unit 00 Other apparatus/resource Aircraft 75 BLS unit 41 Aircraft: fixed wing tanker 76 ALS unit NN None 42 Helitanker 70 Medical and rescue unit,other UU Undetermined 43 Helicopter 40 Aircraft, other NFIRS-9 Revision 11/17/98 Cotuit FD 01921 04/01/2014 14-0000180 I A MM DD YYYY NFiRs 10 ' 'G. 921 U 1 41 U 1 2014 1 14-0000180 000 []Delete Personnel FDID * State* Incident Date * Station Incident Number * ,Exposure * ❑Change B Apparatus or * Date and Times Sent Number Use Actions Taken Resource Check if same as alarm date of Check ONE box for each * List up to 4 actions apparatus to indicate for each apparatus People its main use at the and each ersonnel. Use codes listed below Month Day Year Hours/rains incident. p Dispatch 4 1 2014 06:03 ID 261 ®��U � Sent ❑Suppression 92 Arrival ®���1 2014 06:07 a U ®EMS Type Clear ®L 4 LJ 2014 07:00 ❑other Personnel Name Rank or Attend Action Action Action Action ID Grade ❑X Taken Taken Taken Taken 217 OLSEN, CHRISTOPHER CHIEF X ID 12 62 Dispatch ®1 11 111 2014 06:03 Sent ❑ Suppression I I I I Arrival ®L 41 L� 76 2 014 0 6:07 �� ® S Type clear ®�JL 1� 2014 06:34 ❑Other Personnel Name Rank or Attend Action Action Action Action ID Grade ❑X Taken Taken Taken Taken ID L Dispatch ❑���1�� �� Sent ❑ Suppression I I Arrival .❑ L J ❑EMS Type I� Clear ❑L-J LJ I I I 1 ❑Other Personnel Name Rank or Attend Action Action Action Action ID Grade Taken Taken Taken Taken El El El El NFZRS-10 Revision 11/17/98 Cotuit FD 01921 04/01/2014 14-0000180 1 01-921 U 1 4 1 U 2014 14-0000180 000 Responding FDID State Incident Date Station Incident Number Exposure Units/Personnel Unit Notify Time Enroute Time Arrival Time Cleared Time 261 Car 261 06:03:00 06:03:00 06:07:00 07:00:00 Staff ID\Staff Name Activity Rank Position Role 217 OLSEN, CHRISTOPHER Incident Respons Chief Unit Narrative Responded to above address to assist the ambulance. Upon location found ambulance crew entering front door. Followed ambulance crew through the front door of residence to help with patient care. Ambulance crew transported patient to ambulance than to hopital. After cleaning area were patient was found, noticed fire alarm system of household was not in working order, first floor smoke and carbon detector not in place, on kitchen cabinet. Found resident of household asked if they needed assistance in placing smoke detector/carbon monoxide detector in service, he stated that would be great, placed first floor smoke detector/carbon monoxide detector in place. Asked if I could go downstairs in basement to see if dectors were placed in working condition. Found basement detector in good working order, but noticed a wire hanging from thermocouple of gas furance. Picture was secured, called Town of Barnstable wiring inspector to the scene to verify hanging wiring, possible wiring hazard and electrical issue. Town of Barnstable wiring inspector on location stating that wiring hanging from thermocouple did not suppose to be connected and could have energized water system, do to the fact that the hanging live wire was hanging on. the copper water pipe. Wiring inspectored disconnected jumper wirer to thermocouple and deemed it not be deenergized. Asked resident what was this type of resident, He stated that it was a "sober house" and that he was one of four staying in residence. Secured scene and clear resident without urther incid t, will follow up with Building Commissioner and Town of Barnstable zoni g o icer, C t it Fire Department has no paperwork indicating that this was a "sober house' ther r p rt to follow. 04/02/2014 15:57:55 Golsen 262 Ambulance 262 06:03:00 06:03:00 06:07:00 06:34 :00 Staff ID\Staff Name Activity Rank Position Role Cotuit FD Page 1 01921 04/01/2014 14-0000180 IMM DD YYYY ,01921 L �� 2014 1 1 14-0000180 000 Responding .. FDID * State* Incident Date * Station Incident Number * Exposure Personnel Staff ID\Staff Name Unit Activity Position Rank PayScl Hrs HrsPd Pts 1212 EMERSON, PETER IR Incident FF/MED 0.52 0.52 0.00 2 MCNAMARA, WILLIAM IR Incident LT/EMT 0.52 0.52 0.00 66 SARGENT, WILLIAM IR Incident LT/P 0.52 0.52 0.00 75 LYONS, BRENT IR Incident LT/EMT 0.52 0.52 0.00 217 OLSEN, CHRISTOPHER 261 IR Incident CHIEF 0.75 0.75 0.00 Total Participants: 5 Total Personnel Hours: 2.83 An 'X' next to the unit denotes driver. Cotuit FD 01921 04/01/2014 14-0000180 MM DD yyyy ❑Delete WEIR 101921 U 03 � 2014 �1J �14-0000156 000S -1 ❑Change Basic FDID' State*. Incident bate * Station Incident Number * Exposure -]No Activity ❑Cbeck this box to Indicate that the address tar thin Saelden[ is provided on the Gildland Plea CenaU6 Tract 8 Location* Modal. Ya s.eeien n ^s1 e.rn.eiv. roe.eiDa sp•eSfiuctoD'• Use only to;eildland firea. I .I ®Street address 91 I I [CAPTAIN CARLETONS RD Intersection Number/Milepost Prefix street or Idighway Street Type Suffix ❑In front of ❑hear of L________J [COT= I IMA 1 102635 RAdjaCcnt t0 Apt./SVite/Room City State Zip Coda El Directions Cross street or directions, as applicable Incident a �k Midnight is 0000 C Type F'1 Date � Times E2 shift & Alarms 321 IEMB call, excluding vehicle I check boxes if Month Day Year Er Min Seo Local Option Incident Type dates are the came as Alan ALARM always required 13 1 CTl - Aid Given or Received* Date. Alarm 03 21 2014 103:06:00 shift'or, Alarm Alar District D Platoon 1 0Mutual aid .received �I I ARRIVAL required, Unless canceled or did not arrive 2 Automatic aid recv. L_J ® Arrival * 03 21 2014 103:14:00 I E3 ❑ Their FDID Their 3 ❑lmltual aid given State CONTROLLED Optional, Except for wildland fires Special Studies 4 ❑Automatic aid given I ❑Controlled " " 1 11 I Local option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wildland fires u Incident Number Last Unit N ©Noise L0 J 1 211 2014 I03:24:00 I 9cudyalD4 study value ® Cleared Actions Taken if G1 Resourcea * G2 Estimated Dollar Losses & valuea ❑ Check this box and skip oris LOSSES: Required for all fires if known. Optional section it an AppardtUB Or for non fires. 32 I Provide basic life I Peraonnel form Is used. None Primary Action Taken (1) Apparatva Personnel Property $1 I ' l 000 , 0001 ❑ Suppression �� I 1 Conte" $1 J 000 000 ❑ u ' EMS �� � Additional, Action Taken 12) PRE-rNCI'DENT VALUE: Optional U other l� , ❑ property $ 0000 000 000 Additional Action Taken (3) ❑ chock box it resource counts Include aid received resources. Contents , 000 , 000 ❑ Completed Modules Hl*Casualties❑NO" H3 Hazardous Materials Release I Mixed Use Property ❑Fire-2 Deaths Injuries N ❑None I Not Mixed Fire 10 Assembly use Structure-3 ' I I I 1 Natural Gies: <inw le.k, no evanacioa er Harriet meCeoa 20 Education use ❑Ci`o'ii Fire Car.-4 Service 1 I� ❑ 2 ❑Propane gas: Qi lb. c.ek (.< in h_sae px111) 33 Medical use ❑Fire serv. Cas.-5 Civili U 3 ❑Gasoline': ,.hiv.=,.,i or P„R„1,o.nvtver 40 Residential use ❑ 51 Row of stores ®EMS-6 $2 DeteOkOr 4 Kerosene: f al bnrainq eealyeene ea yexeahle .eor« 53 Enclosed mall ❑Ba t-7 eD 5 ❑Diesel fuel/fuel oil: .h;cy. ea.i Gx-k a.Required for Confined Fires. Pochx• ❑Wildland Hire-8 ❑ 6 ❑Household solvents: ma./amen. 58 pus• e Residential be rector alerted ooavpanta <pili, oleauuP only 59 Office use X Apparatus-9 60 Industrial use 7 Motor oil: fraao engdne er porcible ee„io.� ®Personnel-10 2❑Detector did not alert the- 8 63 Military use [:]Paint: £<cm DulIC C.e. tnG.lice<oa gailon< 65 Farm use ❑Arson-11 U❑uhkaown 0. ❑owler: �+.ci.l u.anc.o�< x.yDix.a oa agSli,serval.. 00 Other mix d use w.— a v,.nameae token J Property Use* Structures 341❑CI1nic,clinic type infirmary rj39 ❑Household goods,sales,repaire 342❑Doctor/dent1st otnelce 579 ❑Motor vehicle/boat sales/repair 131 ❑Cbureh, place of worship 3610Prison or jail, not juvenile 571 ❑Gas or service station 161 ❑Restaurant or cafeteria 419® 1-or 2-family dwelling 599 ❑ Busines's office 162 ❑Bar/Tavern or nightclub 42 g lt am i-fil ❑Mu Y dweilin g 615 ❑Electric generating plant 213 ❑Elementary school or kindergarten 43 9 C]Rooming/boaLrding house 629 ❑Laboratory/science lab 215 ❑High school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant 241 ❑College, adult education 459❑Residential, board and care 819 [:]Idvestock/poultry storage(barn) 311 ❑Care facility for the aged 464❑Dormitory/barracks 882 []Non-residential parking garage 331 ❑Hospital 519❑Food and beverage sales 891 ❑warehouse Outside 936 ❑vacant lot 981 []Construction site 124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ Industrial plant yard 655 ❑C.rops cr orchard 946 ❑Lake, river, stream Lookup and enter a Property Use code only if 669 ❑Forest (timberland) 951 �Raiiroad right of way you have NOT checked a Property Use box: 807 ❑Outdoor storage area 960 ❑Other street Property Use 1419 919 ❑Dump or sanitary landfill 951 ❑Highway/divided highway 931 00P— land or field 962 ❑Residential street/driveway 11 or 2 family dwelling NFIRS-1 Revision 0371i7'�� Cotuit Fire Department 01921 03/23./201.4 ta-nnnnJtiF K1 Person/Entity Involved Local Option Business name (if applicable) area Code Phone NumAeX ❑check This sox if iame address as r •Ms Mrs• sirs[ Nana DI LaBt Nerve Suffix • n ski location The . I L Than skip the thrsa I duplicate addreas NumDer Prefix SCXeet OY Highway Street T lines. I. Suffix (Post Office Box ( Art./suite/Room city State Zip Code More people involved? Check this boa and attach Supplemental Forme (NFIRs-ls) ae nsOeBBary R2 Owner Same as person involved? Then check this box sad skip The rest of this section. L1 Local option Busina:s name (If-Applicable) Area Coda Phone Number IL-j Check this boX if Mt.,Ma., Mrs. First Name Ml Lest Name e ame address as Suffix location_Then s Theo skip the three duplicate address Number Prefix Street or Highway 'III Street Type Suffix lines- ost office Box I .Apt. Su/ ite/ltoOm city State zip coda L Remarks Local Option 262 transported 1 male to cch L Authorization 18 I IPOULIOT, JOSEPH JILT/EMT I 1 I 031 121112014 officer in charge ID Signature Position or rank Assia=Qnt - Month bay Year Check Box if® 18 I POULIOT, JOSEPH I ILT/EMT I L_ 1 �J Usame 2014 as officer Member making report ID Signature Position or rank Assignment Month Day Year in charge. Cotuit Eire Department nia2t (13/9l/�ntd id_nnnrnsa CoWit Fire District Prehospital Care Report 64HlahStreet Cotuit,MA 02535 Incident Date:03/21/2014 Call 55936 Patient Care S i PatiLht Information Age:55 Years Gender.Male Weight:KG/LB Race:White Ethnlclty:Not Hispanic or Latino ary Impression Secondary Impression -- —' In of Applicable 'mmary of Events ..._.. Pt round sitting In h1e room on a chair,pt said he had rallen approx an hour Prior to our arrival,pt said Pain right rib area,Dt Could not elaborate more to either despite repeated questioning,Pt said he had"a lot to drink."Pt CAOX3,pc assisted t0 stretcher.Pt then said he had fallen dawn the stairs,Pt immediately placed in a c,p'lne collar.Pt would not stop clutching rib area with right arm.Dltrleult to palpate and v7suali2e area due to Dt uncooperativeness,Tried to move pes left arm but he refused as it was grasping onto the railing of the stretcher.Able to convince pt to allow us to do vital signs X2,no more on left arm.Lung sounds dear bilat,pt said Pain was a II 10/10 scale,Pt was on oxycodons and had etoh on board,unknown quantity,pt would not allow us to attemp an IV.No other significant changes in pCs condition UOA at f C{ CH.pt care and report bo RN room 19. fl prior Aid iPerformed By uocome t /A EOICATION ALLERGIES' tGeneriC Name esetlDtlon KDA(No Known Drug Allergies) NKDA(No Known OrUp Allergies) 4 Lent Medications �GMeric NimQDospgg .. I xycodone { edleal surgery Wtstory' anent Denies PMH _ C ! istory Primarily Obtained From ;Pregrmncy vented DtrecMlrez praCntionor Name I PetienC `""° —�— Chief Complaint:rib pain right X 1 Hours Secondary Complaint! {66i Alcohol/Drug Use:Smell or Alcoholic Beverage on Breath/About Person,Patient Admits to Alcohol Use Injury onset Injury Cause Injury ' f j ry Mechanism Injury Intent `.Ht�of Fall 02:00 03/21/201a Falls Not Applicable 's 6 { _ Unintentional 'Primary symptom rothQl Aeso6Ated Symptoms airs P.Signs or Symptoms } Time B/P Pulse`Rhythm Rasp.` Effort P02 S O2 uaL j Stroke Sd PTA B.G.'RTS` Limb ! P P Q M012' SCS Pain -,I�i 2LiY1ht Po8(tion ,f 09=21 152/P� 92 RA 16�NOrma1 I 95Rm.Air is MASSEkamS:'. :;.( 12{Left Arm Fowlers ----I{ r 1.:"•;. . .).Non-11 I Condusive 03:31 148/P Be' RR 161Normal 95 Rm.Air l ;MASS Exam 7^ f � 12 LeRArm {Fowlers .tCondusive Time C6 type ECQ LAed CG Interpretation — . ... .-..._-±ECt3 EttoPY Cause r-pi Change . r Inc Date: 03/21/2014 Cotuit Fire District Page: 1 Incident*: 14-156 Call #: SS936 Date Printed: 03/24/2014 09:29 v. Time ew Name 1 ovation, Elie of EtitllDment' AttemDtsFResponse!Sutt�s;ComrnerRs `03:20IIA JS!viczl Spinal Immobilisation-Rigid Collar iNeck 1� unchanged I Yes ' t e e �'a �; eLU ` `� i x y U 71 7 p Medication Administered Time Cnw�MedialGon Z Route -Dosepe ! Response i PTA Comments —01 'rati�nt'Moved To Ambulance Vailent's position In Transport Pbti:eM Moved From Ambulant. j Stretcher owlp+. ��S[re[dler Response Times and Mileage Call Type:Fall VictimI Disposition-Treated,Transported 11st Resp-Am-: Resp.Mode:lights and Sirens by EMS(ALS) vsAv:03:06 Incident 9:14 156 Urgency:Immediate f Resp.Mode:No Lights or Sirens I Disp.Notlfled:03;06 Call Sigh:320 Response:911 Response f Destination:CAPE COD Unit Disp.:03:06 Veh.*;262 ' HOSPITAL,P 0 BOX I!3 Location:HomeJResidence Enroute:09:10 start Miles:0.0 Address:91 Captain Carleton 640,27 PARK At Scene:03;14 scene Miles:0.0 To Scene;0.0 STREET,HYANNIS, ! COEUR,Bamstable,MA MA 02601 At Patlent:03:15 02635 l Depart;03:24 i 1 Oast_Determ_:Closest Faclllty Arrivc Dem-03:41 Dent.Mlles:0.0 To Dent 0.0 ; S Diverted From: i In Servlce:04:30 ' Response Delay;None In Quarters;04:30 end Miles:9.6 To End:9.6 4 Scene Delay:None i Transport Delay:None Cancelled, ! Crew Member !level o/CertMeatlon :. le' , MENTO,JOHN (JA) MT-Paramedic Primary Patient Caregiver IMAPCZFLY,HAROLD (MM) ^IEMr Paramedic .., Secondary Patient Caregiver 1POULIOT,JOSEPH (JP) MT-Baslc !Drivcr Mtient Priority ._.. orlty 3 .. 0,10 Valuables: +�� i Inc Date: 03/21/2014 Cotuit Fire District Page:2 Incident#: 14-156 Call#: 55936 Date Printed: 03/24/2014 09-29 I A MM DD YYYY ❑sclera NFIR9 -1 DID U 03 21 014 11 L14-0000157 000 ❑Change gaBiC FDID State Incident Date f- * * * Station Incident NUaiber * Exvosura • No Activity B may, Its .s Elch--k ems• box to Indioece that Chu add... for Shia incident is provi2ad on eh.wlialand Fire n)k LJ IsLoeatio Module In Seotie. ale.rn.ci ro Loee OonsuB 'Lrdeteion 8peoificatiao^. us&only for mildlana fires. ®S rOlat❑ address 91 l� Int-arstesseatiori CAPTAIN CARLETON3 RD l ilymber/Milegost Prefix street or Highway Street Type Suffix ❑Tn front of �' ❑Rear of � I I COTUIT ( I 02 635 -I ❑Adjacent t0 Apt-/Suite/Room city state ZID Code ❑Directions Cross street or d2reCtioha ea applicable Incident Type �Ic Midnight is 0000 C TYp F',1 Date & Times E2 Shift & Alarms 321 ISMS call, excluding vehicle I check boxes it Month Da yar Mia sea Local option Incident r acm a dates are the y o e as r Alarm ALARm always required D Aid Given or Received* Date' Alarm * L 0: 21 2014 1:01:00 Shift or Alarms DSStriet < ARRIVAL required. unless canceled or did n0�.yo Plateau 1 ❑Mutual aid received �� J 2 [:]Automatic aid recv. zyeyr FpID ThLei ® Arrival * 03 21 2014 1:06:00 E,3 3 ❑Mutual aid given state CWTROLLED Optional, Except for wildland tires Special Studies 4 ❑Automatic aid given I I ❑Controlled �J �J �� Local option 5 ❑Other aid given Their LAST UNIT CLEARED, required except for wil 1 area Incident Number Last Unit Sp--OCI&I Special N X❑None ® Cleared ( 03( �1 2014 2:30:00 Study IDB study value F' Actions Taken * Gl Resources * - G2 Estimated Dollar Losses & Values ❑ Check this an and skip tus Lh18 ILO$ggs; Required for all fires if known_section if an Apparatus Or Optional Personnel fo.rA is used. for non fires- None rI =provide edvanCAd life Apparatus Personnel Property $L.-J 000 , 000 ❑eYlhary Action Taken I1) I t supprsasiorl �� I�On(�J Contents $I d 000 000 ❑ �I ' EMS 1 00031 L 0006 Additional Action Taken (Z) PRE-INCIDENT vS1LUE: optional Other Property $�� , 000 000 El Action Takan (3) El Check box if re80uYC0 COUhta includa aid received resources. Contents $1 , 000 y 000 El Completed Modules Hx*Casualties❑None H3 Hazardous Materials Release I Mixed Use Property ❑Fire-2 Deaths Injuries N ❑None NN Not Mixed ❑structure-3 Pire 1 []Natural Gas; ,lea l..k, m,,.,n,tion or xasllot.,tion. 10 Assembly use serviom 1 1 20 Education use ❑Civil 81 re Caa_-4 2 ❑Propane gas: QL 3L. t,nx ice ;,,hem.aaq a.t1L) 33 Madical use ❑Fire serv. cas.-5 CivilianL`J 3 ❑Gasoline= ,,.,,sole fuel t.�c.p,�s,e,,,container 40 Residential use X$M.4-6 D&t�ctor 4 �Kerosene: E,.1 bn.niL,y�q.LPmes,e or pore.bi. .t,.,g. 51 Row of stores ❑ a HcMat-7 53 Enclosed mall Rewired for Contined Fires. 5 ❑Diesel fuel/fuel oil:.,e6ia.As.i ,.port le 58 BUB. d Residential ❑Wildland Fire�B 1❑Deoeotor alerted occupahta 6 ❑Household solvents: h,.r/,esao.epiu, clamnm only 59 Office use Q Apparatus-9 7 Motor oil: f.om.nas.no or poaa.61. --i... 60 Industrial use a Personnel-10 20Datactor did not alert them 63 Military use. $ ❑Paint. _.—pKnt ease eotali,e<as q,l3ona ❑Arson-11 El unknown 0 ❑Other. epoolal h-d"t.,tion. .wired,n apill r ssg.L., 65 use 00 0Farmmr miveed use Plm,.ao�l.ra ta.o>viac farm J Property Use* structures 341❑Clinio,cliaic type infirmary 539 ❑Aousehold goods,sales,repairs 3d2❑Dootor/dentist offioe 579 ❑Motor vehicle/boat sales/repair 131 ❑Church, place of worship 361❑prison or jail, not uvenile j 571 ❑Gas or service station 161❑R•staurant or cafeteria 419®1-or 2-family dmelling 599 ❑ Business office 162 ❑Bar/Tavern or nightclub 429❑Multi-family dwelling 615 ❑Electric generating plant 213 ❑Hlementary school or kindergartmn d si 39❑Rooaiiag/boarding house 629 ❑Laboratory/science lab 215 ❑ gh school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant 241 ❑College, adult education .459❑Residential, board and. care 819 ❑Livestock/poultry storage(barn) 311 ❑Care facility for the aged Dormitory/barracks Non-residential 331 Hospital 464❑ 882 ❑ parking garage ❑ 519❑Food and beverage sales 8.1 ❑Warehonao Outside 936❑vacant lot 981 ❑Construction site 124 ❑Playground or part. 938 ❑Graded/care for plot of land 9$4 ❑ Industrial plant yard 655 ❑Crops or orchard 946 ❑=Lake, riper, stream 669 Poreat (timberland) Lookup and enter a property use code only if 951 ❑Railroad right o£ way you have NOT checked a 8roperty Use bozo 807 [-1 outdoor storage area 960 ❑ t Other areet property us* 419 919 ❑Dunrp or sanitary landfill 961 ❑Highway/dividod highway 931 ❑Open land or field 962 ❑Iaesident-Lal street/drivoway [-;--or 2 family dwelling XrIRS--1 Reviaion Mil 99 Cotuit Fire Departmont ,, - IK1 Person/Entity Involved Loca110ption business name (it applicable( Area code Phone Number This sameddre Box if same Nr.,Dis., airs. First Name MI Last Namo 8 address as suffix incident location. I L IJ Then skip the three I I duplicate address Numbo� L:� I lines. Prefix Street or Highway Street Type n' Suffix Poet Office Box I Apt./Suite/Room city State 2iD Code More people a.avolved? Check this boss amid attach Supplemental 80rms (NFIRS-IS) 98 Necessary eamo as person involved R2 Owner ^.nan Check this box and 5k1D _ I I The reet of this section. u Local option Suaineas name (if Anpiieabl6) Area coda Phone Number u I i u Iu U check this box if Mr.,Me., Mte. First Name NI Last NamO Suffix U same address a8 incident location. I I I I Then skip the three u I I duplicate address Rumber Prefix Street or Highway I� 'ICI L Street Type Suffix lines. Post office Box ADc./suite/Room City State Zip Code L Remarke Local option LEI MOr¢ Remarks? Check this box and attach supplemerit Foxms (NFIRS-1S) as Necessary L Authorization �. Unknown Staff Member I I Officer in charge ID SignaCUre Position or rank Mai¢nment Nonth Day Year Check � I sox if® I I Unknown, Staff Member acme MemOer making Position or rank Asel as Officer q report ID signature gnmenc Noath Day Year ,in chargq. :otuit Fire Department Cotuit Fire District Prehospital Care Report 64 High Street Cotult,MA 0263S Incident Date:0 312 1/2 0 14 Call 4:55937 Patient Care 3:1 I Age;55 Years Gender Male I Weight:KG/LB Race+Whita !1 Ethnicity:Not Hlspanic or Latino �Hmary Lnpress on - �SSndary Impression — f wlterod Level of Consciousness of AppIl�Dle + I . i1su!-Mry af.Etients .. ....._..__ -•- 7 called to address to assist Barnstable Police with an assault victim. on arrival Barnstable Police on scene.Officer reports pt appears intokkated,and was repartedly assaulted.Officers report there are multiple Intoxicated people in the house,and that the stories are conflicting regarding our patients injuries.pt reports he think--.he s was punched In the nose.unable to recall any other Information. I EXAM:awake and alert,able to follow commands,and ambulatory on our arrival to the patient.confused,and unable to answer all ouestions.airway patent.respirations 12 and non-labored,skin warm dry and pink.odor of alcohol on the patients breath.dried blood noted around the nm.vital signs as noted.blood sugar 161.monitor showed normal sinus rhythm.pt Uo pain to the nose,and right shoulder.denied arty neck,back pain.remainder of exam unremarkable. ' TX:tog IV estabf+shed,monitored.cervical spine immobilized with c-collar-vital signs monitored,transported to cape cod hospital,hospital notified.transport uneventful. rior Aid y 'Performed By •�� utcome /A, N/A EOkCA1iON ALLERGIES r'eneric Name' IDesct4plion ImA(No Known Drug Allergies) KDA(No Known Drug Allergies) Patent rdsdlcatlona (Generic Name M Osage �xycodone I Mediml Surgery History I agent Denies PMH 7listory Primarily Obtained From pregnancy UWvanced Directive: :DractiUoner Name i Chief Complaint.nose pain/shoulder pain/altered LOC k 1 Hours ! l Secondary Complaint- Alcohol/Drug use:Smell of Alcoholic Beverage on Breath/About Person,Alcohol and/or Drug Paraphernalia at Scene y rnjury 00set Injury Cause.• Injury Mechanism Injury Intent +Mt.of Fag I 23:00 03/21/201a Falls Not Applicable _ Unintentional Primary Symptom' {Ocher Associated Symptoms Pain ,Change in Responsivenes - 1 nme + B/P Pu1sa l Rhyt}rm IResp. • Effort p0 'Sp02 Qua1, EtCO2;GCS Pain Stroke Scl i PTA•t B.G :RTS; limb Patient Position 23:15 168/7 77 RR 12iNormal I 95 Rm.Alr �'N'.'. -• '• 37'---5� t:• 16L IRghtArm iSlt[Ing 23:35 164/72 82 RR 12 Normal I 99;pm.Air r ; ' •i ght Arm Sitting i ..71me .iECG,Type'•'I CeLead I CG Interpretation :ECG Ectopy Cause Foi Change t Procedurc5;and Treatment,- I71m5 Ce rew Name _ gocation Size of Equipment'PMemptsl AC6ponse+Succamsr mments: 23:1 pinalImmobllization eck ; 11 Unchanged; Yes E Inc. Date: 03/21/2014 Cotui[Fire District Page: I Incident•iF: 14-157 Call$; 55937 Date Printed: 03/24/2014 09:27 Time Crew ame ?Lo�tlon ;Size or Equipment AttemDtsf Response ISuccessjGommer 13:25 G enous Access-6armity Forearm-Right O9 11 Unchanged Yes £•� i� cea3i � €I' � o _o lam'.o p o i = 1 g IYK � � I ii—_—_�' �..�,.aumE<i• 'I .� aw.S�cao f > '• G 'i .I i� �^._-t � � MiWication Administered Tune wv. edleation —, ROuCe ; Dosage I Response I PTA eommert 23:25 SC formal$aline Intravenous Lock/FlUSh�µM Unchanged L No =ant MOVeil To Ambulance Patient's PoslGon.In Transport y Pat1ent Moved From Arhbulance W Stretcher Call Call Type:Fall Victim Disposition:Treated,Transported 1st Reap.Arr.: ! Resp.Mode:Lights and Sirens jj by EMS(ALS) PSAP:23:01 Incident a:34-157 Urgenctr-Immediate I -Resp.Mode:Ughts and Sirens Disp.Notified:23:01 Gall Sign:320 Response:911 Response I Destination:CAPE COD Unit Disp,:23:01 veh.9:262 f + f Location:Home/Resldenca HOSPITAL,P O BOX Enroute:23:04 Start Miles 0-0 i1 Address.91 capt carlton 640,27 PARK At Scene:29:08 Scene Mile*-0,0 To Scene*0.0 I Cotui[,Barrutable,MA STREET,HYANNIS,MA 02601 At Patient:23:09 f i 02635 I Depart:23:23 Dest,Determ.:Closest Facility Diverted From: Arrive Dest:23:38 Dest.Miles:0,0 To Dest:0.0 Response Delay;None In Service:23:47 Scene Delay:None In Quarters:00:15 End miles:9.5 To End!9A I I Transport Delay:None Cancelled: i Crew Member jLevel of Cartifleatlon ;Kola CLARK,SHANE (SC) MT-Paramedic Primary Patient Careglver EMERSON,PETER (PE) -Paramedic Secondary Patient Caregiver ALY,KELLEN (KD) MT-Paramedic river Patient Priority riority 2 - — Valuables: _ Inc.Date: 03/21/2014 Catuit Fire District Page: 2 Incident V: 14-157 Call n: 55937 Date Printed: 03/24/2014 09:27 Town of Ba ble ''Dep. h+IL, (508) 75-0387 �cknin_ (508)775-.0920 Paul B. MacDonaldRCCords: (508) i,5-5466 Chief of Police' � Fax (508) 790-6317 www.b.amstablepolice.com , FAXCOVER S ET RECORDS FAX#508-790-0.062 DATE:_ ��' TTME:' TO: FAX: selff• FROM: NUMBER OF PAGES INCLUDING COVFR SITFFT. NOTENISSAGE: Qe T;7 This fax is irotended only for the use of the individual or, entity to wbich it i R addressed, and may contain i f'ormation,which is privileged; con6d�ntial and exempt-from disclosure under applicable law. If the:reader of this message is not responsible for dclivering the message to the intended.recipient,you are hereby n,oti.£.cd that any copying, dissemixuation or distribution of this commuzli.cation.is strictly prohibited 11 you have received this communication in error,please notify us by telephone and return the original to us at the above address via US Postal Sezvice. r,}2?tJaE VzlaFr of BmMutablo, CanbmrvMe,CQtult,H)mmds, Marst u Mills, asber-y-i- , mud West Baz�;tahle par en Page: 1 NARRATIVE FOR PTL DAVID J DOWNS Ref; 14-517-OF Entered: 03/22/2014 @ 2111 Entry ID: 254 Modified: 03/22/2014 @ 2118 Modified ID: 254 Approved: 03/24/2014 @ 0150 Approval ID; 161 On 03/22/2014, approximately 2104, this officer was dispatched to 91 CAP'N CARLETON'5 RD for a disturbance inside the residence. Upon arrival officer's observed several males inside highly intoxicated. We were also advised this was a business and deemed a sober house, where the owner lives off site and does not frequent the residence. I spoke with James Mullins who was intoxicated stating he use to use bath salts frequently and his insides were on fire, he requested to go to the hospital. Also speaking with James Derroy, who was intoxicated. Derroy was bleeding and looked as though had a broken nose. Parties were somewhat uncooperative and just wanted to go to the hospital. Cotuit Fire/Rescue responded and transported both to the hospital. While inside I observed a heavy presence of cigarette smoking going on inside the residence_ As I walked through the residence I then observed all the smoke detectors which were at one time hard wired into the house were removed and wires cut. This was an unsafe residence, Cotuit Fire noted the incident and requested a police report to state our findings. PTL DAVID J DOWNS r atns a Police Department Page: 1 g Incident Report 03/24/2014 Incident #: 14-517-OF " Call # : 14-13125 Date/Time 'Reported: 03/23,/2014 2245 Report Date/Time: 03/22/2014 2104 Status: No Crime Involved Reporting Officer: PTL DAVID DOWNS Approving Officer: SGT. BENJAMIN BAXTER Signature.- Signature: • 1 MULLIN, JAMES M w 24 91_ CAPIN CARLETON'S RD COTUIT MA 02635 Military ActiV9 Duty: N BODY: NOT AVAIL. COMPLEXION: NOT AVAIL. ETHNICITY: NOT HISPANIC LOCATION TYPE: Residence/Home/Apt./Condo zone:. COT1 91 CAP'N CARLETON'S RD COTUIT MA 02635 1 Assist Fire/EMS j I l kashpee doctor violated state wage laws CapeCodOnline.com Page 1 of 1 y Mashpee doctor violated state wage laws By Anne Brennan abrennan@capecodonline.com March 23,2009 2:54 PM A Cotuit doctor practicing in Mashpee faces two civil citations for violating state wage and record-keeping laws. The citations, issued by state Attorney General Martha Coakley, require Dr. Robert M. DuWors, 56, of Cotuit, and his company, Mashpee Mental Health in Mashpee,to pay restitution of nearly $33,000 to employees and $9,000 in penalties to the state, Coakley said in.a press statement released today. The case started with a January 2008 complaint from a former employee who worked as a nurse practitioner in DuWors' clinic. She told investigators in the attorney general's.Fair Labor Division that she had not been paid for work performed-at the clinic, the release says. Investigators found that from March 2006 through November 2008, ' DuWors failed to pay five employees for wages they were owed, the release says. The employees included the nurse practitioner, clerical personnel, a staff psychiatrist and a therapist. In addition, DuWors failed to provide the company's payroll records to-investigators for inspection, according to the release. DuWors could not be immediately reached for comment. The Attorney General's Fair Labor.Division enforces state minimum wage and overtime laws and payment of wages laws.Violations can be reported by calling the hot line at 617-727-3465. To get more information about wage and hour laws go the attorney general's Workplace Rights Web site. Read more about civil citations issued against Dr. Robert M. DuWors and the Mashpee Mental Health Clinic in tomorrow's Cape Cod Times. Copyright @ Cape Cod Media Group,a division of Ottaway Newspapers, Inc.All Rights Reserved. I httD://www.cai)ecodonlihe.corn/apps/pbcs.di l/article?AI D=/20090323/N EWS 11/90323027... 9/6/2013 s, S i .W r 2. _ yJ. ry •. y r i t � .� �� Y Tr �. �I 5 t ix!` ,� .� ,�' ,A. �S;�ft�,",",r h =• k� �"a�a'ail�. k�i J ;, Fr �„ y. '; 44d�1 1�}I' .x ' .. tyy���"� 3 � ,yet � Y i�' •�1 1. r r� �i I r- N 'k�" ?,mar '• :�;Iyy r.•.. �„- CHRISTINE HOCHKEPPELICAPE COD TIMES artina Posmentier, 8, of New York.City drops a bobber Thursday into Hyannis Harbor Mas clouds fill the horizon. Read today's forecast on B12 mnshpen MentalHealth- Cente I get- "It's disturbing, unprofessional, and not a good thing to have By SEAN F. DRISCOLL said her facilityhas been et- sdriscoli@capecodonline.com ting calls from patients left in MASHPEE-Mashpee Men the lurch by Mashpee Mental happen. Certainly they should be looking out for their patients, •. tal Health Center has closed Health's shutdown. its doors,leaving its patients "Patients are looking for giving them referrals and helping them find other places.' and clients seeking alterna- medication or follow-up care, tive sources of treatment. and in behavioral health there RON HOLMES According to its website, was such a need to begin with executive director of National Alliance on Mental Illness Cape Cod and,the Islands the Mashpee Mental Health that one more provider shut- Center provided therapeutic ting down creates excess g Accordin to the Massa- nearly $33,000 to employees health care provider be unex- services for individuals and demand;she said, institutions, with services Gardner said her staff are chuse,t he center Secretary as est b perfoof State's who rmed from March2006 - ,I-would. certainly hope designed for group homes, referring the Mashpee Mental office, sober houses,private schools Health patients to newr she dent is in 2004 d its pr of si- to November ealso0 ordered to Center is do doing something to and community programs. ers. In urgent situations, A recorded message said said individuals should con- Cotuit.DuWors did not return pay$9,000 in penalties to the he accommodate ad°date their patients;' Thursday the center's phone tact Cape Cod Healthcare for a message seeking comment stRon Holmes, executive "it's disturbing, unprofes number was not accepting more immediate treatment. Thursday night. calls.Its website provided no Gardner saidCenter has pee MeIn ntDal Health Center ance on Mental.uWors and Mash- director of the Illnessl alpe to have happen.gCertainly information on the status of Mental Health the center. shut down in the past and received two civil citations Cod and the Islands, said it they should .be loopin them g out. Karen Gardner,chief execu- reopened,but she didn't es recall for record violating t p ng laws.'wage e was state ple s eking treatment tme t°for a referraleo- for theirs and helping them ,r tive officer of the Community the dates or circumstances ordered to pay restitution of mental illness to have their find other places:' Health Center of Cape Cod, that closure. Mashpee Mental Health Center shuttered CapeCodOnline.com Page 1 of 1 Ott Mashpee Mental Health Center shuttered By SEAN F. DRISCOLL sdriscoll@capecodonline.com September 06,2013 2:00 AM MASHPEE—Mashpee Mental Health Center has closed its doors, leaving its patients and clients seeking alternative sources of treatment. According to its website,the Mashpee Mental Health Center provided therapeutic services for individuals and institutions,with services designed for group homes, sober houses, private schools and community programs. A recorded message said Thursday the center's phone number was not accepting calls. Its website provided no information on the status of the center. Karen Gardner, chief executive officer of the Community Health Center of Cape Cod, said her facility has been getting calls from patients left in the lurch by Mashpee Mental Health's shutdown. "Patients are looking for medication or follow-up care, and in behavioral health there was such a need to begin with that one more provider shutting down creates excess demand,"she said. Gardner said her staff are referring the Mashpee Mental Health patients to new providers. In urgent situations, she said individuals should contact Cape Cod Healthcare for more immediate treatment. Gardner said Mashpee Mental Health Center has shut down in the past and reopened, but she didn't recall the dates or circumstances of that closure. According to the Massachusetts Secretary of State's office,the center was established in 2004 and its president is Robert DuWors of Cotuit. DuWors did not return a message seeking comment Thursday night. In 2009, DuWors and Mashpee Mental Health Center received two civil citations for violating state wage and record-keeping laws. He was ordered to pay restitution of nearly$33,000 to employees who were not paid for work performed from March 2006 to November 2008. He was also ordered to pay$9,000 in penalties to the state. Ron Holmes, executive director of the National Alliance on Mental Illness Cape Cod and the Islands, said it can be disconcerting to people seeking treatment for a mental illness to have their health care provider be unexpectedly unavailable. "I would certainly hope the Mashpee Mental Health Center is doing something to accommodate their patients,"he said. "It's disturbing, unprofessional, and not a good thing to have happen. Certainly they should be looking out for their patients,giving them referrals and helping them find other places." Copyright @ Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dlUarticle?AID=/20130906/NEWS/309060337/-... 1/28/2014 Mashpee Mental Health Center shuttered CapeCodOnline.com Page 1 of 1 Mashpee Mental Health Center shuttered By SEAN F. DRISCOLL sdriscoll@capecodonline.com September 06,2013 2:00 AM MASHPEE—Mashpee Mental Health Center has closed its doors, leaving its patients and clients seeking alternative sources of treatment. According to its website, the Mashpee Mental Health Center provided therapeutic services for individuals and institutions,with services designed for group homes,sober houses, private schools and community programs. A recorded message said Thursday the center's phone number was not accepting calls. Its website provided no information on the status of the center. Karen Gardner, chief executive officer of the Community Health Center of Cape Cod, said her facility has been getting calls from patients left in the lurch by Mashpee Mental Health's shutdown. "Patients are looking for medication or follow-up care, and in behavioral health there was such a need to begin with that one more provider shutting down creates excess demand,"she said. Gardner said her staff are referring the Mashpee Mental Health patients to new providers. In urgent situations, she said individuals should contact Cape Cod Healthcare for more immediate treatment. Gardner said Mashpee Mental Health Center has shut down in the past and reopened, but she didn't recall the dates or circumstances of that closure. According to the Massachusetts Secretary of State's office,the center was established in 2004 and its president is Robert DuWors of Cotuit. DuWors did not return a message seeking comment Thursday night. In 2009, DuWors and Mashpee Mental Health Center received two civil citations for violating state wage and record-keeping laws. He was ordered to pay restitution of nearly$33,000 to employees who were not paid for work performed from March 2006 to November 2008. He was also ordered to pay$9,000 in penalties to the state. Ron Holmes,executive director of the National Alliance on Mental Illness Cape Cod and the Islands, said it can be disconcerting to people seeking treatment for a mental illness to have their health care provider be unexpectedly unavailable. "I would certainly hope the Mashpee Mental Health Center is doing something to accommodate their patients,"he said. "It's disturbing, unprofessional, and not a good thing to have happen. Certainly they should be looking out for their patients,giving them referrals and helping them find other places." Copyright @ Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http:Hwww.capecodonline.com/apps/pbcs.dll/article?AID=/20130906/NEWS/309060337/-... 9/23/2013 Page 1 of 1 Find a Person Reverse Phone Lookup Find a Business Login - F_irstname _ Lastname _ City,State I Find L M© Massachusetts FREE CONSULTATION -V 800-82-DEFENSE DUI Defense Group (823-3336) �oh J-Junior�- Arrest Records: 2 go �(774)228 2674, Secrets %. instantcheckmate.com 91Captaln`:Carltons-Rd I Map and Directions Cotuit,MA,026354000 1)Enter Name and State.2)Access '=< = Full Background Checks Instantly. Related searches: See all Juniors in Cotuit,MA>>> See all John Juniors in Massachusetts>>> See all John Juniors in US>>> IO SHRRE� OMt7_) 411.info /Massachusetts /Cotuit /Junior /John Junior Home I Mobile I About 411.info I Contact I Terms&Conditions I Privacy Policy I FAQ I Business Directory I People Directory O\Mdepon.com Inc.2014.All rights reserved. http://411.info/people/Massachusetts/Cotuit/Junior-John/137622662.html 1/29/2014 Town of Barnstable, MA District Regulations: § 240-14 RC-1 and RF Residential Districts. Page 7 of 94 i (3)(Reserved)Editor's Note:Former Subsection C(4),regarding family apartments,was repealed 71-18-2004 by Order No.2005-026.See now§24o-47,z (4)Windmills and other devices for the conversion of wind energy to electrical or mechanical energy, but only as an accessory use.. D.Special permit uses.The following uses are permitted as special permit uses in the RC,RD,RF-i and RG Districts,provided a special permit is first obtained from the Planning Board: (i)Open space residential developments subject to the provisions of§240-17 herein. E.Bulk regulations. Minimum Yard Setbacks Minimum Minimum Maximum Lot Area Lot Minimum Building Zoning (square Frontage Lot Width Front Side Rear Height Districts feet) (feet) (feet) (feet) (feet) (feet) (feet) RC 43,56o= 20_ 100 203 10 10 30 RD 43,560 2 20 125 303 15 15 30 RF-1 43,56o' 20 125 303 15 15 30, RG 65,000 20 200 303 15 15 30' NOTES: Or 21/2 stories,whichever is lesser. 1 A minimum lot area of 87,120 square feet is required in RPOD Overlay District. [Added 10-26- 2000] 3 One hundred feet along Routes 28 and 132. §2140-14 RG1 and RF Residential Districts. A.Principal permitted uses.The following uses are permitted in the RC-1 and RF Districts: (1)Single-family residential dwelling(detached). B.Accessory uses.The following uses are permitted as accessory uses in the RC-1 and RF Districts: (1)Renting of rooms for not more than three nonfamily members by the family residing in a single- family dwelling. [Amended 11-7-1987 by Art.121 (2)Keeping,stabling and maintenance of horses subject to the provisions of§240-1iB(2)herein. C.Conditional uses.The following uses are permitted as conditional uses in the RC-1 and RF Districts, provided a special permit is first obtained from the Zoning Board of Appeals subject to the provisions Of§240-125C herein and subject to the specific standards for such conditional uses as required in this section: [Amended 8-17-199S by Order No.95-1951 (1)Home occupation,subject to all the provisions of§240-46C,Home occupation by special permit. (2)Renting of rooms to no more than six lodgers in one multiple-unit dwelling. (3)Public or private regulation golf courses subject to the provisions of§240-»C(2)herein. j http://ecode360.com/6558261?highlight=rf 7/12/2013 Town of Barnstable, MA District Regulations: § 240-14 RC-1 and RF Residential Districts. Page 8 of 94 (4)Keeping stabling and maintenance of horses in excess of the density provisions of§240-nB(2) (b)herein,either on the same or adjacent lot as the principal building to which such use is accessory. (5)(Reserved)Editor's Note:Former Subsection C(4),regarding family apartments,was repealed77-78-2004 by Order No.2005-026.See now§24o-47.x (6)Windmills and other devices for the conversion of wind energy to electrical or mechanical energy, but only as an accessory use. (7)Bed-and-breakfast operation subject to the provisions of§240-nC(6). [Added 2-20-19971 D.Special permit uses.The following uses are permitted as special permit uses in the RC-1 and RF Districts,provided a special permit is first obtained from the Planning Board: (1)Open space residential developments subject to the provisions of§240-17 herein. (2)Private initiated affordable housing developments:A private-initiated affordable housing developments(PI-AHD)on seven acres or more,subject to the provisions of§240-17.1 and in full compliance with the standards set forth therein. Added 11-18-2004 by Order No.2004-1131 E.Bulk regulations. Minimum Yard Setbacks (feet) Minimum Minimum Maximum Lot Area Lot Minimum Building Zoning (square Frontage Lot Width Height Districts feet) (feet) (feet) Front Side Rear (feet) RC-1 43,56o2 125 — 303 15 15 30' RF 43,56o2 150 — 303 15 15 301 Or 21/2 stories,whichever is lesser. 2 A minimum lot area of 87,120 square feet is required in RPOD Overlay District. [Added 10-26- 2000] 3 One hundred feet along Routes 28 and 132. §240-15 RC-2 Residential District. A.Principal permitted uses.The following uses are permitted in the RC-2 District: (1)Single-family residential dwelling(detached). B.Accessory uses.The following uses are permitted as accessory uses in the RC-2 District: (1)Keeping,stabling and maintenance of horses subject to the provisions of§240-118(2)herein. C.Conditional uses.The following uses are permitted as conditional uses in the RC-2 District,provided a special permit is first obtained from the Zoning Board of Appeals subject to the provisions of§240- 125C herein and subject to the specific standards for such conditional uses as required in this section: (1)Nursing and/or retirement home,but not to include hospitals,sanatoriums,convalescent homes or detached infirmaries or clinics,subject to the following: (a)The site for the home consists of a minimum of five acres. (b)The capacity-to-land ratio of the home does not exceed 10 beds per acre. http://ecode360.com/6558261?highlight=rf 7/12/2013 Key: 8550 Town of Mashpee- Fiscal Year 2014 12/11/2013 6:04pm SEQ#: 8,406 ` `•s`•' 77 -.CURRENT OWNER PARCEL ID LOCATION I CLASS I CLASS% DESCRIPTION BNID BN' `CARD." I L DUWORS,ROBERT M ETAL TRS 112-85-0-R 17 CORDWOOD RD 1010 J 100 1 SINGLE FAMILY 1 I 1 of 1 E 17 CORDWOOD ROAD REALTY TRUST TRANSFER HISTORY DOS T SALE PRICE BK-PG Cert PMT NO PMT DT TY DESC AMOUNT INSP BY'. .1st. r%, r G 17 CORDWOOD RD A DUWORS,ROBERT M ET ALTR 11/12/2009 F 1 (190029) 11/06/2006 23 DATACORRECT 11/06/2006 TP 100 100 L MASHPEE,MA 02649 DUWORS,VIRGINIA M& 08/26/2008 A 100(186769) DUWORS,CLETUS H&VIRGIN 04/18/1990 F (120280) ."CD 7 . ACISF/UN. Area. Infl-1: Infl-2 ADJ BASE SAF Topo Lpl VC CREDITAMT ADJ VALUE L 100 S 8,330 POP 1.00100 1.00100 1.00 440.000 3.97 100 1.00 PAV 2.75 333.810 A N D Is TOTAL 8,320 SF ZONING I R3 JFRNT 0 ASSESSED CURRENT PREVIOUS EPA N LAND 333,800 321.700 Aiea POPPONESSET 0 BUILDING 73,800 73,800 14 NOADJUST T DETACHED" 0 0 'Infl-2: NOADJUST E OTHER 0 0 r TOTAL 407,600 395.500 QUAL. COND DIM/NOTE YB UNITS ADJ PRICE RCNLD IPHOTO 112/08120081 40 8 A (61 D ;;f- _ B,u SAS E emu T A C H c 22 24 E D BLDG COMMENTS (DJ .BUILDING 'CD .ADJ DESC 4 DDA EIEU 12/8/2008 BW ' EL•' 1 RESIDENTIAL STYL .". 1 1.00 RANCH(100%1 12/8/2008 BW B .QUALITY_;., C 1.00 AVERAGEf100%) 1/282009 KEO U FRAME " 1 1.00 WOOD FRAME(100%1 L .-YEAR.BLT 1960 SIZEADJ 1.140 ELEMENT CD I DESCRIPTION ADJ S BAT T DESCRIPTION UNITS YB ADJ PRICE RCN TOTAL RCN;: 10 .480 D NETAREA 1.136 DETAIL ADJ 1.060 FOUNDATION 4 BSMT WALL 1.00 A BMU N BSMTTOTALAREA 960 17.78 17.073 CONDITION ELEM .CO I $NEA(RCN) $95 OVERALL' 1.000 EXT.COVER 1 WOOD SHINGLES 1.00 + BAS L BAS AREA 1,136 1960 66.46 75,501 EXTERIOR A N ROOF SHAPE 1 GABLE 1.00 C EPA N ENCL PORCH 266 35.34 9,400 INTERIOR A G "'CAPACITY:,.' " UNITS ADJ ROOF COVER 1 ASPHALT SHINGLE 1.00 D OPA N OPEN PORCH 32 19.28 617 KITCHEN A STORIES 1 1.00 FLOOR COVER 3 WAN CARPET 1.00 F11 O FPL 1 S 1OP 1 2,778.00 2.778 BATHS A ROOMS 6 1.00 INT.FINISH 2 DRYWALL 1.00 HEAT/ELEC A BEDROOMS 3 1.00 HEATING/COOLING 1 FORCEDAIR 1.00 BATHROOMS 1 1.00 FUEL SOURCE 2 GAS 1.00 UNITS 1 1.00 EFF.YWAGE 1969/43 HALFBATHS 0 1.00 FIXTURES 3 $3,111 COND. 32 32% FUNC 0 ECON 0 DEPR 32 %.GD 68 RCNLD. $73,800 Page 1 of 1 Town of Mashpee,Massachusetts Assessors Online Database HOME SEARCH I CONTACT US I HELP I FAQ Enter Search Criteria Below(Hint:When searching by Street or Owner,try entering just the first few letters).Adobe Acrobat Reader is required to view the Property Record Card.To obtain a copy of the reader Click the"Get Adobe To view a Property Record Card,click on the`f"icon (far right column) Get OER' Reader" Icon. in Search Results. ADOBE'REA r Search On Personal Property Records Rather Than Real Property(Browse Listing Only) <Choose an optional sort orden_IE' Sort Order(Filtering field is the default) Click to Search using criteria below I Database Last Updated On: 12/15/2013 Clear Criteria Ke. Parcel Owner �pStNot_Street _Class _Book _per E DUWORS ==I 1=== Search Results Keyno Map Parcel Ext Ty Owner StNo StNo2 Street Class Book Page AssdVal Card_PDF 8550 112 85 OR DUWORS, ROBERT 17 CORDWOOD 1010 190029 CTF $407,600 M ET AL TRS RD http://assessedvalues2.com/SearchPage.aspx?jurcode=172 2/12/2014 State of Rhode Island and Providence Plantations - Public Browse and Search Page 1 of 2 I State of Rhode Island and Providence • Plantations Office of the Secretary of State Division Of Business Services 148 W. River Street Providence RI 02904-2615 (401) 222-3040 CD Assessment and Consultation Services LLC Help with this Summary Screen form Request a Certificate I The exact name of the Domestic Limited Liability Company: Assessment and Consultation Services LLC Entity Type: Domestic Limited Liability Compaa Identification Number: 000554632 Date of Organization in Rhode Island: 10/14/2010 Date of Revocation Notice: 01/17/2014 The location of its principal office: No. and Street: 1808 MAIN ROAD City or Town: TIVERTON State: RI Zip: 02878 Country: USA The mailing address or specified office: No. and Street: 1808 MAIN ROAD City or Town: TIVERTON State: RI Zip: 02878 Country: USA Agent Resigned: N Address Maintained: Y The name and address of the Registered Agent: No. and Street: 321 S MAIN STREET FL5 City or Town: PROVIDENCE State: RI Zip: 02903 Name: NEVILLE BEDFORD http://ucc.state.ri.us/CorpSearch/CorpSearchSummary.asp?ReadFroniDB=True&UpdateAll... 4/8/2014 State of Rhode Island and Providence Plantations -Public Browse and Search Page 2 of 2 The limited liability company is to be managed by its Members The name and business address of each manager: Title Individual Name Address First, Middle, Last, Suffix Address, City or Town, State, Zip Code, Country Purpose Assessment and Consultation services and treatment Select a type of filing from below to view this business entity filings: ALL FILINGS Annual Report i Annual Report-Amended ; i Annual Report- Reinstatement Articles of Amendment Q Click Here to access 2006 and 2007 annual reports filed and imaged prior to July 25, 2007. Identification Number is Required View Filings I New Search =1 © 2007 - 2014 State of Rhode Island and Providence Plantations 0 All Rights Reserved Help http://ucc.state.ri.us/CorpSearch/CorpSearchSummary.asp?ReadFromDB=True&UpdateAll... 4/8/2014 RI SOS Filing Number: 201068233890 Date: 10/14/2010 11:28 AM Filing Fee: $150.00 ID Number: STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS Office of the Secretary of State Corporations Division 148 W.River Street Providence,Rhode island 02904-2615 ter? LIMITED LIABILITY COMPANY Y ARTICLES OF ORGANIZATION "'x, Pursuant to the provisions of Chapter 7-16 of the General Laws of Rhode Island, 1956,as amended,the following Articles of Organization are adopted for the limited liability company to be organized hereby: 1. The name of the limited liability company is: Assessment and Consultation Services LLC 2. The address of the limited liability company's resident agent in Rhode Island is: 321 S.MAIN ST FLS Providence Rl 02903 (Street Address,qX P.O.Box) (Cltyrrown) (Zip Code) and the name of the resident agent at such address is Neville Bedford (Name of Agent) 3. Under the terms of these Articles of Organization and any written operating agreement made or intended to be made, the limited liability company is intended to be treated for purposes of federal income taxation as: (Check one box only) Ela partnership or 1:1a corporation or ✓a disregarded as an entity separate from its member 4. The address of the principal office of the limited liability company if it is determined at the time of organization: 1061 FISH RD,Tiverton,Ri 02878 (If not determined,so state) 5. The limited liability company has the purpose of engaging in any lawful business,and shall have perpetual existence until dissolved or terminated in accordance with Chapter 7-16,unless a more limited purpose or duration is set forth in paragraph 6 of these Articles of Organization. FILED n Form No.400 14 2010 Revised: 09/06 ` OCT{1 11 /3 By al C I 6. Additional provisions, if any, not inconsistent with law,which the members elect to have set forth in these Articles of Organization, including, but not limited to, any limitation of the purposes or duration for which the limited liability company is formed,and any other provision which may be included in an operating agreement: 7. Management of the Limited Liability Company: A. The limited liability company is to be managed by its members. (If you have checked this box,go to item no.8.) or B. The limited liability company is to be managed 1:1by one (1) or more managers. (K the limited liability company has managers at the time of the filing of these Articles of Organization, state the name and address of each manager.) Manager Address 8. The date these Articles of Organization are to become effective,if later than the date of filing,is: (not prior to,nor more than 30 days after,the filing of these Articles of Organization) Name and Address of Authorized Person: Neville Bedford,Agent 321 S,Main St.FL5 • Providence,RI 02903.7108 401-348-6723 Under penalty of ury, I lare and affirm that I have examined the is s o Orga iz 'on, including any accompanyin c� n th all tatements on ned herein are t Date: October 13,2010 �f Signature of Authorized Person i RI SOS Filing Number: 201068233890 Date: 10/14/2010 11 :28 AM pHOOF STP`E�*°' 'S�"O State of Rhode Island and Providence Plantations A. Ralph Mollis Secretary of State NoPE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS I, A. RALPH MOLLIS, Secretary of State of the State of Rhode Island and Providence Plantations, hereby certify that this document, duly executed in accordance with the provisions of Title 7 of the General Laws of Rhode Island, as amended, has been filed in this office on this day: October 14, 2010 11:28 AM A. RALPH MOLLIS Secretary of State o�`S\,NND nHn pIr O O N0PF LU m N 2 Wo OO o�y 1636 •c,� 54519-4-552168 I . State of Rhode Island and Providence Plantations - Public Browse and Search Page 1 of 2 State of Rhode Island and Providence • Plantations Office of the Secretary of State Division Of Business Services 148 W. River Street Providence RI 02904-2615 (401) 222-3040 MMHC Summary Screen Help with thisform Request&Certificate I The exact name of the Domestic Non-Profit Corporation: NM3C Entity Type: Domestic Non-Profit Corporation Identification Number: 000849388 Date of Incorporation in Rhode Island: 10/22/2013 The location of its principal office: No. and Street: # City or Town: # State: # Zip: # Country: # The mailing address or specified office: No. and Street: City or Town: State: Zip: Country: Agent Resigned: N Address Maintained: Y The name and address of the Registered Agent: No. and Street: 321 SOUTH MAIN STREET, #500 City or Town: PROVIDENCE State: RI Zip: 02903 Name: NEVILLE BEDFORD The officers and all of the directors of the corporation: Title Individual Name Address http://ucc.state.ri.us/CorpSearch/CorpSearchSummary.asp?ReadFromDB=True&UpdateAll... 4/8/2014 State of Rhode Island and Providence Plantations - Public Browse and Search Page 2 of 2 First, Middle, Last, Address, City or Town, State, Zip Suffix Code, Country INCORPORATOR ROBERT DUWORS, 1808 MAIN ROAD PHD TIVERTON, RI 02878 USA DIRECTOR ROBERT DUWORS 1808 MAIN ROAD P.H.D. TIVERTON, RI 02878 USA Purpose TO PROVIDE PROFESSIONAL COUNSELING AND THERAPEUTIC SERVICES FOR MENTAL HEALTH CLIENTS ON AND OFF SITE. Select a type of filing from below to view_ this business entity filings: ALL FILINGS Annual Report i Annual Report-Amended Annual Report- Reinstatement Articles of Amendment Click Here to access 2006 and 2007 annual reports filed and imaged prior to July 25, 2007. Identification Number is Required View Filings�l ) New,�S arch © 2007 - 2014 State of Rhode Island and Providence Plantations 0 All Rights Reserved Help http://ucc.state.ri.us/CorpSearch/corpSearchSummary.asp?ReadFromDB=True&UpdateAll... 4/8/2014 i Duwors 91 Cap'n Carleton Rd, Cotuit, MA 02635 Massachusetts Rhode Island Mashpee Mental Health Clinic, Inc MMHC Changed to: Mashpee mental Health Center,Inc Date of Filing/Organiziation Date of Filing/Organiziation 02/09/2004 10/22/2013 Registered Agent Registered Agent Neville Bedford Bedford Neville 91 Captain Carletons Rd 321 S Main St#500 Cotuit, Ma 02635 Providence, RI 02903 President: Robert M Duwors Incorporator Robert Duwors, PHD Treas Robert M Duwors Director Robert Duwors, PHD Sec: Robert M Duwors 1808 Main Rd, Director: Robert M Duwors Tiverton, RI 02878 Date of Closure Reported in CC Times 9/6/2013 Attorney Neville Joseph Bedford 321 S Main Street .5th Floor- Heritage Building Providence, RI 02803 401-348-6723 i RI SOS Filing Number: 201329761490 Date: 10/22/2013 10:56 AM Filing Fee: $35.00 N �l: w r?r ° O =C,( STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS C-)-4 r Office of the Secretary of State Division of Business Services N �` 148 W.River Street Providence,Rhode Island 02904-2615 0Ln 0, NON-PROFIT CORPORATION a, ARTICLES OF INCORPORATION The undersigned, acting as incorporator(s) of a corporation under Chapter 7-6 of the General Laws of Rhode Island, 1956,as amended,adopt(s)the following Articles of Incorporation for such corporation: 1. The name of the corporation its MMHC 2. The period of its duration is(if perpetual,so state) Perpetual 3. The specific purpose or purposes for which the corporation is organized are: f To provide professional counseling and therapeutic services for mental health clients on-and off-site. 4. Provisions, if any, not inconsistent with the law, which the incorporators elect to set forth in these articles of incorporation for the regulation of the internal affairs of the corporation are: FILEn Forth No.200 , Revised:12105 I To: P�p�B oI 5 2019-00-1T 21:10:04(OMT) Prom.Neville Mo"N 4 5. The address of the initial registered office of the corporation is: Street Address,not P.O.Box) 321 S. Maul St #500 Providence, RI 02903-7108 _, RI_ _ and the name of its initial registered agent at w..y-11 (Zip Code) such address is Neville Bedford, (Name of Agent) 6. The number of directors constituting the initial Board of Directors of the Corporation Jour(4) (not less than 3 directors) and the names and address of the persons who are to serve as the initial directors are: Name Address Robert Duwors,Ph.D. 1608 Main Road,Tiverton,RI 02878 James Derry 1770 Main Road,Tiverton,RI 02878 Daniel Gallagher 7 Brookfields Avenue,Barrington,RI 02006 Liam Murphy 14 Stotler Avenue,Somerset,MA 02725 7. The name and address of each incorporator is: Name Address "' r O Robert Duwors,Ph.D. t7 1808 Main Road,Tiverton,RI 02878 4 co•-= _ '1 4� 8. These Articles of Incorporation shall be effective upon filing unless a specified date is provided which shall be no later than the 301h day after the date of this filing Under penalty of perjury, I/we declare and affirm that I/we have examined these Articles of Incorporation, including any accompanying.attachments, and that all statements contained herein are true and c rect Date: 1—z Signature of each Incorporator i RI SOS Filing Number: 201329761490 Date: 10/22/2013 10:56 AM pHODf �� 'S`""° State of Rhode Island and Providence Plantations A. Ralph Molls Secretary of State NOPE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS I,A. RALPH MOLLIS, Secretary of State of the State of Rhode Island and Providence Plantations, hereby certify that this document, duly executed in accordance with the provisions of Title 7 of the General Laws of Rhode Island, as amended, has been filed in this office on this day: October 22, 2013 10:56 AM A. RALPH MOLLIS Secretary of State 0�'O�,p,ND AND pRo`/ HOPe W m Q 10 ,�s' 1636 98443-1-875966 State.of Rhode Island and Providence Plantations -Public Browse and Search Page I of 2 State of Rhode Island and Providence • Plantations Y Office of the Secretary of State Division Of Business Services 148 W. River Street Providence RI 02904 ,2615 (401) 222-3040 . O MMHC Summary Screen Help with thisform The exact name of the Domestic Non-Profit Corporation: N NMC Entity Type: Domestie�Non-Profit Corporation Identification Number: 000849388 Date of Incorporation in Rhode Island: 10 222/2013 The location of its principal office: No. and Street: # City or Town: # State: # Zip: # Country: # The mailing address or specified office: No. and Street: City or Town: State: Zip: Country: Agent Resigned: N Address Maintained: Y The name and address of_the Registered Agent: n No. and Street: `32FSOUTH MA-INw'ST EET, #500:., City or Town: PROVIDENCE-`y� State: RI Zip: 02903 Name: NEVII E-513 FORD! The officers and all of the directors of the corporation: Title Individual Name Address 'http://ucc.state.ri.us/CorpSearch/CorpSearchSummary.asp?ReadFromDB=True&UpdateAl... 1/30/2014 ode Island and Providence Plantations -Public Browse and Search Page 2 0 f 2 I First, Middle, Last, Address, City or Town,I/State, Zip Suffix---,� Code, Country INCORPORATOR ROBERT--DOWORS,-, 1808 MAIN ROAD PHD IVERTON, R.I. 02878 USA Fri----- L T �.�.. � ....�� �- _ _ �DIRECTOR� ROBERT:'DUWORS ��� y 180 8 MAIN R " OAD �- .-.-� TIVE�RTON,rRI-02878.USA Purpose TO PROVIDE PROFESSIONAL COUNSELING AND THERAPEUTIC SERVICES FOR MENTAL HEALTH CLIENTS ON AND 0� FF}SITE:- Sele_ct_a_typ_ e_ of filin from below to view this business entity filings: j ALL FILINGS Annual Report jAnnual Report-Amended Annual Report-Reinstatements; Articles of Amendment Click Here to access 2006 and 2007 annual reports filed and imaged prior to July 25, 2007. Identification Number is Required ,.�. �. 'r hr tea^a '�"zi Y'F'a'^`i— r r$y �c• © 2007 - 2014 State of Rhode Island and Providence Plantations All Rights Reserved Help http://ucc.state.ri.us/CorpSearch/CorpSearchSunimary.asp?Re adFrornDB=True&UpdateAl... 1/3 0/2014 -commonwealth of Massachusetts William Francis Galvin-Public Browse and Search Page 1 of 3 The Commonwealth of � Massachusetts William Francis Galvin Secretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 MASHPEE MENTAL HEALTH CENTER, INC. Summary D Screen Help with this form ; Reques a ler fcatefixk k � The exact name of the Domestic Profit Corporation: MAS11PEE MENTAL _HEAL;TH CENTER.INC: -The-name=was-changedTfrom 'MASHPEE-MENTAL,HEALTH-CLINIC,INC."on� 2/25/2004, Entity-T;.ype.�_Domestic Profit Corpor%firon._,_� Identification Num-b-er-00018.6.—- Date of Organization in Massachusetts: 02/09/2004 Current Fiscal Month / Day: 12 / 31 The location of its principal office: No. and Street: 91yQAPTAIN'CARLT.ONS�RD. . City or Town: COTUIT'--State:'MA Zip:`02635 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or.Town: State: Zip: Country: Name and address of the Registered,Agent: Name: NEVILLE BEDFORD No. and Street: 91�CAPTAIN:CARLTONS RD City or Town: COT 1-1 State:' A Zip: 02635 Country: USA The officers and all of the directors of the corporation: Title Individual Name Address (no Po Box) Expiration http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFronlDB=True... 4/10/2013,... omrnonwealth of Massachusetts William Francis vin- ruonc First, Middle, Last, Address, City or Town, State, Zip Code of Term Suffix -RREStDENT l'ROBERT M 91 CAPTAIN:CARLTONRD. NONE . DUWORS �COTUIT,"NIA 02635 USA TREASURER�-� ROBERT M. "---_91�CAPTAIN CAR_LTONS RD. NONE DUWORS COTUIT, MA 02635 USA SECRETARY^r--�-' =ROBERT M_ 91 CAPTAIN CARLTONS RD. NONE DUWORS COTUIT, MA 02635 USA DIRECTORS - ROBERT'9.7-7— 91 CAPTAIN CARLTONS RD. NONE �-_ __^ ---- �' DUWORS COTUIT,-MA�02635 USA i i business entity stock is publicly traded: ! The total number of shares and par value, if any, of each class of stock which the business entity is authorized to issue: Par Value Per Total Authorized by Articles Total Issued Class of Stock Share of Organization or and Outstanding Enter 0 if no Par Amendments Num of Shares Num of Shares Total Par value CNP $0.00000 100 $0.00 0 _ Confidential _ Does Not Require Consent _ Manufacturer Data Annual Report Resident For Profit _ Merger Allowed Partnership Agent f Select a type of filing from below to view this business entity filings: ALL FILINGS Administrative Dissolution Annual Report �•�` Application For Revival Articles of Amendment http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 4/10/2013 i Mashpee Mental Health Center shuttered CapeCodOnline.com Page 1 of 1 :7 Mashpee Mental Health Center shuttered By SEAN F. DRISCOLL sdriscoll@capecodonline.com___ Septem+b�er 06 2013 2 OOy"i'-, MASHPEE—Mashpee Mental Health Center has closed its doors, leaving its patients and clients seeking alternative sources of treatment. According to its website,the Mashpee Mental Health Center provided therapeutic services for individuals and institutions,with services designed for group homes, sober houses, private schools and community programs. A recorded message said Thursday the center's phone number was not accepting calls. Its website provided no information on the status of the center. Karen Gardner, chief executive officer of the Community Health Center of Cape Cod, said her facility has been getting calls from patients left in the lurch by Mashpee Mental Health's shutdown. "Patients are looking for medication or follow-up care, and in behavioral health there was such a need to begin with that one more provider shutting down creates excess demand,"she said. Gardner said her staff are referring the Mashpee Mental Health patients to new providers. In urgent situations, she said individuals should contact Cape Cod Healthcare for more immediate treatment. Gardner said Mashpee Mental Health Center has shut down in the past and reopened, but she didn't recall the dates or circumstances of that closure. According to the Massachusetts Secretary of State's office,the center was established in 2004 and its president is Robert DuWors of Cotuit. DuWors did not return a message seeking comment Thursday night. In 2009, DuWors and Mashpee Mental Health Center received two civil citations for violating state wage and record-keeping laws. He was ordered to pay restitution of nearly$33,000 to employees who were not paid for work performed from March 2006 to November 2008. He was also ordered to pay$9,000 in penalties to the state. Ron Holmes, executive director of the National Alliance on Mental Illness Cape Cod and the Islands, said it can be disconcerting to people seeking treatment for a mental illness to have their health care provider be unexpectedly unavailable. "I would certainly hope the Mashpee Mental Health Center is doing something to accommodate their patients,"he said. "It's disturbing, unprofessional, and not a good thing to have happen. Certainly they should be looking out for their patients, giving them referrals and helping them find other places." Copyright©Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20130906/NEWS/3090603 37/-... 1/28/2014 Lawyer Neville Bedford - Providence Attorney - Avvo.com Page 1 of 5 'A For Lawyers Sign in Register AvV0 Have no legal fear Research Legal Advice Ask a Lawyer Find a Lawyer Review Your Lawyer Lawyer's name-OR-Practice area City,State-OR-ZIP QJI Home > Divorce/Separation Lawyers > Rhode Island > Providence > Neville Joseph Bedford Nevillejoseph Bedford �' 10.0 Av Vd 1 Review Rating fo : ; ***** Current or former Superb -- client?Write a review Experience O OO O OOO 11 Endorsements eo Industry Recognition OO OO OO OOO Lawyers: Professional Conduct OO OO OO OO OO Endorse this lawyer What is the Awo Rating Contributor Level 12 View contributions Email Lawyer Lawyer's webs ite f i Send to a friend VERVIEW kCTICE AREAS 42%Divorce/Separation 12 years,188 cases _ 20 -2%Uncontested Divorce 12 years,69 cases �- . 1 Criminal Defense 122 years,42 cases 9%Child Custody 12 years,48 cases Show all areas of practice v S AND Fees WENT TYPES Free Consultation(33 minutes) Payment types Cash,Check VTACT Attorney Neville Bedford u Email this lawyer ORMATION 321 South Main Street 0 Visit lawyer's website Sth Floor-Heritage Building: Providence,RI 02803 Office:401-348-6723 9View map I Edit this address JGUAGES SPOKEN English http://www.avvo.com/attorneys/02803-ri-neville-bedford-1357386.htm1 1/30/2014 Duwors 91 Cap'n Carleton Rd, Cotuit,NIA 02635 Massachusetts Rhode Island Mashpee Mental Health Clinic,Inc MMHC Changed to: Mashpee mental Health Center, Inc Date of Filing/Organiziation Date of Filing/Organiziation 02/09/2004 10/22/2013 Registered Agent Registered Agent Neville Bedford Bedford Neville 91 Captain Carletons Rd 321 S Main St#500 Cotuit, Ma 02635 Providence, RI 02903 President: Robert M Duwors Incorporator Robert Duwors, PHD Treas Robert M Duwors Director Robert Duwors, PHD Sec: Robert M Duwors 1808 Main Rd, Director: Robert M Duwors Tiverton, RI 02878 Date of Closure Reported in CC Times 9/6/2013 Attorney Neville Joseph Bedford 321 S Main Street 5t' Floor- Heritage Building Providence, RI 02803 401-348-6723 ft RI SOS Filing Number: 201329761490 Date: 10/22/2013 10:56 AM Filing Fee: $36.00 N �f. O STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS 4 Office of the Secretary of State N Division of Business Services 148 W.River Street Providence,Rhode Island 02904-2615 o c?- NON-PROFIT CORPORATION Q, rn ARTICLES OF INCORPORATION The undersigned, acting as incorporator(s) of a corporation under Chapter 7-6 of the General Laws of Rhode Island, 1956,as amended,adopt(s)the following Articles of Incorporation for such corporation: 1. The name of the corporation is MMHC 2. The period of its duration is(if perpetual,so state) Perpetual 3. The specific purpose or purposes for which the corporation is organized are: To provide professional counseling and therapeutic services for mental health clients on-and off-site. 4. Provisions, if any, not inconsistent with the law, which the incorporators elect to set forth in these articles of incorporation for the regulation of the internal affairs of the corporation are: FILFn Form No.200 Revised:12/05 To: P.p.3 0/5 20t9-OB-tT 2t:t B:04(O MT) Prom. N—M.BOWow 5. The address of the initial registered office of the corporation is: 321 S.Maul St #500 >treet Address,not P.O.Box) Providence, RI 02903-7108 _, RI _ and the name of its initial registered agent at )..,.p—11 (ZP Code) such address is Neville Bedford, (Name of Agent) 6. The number of directors constituting the initial Board of Directors of the Corporation isfour(4) (not less than 3 directors) and the names and address of the persons who are to serve as the initial directors are: Name Address Robert Duwors,Ph.D. 1808 Main Road,Tiverton,RI 02878 James Derry 1770 Main Road,Tiverton,RI 02878 Daniel Gallagher 7 Brookfields Avenue,Barrington,R102806 Liam Murphy 14 Statler Avenue,Somerset,MA 02725 7. The name and address of each incorporator is: C.0 o nrrn Name Address r? o � c� rc Robert Duwors,Ph.D. 1808 Main Road,Tiverton,RI 02878 —� c'•-:-, _ Y1 C� 8. These Articles of Incorporation shall be effective upon filing unless a'specified date is provided which shall be no later than the 30`"day after the date of this filing Under penalty of perjury, I/we declare and affirm that I/we have examined these Articles of Incorporation, including any accompanying attachments, and that all statements contained herein are true and c rect Date: Signature of each Incorporator RI SOS Filing Number: 201329761490 Date: 10/22/2013 10:56 AM •`MCA is`�"° State of Rhode Island and Providence Plantations ST a A. Ralph Mollis Secretary of State hOPE STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS I,A. RALPH MOLLIS, Secretary of State of the State of Rhode Island and Providence Plantations, hereby certify that this document, duly executed in accordance with the provisions of Title 7 of the General Laws of Rhode Island, as amended, has been filed in this office on this day: October 22, 2013 10:56 AM A. RALPH MOLLIS Secretary of State 0�'0%,p,ND Ewo pRo`/ Hoff - m Ui M - a � 10 my �y 1636 98443-1-875966 Stay of;Rhode Island and Providence Plantations -Public Browse and Search Page 1 of 2 State of Rhode Island and Providence • Plantations Office of the Secretary of State Division.Of Business Services 148 W. River Street Providence RI 02904,2615 (401) 222-3040 O MMHC Summary Screen Help with this form ;. �,Y Request�a�Certif afe�� � ' The exact name of the Domestic Non-Profit Corporation: N IC Entity Type: Domestic Non-Profit Corporation l Identification Number: 000849388 Date of Incorporation in Rhode Island: 10/22/2013 The location of its principal office: No. and Street: # City or Town: # State: # Zip: # Country: # The mailing address or specified office: No. and Street: City or Town: State: Zip: Country: Agent Resigned: N Address Maintained: Y The name and address of the Registered Agent: No. and Street: 321 SOUTH MAIN STREET, #500 City or Town: PROVIDENCE State: RI Zip: 02903 Name: NEVILLE BEDFORD The officers and all of the directors of the corporation: Title Individual Name Address http://ucc.state.ri.us/CorpSearch/CorpSearchSummary.asp?ReadFromDB=True&UpdateAl... 1/3 0/2014 ode Island and Providence Plantations -Public Browse and Search Page 2 of 2 First, Middle, Last, Address, City or Town,/State, Zip Suffix Code, Country INCORPORATOR ROBERT DUWORS, 1808 MAIN ROAD PHD TIVERTON, RI 02878 USA DIRECTOR ROBERT DUWORS 1808 MAIN ROAD P.H.D. TIVERTON, RI 02878 USA Purpose TO PROVIDE PROFESSIONAL COUNSELING AND THERAPEUTIC SERVICES FOR MENTAL HEALTH CLIENTS ON AND OFF SITE. Sele_ct_a type of filing_from below to view this business entity filings: j ALL FILINGS ; Y Annual Report Annual Report-Amended Annual Report- Reinstatement ;� ,. Articles of Amendment - ^, Click Here to access 2006 and 2007 annual reports filed and imaged prior to July 25, 2007. Identification Number is Required © 2007 - 2014 State of Rhode Island and Providence Plantations All Rights Reserved Help *://ucc.state.ri.us/CorpSearch/CorpSearchSummary.asp?ReadFromDB=True&UpdateAl... 1/30/2014 i or:imonwealth of Massachusetts William Francis Galvin-Public Browse and Search Page 1 of 3 The Commonwealth. of . a. Massachusetts William Francis Galvin Secretary of the Commonwealth Corporations ' Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 MASHPEE MENTAL HEALTH CENTER, INC. Summary D Screen Help with this form �.KRe uest'g`a Ceifj'c-' "ate 'The exact name of the Domestic Profit Corporation: MASHPEE MENTAL HEALTH CENTER, INC. The name was changed from: MASFIPEE MENTAL HEALTH CLINIC, INC. on 2/25/2004 Entity Type� Domestic Profit Corporation Identification Num --0 0.96.0459,—__- ,- - Date of Organization in Massachusetts: 02/09/2004 Current Fiscal Month / Day: 12 / 31 The location of its principal office: No. and Street: 91 CAPTAIN CARLTONS RD. . City or Town: COTUIT State: MA Zip: 02635 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office: No. and Street: City or.Town: State: Zip: Country: Name and address of the Registered Agent: a, (� Name: NEVILLE BEDFORD vv No. and Street: 91 CAPTAIN CARLTONS RD City or Town: COTUIT State: MA Zip: 02635 Country: USA The officers and all of the directors of the corporation: Title Individual Name Address (no Po Box) Expiration http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 4/10/2013_ . _Aroon-inionwealth otMassactiusetts wimam 10 First, Middle, Last, Address, City or Town, State, Zip Code of Term Suffix PRESIDENT ROBERT M. 91 CAPTAIN CARLTONS RD. NONE . DUWORS COTUIT, MA 02635 USA TREASURER ROBERT M. 91 CAPTAIN CARLTONS RD. NONE DUWORS COTUIT, MA 02635 USA SECRETARY ROBERT M. 91 CAPTAIN CARLTONS RD. NONE DUWORS COTUIT, MA 02635 USA DIRECTOR ROBERT M. 91 CAPTAIN CARLTONS RD. NONE DUWORS COTUIT, MA 02635 USA i business entity stock is publicly traded: _ The total number of shares and par value, if any, of each class of stock which the business entityis authorized to issue: Par Value Per Total Authorized by Articles Total Issued Class of Stock Share of Organization or and Outstanding Enter 0 if no Par Amendments Num of Shares Total Par Num of Shares Value CNP $0.00000 100 $0.00 0 _ Confidential _ Does Not Require Consent _ Manufacturer Data Annual Report Resident For Profit _ Merger Allowed Partnership Agent Select a type of filing from below to view this business entity filings: ALL FI:port GS Admintive Dissolution Annua Applic For Revival ArticleAmendment http://corp.sec.state.ma.us/corp/coipsearch/CorpS earchSummary.asp?ReadFronlDB=True... 4/16/2013 Mashpee Mental Health Center shuttered CapeCodOnline.com Page 1 of 1 Mashpee Mental Health Center shuttered By SEAN F. DRISCOLL sdriscoll@capecodonline.com September 06,2013 2:00 AM MASHPEE—Mashpee Mental Health Center has closed its doors, leaving its patients and clients seeking alternative sources of treatment. According to its website,the Mashpee Mental Health Center provided therapeutic services for individuals and institutions,with services designed for group homes, sober houses, private schools and community programs. A recorded message said Thursday the center's phone number was not accepting calls. Its website provided no information on the status of the center. Karen Gardner, chief executive officer of the Community Health Center of Cape Cod, said her facility has been getting calls from patients left in the lurch by Mashpee Mental Health's shutdown. "Patients are looking for medication or follow-up care, and in behavioral health there was such a need to begin with that one more provider shutting down creates excess demand,"she said. Gardner said her staff are referring the Mashpee Mental Health patients to new providers. In urgent situations, she said individuals should contact Cape Cod Healthcare for more immediate treatment. Gardner said Mashpee Mental Health Center has shut down in the past and reopened, but she didn't recall the dates or circumstances of that closure. According to the Massachusetts Secretary of State's office,the center was established in 2004 and its president is Robert DuWors of Cotuit. DuWors did not return a message seeking comment Thursday night. In 2009, DuWors and Mashpee Mental Health Center received two civil citations for violating state wage and record-keeping laws. He was ordered to pay restitution of nearly$33,000 to employees who were not paid for work performed from March 2006 to November 2008. He was also ordered to pay$9,000 in penalties to the state. Ron Holmes, executive director of the National Alliance on Mental Illness Cape Cod and the Islands, said it can be disconcerting to people seeking treatment for a mental illness to have their health care provider be unexpectedly unavailable. "I would certainly hope the Mashpee Mental Health Center is doing something to accommodate their patients,"he said. "It's disturbing, unprofessional,and not a good thing to have happen. Certainly they should be looking out for their patients,giving them referrals and helping them find other places." Copyright @ Cape Cod Media Group,a division of Ottaway Newspapers,Inc.All Rights Reserved. http://www.capecodonline.com/apps/pbcs.dll/article?AID=/20130906/NEWS/309060337/-... 1/28/2014 Lawyer Neville Bedford - Providence Attorney - Avvo.com Page 1 of 5 'A For Lawyers Sign in Register AvvoHave no legal fear Research Legal Advice Ask a Lawyer Find a Lawyer Review Your Lawyer Lawyer's name-OR-Practice area City,State-OR-ZIP �I Home > Divorce/Separation Lawyers > Rhode Island > Providence > Neville Joseph Bedford Neville Joseph Bedford A 1 QUO 1 Review/�V V0 Rating Current Current or former Superb— client?Write a review Experience OO OO OO # 11 Endorsements Industry Recognition OO OO OO OO OO Lawyers: Professional Conduct OO OO OO OO OO Endorse this lawyer What is the Awo Raring? Contributor Level 12 View contributions Email La er L� a er's website Send to a friend ' VERVIEW kCTICE AREAS 42%Divorce/Separation 12 years,188 cases 22%Uncontested Divorce 12 years,69 cases . 1 Criminal Defense �12 years,42 cases 9%Child Custody 12 years,48 cases Show all areas of practice v S AND Fees WENT TYPES Free Consultation(33 minutes) Payment types Cash,Check NTACT Attorney Neville Bedford u Email this lawyer ORMATION 321 South Main Street 0 Visit lawyer's website 5th Floor-Heritage Building Providence,RI 02803 Office:401-348-6723 9View map I Edit this address 7f l JGUAGES SPOKEN English http://www.avvo.comlattorneys/02803-ri-neville-bedford-1357386.htm1 1/30/2014 Anderson, Robin Q� C(�/�n C'aa-1>✓ �1 , To: Nichols, Elizabeth Subject: RE: Still there Thanks for the info. I suspected as much when we saw footprints in the snow and the landing cleared off by the entry. It does seem that there are no "meeting" being held at least that is an improvement. Please keep me posted. I will be in court for this in March. Robin C. Anderson Zoning Enforcement Officer Town of Barnstable 200 Main Street Hyannis, MA 02601 508-862-4027 -----Original Message----- . From: Nichols, Elizabeth Sent: Wednesday, February 26, 2014 8:45 AM To: Anderson, Robin Cc: 'SJincotuit@aol.com' ; 'Elizabeth Nichols' Subject: FW: Still there Hi-Robin, Sherry Jackson asked me to forward this information to you. Please see her email below. Beth -----Original Message----- From: Sherry [mailto:sjincotuit@aol.com] Sent: Wednesday, February 26, 2014 8:40 AM To: Elizabeth Nichols; Nichols, Elizabeth Subject: Still there Hi, Just wanted to let you know that even though the cars and van appear to be gone, there are still tenants. Yesterday around 11:00, I saw one man walking carrying several shopping bags turning off Putnam onto Samadrus. Last week, at 9:30 at night when I was coming back from a tennis match, I saw a man carrying bags on Putnam up near Landsdowne headed this way. Cant say for sure he was going to Samadrus but how many guys are walking at night carrying bags on Putnam? Not sure of they have cut back on tenants or just don't allow guys with vehicles, but, there are still some there. Can you please let Robin know? Thanks, Sherry Sent from my iPad 1 Message Page 1 of 2 Anderson,-Robin To: Nichols,Elizabeth Subject:RE:Emailing:Cotuit Center.htm Robin C Anderson Zoning Enforcement Officer 7o'wn of BarnstabCe 200.plain Street .Hyannis,NA 026oi 5o8-862-4027 -----Original Message----- From:Nichols,Elizabeth Sent:Thursday,June 13,2013 8:22 AM To:Anderson,Robin Subject:Emailing:Cotuit Center.htm Hi Robin,this is what we found out about the house in our neighborhood. Have you learned anything? We are really upset about this. Thanks,Beth Home Page About Ps Services Cotuit Center Contact The Cotuit Center COTUIT CENTER Treatment facility for Adults With Dual Diagnosis Issues o ... 'tist �•�rlY�7:.'�y �zm�i ! a��r-•.ia.f = ;,II t'+Si_ T a t f r i 4 ::.. t3;+4[ s•. x "� ,�• 4 fk3 ,ri^ a + �'G 41T '1 x u i F � 'wl' • y�y Y 'r^F? A lei '•Y,t `.r �.q yet !, S. ^! ar The Cotuit Center 6/13/2013 Message Page 2 of 2 The Cotuit Center,a part of the Mashpee Mental Health Center,provides residential care to post-detoxified, chemically dependent adults. The program and its highly skilled staff offer added expertise in treating individuals whose substance abuse is complicated by psychiatric illness. Clients in the residential program may be admitted from the community or following a brief inpatient stay. Residential clients participate in a structured program on a daily basis with Master level Clinicians. Treatment length of time varies per resident,with a minimum expected stay of one month and many.choosing to remain in residential treatment six months or longer. Our Services Individuals receive a mental health evaluation by a licensed clinician,have access to a Mashpee Mental Health Center Staff Psychiatrist and other prescribers expert in the treatment of dual diagnosis disorders. Treatment includes the following:Twice weekly individual psychotherapy and daily group therapy and/or Twelve Step Program participation,along with milieu therapy are essential components of the holistic treatment experience. These services are reimbursable through insurances, and residents are. asked to pay a fee to support their housing expenses, which in some instances is reimbursable through insurances,on a case by case basis. Please contact Mashpee Mental Health Center to learn more about these services and to make application for admission. We accept all major insurance plans. Phone 508-477-WB Fax:508-477-9334 MashpeeMentalHealth®gmaii.com Our Staff A part of Mashpee Mental Health Center,all staff have been trained by Robert DuWors,Ph.D.,Instructor in Psychiatry at Harvard Medical School in his Rhode Island research center in Mindfulness and Neurofeedback techniques, which are also made available to residents as adjunctive treatment interventions which are also integral aspects of the services provided residents.There are two onsite staff members and a maximum number of ten residents. Program Features Individual Psychotherapy Group Therapy Twelve Step Program Participation Milieu Therapy Illness Management Life Skills Education After Care Assistance Relapse Prevention Self-help Meetings Yoga Therapy and other Relaxation Techniques HOME • ABOUT US • SERVICES • CONTACT Content Copyright 2012 MASHPEEHEALTHCENTER.COM. All Rights Reserved. 6/13/2013 n' ry I'm the owner of Robert Duwors G- I work for Robert Duwors G I don't work here. But, I'm acting on behalf of Robert Duwors Lets Get Sta�rt�e�d Sign In Email Password 'In j s' .'yF:'t Forgot.password? New to Manta? Join Free Search by cot �t , e{�,/ �A l�11111 42' 5 U.S. Companies Worldwide Manta Connect Features Promote Your Business Add Your Company • U.S. • Cotuit, MA • Healthcare • Offices and Clinics of Health Practitioners,NEC • Cotuit Psychotherapists • Robert Duwors • Company Profile Page • Reports • Map • Web Results �t �"�' S .Message Page 1 of 1 0 Anderson, Robin Subject: Capt's Carleton, Cotuit Hi Richard, Please find a brief history of the zoning issued regarding the property owned by Robert Duwors. Complaint: Over crowding, illegal business- undocumented or unapproved residential mental health facility Owner: Robert DuWors - He inherited this property from his mother. History: Dog complaint-apparently Robert Duwors resided elsewhere but left multiple large breed, aggressive dogs inside this house. An undetermined entity would come by to feed &water them. The neighbors complained about the neglect of the animals. There were also reports of very aggressive behavior on the occasions that the dogs got loose. I think this lasted about 1 1/2 years or so.. I am not sure how or when this issue was resolved. The owner was said to have been indifferent to all inquiries on behalf of the animals. Research: I found a connection between the Mashpee Mental Health Center, Robert DuWors and the Cotuit property. He specializes in substance abuse I also found that he has another facility in RI. I have been unable to locate the property owner's actual home address which may be in RI as well. The Mashpee Mental Health Center advertises a residential treatment center in Cotuit. In correspondence with Robert DuWors I asked for documentation of his status concerning the"residential care facility"as a valid tax exempt non-profit or otherwise explain how the dwelling is being used. His sectary called to apologize saying he was very busy but his attorney would be in touch with us. That has not occurred. This commenced late last spring or early summer. Currently: The property is clearly occupied. The residents do not cooperate with municipal agents nor do they respond to any questions by any party. It is impossible to get a handle on just how many actually reside here. The house is elevated and there are two driveways. The lot is rustic and not manicured like most of the other properties. Because it's wooded and sits up high it is difficult to assess the property or the use. There may be more than one dwelling unit as the lower level is a walk out with its own driveway. I am informed that there may be meetings being held at the Cotuit location on Tuesday&Wednesday evening at& PM. The Commissioner has directed me to check on those nights for a few times in order to determine if this might be true, I will try to identify the number of cars and tie the plates to to staff or occupants. I am also informed that BPD will checking late at night to determine how many vehicles are there (presumably the occupants)on a regular basis. Last week I noted 5 vehicles on one side and 2 on the other. Dilemma: Without gaining access to the property and without the cooperation of at least one resident in the subject property,we cannot with surety know just what the use is and therefore cannot really challenge it. As you are aware, putting the equation together is the simplest part of the investigation. Being able to prove the sum of the equation in court that will make or break this case and that is the most difficult task. We just don't have enough reliable information right now to make an accurate assessment. I have been directed by the Building Commissar to pursue the matter and we are still investigating the matter. I will update you when I have more information. �Rq6in Robin C. -Anderson Zoning Enforcement Officer Town of Barnstable 200 Main Street Hyannis, MA 026oi 508-862-4027 9/17/2013 r Message Page 1 of 2 Anderson, Robin From: Anderson, Robin Sent: Tuesday, April 08, 2014 1:53 PM To: Perry, Tom Cc: Scali, Richard; Smith, Tracey Subject: Duwors Update Tom, I checked the Reg of Deeds and did not see anything new relative to the property auction scheduled for last week on the Duwors matter(91 Capn Carleton). I did, however find that he now has state and federal liens against his property. Interestingly enough, one is a wage violation (for the Mashpee Mental Health Center) in the amount of $58,649.48 (recorded 1/30/14)and the other is an IRS lien in the amount of 50,394.06 (recorded 2/4/14). 1 also found that he sold the Mashpee property located at 17 Cordwood for$455,000.00. 1 think this was the property his mother last resided in. The conveyance lists three names, Robert M. Duwors, Janice Lowe and Judyth M. Duwors Sack. I am guessing those are his siblings. His share of the proceeds may have been enough to settle up with the bank and prevent the foreclosure of the Capp Carleton property. Per the request of the court, I am providing a list of addresses associated with Duwors. I also am including his RI practice info & license number in case the court needs to investigate further. Tracey will forward the information accordingly. �Rq6in Associated Addresses: 400 Nathan Ellis Highway Mashpee This is the mental health center-closed PO Box 1292 Box closed?. Mashpee, MA 02649 17 Cordwood Rd Mashpee, Ma 02649 Property recently conveyed RI Addresses: Practice Info License# PSY671 RI NPI # 1942360342 401-624-9981 508-477-9334 1061 Fish Road Tiverton, RI 02878 1808 Main Rd Listed on RI corporate filings as his address Tiverton, RI 02878 27 Division St East Greenwich, RI 02818 4/8/2014 r Me.5sage Page 2 of 2 Attorney Neville Joseph Bedford (Registered Agent for domestic non-profit MMHC per RI corporate filing) 321 S Main St 5th Floor- Heritage Building Providence, RI 02803 401-348-6723 Robin C. Anderson Zoning Enforcement Officer 7'oivn of BarnstabCe 200 whin Street Hyannis, -AIA 026oi 5o8-862-4027 4/8/2014 y jay. k'r i 7� td r .�-1 1 I !!lggg NAME OF OFFEND N .1 _� TOWN OF ADDRESSO OFFENDER C►•/+��.1/�n BARNSTABLE CITY,STAT, P CODE ` 0'1ME fpw � � MVIMB REGISTRATION NUMBER h ,fir o t a . J FSE LU f '^/ Zen f- ^rfO MP . .,'. wSPne�� �111 d -l�/11 Cynkl) i,- Kf:Zone- TIME AND.OATE OF VIOLA v ATION VIOLATION w NOTICE OF _ iA.M. P.M.)ON —I- 2015 Q VIOLATION S,N R OF FrNFOR ,J G E ., LING QEPT.�J / BADG NO. LU all— Cti V/ CD w I W OF TOWN I .H .EBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to ob si"'n ure of ender. ~ a THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ If�j- �. I Date mailed ff a OR YOU HAVE THE FOLLOWINGALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL Lu DISPOSITION WITH NO RESULTING CRIMINAL RECORD. cn REGULATION a ,�z may elect to pay'tfie above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W y v. before!The Barnstable Clefk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, , 1 Hyannis,.MA.02601,WITHIN TWE14TY--ONE(21)DAYS OF THE DATE OF THIS NOTICE. U. If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ,Y BA yy of this a t NSTABLE-DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy cltation'for'a Bearing, ,,�� (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fall to appear for the hearing or to pay any fine determined at the f � •. hearing to be due,criminal complaint may be issued against you. ) ' 4. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ r. ( Signature I Citations — Duwors 91 Carleton , Cotuit Health 70774 Hearing 2/7/2014 Friday Health 70766 Arraignment 3/26/2014 Weds. Zoning 74129 Arraignment 3/26/2014 Weds. Zoning 74130 Arraignment 3/26/2014 Weds. Ask to have BAR# 70774 included in the arraignment on 3/26/ 14 If he does not appear Citations — Duwors 91 Carleton , Cotuit Health 70774 Hearing 2/7/2014 Friday Health 70766 Arraignment 3/26/2014 Weds. Zoning 74129 Arraignment 3/26/2014 Weds. Zoning 74130 Arraignment 3/26/2014 Weds. U.S. Postal Service,. y CERTIFIED MAIL. RECEIPT (Domestic Mail Only;No4iisurgnce Coverage Provided) '• For delivery information visit our website at www.usps.come Emil PS For 3800,August2006 See Reverse forinstructions Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Marla. ■ Certified Mail is not available for any class of international mail. , I ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. F6 valuables,please consider Insured or Registered Mail. • For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Returnl Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorselnailpiece"Return Receipt Requested'.To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or add ressee's'authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 NAME OF OFFENDER (_ y�� ��i ,`al� ]BAR 74129 TOWN OF ADDRE>1SQFOFnDERN,hA� 1 y ` `�` , 6�i1.1V\U lLi'�ry V Y BARNSTABLE CITY,STATE,.ylP CODE ^ f ,IA- n 'G 4-� dF IMF MV/MB REGISTRATION NUMBER OFFENSE 24 I \) r NAXN.'1'APIE.� l �+ - 1 v ( • �t n 4 �C..- n. 7 /1 n�.., Q. a NAIS. C ED IAIN tU�11►k1GL �it-,JQr �L., —�"U �r'�o� -�1'1�� I ur)/ UJI TIME AND DATE OF VIO N OCATION OF VIOLATION Z NOTICE OF I1 A.M\/ P.M.)ON Uj ,20 13 1 LAPQ �- �tr It EZ'n t . CG1 bf• t" i S A7UPE OF ENfO ING PERSON: ENFOj ING D PT. BADGE NO. rW VIOLATION J OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X U nW ORDINANCE 0 unable to obtai sig Lure of Offe�tder. J �� m S THE NONCRIMINAL FINE FOR THIS OFFENSE IS = (d +� Date mailed LU L R YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL d REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N (1)You may elect to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays exceppted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, r Hyannis.MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a ((2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ` B t RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fall to appear for the hearing or to pay any fine determined at the �k hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature jNAME OF OFFEND - - . TOWN OF d (+ m Wd (� BAR 12 9 ADORES F OFFENDER BARNSTABLE Irk � ` CITY.STATE IP CODE t11E iq� MV/MB REGISTRATION NUMBER I _ �� 679• ��� _ I '�� n1�` nL QQ LLi I� iF0 M1'1� �y a C 1rUe l in der 40 a-)o r l un�-}� o LU TIME AND DATE OF VIOLA CAP OF�VIO�LATIO (.C4 NOTICE OF l AM./ P.M.)ON —1 2013 � /'-L (. J VIOLATION S TU EQEENFO IN ON EN II�GD T. 1.6�K 1 11, t BADGE NO. W ' OF TOWN o I HE ACKNOWLEDGE RECEIPT OF CITATION X , ORDINANCE nable to obt sSigj! rJ f der. CL jj THE NONCRIMINAL FINE FOR THIS OFFENSE IS S n-(N a OR Date mailed J YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL LLJ a REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Mande�through Friday,legal holldeys excepted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or posta note to Barnstable Clerk,P.O.Box 2430, LU , . - Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. I ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature - NAME OF OFFEN o{4/1w/ 1 '� — O(_� BAR .7^: 13 0 TOVIN OF ADDRESS OFFENDER 'y1,�11 t BARNSTABLE CITY,STAT, P CODE - oFI MV/M8 REGISTRATION NUMBER SE CL HAN\.TAHIX. pt t ` It l W NA?S. U O _ '•�"'+ kF un C in AS tip d kn. !`In °L W TIME AND DATE OF VIOLA ATIONq VIOLATION /1 �� Z NOTICE OF M. P.M.)oN -I 201 �1 l.�lc G� r�tK, VIOLATION LU S N R OF F/NFOfl E CING EPT.^ti/ BAOG O. N - 1Yl o OF TOWN ~ I H BY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE 52 Unable to ob sin ure of tender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S OQ- Date mailed W W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, ty before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601.or by mailing a check,money order or postal note to Barnstable Clerk,P.O Box 2430, a - - Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST 9ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:210 Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the r hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I� • Sender: Please print your name, address, and ZIP+4 in this box • f I TOWN OF BARNSTABLB 1.. BUILDING DIVISION /2 A) (I-I , f Iliil. I`•717 i ! i 13 :•: !7 ti! :: :: iii;... � SENDER: • • ON 6ELIVERY ■ Complete items 1,2,and 3.Also complete A. Si at � item 4 if Restricted Delivery is desired. CKXgent ■ Print your name and address on the reverse ❑'Addressee so that we can return the card to you. B. Received by(Printed Nae) C. e ery■ Attach this card to the back of the maiipiece, or on the front if space permits. D. Is delivery address different from item 1?If es � 1. Article Addressed to: If YES,enter delivery address below: ❑No M 3..Se ice Type 11 O ��'r� fled Mall Express Mali j i Registered X54Wum Receipt for Merchandise .I 47 Insured Mail ❑C.O.D. ' 4. Restricted Delivery?(Extra Fee) O•Yes V".I I Article Number, t F t j' l iansfer from se/v ' - 7 D°12 1 D 10 0 0 0'0' 2'8.5 0 48 4 I.. PS Form 3811,February 2004 Domestic Return Receipt st025s5•o2-M-15a0 NAME OF OFFENDER t /o1 `4- � � BAR 74130 TOWN OF ADDRESS OF OFFENDER Rh/✓�� BARNSTABLE Gn,STATE;I�C 7 1 j ,q �-� �tME►q,, /. a MV/MB REGISTRATION NUMBER OFfENSE rr 1 �- I�"" n'1) CL .e3w NOTICE OF TIME AND DATE OFVIO(aM•� P.M•)ON �I4'� 20 , �� EO ATION �IOATI� �A{C� .,, I ^ ��I W VIOLATION SIGN RE OF ENFORC kG;PERSONJAOO E w GNG DEPr. BADGE N0. u OF TOWN LU rI-HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a u ORDINANCE Unable to obtain sign ure of offender. qq _I��), THE NONCRIMINAL FINE FOR THIS OFFENSE IS i OR Date mailed W YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)'OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATIONsts1. a (1)Yau may elect to pay the above floe,either by appeariMngA In person beyytween mailing8:30 A.M:and 4:00 P.M.,Monday through Friday,legal holidays excepted, y) r' HyannisThMA 02G0,before: IW CTH N TWENTY ONE(21�DAYS OF THEDATE or bOF THS NOTICE money order or postal note to Bamsteble Clerk,P.O.Box 2A30, ((2 CL B�If you desire to contest this matter in a noncriminal proceeding,yyou maayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630.Attn:21D.Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of$ Signature NAME OF OFFEND A TOWN OF ADOR4-SrOFFENDER � � Wd S BAR 7 412 I� BARNSTABLE i. CITY,$TAT IF CODE p ! 4-9 ( (!F tHE rti MV/MB REGISTRATION NUMBER I _ E E 7 11ASS. ^ CEO 7vy•��� Ic.�_ n.;` f `�, �- e W , in �e� ' —Iv n7o r J fl I un�t- W TIME AND DATE OF VIOLA CATI OF VIOLATIO / � I l NOTICE OF l A.M./ P.M.)ON —� 2013 � ((`/'^��`pp'' w VIOLATION S TU EQEENFO IN ON EN I GD T. 1 BADGE NO. '1 w I rn , OF TOWN CD - I HE ACKNOWLEDGE RECEIPT OF CITATION X L iORDINANCE Unable to obt ' sSio e o f der. CL ii THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Q�•(N ~ i Ld OR Date mailed J YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL LLJ a REGU�;ATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. _ W (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal hofldeys excepted, < before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box pled, L Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. - a ' �2)If you desire to contest this matter in a no proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST +� ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this i citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. " ❑ 1 HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of$ Signature - I _ NAME OF OFFEN O ,,/ � +u BAR 74130 - TOWN OF ADDRESS OFFENDER 1L t BARNSTABLE CITY.STAT, P CODE - hs : I �/FZ rqr, MV/MB REGISTRATION NUMBER SE MASS., SL 1 V1 I� t J �I {� \ CL 11 II O TIME AND DATE OF VIOLA ATIONq VIOLATION �1 uj NOTICE OF M. P.M.)ON —I 2013 o l.�tCOtK: VIOLATION s N R OF WFOR E CING EPT.^J / BADG O. LU OF TOWN ►Y' V/ o _ I H BY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtamilislonge of tender. g THE NONCRIMINAL FINE FOR THIS OFFENSE IS S t O2l. Date mailed W _ OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a _ DISPOSITION WITH NO RESULTING CRIMINAL RECORD. Lu REGULATION 1 You may elect to a the above fine,either b appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted Q ( ) Y pay Y nn 9 P 9 Y. 9 1's P w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or posts note to Barnstable Clerk,P. Box 2430, -j - Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ; 9ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREER.,9ARNSTABLE,MA 02630,Attn:210 Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. - ❑ 1 HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of$ Signature 1 i; NAME OF OFFEND D re R TOWN OF ADDRESS OF OFFENDERVAIAlaj BARNSTABLE CITY,STAT IP CODE KD 4-9 pIF II E r 1' MV/MB REGISTRATION NUMBER r� MEN SE LLi <,Eo MFH AUj � I... TIMEAND'DATE OF';VIOLA CAT! OF VIOLA NOTICE OF l A.M./ P.M.)ON =1 20 (3 VIOLATION 5HE U E QE ENf-0 IN SON ENf ;InG D:T. DGE N0. LLr JL oOFTOWN. "' ACKNOWLEDGE RECEIPT OF CITATION X 1U Q. ORDINANCE nable tDobf �g��,ure� f Eder. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ ~ OR t Date mailed; ' w YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITIO14 OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. rw REGULATION... (1):Ypu may elect Wpay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holida�s excepted, a before:Th'e Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P. .Box 2430, .HYannis,=MA+02601;WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2 If.you.deslre,to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. �. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense,charged,and enclose payment in the amount of S Sinnalura DATE: April 14, 2013 TO: Building File FROM: R. Anderson LOCUS: 91 Cap'n Carleton's Rd, Cotuit M&P R038-034 Zoning: RF Single Family Residential Owner: Robert M. Duwars Mashpee Mental Health Center, Inc. is a Domestic Profit Corporation organized on 2/9/2004 with the principal office reported to be 91 Cap'n Carleton's Rd, Cotuit. Robert M. Duwors is the President, Treasurer, Secretary and Director of the corporation. Neville Bedford was identified as the registered agent. On 10/22/213. a domestic non-profit corporation, identified as MMHC was incorporated in Rl. Neville Bedford is is listed as the registered agent. Virginia Duwors - obit Jan 28, 2014 Newspaper Articles - - March 23, 2009 Mashpee Dr violated state wage laws—Mashpee Mental Health Sept 6, 2013 Mashpee Mental Health Center Shuttered House Manager—John Junior 774-228-2674 91 Cap'n Carleton Rd, Cotuit DATE: March 24, 2014 TO: Building File FROM: R. Anderson RE: Complaint—Rooming House/Sober House LOCUS: 91 Cap'n Carleton's Rd, Cotuit M&P R038-034 Zoning: RF Single Family Residential Owner: Robert M Duwars PO Box 1292 Mashpee,MA 02649 Informed on this date of emergency responses that occurred on 3/21/2014 involving the BPD and Cotuit Fire. COTUIT FRIRE DEPT REPORT I male reported was transported to CCH by Cotuit Fire on 3121114 Patient advised he had fallen done the stairs an hour earlier. Transported to CCH. 4/1/2014—Medical call. Chief Olson responded as well. Noted dangerous wiring issue and contacted electrical inspector. Cruiser on site only due to familarity with address. POLICE REPORT Called by BPD to assist with assault victim. Reported multiple intoxicated residents. Conflicting information provided by residents. BPD reports parties were uncooperative and intoxicated. A heavy presence of smoke in house. PTL David Downs noted hard wired smoke detectors were removed and wires cut. Regulatory Update I scanned the police report and forwarded a copy to Chief Olson of CT Fire Dept. as PTL Downs noted the missing smoke detectors and the heavy presence of smoke. This coupled with the intoxicated state of the residents was of particular to concern to Regulatory staff. At this juncture, official evidence of a response may help us with our case but it is not in and of itself evidence of the actual use. Clearly, with all of the inebriated people, we know the property is not functioning as a sober house. What ever the intention of the property owner is (sober house/rooming house), he has yet to declare the actual use or communicate with us in any fashion. The singular violation that is provable is the owner's failure to register as a rental. Building Div staff is hindered by the resident's refusal to cooperate and allow us to inspect the property. While we understand the frustration and concern of the neighbors, the evidence of an emergency response does not untie our hands. It is anticipated that Mr. Duwors will not appear for his arraignment, if so, his inaction will cause him greater harm in the end. We can only hope the court is offended by his cavalier attitude and recognizes the seriousness of the property owner's failure to cooperate with us. DATE: February 18,2014 UPDATED 2/26/14 TO: Building File FROM: Robin C. Anderson, Zoning Officer RE: Complaint- Operating Business Illegal Rooming House/Apt LOCUS: 91 Cap'n Carleton Rd, Cotuit ZONE: RF Magistrate Hearing 2/7/14 Mr. Duwors did not appear for the magistrate hearing at lst District court on 2/7/14. as a result, a complaint was issued. I provided a RI address for the court. He is scheduled for arraignment on March 26, 2104 resulting from his failure to respond or appear. Week of 2/10/14 I spoke to an abutter concerning the previously reported activity and was informed that it has greatly diminished. At this point we are not sure if the property is even occupied. On 2/18/14, an inspector was dispatched to check the site—if occupied at all at least one driveway will be shoveled. 2/19/2014 The inspector reported footprints in the snow and noted that the vehicles at the top of the driveway have not been moved. The driveways (being a total of 3) are not cleared or not sufficiently cleared to maneuver for entering or exiting this driveway. Considering the doorway landing and steps were cleared of snow, coupled with footprints exiting from the property, it is evident that the dwelling is occupied. The residents apparently do not drive. (This is typical of residents in sober houses.). 2/26/2014 Neighbors have reported seeing men walking with bags of groceries at night or in the evening'. There is an assumption that the men reside at the subject address. If so,this supports the premise that the residents do not drive and are living in a"sober"house. (We do not know if residents placed there are limited to those that struggle with sobriety or if there are other types of patients placed there as well). The lull in activity2 may be the result of the Mashpee Mental Health Clinic closing. It was also discovered that Robert Duwor's mother recently passed (1/28/14). Oddly, it was generally believed that she had passed a few years ago but in hind sight it seems likely that she was either living in her son's house in Mashpee or some facility for the elderly3. 'Reported by an abutter via email on 2/26/2014 2 Reported to be evening meetings—akin to AAA group meetings 3 Property records confirm Robert Duwors owns a single family home located at 17 Cordwood Road, Mashpee. In the glaring absence of a response from Robert Duwors and without access to the Cap'n Carleton property, it is difficult to define the actual use. Certainly,the lack of any kind of response is a response in itself. Staff has used multiple mailing addresses in futile attempts to contact and notify Mr. Duwors accordingly. His silence is not a defense. He has not come forth to explain how the property is being used or to register it as a valid single family rental per Health regulations. I am compelled to reiterate that the current`lack of intensity in the use (whatever it may be) is likely due to the closing of the Mashpee Mental Health Clinic and the recent death of Mr. Duwor's mother. With the spot light on the Cotuit property, all or some of the activity may be transferred to his Mashpee property and Mashpee may suffer the same fate with complaints and questions of use. I believe that with the anticipated complaints surfacing in Mashpee, the patient placement use will volley between the two properties unless or until he closes shop all together in the Cape Cod area. At this point, we can only monitor the Cotuit property for activity and log the information as provided by the abutters. It is imperative for all to understand that without the "meetings" and concrete proof of overcrowding; simply residing in a home is not a violation. The violations are limited to the property owner's failure to respond and identify or clarify the actual use and his failure to register the property as rental. Without the ability to confirm a fixed number of tenants, and to identify who they are and how they are related (if so),it is impossible to prove additional violations. The pending proceeding next month in court is based on the citations written for the activity that reportedly occurred at that time and was issued to inspire communication. The court was displeased with the property owner's failure appear on more than one occasion and issued the complaint for his arraignment in the absence of an response. In reviewing the MA corporate filings, I noticed that Mr. Duwors has re-organized from the original for profit filing to a non-pro at business filing. I believe that this will be his defense (claiming an exempt use) if he ever answers the complaints or appears for his arraignment. Contrary to common belief, operating a non-profit does not exempt the entity from bulk regulations. The non-profit status should not be construed to be a free-pass from reasonable municipal regulations and restrictions. 4 BAR 74129 issued 7/12/13 for more than one unit in a single family home and BAR 74130 issued for operating a business(patient facility for Mashpee Mental Health Center)in single family home BARs 70774&70766 were issued by Health for the failure to register as a rental . "L 1:1 DATE: January 28,2014 TO: Building File FROM: R. Anderson RE: Complaint- Operating Business Illegal RoomingHouse/Apt LOCUS: 91 Cap'n Carleton Rd, Cotuit ZONE: RF This property has long been a source of numerous complaints concerning the operation of residential mental health facility. Staff has'attempted numerous times to access the property but has been refused each and every time. History The property owner, Robert Duwors inherited the subject dwelling from his parents a number of years ago. The house sat vacant for an undetermined amount of time although three dogs remained on site and were reported to inhabit the lower level. Subsequently, there were a number of complaints made to Animal Control about vicious dogs that were addressed by the dog officer. I was informed by a resident of the neighborhood that the dogs were not being properly taken care of; not socialized or exercised in a responsible and consistent fashion although Mr. Duwors would stop by to feed them. As a result, whenever the dogs were out in the yard they would lunge and behave aggressively, sometimes getting free and scaring those in close that encountered them. I am unaware of what eventually happened to the dogs but those complaints ceased and the property was quiet. In the spring of 2013 I started receiving complaints about the use this property involving possible over crowding and the renting of rooms or units to multiple unrelated people. On May 1, 2013, 1 attempted to send Mr. Duwors a certified letter informing him of the complaints and accusations. I used his PO Box (1292) in Mashpee but it was returned to, me. I re-sent the letter using his professional office address on Nathan Ellis Highway in Mashpee and was successful in having someone sign for the letter. Ultimately, I received a single call from a staff person on behalf of Mr. Duwors indicating that he does not mean to ignore the matter but is very busy. The woman explained that he intended to discuss the issue with his attorney first and have that attorney contact me directly. Since that occasion(June 2013) 1 have had no contact with the property owner, any representative (staff member or attorney) or any resident in the subject dwelling. Research In April of 2013, I found that the Mashpee Mental Clinic, Inc., (a Domestic for Profit Corporation) changed its name to the Mashpee Mental Health Center, Inc. Robert M. Duwors is listed as the President, Treasurer, Secretary and Director and identifies 91 Capri Carleton Rd, Cotuit as his business address. It also identifies Neville Bedford as the registered agent at the same address. I found a Neville Bedford to be a practicing attorney in the state of RI. i1 The Mashpee facility had ads stating it specialized in substance abuse treatment with services designed for group homes and sober houses. A residential treatment center in Cotuit was included in the ad. His business address was identified as 91 Capri Carleton Rd. but also referenced a Tiverton, RI address. I was also able to determine that the residential property was not registered or inspected as a rental as required by local ordinance. I advised the Health Division accordingly. Notices and attempts by Health to contact the property owner were also ignored. Tim O'Connell, Health Inspector, pursued enforcement for the failure to register as a rental. Violation BAR 74130 Operating a Business in FR Zone & BAR 74129 More than One Unit The Building Commissioner attempted to gain access to the property and was refused admittance. As all local fire departments need to know what to expect for an emergency response, they are made aware of all group homes and whether or not occupants are medicated and able to self-preserve. Having been made aware that this is possibly an unregulated substance—abuse treatment center or group home, I asked the Cotuit Fire Chief to stop by and make contact with the residents. Chief Olsen was also unsuccessful. I was dispatched by the Building Commissioner to do surveillance on the evenings the neighbors reported the most activity. They believed that meetings and therapy sessions were being held on particular evenings every week. I patrolled the area many nights, varying the week days and times in order to confirm the reported activity. I never did observe the number of cars or any other indication of a meeting as they reported to me however; I did not interpret this to mean there was no violation. Rather, I believed that the lull in activity coincided with the closing of the Mashpee Mental Center as reported by the CC Times on Sept 6, 2013. As a result of multiple attempts by numerous agents, all having failed, I was left no recourse but to write a citation based on the research I obtained and the unyielding complaints by the neighbors. I had no other option available to me and so I issued a citation hoping that this would open a dialogue with a responsible party. The property continues to choose,to be silent. He has not responded in any fashion nor has he explained or offered a defense. Follow Up I checked in with a neighbor on 1/28/2013. That party was surprised to hear that this issue was still actively being pursued. I asked about the current situation and advised that I did not obverse what was reported. I was informed that neighbors are keeping a watchful eye on the property and I would be made aware of the new name Mr. Duwors is operating under currently. They believe the activity has not abated. Court Scheduled to be heard on 2/7/2013. A previous citation issued by Health was not answered and an arraignment has been scheduled in March 2014 as Mr. Duwors failed to appear for previous hearings. 1/29/2014 Reported to me on this date that the facility is named Advanced Sober Living. The house manager is John Junior (508) 776-9186 Client/residents pay $147.00 per week. Workers appear to walk or bike to Stop & Shop where it seems some are employed. Men are seen to be wearing Stop & Shop apparel. There is also reported a van that drops off a group of men around 4 PM every day. Reverse info search: Found John Junior listed at 91 Captain Carleton, Cotuit (774) 228-2674 Given the information above concerning the rent, the following break down is noteworthy. Per Weekly Rent Residents Person Amount Month Monthly Rent Year Yearly Rent Amt 1 147 $147.00 4 $588.00 52 $7,644.00 2 147 $294.00 4 $1,176.00 52 $15,288.00 3 147 $441.00 4 $1,764.00 52 $22,932.00 4 147 $588.00 4 $2,352.00 52 $30,576.00 5 147 $735.00 4 $2,940.00 52 $38,220.00 6 147 $882.00 4 $3,528.00 52 $45,864.00 7 147 $1,029.00 4 $4,116.00 52 $53,508.00 8 147 $1,176.00 4 $4,704.00 52 $61,152.00 9 147 $1,323.00 4 $5,292.00 52 $68,796.00 10 147 $1,470.00 4 $5,880.00 52 $76,440.00 i .r S , Citations — Duwors 91 Carleton , Cotuit Health 70774 Hearing 2/7/2014 Friday Health 70766 Arraignment 3/26/2014 Weds. Zoning 74129 Arraignment 3/26/2014 Weds. Zoning 74130 Arraignment 3/26/2014 Weds. DATE: February 18,2014 TO: Building File FROM: R. Anderson RE: Complaint-_Operating Business Illegal Rooming House/Apt LOCUS: `91-Cap g Carleton-Rd; Cotuit---- ZONE: \RF Magistrate Hearing 2/7/14 Mr..Duwors did not appear for the magistrate hearing at 1"District court on 2/7/14. as a result, a complaint was issued. I provided a RI address for the court. He is scheduled for arraignment on March 26, 2104 resulting from his failure to respond or appear. Week of 2/10/14 1 spoke to an abutter concerning the previously reported activity and was informed that it has greatly diminished. At this point we are not sure if the property is even occupied. On 2/18/14, an inspector was dispatched to check the site—if occupied at all at least one driveway will be shoveled. (Still waiting for an update at the time of this report) The lull in activity may be the result of the Mashpee Mental Health Clinic closing. It was also discovered that Robert Duwor's mother recently passed. Oddly, it was generally believed that she had passed a few years ago but in hind site it seems she was either living in her son's house in Mashpee or some facility for the elderly. Property records confirm Robert Duwors owns a single family home located at 17 Cordwood Road, Mashpee. In the glaring absence of a response from Robert Duwors and without access to the Cap'n Carleton property, it is difficult to define the actual use. Certainly, the lack of any kind of response is a response in itself. It is noteworthy that Regulatory staff has used multiple mailing addresses in futile attempts to contact and notify Mr. Duwors accordingly. At this point, I have to believe that the current lack of intensity in the use (whatever it may be) is likely due to the closing of the Mashpee Mental Health Clinic and the recent death of Mr. Duwor's mother. With the spot light on the Cotuit property, these complaints may resurface in Mashpee for awhile. I believe that with anticipated complaints in Mashpee, the patient placement use may volley between the two properties unless he closes shop all together in the Cape Cod area. In reviewing the MA corporate filings I noticed that Mr. Duwors has re-organized from a for profit to a non-pro it business. I believe that this will be his defense (claiming an exempt use) if he ever answers the complaints. DATE: January 28,2014 TO: Building File FROM: R. Anderson RE: Complaint- Operating Business Illegal RoomingHouse/Apt LOCUS: 91 Cap'n Carleton Rd, Cotuit ZONE: RF This property has long been a source of numerous complaints concerning the operation of residential mental health facility. Staff has attempted numerous times to access the property but has been refused each and every time. History The property owner, Robert Duwors inherited the subject dwelling from his parents a number of years ago. The house sat vacant for an undetermined amount of time although three dogs remained on site and were reported to inhabit the lower level. Subsequently,there were a number of complaints made to Animal Control about vicious dogs that were addressed by the dog officer. I was informed by a resident of the neighborhood that the dogs were not being properly taken care of; not socialized or exercised in a responsible and consistent fashion although Mr. Duwors would stop by to feed them. As a result, whenever the dogs were out in the yard they would lunge and behave aggressively, sometimes getting free and scaring those in close that encountered them. I am unaware of what eventually happened to the dogs but those complaints ceased and the property was quiet. In the spring of 2013 I started receiving complaints about the use this property involving possible over crowding and the renting of rooms or units to multiple unrelated people. On May 1, 2013, I attempted to send Mr. Duwors a certified letter informing him of the complaints and accusations. I used his PO Box (1292) in Mashpee but it was returned to me. I re-sent the letter using his professional office address on Nathan Ellis Highway in Mashpee and was successful in having someone sign for the letter. Ultimately, I received a single call from a staff person on behalf of Mr. Duwors indicating that he does not mean to ignore the matter but is very busy. The woman explained that he intended to discuss the issue with his attorney first and have that attorney contact me directly. Since that occasion(June 2013) I have had no contact with the property owner, any representative (staff member or attorney) or any resident in the subject dwelling. Research In April of 2013, I found that the Mashpee Mental Clinic, Inc., (a Domestic for Profit Corporation) changed its name to the Mashpee Mental Health Center, Inc. Robert M. Duwors is listed as the President, Treasurer, Secretary and Director and identifies 91 Capn Carleton Rd, Cotuit as his business address. It also identifies Neville Bedford as the registered agent at the same address. I found a Neville Bedford to be a practicing attorney in the state of RI. The Mashpee facility had ads stating it specialized in substance abuse treatment with services designed for group homes and sober houses. A residential treatment center in Cotuit was included in the ad. His business address was identified as 91 Capn Carleton Rd. but also referenced a Tiverton, RI address. I was also able to determine that the residential property was not registered or inspected as a rental as required by local ordinance. I advised the Health Division accordingly. Notices and attempts by Health to contact the property owner were also ignored. Tim O'Connell, Health Inspector,pursued enforcement for the failure to register as a rental. Violation BAR 74130 Oneratiny,a Business in FR Zone & BAR 74129 More than One Unit The Building Commissioner attempted to gain access to the property and was refused admittance. As all local fire departments need to know what to expect for an emergency response, they are made aware of all group homes and whether or not occupants are medicated and able to self-preserve. Having been made aware that this is possibly an unregulated substance—abuse treatment center or group home, I asked the Cotuit Fire Chief to stop by and make contact with the residents. Chief Olsen was also unsuccessful. I was dispatched by the Building Commissioner to do surveillance on the evenings the neighbors reported the most activity. They believed that meetings and therapy sessions were being held on particular evenings every week. I patrolled the area many nights, varying the week days and times in order to confirm the reported activity. I never did observe the number of cars or any other indication of a meeting as they reported to me however; I did not interpret this to mean there was no violation. Rather, I believed that the lull in activity coincided with the closing of the Mashpee Mental Center as reported by the CC Times on Sept 6, 2013. As a result of multiple attempts by numerous agents, all having failed, I was left no recourse but to write a citation based on the research I obtained and the unyielding complaints by the neighbors. I had no other option available to me and so I issued a citation hoping that this would open a dialogue with a responsible party. The property continues to choose to be silent. He has not responded in any fashion nor has he explained or offered a defense. Follow Up I checked in with a neighbor on 1/28/2013. That party was surprised to hear that this . issue was still actively being pursued. I asked about the current situation and advised that I did not obverse what was reported. I was informed that neighbors are keeping a watchful eye on the property and I would be made aware of the new name Mr. Duwors is operating under currently. They believe the activity has not abated. Court Scheduled to be heard on 2/7/2013. A previous citation issued by Health was not answered and an arraignment has been scheduled in March 2014 as Mr. Duwors failed to appear for previous hearings. J 1/29/2014 Reported to me on this date that the facility is named Advanced Sober Living. The house manager is John Junior(508) 776-9186 Client/residents pay $147.00 per week. Workers appear to walk or bike to Stop & Shop where it seems some are employed. Men are seen to be wearing Stop & Shop apparel. There is also reported a van that drops.off a group of men around 4 PM every day. Reverse info search: Found John Junior listed at 91 Captain Carleton, Cotuit (774) 228-2674 Given the information above concerning the rent, the following break down is noteworthy. Per Weekly Rent Residents Person Amount Month Monthly Rent Year Yearly Rent Amt 1 147 $147.00 4 $588.00 52 $7,644.00 2 147 $294.00 4 $1,176.00 52 $15,288.00 3 147 $441.00 4 $1,764.00 52 $22,932.00 4 147 $588.00 4 $2,352.00 52 $30,576.00 5 147 $735.00 4 $2,940.00 52 $38,220.00 6 147 $882.00 4 $3,528.00 52 $45,864.00 7 147 $1,029.00 4 $4,116.00 52 $53,508.00 8 147 $1,176.00 4 $4,704.00 52 $61,152.00 9 147 $1,323.00 4 $5,292.00 52 $68,796.00 10 147 $1,470.00 4 $5,880.00 52 $76,440.00 .S��G » 0 0 PO BOX 121. Cotuit,MA02635 12 January.2014 Mr.Thomas,Lynch Y. Town of Barnstable,Town Manager 367 Main Street Hyannis,MA 02601 Dear Tom, _ As the year 2014 begins,the Cotuit Santuit Civic Association would like to draw your attention to a number of issues,which we believe the Town of Barnstable should address in the coming year. Over the past three or four years we have had great success in achieving completion of items such as the ones included in the present list in large part due to productive Town Manager visits to our village conducted by you and your predecessor. Our wholehearted thanks go to you and your department heads that accompany you for your attention to these matters. We hope that after you have perused the accompanying list,we can arrange a suitable date for you and the accompanying department representative to meet with us in Cotuit for an on site review of these concerns. We thanks you again for your past efforts on our behalf and in advance for your attention to this request. You tr ly, "chard den,President, Thomas Knight Burges ,Secretary Executive Board,Cotuit Santuit Civic Association Jessica Rapp Grassetti,Town Council Representative,Precinct 7 4 i h l tilj o 0 0 • c�SSOC�P� PO Box 121 Cotuit, MA02635 Civic Association Concerns of Cotuit-proposed for 2014 1. Old Shore Rd. • Widen the road from Ropes Beach to Main Street? Possible? • Cut the trees on Steve Gould's land to improve the road view? ■ One way from Ropes Beach to Main Street? Seasonal one way from Putnam to Main Street? • Enforce the parking—sticker only for cars and no trailers on shoreline • Other? 2. Drainage issues—Estuary protection • Old Post Road at Little River feast of 460 Old .Post,] —run off into the river needs to be checked - catchment basins. Dense vegetation here might need to be cleared. • Old Kings Road at Santuit River - run off into the river needs to be checked 3. Loop Beach • Replace the rope &float swimming area with seasonal buoys - like other beaches + redefine the swim area • Clean the beach and seaweed weekly—Lifeguard responsibility? ■ Clean the parking area weekly ■ Enforce the "beach sticker" parking daily—is towing necessary? • Other? 4.Traffic and circulation ■ Rte 28/ Rte 130 area—left turn from Main St.onto Rte 28 difficult at all time so of the year. o Possible solution. Left turn only from a new light at Newtown Rd and Route 28?- no left turn at Main Street and Route 28? o Too many lights on this section of 28? 5. Parking Compliance ■ Landscapers' trucks/construction trucks blocking one lane of traffic. • 4th of July fireworks -Oyster.Harbors night—parking and traffic • Parking along Lowell Rd during Kettleers baseball games—enforce for 22 to 25 afternoons per year— no enforcement of existing signs not needed for the rest of the year. • Daily during season at Ropes,Riley's,Town Dock,Kettle Ho,Loop Beach etc. 6. Neighborhood concerns -Halfway House/treatment centers— [King's Grant,��1, Landfall.Old Post Road] ■ Licensing—zoning? What control does the Town have.over these q::jMain St.Garage—number of vehicles.... at can ivic Association o to help? 7. Harbormaster • Remove vessels/dinghies on 11115 .12/1 - a great success • Define what is a vessel? Should we find a way of identifying the vessel owner? ■ Define storage area at Ropes? Dinghies/Kayaks/Canoes/Sunfish.....Catamarans? • Safety at harbor entrance? 8. Conservation ■ Dredging Sampson's Island? 150 feet from Riley's Beach- safety for swimmers/boaters o Opportunity to nourish Riley's;Beach? • Rushy Marsh,-flow to the Sound? Where is NRCS? • Gate at Crocker Neck? Hours and.Acces-0 9. Beach improvement • Riley's/ Loop Beach-possible nourishment from Sampson's dredging? ■ Ropes Beach = Phagmites is slowly being eliminated— increased area-for boat storage.... Summer census is down ■ Are grasses where dinghies are stored being trashed - monitoring? • Keep the sand/parking area clean streetsweeper'here routinely? 10. Recreation • Resurface the tennis court at Waldorf School ■ Beaches as noted above 11. DPW—See,Click and Fix—do we need a designated input person on Civic Ass'n.? • Rainwater runoff-catch basins need to be kept clean, ■ Loop hill - area that water runs into is overgrown? ■ Ropes.hill - large catch basin still not useful ■ Cordwood - 2 large catch basins not useful - water flows to bay e 12.Road improvements • Main Street,School Street and Putnam Ave.must be passable in all weather conditions o Main St just south of 5 corners—drainage concern ■ Resurface/rebuild Old Post Rd;Main Street-south.of Oceanview Ave.,Rushy Marsh Rd at.Santuit Road' • Road and sidewalk maintenance- hedges and trees that create a safety hazard: o Oceanview at Main,Street ,Keela Road at Main St., Nickerson Rd at.Main St.,Old.Shore Rd at Main St: o 17 Piney Rd - hedge on Piney and Main blocks view of cars and walkers, 1.01.1 Main St- hedge has.grown over sidewalk, 1055 Main St- hedge has grown over Sidewalk. o Lowell Ave at Putnam — reconfigure island & leave on left on all turns? s i1G47(; ` .iAk P7q' i D 1000 7t ci n: a CA-1 L . Lq • i QUITCLAIM DEED We, JOHN P. GRALTON and VANESSA M. GRALTON, husband and wife '`both of 339 Main Street, Centerville, MA 02632 i� consideration of ONE HUNDRED SIXTY THOUSAND AND 00/100 I1 ($160,000.00) DOLLARS +I I f ;grant to ROB£RT M. Du WORS of PO sox 1292 IMA 02649 ► Po pponesset Beach, i 1with QUITCLAIM COVENANTS I the land in Barnstable (Cotuit), Barnstable County, Massachusetts, being LOT 14 as shown on Land Court Plan 34623-8 (Sheet 2) . For our title, reference is made to: Certificate of Title 'No. 101000. I I . ..,�,. Executed as a sealed instrument this 36 day of Oat"' DEED G O1 BLE �f fica,� k1thn P. G,T,61ton V&nessa M. Gralton H ,.,':- 69�80 COMMONWEALTH OF MASSACHUSETTS C 37254D.a0,.14:47 Barnstable, ss. ,kj / Sb0 .-EXCISE fAX hen personally appeared the above named John P. Gralton and Vaned M. Gralton and acknowledged the foregoing instrument to be tfiei r free act and deed, before - l Notary Pu c LNKJ SHEALEY EDf f' My commissi expires: 3T STAGE HARBOR ROAD C►1A7,.AM1 Muss 161 n,.s9soo I I I q, / !. �6a 3-8 Doaz1 .214.673 02-20-2013 10:48 BARNSTABLE LAND COURT REGISTRY ., LO MONWEALTH OF MASSACHUSETTS (SEAL) j 3 :;; 2 Z T. ; LAND COURT DEPARTMENT OF THE TRIAL COURT • tg N115C 475�t ���� � TO: ORDER OF NOTICE r•MAc Mn� Robert M. Du Wors and to all persons entitled to the benefit of the Servicemembers Civil Relief Act:,50 U.S.C.App. § 501 et seq.: GMAC Mortgage,LLC, claiming to have an interest in a Mortgage covering real property in Barnstable(Cotuit), 91 Captain Carletons Road,given by Robert M.Du Wors to Sherwood Mortgage Group,Inc.,dated April 27,2004, Registered with Barnstable County Registry District of the Land Court as Document Number 965801 noted on Certificate of Title Number 116476, and now held by plaintiff by assignment, has/have filed with this court a complaint for determination of Defendant's/Defendants' Servicemembers status. If you now are, or recently have been, in the active military service of the United States of America, then you may be entitled to the benefits of the Servicemembers Civil Relief Act. If you object to a foreclosure of the above-mentioned property on that basis,then you or your attorney must file a written appearance and answer in this court at Three Pemberton Square,Boston,MA 02108 on or before MAR 18 2(RS you will be forever barred from claiming that you are entitled to the benefits of said Act. JAN 2 9 200 Witness,KARYN F. SCHEIER Chief Justice of this Court on Attest: A TRUE COPY ATTEST: ,,3J1orw.1,J _FaA{,,aen Deborah J. Patterson RECORDER Recorder (PLEASE SEE REVERSE FOR RETURN ON ORDER OF NOTICE) Return to: ORLANS MORAN Attorneys and Counselors at Late P.O. Box 5041 BARNSTABLE REGISTRY OF DEEDS Troy,MI 4F^;'7.5 ,4+, Dom= 1s185s051 02-21-2012 32-38 BARNSTABLE LAND COURT REGISTRY COMMONWEALTH OF MASSACHUSETTS (SEAL) LAND COURT DEPARTMENT OF THE TRIAL COURT 12 MISC 457535 ORDER OF NOTICE TO: G Robert M. Du Wors C3 N and to all persons entitled to the benefit of the Servicemembers Civil Relief Act:,50 U.S.C.App. § 501 et seq.: GMAC Mortgage,LLC, claiming to have an interest in a Mortgage covering real property in 91 Captain Carletons Road, Barnstable(Cotuit), given by Robert M. Du Wors to Sherwood Mortgage Group,Inc., dated April 27,2004, Registered with Barnstable County Registry District of the Land Court as Document Number 965801 noted on Certificate of Title Number 116476,and now held by plaintiff by assignment, has/have filed with this court a complaint for determination of Defendant's/Defendants' Servicemembers status. If you now are, or recently have been, in the active military service of the United States of America, then you may be entitled to the benefits of the Servicemembers Civil Relief Act. If you object to a foreclosure of the above-mentioned property on that basis,then you or your attorney must file a written appearance and answer in this court at Three Pemberton Square,Boston, MA 02108 on or before 1 201&you will be forever barred from claiming that you are entitled to the benefits of said Act. Witness,KARYN F. SCHEIER Chief Justice of this Court on FEB 01 2012 Attest: A TRUE COPY ATTe$T: ' oacr � r,� sv�sa� Deborah J. Patterson RECORDER Recorder (PLEASE SEE REVERSE FOR RETURN ON ORDER OF NOTICE) Return to: ORLANS MORAN Attorneys and Counselors at Law P.O. Box 5041 Troy, MI 48007-5041 BARNSTABLE REGISTRY OF DEEDS Doc=1s225v147 07-01-2013 . 3:41 BARNSTABLE LAND COURT REGISTRY EXECUTION DOCKETNUMBER TriaFCourt of•Massachusetts ON MONEY JUDGMENT 1225SCO01159 District Court Department CASE NAME Capital One bank(USA),NA.v. Robert Duwors A/K/A Robert M Duwors IAMI JUDGMENT DEBTOR AGWNST WHOM EXECUTION IS ISSUED COURT NAME&ADDRESS Barnstable District Court' Main Street,Rt 6A P.O.Box 427 Robert Duwors A/K/A Robert M Duwors Barnstable,MA 02630 91 Captain Carltons Rd A TRUE COPY ATTEST. Cotuit,MA 02635 JUDGMENT CREDITOR(S)IN WHOSE FAVOR EXECUTION 13 ISSUE apital One bank(USA),N.A. .. ' JUDGMENT CREDITOR(OR CREDITORS ATTORNEY)WHO MUST ARRANGE SERVICE OF EXECUTION FURTHER ORDERS OF THE COURT Gary Howard Kreppel Esq. V Law Office of Gary H.Kreppel P.C. V 33 Boston Post Road West 1 Suite 590 Marlborough,MA 01752 TO THE SHERIFFS OF THE SEVERAL COUNTIES OR THEIR DEPUTIES,OR(SUBJECT TO THE LIMITATIONS OF G.L.C.41 §92)ANY CONSTABLE OF ANY CITY OR TOWN WITHIN THE COMMONWEALTH: •� The judgment creditors)has recovered judgment against the judgment debtor named above in the amount shown below: WE COMMAND YOU,therefore,from out of the value of any real or personal property of such judgment debtor found within your territorial jurisdiction,to cause payment to be made to the judgment creditor(s)In the amount of the'Execution Total" shown below,plus additional postjudgment interest as provided by G.L.c.235§8 on the"Judgment Total"shown below ! commencing from the'Date Execution Issued"shown below at the'Annual Postjudgment Interest Rate'shown below,and to collect your own fees,as provided bylaw. This Writ of Execution Is valid for twenty years from the"Date Judgment Entered" shown below. It must be returned to the court,along with your return of service,within ten days after this judgment has been satisfied or discharged,or after twenty years if this judgment remains unsatisfied or undischarged. 1. Judgment Total 4,498.88 2. Date Judgment Entered 12/14/2012 3. Date Executlon Issued 03/11/2013 4• Number of Days from Judgment to Execution(Line 3-Une 2) 87 5. Annual Posqudgment Interest Rate 12 6. Postjudgment Interest from Judgment to Execution pines 1x4x5) $128.77 Q 7. Postjudgment Costs('Many) $ 8. Credits('Many) $ 9. EXECQVgN TOTAL(Lines f +6+7,minus Line 8) $4,627.65 LEVYI FlGER:,.( ;Add dally Interest from date execution issued. your fees as provided by law: TEST£OF SIR STTC ';`. ; yL DATE EXECUt(ON ISSUED CLERK-MAGISTRATEIASST.CLERK to WITNE. PHon,W;'Jarries O'Neill 03/11/2013 039 y www.mas3.9oV courts atelTlma rtniti0: 1 - 1309' :1 Doc: 1s238P125 12-30-2013 3=48 r BARNSTABLE LAND COURT REGISTRY (fam onwealtb Of ;ffiaggatbulettg V%ST�BI�'ss. SUPERIOR COURT No. CV2013-00529 .........................................Sea Belle Gro,.. ............... p . ................... """'•"" A RUE COPY ATTEST. VS. Mashpee Mental Health Center, Inc: & Robert Duwoj�feadant ............................................................................................................... WRIT OF ATTACHIv�F.N I To the sheriffs of our several counties or their deputies: WE COMMAND YOU to attach the goods or estate of defendant ,Robert M. Duwors , of �1... on Carlton's Road t, Cotuit MA 02635 ....................................................... Vto the value of 5...$72 t 000 n 00........................................••,•,(the amount authorized),as prayed for by plaintiff, Sea Belle Group, LLC Of Waban, MA O� whose attorney is Christok...........................................................Irae .of..... h I... '.................................:.....' Sea Belle Group, LLC Q in an action brought by said plaintiff ....... ................................................................................................against said defendant Mashpee Mental Health Center, Inc, et al ....•........... ..................................I In.the Superior Court for Barnstable County,and make due return of this writ with your doings thereon. October 15, The complaint in this case was filed on .................. 2013 This attachment was approved on ..........�oyber 27 2013 b ...................................................................................... . . .Y 1' Robert C. Rufo 72 000.00 ....................................................................................................J.,in the amount of 5........l....00....................... a. Witness. ................................... CARWRAJ POL^=. ........................................................ ,Esquire,at Ba rnstable,' 27th ..............................day of 1�eCe<ThPx ......;2013 .the.................................................. ........................... ........................................ .......................................................................................eri ' Clerk ! i 8033010 AH181038 318VISNUVQ PROOF OF ATTACHMENT Barnstable ss. December 30, 2013 By virtue of this writ, I this day at 2:40pm attached all the right, We and interest that the within named defendant Robert M. Duwors now has not exempt by law from levy or attachment, in and to that real estate registered with the Massachusetts Land Court and described in Certificate of Title#116476 at the Barnstable Registry District of the Land Court. The within is a true copy of this writ, and the above so much of my return as relates to the attachment of this real estate on this writ. Dunning, Kirrane, McNichols & Garner, LLP P. O. Box 560 Mashpee, MA 02649 Attomey for Plaintiff Ae ennedy-Murphy A Deputy Sheriff . N 4J W V �.i YI r N i W N Q W W ro DoccIP242s725 03-25-2014 3-39 Ct f-0:202961 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED We,ROBERT M.DUWORS,JANICE A.LOWE and JUDYTH M.DUWORS �, �� SACK,Trustees of the 17 Cordwood Road Realty Trust under Declaration of l4 Trust dated November 5,2009,as set forth in a Trustee's Certificate filed with Barnstable County Registry of Deeds, Land Registration Section as Document No. 1,127,908,Certificate No. 190029,for consideration paid and in full consideration of Four Hundred Fifty-Five Thousand and 00/100 ($455,000.00) Dollars,grant to U JOHN A.WESTERFIELD at d ALEXIE C.WESTERFIELD,Husband and Wife as 9 Tenants-by-the-Entirety of Winchester,Middlesex County,Massachusetts,WITH t" QUITCLAIM COVENANTS C `n A certain parcel of land located in Mashpee,Barnstable County,together with 3 the buildings thereon and other improvements located thereon,described as follows: Lot 8 (Block 26) on Subdivision Plan 11408M � r Subject to and together with all rights,right of way,reservations,easements, c0 appurtenances and restrictions of record together insofar as the same are in force and applicable. � 4 This is not homestead property. For title see deed of Virginia M. DuWors and Janice A.Lowe dated November 5,2009,recorded with Barnstable County Registry of Deeds,Document No. 1,127,909,Certificate No. 190029. MASSACHUSETTS STATE EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 03-25-2014 9 03:39vn CtIt: 1263 Doc:: 1242725 Fee: tIV556.10 Cons: t455000.00 00100019SfS :su03 US'8ZZ1IS :aaj SZLZtZT :;'oa £9ZT 0110 ua6£:£0 a 4TOZ-SZ-£0 :B PO ASISI93S W03 QNVI 319VISNSV9 XV1 3SIOX3 A1NnO3 319VISNSV9 F� Witness my hand and seal this&day of March,2014. 17 Cordwood Road Realty Trust Judy DuWors Sack,Trustee COMMONWEALTH OF MASSACHUSETTS Middlesex;ss March e 2014 On this LD day of March,2014,before me,the undersigned notary public, personally appeared]udyth DuWors Sack,proved to me through satisfactory evidence of identification which is a Massachusetts driver's license,to be the person whose name is signed on the preceding or attached document and acknowledged to me that they signed it voluntarily for its stated purpose as Trustee of 17 Cordwood Road Realty Trust. Notary Public My commission a it 3s, t: .':HERINE VARTANIAN PJotary Public P ' VNEALTH OF MASSACHUSETTS vy_Ommission Expires July 22.2016 Witness my hand and seal this % day of March,2014. 17 Cordwood Road Realty Trust anice A.Lowe,Trustee COMMONWEALTH OF MASSACHUSETTS Barnstable;ss Marches 2014 On this Loday of March,2014,before me,the undersigned notary public, personally appeared Janice A.Lowe,proved to me through satisfactory evidence of identification which is a Massachusetts driver's license,to be the person whose name is signed on the preceding or attached document and acknowledged to me that she signed it voluntarily for its stated purpose as Trustee of 17 Cordwood Road Realty Trust. ````° uALS�.. y2at6 -*1. = Notary Public =sue 9 Q-Jy My commission expires: A .Q Witness my hand and seal this IAL day of March,2014. 17 Cordwood Road Realty Trust Robert . DuWors,Trustee COMMONWEALTH OF MASSACHUSETTS Middlesex; ss March 2014 On this (lay of March, 201.4,before me,the undersigned notary public, personally appeared Robert M. DuWors,proved to me through satisfactory evidence of identification which is a Massachusetts driver's license,to be the person whose name is signed on the preceding or attached document and acknowledged to me that he signed it voluntarily for its stated purpose as Trustee of 17 Cordwood Road Realty Trust. Notary Public tAicA% -e t" Q� lviv commission u expires: 11r� 1-7 expr I �.. '� 4 TRUSTEE'S CERTIFICATE 17 CORDWOOD ROAD REALTY TRUST We,Robert M. DuWors,Janice A. Lowe and Judyth DuWors Sack, Trustees of 17 CORDWOOD ROAD REALTY TRUST under Declaration of Trust dated November 5,2009,and filed with Barnstable County Registry of Deeds,Land Registration Section,Document No. 1,127,908 certify as follows: 1. We are the Trustees of said Trust and the Trust is presently in full force and effect and has not been altered,amended,revoked or terminated. 2. All of the beneficiaries of said Trust are of legal age and are competent. All persons who were ever beneficiaries are alive. 3. We have been authorized by 100%of the beneficiaries of the Trust to sell the real property owned by the trust and located at 17 Cordwood Road,Mashpee,(Popponesset),Barnstable County,Massachusetts to John A. Westerfield and Alexie C. Westerfield for the sum of Four Hundred Fifty-Five Thousand and 00/100($455,000.00)Dollars and in connection therewith to sign,execute and deliver all documents necessary to effectuate the same. 4. There are no suits or actions in law or in equity now threatened or pending against the Trust. Executed as a sealed instrument this,GP day of March,2014. Au d Y NuW eors Sack Truste 17 Cordwood Road Realty Trust COMMONWEALTH OF MASSACHUSETTS Middlesex;ss March .2 0 ,2014 On this 30 day of March,2014,before me,the undersigned notary public, personally appeared Judyth DuWors Sack,proved to me through satisfactory evidence of identification which is a Massachusetts driver's Iicense,to be the person whose name is signed on the preceding or attached document and acknowledged to me that she signed it voluntarily for its stated purpose as Trustee of 17 Cordwood Road Realty Trust. a tine. Notary Public MY co i p�3 3HE 7rC& KA' RINEVARTANIANlotary Puma 1"'('A!THOFMASSACHUSETTS I Y Commission Expires !uly 22,2016 Executed as a sealed instrument this as day of March, 2014. - ce A. Love,Trustee 17 Cordwood Road Realty Trust COMMONWEALTH OF MASSACHUSETTS Barnstable; ss March 2014 On this /Ld day of March,2014,before me,the undersigned notary public, personally appeared Janice A. Lowe,proved to me through satisfactory evidence of identification which is a Massachusetts driver's license, to be the person whose name is signed on the preceding or attached document and acknowledged to me that she signed it voluntarily for its stated purpose as Trustee of 17 Cordwood Road Realty Trust. `,grittlllrlryr�rj '/ �� 016 ,,'': otary Public commission expires: Executed as a sealed instrument this 21`r day of March,2014. Robert uwors,Trustee 17 Co drvood Road Realty Trust COMMONWEALTH OF MASSACHUSETTS Middlesex, ss March -, 2014 On this day of March,2014,before me, the undersigned notary public, personally appeared Robert M. DuWors who proved to me through satisfactory,evidence of identification which was a driver's license,to be the person whose name is signed on the preceding document, and acknowledged to me that he signed it voluntarily for its stated purpose as Trustee of 17 Cordwood Road Realty Trust. Notary Public ►A--:(1L My commission expires: 4 II&11I ,`i Via` �� ..•�. i' BARNSTARF REMSM OE DEEDS 11874 Form 668 (lf)(c) Department of the Treasury - Internal Revenue Service (Rev.February 2004) Notice of Federal Tax.Lien Area: Serial Number Bk _77970 Ps2-3 4791 SMALL BUSINESS/SELF EMPLOYED AREA #1 r32-04---2;D14• Oo 2 tx Lien Unit Phone: (800> 829-3903 980334214 As provided by section 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including Interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the united States on all property and rights to property belonging to this taxpayer for the amount of these taxes, and additional penalties, Interest, and costs that may accrue. Name of Taxpayer ROBERT DUWORS Residence 91 CAPTAIN CARLTONS RD COTUIT, MA 02635-2706 E RTANT RELEASE INFORMATION: For each assessment listed below, notice of the lien is refiled by the date given in column(a),this notice shall, e day following such date, operate as a certificate of release as defined 6325(a). 11 Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identifying Number Assessment Refiiing of Assessment a b c) (d) (e) 1040 12/31/2008 XXX-XX-6063 01/07/2013 02/06/2023 1022 .61 1040 12/31/2010 XXX-XX-6063 12/31/2012 01/30/2023 748.01 1040 12/31/2011 XXX-XX-6063 01/07/2013 02/06/2023 7766.18 CIVP 12/31/2010 XXX-XX-6063 10/07/2013 11/06/2023 24223 .06 * CIVP 06/30/2011 XXX-XX-6063 10/07/2013 11/06/2023 1568.31 CIVP 09/30/2011 XXX-XX-6063 10/07/2013 11/06/2023- 9311.95 CIVP 12/31/2011 XXX-XX-6063 ' 10/07/2013 11/06/2023 1445.16 CIVP 03/31/2012 XXX-XX-6063 10/07/2013 11/06/2023 1304 .95 CIVP 06/30/2012 XXX-XX-6063 10/07/2013 11/06/2023 1235 .03 CIVP 09/30/2012 XXX-XX-6063 10/07/2013 11/06/2023 1038.60 CIVP 03/31/2013 XXX-XX-6063 10/07/2013 11/06/2023 730.20 Place of Filing Registry of Deeds Barnstable County Total $ 50394 .06 Barnstable, MA 02630 This notice was prepared and signed at MANHATT`N' NY , on this, the 24th day of January 2014 Signature / �� ACS SBSE 21-00-0008 for P.A. BELTON (800) 829-3903 (NOTE: Certificate of officer authorized by law to take acknowledgment Is not essential to the validity of Notice of Federal Tax lien Rev. Rul.71-466, 1971 -2 C.S.40P' BARNSTABLE REGISTRY OF DEEDS Form 668M(c) (Rev. 2-2004) CAT.NO 60025X Bk 27962 P-a208 �44140 dMassachusetts 1-30-2014 a01236s� Commonwealth NOTICE OF MASSACHUSETTS TAX LIEN Pursuant to the provisions of Section SO of Chapter 62C of the General Laws, notice is hereby given that penalties have been assessed against the following-named. employer which remain unpaid, and that the amount,together with interest, is a tax lien in favor of the Commonwealth of Massachusetts pursuant to G.L. c.149,§27C(b)(7) on all property and rights to property belonging to said employer. Name: Robert M. DuWors Company: Mashpee Mental Health Center,Inc. Address: 91 Captain.Carlton Road Address: Cotuit,.MA 02635 ID#: 00-0860459 Date of Lien: 1/24/14 Lien Number: #AG140002 Lien Type: Wage Violation, Civil Citation#WH130131 &MW 130106 Assessment Date: 1/2.4/14 Penalty Amount: $11,500.00 Restitution Amount: $47,149.48 Statutory Additions: Interest at 18%per annum from Assessment Date Original Lien Amount: $58 649.48 PLACE'fiW FILING ,.,Registry of Deeds: Barnstable Secretary of State Date Filed: Noreen M. Kelly Fair Labor Division Office of the Attorney General One Ashburton Place,Room 1813 Boston, MA 02108 For penalty payment information,please contact the Massachusetts Department of Revenue, Lien Department, P.O. Box 7021, Boston, MA, 02204, 617-887-6507 For restitution payment information or other questions,please contact the Office of the Attorney General, Fair Labor Division, P.O. Box 6303, Boston, MA 02114, 617-963-2329 BARNSTABLE REGISTRY OF DEEDS f MORTGAGEE'S NOTICE OF.SALE OF REAL ESTATE- By.virtue and in execution of the Power of Sale contained In a certain Mortgage given.by Robert.M. Du Wors to Sherwood Mortgage Group,Inc.,dated April 27,2004;and registered with _ Barnstable County Registry District of the Land Court as Document Number 065801 rioted on Certificate of Title Number.116476, subsequently assigned to Mortgage Electronic Registration Systems,Inc.as'nominee for GMAC.Bank,its successors and assigns by Sherwood.Mortgage Group'Inc.,by assignment and registered with Barnstable County Registry'District of the Land Court as Document Number.965802 noted on-Certificate-of Title Number 116476,subsequently assigned to GMAC Mortgage,LLC by Mortgage Electronic Registration Systems,Inc.,by assignment and registered with Barnstable County Registry District of the Land Court as Document Number 1140184 noted on Certificate ' of Title Number 116476,subsequently assigned to Ocwen Loan Servicing, LLC by GMAC Mortgage, LLC,,by,assignment and registered with Barnstable County Registry District of.the Land Court as Document Number 1228942 noted on Certificate of Title.Number 116476,of which the Mortgage the undersigned Is .the present holder,for breach of the conditions of.said Mortgage and for the purpose of foreclosing the same will be sold at Public Auction at.12:00 PM on April 4,2014 at 91 Captain_Cadetons' " Road, Bamstable (Cotuit), MA, all and singular the premises described in said Mortgage,to wit. The land, together with the buildings thereon, situated in Barnstable(Cotutt),Barnstable County,Massachusetts;described. as follows: Lot 14 Plan 34623-B(Sheet 2) Subject to and with the benefit of all rights', reseniations, restrictions and easements of record,insofar as the same are in force and applicable. ' For fitle see CerBficate of Trtie No.116476. The premises are to be sold subject to and with the benefit of all easements,restrictions,building and zoning laws,ugpaid taxes, " tax fitles,water-bills,municipal liens and assessments,rights of tenants and parties in possession., TERMS OF SALE: A deposit of FIVE THOUSAND DOLLARS AND 00 CENTS .(t000.00)in the.form of a certified.check or bank treasurer's check will be required to'be delivered at or before the'lime the bid Is offered.The.successful bidder will be required to execute a Foreclosure Sale Agreement immediately after the close of the bidding.The balance of the purchase.price shall be paid within ,. thirty(30)days from the said date In the form of a certified check; bank treasurer's check or other.check.satisfactory to Mortgagee's .. attorney.The Mortgagee reserves the right to bid;of the sale,to. reject any and all bids,to continue the sale and to amend the terms of the sale by written or oral announcement made before or during the foreclosure sale.If the sale is set aside for any reason, the Purchaser at the sale shall be entitled only to a return of the deposit paid.The purchaser shall have no further recourse against the Mortgagor,the Mortgagee or the-Mortgagee's altomey.The description.of the.premises;contained-in said'mo.hgage shall control in the event of an error in this publication;TIME'WILL BE OF THE ESSENCE. Other terms if any,to be announced it the sale.. Ocwen Loan Servicing;LCC Present Holder of said Mortgage ` By Its Attorneys : Organs Moran P.,LLG R.0 Box 540540 Waltham MA 02454 r a Phone 781 790 7800`�s, Tfie.BamstabI6PW't;' March.l4,March.21 an0 Mirch.28;2014 , ct 1 'r` 7 Doc-1r2359185 11-14-2013 10:02 BARNSTABLE LAND COURT REGISTRY AFFIDAVIT REGARDING COMPLIANCE WITH :i �l�li^•. MGL c.244 sec.358 OCT / Property Address: 91 Captain Carletons Road,Barnstable(Cotuit),MA 02635 J !'j/0:33 Mortgage: Robert M.Du Wors to Sherwood Mortgage Group,Inc.,dated 4/27/2004 recorded at Barnstable County Registry of Land Court in Document Number 965801 noted on Certificate of Title 116476. Assigned to Mortgage Electronic Registration Systems,Inc.as nominee for GMAC Bank,its successors and assigns,by assignment recorded in said Land Court in Document Number 965802 noted on Certificate of Title 116476.Assigned to GMAC Mortgage,LLC by assignment recorded in said Land Court in Document Number 1140184 noted on Certificate of Title 116476.Assigned to Ocwen Loan Servicing,LLC by assignment recorded in said Land Court in Document Number 1228942 noted on Certificate of Title 116476. Foreclosing Mortgagee: Ocwen Loan Servicing,LLC The undersigned, having personal knowledge of the facts herein stated, under oath deposes and s ys a follows: Ij 1• I am: [Check One] o [ An officer or plpyee o Foreclosing Mortgagee,where 1 hold the office of [ ']An officer or ern ee of a duly authorized agent of Foreclosing Mortgagee,under a Power of Attorney,a copy of which is attached hereto and which is still in full force and effect as of the 0 date hereof. V 2. Based upon my review of the business records of Ocwen Loan Servicing,LLC,I certify: [Check One] a0 [ ]The requirements of M.G.L.c.244 sec.35B have been complied with. G.L.c.244,§35B is not applicable to the above mortgage. Signed under the pains and penalties of perjury this day of —.2013. 0 e Affiant Signature: Print Name: ` 0 Title: N Ocwen Loan Servicing,LLC ar v v a Sworn to and subscribed before me, ar o this 2013 ^ day of 0 C4-a Uke' a olotcl i l It , a Nc;icl Sod,Icwa Comm?scion h;umbcf 171329 Notary Public,State of DWG-- My Comm':;,sion Erpites Mov.8,20A County of 6[mck— u_ Commissioned Name of Notary Public 618.4767 BARNSTABLE REGISTRY OF D C ( Page 1 of 1 �S Doc=1s214.673 02-20-2013 10248 BARNSTABLE LAND COURT REGISTRY c0 OF MASSACHUSETTS (SEAL) LAND COURT DEPARTMENT OF THE TRIAL COURT 13 MISC 41582A ORDER OF NOTICE TO: r•MAc M`�+ Robert M. Du Wors and to all persons entitled to the benefit of the Servicemembers Civil Relief Act:,50 U.S.C.App. § 501 et seq.: GMAC Mortgage, LLC, claiming to have an interest in a Mortgage covering real property in Barnstable(Cotuit), 91 Captain Carletons Road,given by Robert M. Du Wors to Sherwood Mortgage Group,Inc.,dated April 27,2004, Registered with Barnstable County Registry District of the Land Court as Document Number 965801 noted on Certificate of Title Number 116476, and now held by plaintiff by assignment, has/have filed with this court a complaint for determination of Defendant's/Defendants' Servicemembers status. If you now are, or recently have been, in the active military service of the United States of America, then you may be entitled to the benefits of the Servicemembers Civil Relief Act. If you object to a foreclosure of the above-mentioned property on that basis,then you or your attorney must file a written appearance and answer in this court at Three Pemberton Square,Boston,MA 02108 on or before MAR 18 2M3 you will be forever barred from claiming that you are entitled to the benefits of said Act. JAN292013 Witness,KARYN F. SCHEIER Chief Justice of this Court on Attest: ATRUE COPY ATTEST: �.�.�aortQ.Qc. Gt {�Aaet� Deborah J. Patterson RECORDER Recorder (PLEASE SEE REVERSE FOR RETURN ON ORDER OF NOTICE) Return to: ORLANS MORAN Attorneys and Counselors at Lary P.O. Box 5041 BARNSTABLE REGISTRY OF DEEDS Troy, MT 4f^07-`^i41 Barnstable ss. July 1, 2013 By virtue of this Execution No. 1225 SC 1159 issued by the Bamstable District Court, the original of which is in my hands for the purpose of taking this registered real estate, I have this day levied upon, seized and taken all the right, title and interest that the within named Judgment Debtor Robert Duwors a/k/a Robert M. Duwors now has in and to the registered real estate, situate within the County of Barnstable and described as follows in Certificate of Tltle#116476 at the Barnstable Registry District of the Land Court It he land in Barnstable (Cotuit), Barnstable County, assachusetts, being GOT 14 as shown on Land Court Plan 34623-B Sheet 2). The within is a true copy of this Execution and the above so much of my return as relates to the levying upon, seizure and taking of this real estate on this Execution. Gary H. Kreppel, P. C. 33 Boston Post Road West, Suite 590 Marlborough, MA 01752 Attorney for Creditor erry Kennedy-Murphy Deputy Sheriff BARNSTABLE REGISTRyOF DEEDS a� ��� �� � 'i Workface I Dr-.,Robert-DuWors DuWors Tiverton=RI� 0� 28 Page 1 of 2 Fx-1 Create your own Profile! Sign in Dr. Robert DuWors =-- Executive Director Mashpee Mental Health Center Send a Message Share Me Embed My Profile About Me Currently practicing in Massachusetts and Rhode Island, Dr. Robert DuWors has led a diverse career in clinical neuropsychology, research, and consulting. Dr. DuWors has worked in hospital settings and for family social services and state judicial systems. In addition, he has held a range of responsibilities as an administrator and an academic. He also volunteers with the Children of God Relief Institute-Nyumbani in Nairobi, Kenya. Dr. Robert DuWors holds graduate degrees in clinical psychopharmacology, clinical psychology, clinical social work, and organizational psychology. In addition, Dr. DuWors has completed postdoctoral residencies in psychotherapy, psychoanalysis, neuropsychology, psychiatry, and clinical neurology research. As a researcher, Dr. Robert DuWors focuses his efforts on the neuropsychological effects of highly active antiretroviral therapy (HAART) used for individuals with HIV or AIDS, as well as violent and impulsive behaviors among prison populations. Dr. DuWors is also engaged in developing software for the cognitive rehabilitation of patients at Mashpee Mental Health Center, where he serves as Executive Director. Dr. DuWors maintains an interest in the effects of a parents mental illness on a child and in cognitive rehabilitation following stroke or other dementing illness. A member of several professional organizations, Dr. Robert DuWors http://workface.com/e/drrobertduwors 4/8/2014 Wonkface I Dr. Robert DuWors Tiverton RI 02878 Page 2 of 2 frequently delivers continuing medical education (CME) seminars on his research interests. He also teaches at Harvard Medical School, the University of Rhode Island, the Massachusetts School of Professional Psychology, and Union Institute & University. Dr. Robert DuWors conducts much of his research within the context of his clinical or academic work. For instance, as part of his position at Harvard Medical School, Dr. DuWors will provide psychodynamic supervision of psychiatry residents at Corrigan Mental Health Center. He also regularly collects data through his activities at Mashpee Mental Health Center. Dr. Robert DuWors holds a Forensic Neuropsychology Consultant position with the Rhode Island Department of Children, Youth & Families. Until 2010, he also fulfilled similar responsibilities for the State of Massachusetts. Social My Links • Dr. Robert DuWors on Visible.Me • Dr. Robert DuWors on Visible.Me • Dr. Robert DuWors on Xinp • Dr. Robert DuWors on WordPress Contact Me Tiverton, RI 02878 Save vCard Contact Form http://workface.com/e/drrobertduwors 4/8/2014 i ' WordPress.com—Get a Free Blog Here Page 1 of 2 drrobertduwors.wordpress.com is no longer available, rThis-site-has��been archived or-suspended-fo`r a violation of our-Ter sm of Service. For more information and to contact us please read this support document. GET STARTED Create your own website i An Automattic Creation DO MORE • Features • Store • Themes • Developers COMMUNITY • Support • Forums • WordCamps • WordPress.orp COMPANY • Our Story • Privacy • Terms of Service • Matt Mullenwep, http://drrobertduwors.wordpress.com/ 4/8/2014 DuWors, Dr. Robert M. I Tiverton, RI 02878 1 Angies List Page 1 of 2 An g i es I i St. Reviews you can trust • Join Now • Sign In • Quick Tour • How It Works • FAQ • In the Press • Articles • The Big Deal • Contact Us • 1-877-928-4372 • Business Owners Angie's List:Local Reviews:Tiverton:DuWors,Dr.Robert M. t DuWors, Dr. Robert M. Do your rese� Is this your business?Claim your profile 1061 Fish Rd Join now to read rati Tiverton, RI 02878 (401)624-7281 Services: Psychologist Angie's List Rath DuWors, Dr. Robert M. On Angie's List Since: 8/27/2012 Licensed: UNKNOWN Total Reviews (All statements concerning insurance, licenses, and bonds are informational only, and are self-reported. Since insurance, licenses and bonds can expire and can be Overall Grade cancelled, homeowners should always check such information for themselves.) 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Clinical Psychologist Articles i -Your R2seQrch — Join to read ratings and reviews from real custc http://www.angieslist.com/companylist/us/ri/tiverton/duwors,-dr.-robert-m.-reviews-750516... 4/8/2014 Dr. Robert DuWors (DrRobertDuWors) on Twitter Page 1 of 1 Seatch Q Have an account?Sign in Tweets ) Following ) Followers ) Favorites ) Lists ) Follow Dr. Robert DuWors Tiverton,HI (;vJ,.are nct/dr-rol�ciiduwoi�� Full name Email Password "-"--�-'------- -- TWEETS FOLLOWING FOLLOWERS 3 10 5 t!Follow Sign up - _ Tweets Worldwide Trends Change #BelieveMovieOnDVD 13Dr.Robert DuWors @DrRobertDuWors 16 Jun 2011 #MtsirdaKatliamVar Online Resume Sharing-CVshare.net http://mitp.ly/6dKRZZ6 #DariaLoQueFueraPor Expand 4%Reply V4 Retweet *Favorite •••More — #GoktenDondurmaYa6sa #SempreAoSeuLado Dr.Robert DuWors @DrRobertDuWors 16 Jun 2011 � 1 bigsight-world's largest people directory: get connected,be seen Mike Gillisr 13 i http://mltp.ly/92o9nu0 I Charles and Alli pp Expand ♦%Reply ti Retweet *Favorite •••More " Kdigdaro6lu'na Medis'te I i Chelsea-PSG I Dr.Robert DuWors @DrRobertDuWors-16 Jun 2011 Pepe a Reus E Robert DuWors-Professional Profile&Bio at Ziggs http://mltp.ly/gpptBsk I Expand 4%Reply V4 Retweet *Favorite •••More ©2014 Twitter About Help Terms Privacy a Cookies Ads info Brand Blog Status Apps } Jobs Advertise Businesses Media s ! 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Terms of Use I Privacy Policy Do Your Research — Join to read ratings and reviews from real custc http://www.angieslist.com/companylist/us/ri/tiverton/duwors,-dr.-robert-m.-reviews-75 0516... 4/8/2014 About Us Page 1 of 2 .. _- Assessment and Consultation Services, LLC Dr.Robert M.DuWors,Ph.D. HOME PAGE ABOUT US SERVICES VISIT INFORMATION CONTACT i ABOUT US Robert M.DuWors,Ph.D. Licensed Clinical Neumpsychologist Dr.DuWors is a clinical Psychologist with extensive experience in areas of neuropsychological assessment, forensic assessment and substance abuse assessment. He and his staff also provide a variety of psychotherapeutic modalities. He received his Ph.D.from the Union Institute and University in 1977;completed training in Neuropsychology at the Fielding Institute and completed a post doctoral MS in Clinical Psychopharmacology at Nova Southeastern University. Dr.DuWors has had a fellowship in Psychology at Massachusetts General Hospital in the Department of Psychiatry through Harvard Medical School as well as a fellowship in Neurology at the New England Medical Center.He is currently an Instructor in Psychiatry at Harvard Medical School. a r .a i Liam Murphy I am trained at New England Medical Center and Massachusetts General Hospital.I assess individuals throughout the lifespan with referral questions ranging from traumatic brain injury to learning disabilities to early dementia. http://www.robertduworsphd.com/About—Us.html 4/8/2014 About Us Page 2 of 2 I am engaged in a variety of ongoing research projects HOME • ABOUT US • SERVICES • including cognitive rehabilitation of HIV infected children VISIT INFORMATION CONTACT and adolescents and various types of criminal justice treatment interventions for refractory individuals. ...,nuns cap��fcjn]it.t KOIiLIi rl)Uii'OKiI'111?.i:?.�I. AO riph�•nv nrl http://www.robertduworsphd.com/About—Us.html 4/8/2014 �,,4ervices Page 1 of 2 Assessment and Consultation Services, LLC Dr.Robert-M.DuWors,Ph.D. HOMEPAGE ABOUT US SERVICES VISIT INFORMATION CONTACT MSERVICES 1—i Children, Adolescents, Adults and Seniors 4 Diagnostic Assessment A detailed assessment of a patient's functioning includes testing of the G y•�.� following: Intellectual and academic functioning Behavioral emotional functioning Executive function(problem solving,organization, 4» planning,working memory) II r Language i ,t r Visuo-spatial processing Attention and concentration Verbal and visual learning and memory u j Sensory/Perceptual functioning n, j Motor speed/Strength Personality ty � Consultation and Recommendation A detailed analysis and comprehensive report is presented during follow-up consultation with recommendations for treatment and management strategies. Some of these recommendations may include behavior management,cognitive rehabilitation,psychotherapy or pharmacotherapy. Referral for Neuropsychological Evaluation A neuropsychological evaluation may be helpful in understviding difficulties in cognitive functioning.These may include: ! Emotional or behavioral concerns it Academic difficulties Attention issues ' R Social and communication issues f 4 Autistic Spectrum disorders Y� I Genetic disorders Developmental disabilities Learning disabilities Difficult with memory Head injury or stroke Drug or alcohol addiction Dementia Psychiatric issues An evaluation may also be helpful in assessing: http://www.robertduworsphd.com/Services.html 4/8/2014 -,"Services Page 2 of 2 Eligibility for services,modifications and supports HOME • ABOUT US • SERVICES Monitoring diagnosis VISIT INFORMATION NTACT Monitoring outcomes of intervention strategies „•.......irc5ia.ao+r.annnrau;rru.a?u. Confirm diagnosis All rich'•---d Understand a patient's strengths and weaknesses or learning style to recommend appropriate intervention,strategies and placement. Pediatrics What to Expect A neuropsychological evaluation usually consists of both an interview and testing.During the interview you will be asked about your child's symptoms, medical history,medications and other important factors.Testing involves both written and computerized tests,depending on your child's age.The time required will depend on the reason for referral.In general,several hours are needed which can be done over multiple sessions.Be sure to bring any glasses or hearing devices your child uses on a daily basis.Try to have your child rest and relax before the evaluation.Make sure they take any prescribed medications on the day of their evaluation.A detailed and comprehensive evaluation is presented during the follow up consultation with recommendations for treatment and management strategies. What Skills/Functions Are Evaluated Attention:visual,auditory,tactile Multisensory reception/perception Executive/expression skills:organization, planning,self-direction Memory Speech&language Visual spatial Sensory skills&motor coordination Intelligence Academic achievement Mood/esteem Social skills Conditions for which parents most seek evaluation and treatment: Autism and related pervasive developmental disorders Pediatric brain injury Attention Deficit Disorder Learning disabilities Dyslexia Speech/language disorders Tourette Syndrome Developmental/learning problems associated with Epilepsy/seizure disorders Developmental/learning problems associated with head injury On Site Services Available http://www.robertduworsphd.com/Services.html 4/8/2014 Visit Information Page 1 of 2 Assessment and Consultation Services, LLC Dr.Robert M.Duwors,Ph.D. MOMEPAGE ABOUT US SERVICES VISIT INFORMATION CONTACT NVISIT INFORMATION Children, Adolescents, Adults and Seniors What to Expect A neuropsychological evaluation usually consists of both an interview and testing.During the interview you will be asked about symptoms,medical history,medications and other important factors. T Testing involves both written tests and computerized tests.The time ' required will depend on the reason for referral.In general,several hours are needed which can be done over multiple sessions.Be sure to bring your glasses,hearing aids,or anything else you might need. A Preparing for your first appointment Try to rest and relax before your evaluation.You will likely find the testing to be interesting and the information gathered will contribute to your care.Take whatever medication you are prescribed in the prescribed dosage on the day of your evaluation. Pediatrics What to Expect A neuropsychological evaluation usually consists of both an interview and testing.During the interview you will be asked about your child's symptoms,medical history,medications and other important factors. Testing involves both written and computerized tests,depending on your child's age.The time required will depend on the reason for referral.In general,several hours are needed which can be done over multiple sessions.Be sure to bring any glasses or hearing devices your child uses on a daily basis. Preparing for your first appointment Try to have your child rest and relax before the evaluation.Make sure they take any prescribed medications on the day of their evaluation.A detailed and comprehensive evaluation is presented during the follow- up consultation with recommendations for treatment and management strategies. Scheduling an appointment http://www.robertduworsphd.com/Visit—Information.html 4/8/2014 Visit Information Page 2 of 2 , Contact us to schedule an appointment at your earliest convenience. HOME • ABOUT US • SERVICES • Blue Cross Blue Shield and most Insurance plans accepted. VISIT INFORMATION NTA _'01'. ,,,;a'murokrHo.a�a,. Canceling All riOu m _J. We ask for at least 24 hours notice when you need to cancel or change your appointment.This gives its the opportunity to give an appointment to a patient with an urgent need.Please let us know as soon as possible if you are unable to keep your appointment. Emergencies and after hour emergencies Dr.Robert DuWors is on-call 24 hours a day for emergencies.If you should have an emergency at any time call(877)298-8065. http://www.robertduworsphd.comNisit—Information.html 4/8/2014 Contact Page 1 of 2 Assessment and Consultation Services, LLC Dr.RobertM.DuWors,Ph.D. HOMEPAGE ABOUT US SERVICES VISIT INFORMATION CONTACT ®CONTACT Clinical Assessment And Treatment 1808 Main Road,Tiverton, RI 02878 ph: 401.624.7500 • fx: 401.624.7208 email:clinicaltreatmentCbamail.com www.robertduworsphd.com i2r i s x /000 Matm Rd �. GETOIRECTIONS `Zs4v� .`��...�,Tlrer_te 'n ayya Please contact our office for additional information. First Name: Last Name: Address Street 1: Address Street 2: City: Zip Code: (5 digits) http://www.robertduworsphd.comJContact.html 4/8/2014 Contact Page 2 of 2 State: HOME • ABOUT US SERVICES Daytime Phone: VISIT INFORMATION NTACT c.,,,,.•„,<.,i„.�sa„a u.aonr_a'nwax�k rrn?.c:?u. Evening Phone: All 6sh,--J. Email: ----- -- —-- —� Enter comments here! II= Comments: v Submit IFReset http://www.robertduworsphd.com/Contact.html 4/8/2014 Robert M Duwors Psychologist in Tiverton, Rhode Island Reviews - ThirdAge.com Page 1 of 3 The 50+Womaris Go-To Site for a Healthy Body,Mind,and Spirit Since 1997 SEARCH About I Contact I Videos ®Home,—Psychologist»Rhode Island»Tiverton>>Robert M Duwors Robert M Duwors, LSW PHD HELPFUL ARTICLES Sponsored byVteCh «Go back to doctor search results I S thI th i -------------_._.........-._.______.-._.-.__.__.-__...•_.._.........._.._... • An Age-Friendly Solution to Staying in Click to Display Phone Number Touch Click to Display Fax Number Write a review Doctor Information Address 1061 Fish Rd Tiverton,RI 02878 Directions Information is not currently available Gender Male Specialty Psychologist Category Psychologist CONNECT Education Information is not currently available WITHTH I R DAG E Group Practice Sakonnet Psychological Services Hospital Affiliation Massachusetts General Hospital Website Information is not currently available View Larger Map I Get Directions r F .!Cho, Sign in� 1061 Fish Rdto e i Tiverton,R102878+� Directions-, Save Yew on Google Maps e I Dinin9,��j/�, Rd— mau 1 �00 Map Report a map error http://www.thirdage.com/d/dr/d-1022384/tiverton/rhode-island/robert-m-duwors 4/8/2014 Robert M Duwors Psychologist in Tiverton, Rhode Island Reviews - ThirdAge.com Page 2 of 3 Reviews & Ratings of Robert M Duwors 00 Great Evaluator John Riesling ° 00 September 23,2013 Dr.Duwors did an amazing comprehensive evaluation on my son.He is incredibly knowledgable and his staff is �LY]V��llp as well.I highly recommend him. r t Add Comment Wn1iNJ� Recommended Veronica July 23,2012 jf Very knowledgeable;excellent staff;was seen in a timely manner;office was comfortable.I felt at ease and sure that i was receiving the best care possible. ://hubportgroup.com/portal/Resources/Sliaredlindex. October 18,2013 7 4� Helpful information.Lucky me I discovered your web site by chance,and I'm stunned why this accident did not came about in advance!I bookmarked it. ://hubportgroup.com/portaUResources/Sharedrindex.hbnl://hubportgroup.com/portaUResources/Sharedrindex.html canada goose outlet October 18,2013 can you make an installer for the capes mods.ber class canada goose outlet s:/A&ww.fol io spaoes.org/view/view.php?id=13060 John Junior` -- --� --- — September 7,2013 This guy is a JOKE.He got caught this time(again)for illegal activities and now this mashpee Clinic is shuttered.,,according to the cape cod times. Add Comment Return to Top t Write a Review Your Name(optional) i i Your Email Address(required;hidden from view) Review Title(required) Review Text(required;No HTML) P�f Rating(1 to 5 Stars)(required) 1 Star r' 2 Stars C^ 3 Stars r' 4 Stars 4 5 Stars 3 I 9?8Ica �� Privacy 8 Terms t Compare Robert M Duwors to Psychologists in the Area Dorothy Brown,PHD PSYD Psychology,Clinical Psychologist Tiverton,RI http://www.thirdage.com/d/dr/d-10223 84/tiverton/rhode-island/robert-m-duwors 4/8/2014 Robert M Duwors Psychologist in Tiverton, Rhode Island Reviews - ThirdAge.com Page 3 of 3 Adam Justin Cox,PHD PSY Psychology,Clinical Psychologist Tiverton,RI Anne M Davidge,PHD PSYD Tiverton,RI Psychology,Clinical Psychologist University of South Carolina,1989 John R Pelletier,MA PHD Psychology,Clinical Psychologist Tiverton,RI Boston University,1982 Dennis John Rog,EDD PHD Psychology.Clinical Psychologist Tiverton,RI University of Massachusetts— Worcester,1976 As more fully set forth in this website's terms and conditions,(1)nothing contained on or offered by or through this website should be construed as medical advice and should not be refied upon for medical diagnosis or treatment.ThirdAge Media I.I.C.("TAM"),the provider of this website,does not recommend or endorse any particular healthcare provider whose information or ratings appear on this website;and(2)TAM does not verify the accuracy of the community generated content including by"experts"or"professionals" and(3)TAM has granted you a limited license to access and use this website for your own noncommercial use.You are not permitted to copy,reproduce,distribute,transmit,mirror,frame,scrape,extract,wrap,create derivative works of,reverse engineer, decompile or disassemble any part or aspect of this website. THIRDAGE.COM Questions&Answers Privacy Policy Our Team Sitemap Terms of Service Recent Articles Help Press Room Slideshows For Advertisers Media Kit Videos Copyright 1997•2014 ThirdAge Media,LLC.All rights reserved. GLAM AITH &WELLNE69 BLISS.COM 6 WELLN http://www.thirdage.com/d/dr/d-1022384/tiverton/rhode-island/robert-m-duwors 4/8/2014 Dr. Robert Duwors, Psychologist, Tiverton, RI 02878 Psychology Today's Therapy Dire... Page 1 of 2 s :rapists erapv Groups !atment Centers chiatrists Therapists Log In Sign Up and Get Listed Start Rhode Island Newport County Tiverton 02878 Email Me Dr. Robert Duwors (401) 415-6339 Psychologist ,PhD Sendto Friend 1.. ----- --- -- - ----- ---_---- ----------------------•-- ----------------..---- j About verified by Psychology Today I am a Clinical Neuropsychologist trained at New England Medical Center Location and Massachusetts General Hospital.I assess individuals throughout the Robert M.DuWors,Ph.D lifespan with referral questions ranging from traumatic brain injury to learning 1808 Main Road disabilities to early dementia.I am engaged in a variety of ongoing research I Tiverton,Rhode Island 02878 projects including cognitive rehabilitation of HIV infected children and i (401)415-6339 adolescents and various types of criminal justice treatment interventions for I Email Me Show Map( Nearby Areas refractory individuals.I am an Instructor of Psychiatry at Harvard Medical School. — — --- ------ — Additional Location Take the first step to help.Call or Email Dr.Robert Duwors now-(401) 415-6339 27 Division Street East Greenwich,Rhode Island 02818 (401)415-6339 Qualifications i Show Mep Years in Practice:<1 Year License No.and State:PS00671 Rhode Island _ Specialties Finances •Testing and Evaluation Substance Abuse Avg Cost(per session):$100-$300 •Aspergers Syndrome Sliding Scale:No I Issues: Accepted Insurance Plans: Academic •Addiction • Underachievement •Attention Deficit UBH/United and/or BlueShield •TRICARE i •Alcohol Abuse (ADHD) • BH , Behavioral Issues •Child or Adolescent •Chronic Relapse Coping Skills Verify your health insurance coverage when you arrange Your first visit. i •Depression • Drug Abuse •Dual Diagnosis • Emotional Disturbance •Family Conflict Learning Disabilities •Parenting • Relationship Issues • Self-Harming Sex Therapy i Sexual Abuse •Suicidal Ideation i •Trauma and PTSD •Traumatic Brain Injury i Mental Health: i • Bipolar Disorder •Elderly Persons Impulse Control Disorders Disorders •Mood Disorders •Personality Disorders I Client Focus Age: Children(6 to 10) •Preteens/Tweens(11 to 13) 1 Adolescents/Teenagers(14 to 19) I Adults i Elders(65+) Categories: HIV/AIDS Clients http://therapists.psychologytoday.com/rms/name/Robert Duwors PhD Tiverton Rhode+I... 9/24/2013 Dr. Robert Duwors, Psychologist, Tiverton, RI 02878 Psychology Today's Therapy Dire... Page 2 of 2 Treatment Approach Treatment Orientation: i •Cognitive Behavioral(CBT) •Existential •Gestalt •Mindfulness-based(MBCT) Psychological Testing and Evaluation Modality: • Individuals Couples i • Family Last Modified:05 Jul 2013 Searches containing Dr. Robert Duwors About I Privacy I Terms I Site Index(Mobile I Attention Licensed Professionalsl Sign Up and Get Listed Get included on Psychology Today. ©2013 Sussex Directories Inc.I Psychology Today is©2013 Sussex Publishers,LLC C http://therapists.psychologytoday.com/rms/name/Robert Duwors_PhD_Tiverton Rhode+I... 9/24/2013 1942360342 NPI number—ROBERT MARTIN DUWORS PHD Page 1 of 7 Medical Data Services I Healthcare Lookup Services, NPI Lookup 1942360342 ram, r 1942360342 NPI Number — ROBERT MARTIN DUWORS �_ 0 PHD Free 1 Res6urce Guidli"iI Ithar1'ou •• •.• 21 advanced 1 `abouifCD.� Table of Content Similar Providers • Additional Information • NPI Profile Modification 1518977024—SAKONNET • General Information PSYCHOLOGICAL SERVICES • Detailed Information Practice Location Address: • Driving Directions 1061 FISH RD TIVERTON,RI Additional Information 02878-3103 Practice Phone:401-624-9981 You can get information about the owner of the 1942360342 NPI number—ROBERT MARTIN DUWORS Practice Fax: 401-462-2111 PHD in the'M PDF and Ej TES formats. �)HTML I I QD9 NPI Profile Modification 1225048721—DR. LOUIS ANTHONY CERBO ED.D• You are about to modify NPI profile 1942360342.Click a link below to begin the modification process. Practice Location Address: Modify your profile:Ecrit I Delete I Synchronize 1061 FISH RD TIVERTON,RI General Information 02878-3103 Practice Phone: 401-624-9981 Practice Fax:401-462-2111 NPI Number : 1942360342 Entity Type Code :Individual DHTML I PDF I TXI Provider Name(Legal Business Name) : ROBERT MARTIN DUWORS PHD 1.841587870—ASSESSMENT AND Provider Business Mailing Address CONSULTATION SERVICES LLC First Line :91 CAPTAIN CARLTONS ROAD Practice Location Address: Second Line 1061 FISH RD City :COTUIT TIVERTON,RI 02878-3103 State :MA Practice Phone: 401-624-7281 Zip :02635 Practice Fax: 401-624-7208 Country :US t.)HTML I PD 1 9TXT Telephone Number :508-420-2288 Fax Number :508-477-9334 1487962171 —DARCY SCHULTZ ATR Provider Business Practice Location Address Practice Location Address: First Line : 1061 FISH RD 543 NORTH ST Second Line NEW BEDFORD,MA City :TIVERTON 02740-2782 Practice Phone: 508-984-5566 State RI Practice Fax: Zip :02878-3103 �)HTML I'&PDF I JTXT — Country :US Telephone Number ;401-624-9981 1376651877—JOHN SCOTT Fax Number :508-477-9334 KELCHNER DMD Authorized Official Practice Location Address: Title or Position 1061 FISH ROAD TIVERTON,RI Name 02878-3103 Credential Practice Phone:401-624-6691 Telephone Number Practice Fax: Provider Enumeration Date : 12/08/2006 E)HTML I - iPD I R—TTT Last Update Date :07/08/2007 1760593297—TIVERTON Detailed Information COUNSELING SERVICES Practice Location Address: NPI Number 1942360342 has the"Individual"type of ownership and has been registered to the 1061 FISH RD TIVERTON,following primary business legal name(which is a provider name or healthcare organization name)— 02878-310 RI ROBERT MARTIN DUWORS PHD. 02878 3103 Records indicate that the provider gender is"Male". Practice Phone:401-692-6707 The enumeration date of this NPI Number is 12/08/2006. Practice Fax: NPI Numer information was last updated at 07/08/2007. iDHTML I t'PDF I QTTXT The provider is physically located(Business Practice Location)at: 1061 FISH RD TIVERTON,RI http://www.hipaaspace.com/Medical_Billing/Coding/National Provider Identifier/Codes/... 9/24/2013 i 1942360342 NPI number—ROBERT MARTIN DUWORS PHD Page 2 of 7 02878-3103 Reference Data US The provider can be reached at his practice location using the following numbers: Full replica of the NPPES NPI record: Phone 401-624-9981 Fax 508-477-9334 The provider's official mailing address is: 91 CAPTAIN CARLTONS ROAD COTUIT,MA 02635 US The contact numbers associated with the mailing address are: Phone 508-420-2288 Fax 508-477-9334 The authorized official registered with the"1942360342"NPI Number is. The authorized official title(position)is. You can reach the authorized official at the following phone number. Scope of Practice The following information about the speciality of the provider is available: # Taxonomy Code Taxonomy License Number License Number State 1 103T0000OX Psychologist PSY671 RI Legacy Identifiers For crosswalk purposes,the following legacy(non-NPI)identifiers are available for this provider: # Other Provider Other Provider Other Provider Other Provider Identifier Identifier Type Identifier State Identifier Issuer 1 P04750 OTHER MA BCBS 2 189757 OTHER MAGELLAN MEDICARE ID-TYPE 3 P04750 UNSPECIFIED MA # Field Name Value Description 1 NPI 1942360342 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. Code describing the type of health care provider that is being assigned an NPI.Codes are: 2 Entity Type Individual • 1 = (Person): individual human being who furnishes health care; • 2= (Non-person): entity other than an individual human being that furnishes health care(for example, hospital,SNF,hospital subunit,pharmacy,or HMO). Indicate whether provider is a sole proprietor. • A sole proprietor is the sole(the only)owner of a business that is not incorporated; that unincorporated business is a sole proprietorship. • In a sole proprietorship,the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business. 3 Is Sole Proprietor Y • There is no difference between a sole proprietorship and a sole proprietor;they are legally a single entity: an individual. • In terms of NPI assignment,a sole proprietor is an Entity type 1 (Individual)and is eligible for only one NPI(the sole proprietorship business is not eligible for its own NPI). • As an individual,a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.) • A sole proprietorship may or may not have employees. http://www.hipaaspace.com/Medical_Billing/Coding/National_Provider Identifier/Codes/... 9/24/2013 1942360342 NPI number—ROBERT MARTIN DUWORS PHD Page 3 of 7 • Often,the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W -2s.NPPES does not capture a sole proprietorship's EIN. • Many types of health care providers could be sole proprietorships (for example,group practices, pharmacies,home health agencies). The last name of the provider(if an individual).If the provider is an individual,this is the legal name.This name must match the name on file with the Social Security Administration(SSA).In addition,the date Provider Last Name(Legal of birth must match that on file with.SSA. (First and last names are 4 Name) DUWORS required for initial applications.)The First, Middle,Last and Credential (s)fields allow the following special characters: ampersand,apostrophe, colon,comma,forward slash, hyphen,left and right parentheses, period,pound sign,quotation mark,and semi-colon.A field cannot contain all special characters. 5 Provider First Name ROBERT The first name of the provider,if the provider is an individual. 6 Provider Middle Name MARTIN The middle name of the provider,if the provider is an individual. The abbreviations for professional degrees or credentials used or held 7 Provider Credential Text PHD by the provider,if the provider is an individual. Examples are MD,DDS, CSW,CNA,AA,NP,RNA,or PSY.These credential designations will not be verified by NIPS. Provider First Line Business 91 CAPTAIN The first line mailing address of the provider being identified.This data 8 Mailing Address CARLTONS element may contain the same information as"Provider first line ROAD location address". Provider Business Mailing The City name in the mailing address of the provider being identified. 9 Address City Name COTUIT This data element may contain the same information as"Provider location address City name". Provider Business Mailing The State or Province name in the mailing address of the provider being 10 Address State Name MA identified.This data element may contain the same information as "Provider location address State name". The postal ZIP or zone code In the mailing address of the provider being 11 Provider Business Mailing 02635 identified.NOTE: ZIP code plus 4-digit extension,if available.This data Address Postal Code element may contain the same information as"Provider location address postal code". Provider Business Mailing The country code in the mailing address of the provider being identified. 12 Address Country Code US This data element may contain the same information as"Provider location address country code". Provider Business Mailing The telephone number associated with mailing address of the provider 13 Address Telephone Number 508-420-2288 being Identified.This data element may contain the same information as "Provider location address telephone number". Provider Business Mailing The fax number associated with the mailing address of the provider 14 Address Fax Number 508-477-9334 being identified.This data element may contain the same information as "Provider location address fax number". Provider First Line Business The first line location address of the provider being identified. For 15 Practice Location Address 1061 FISH RD providers with more than one physical location,this is the primary location.This address cannot include a Post Office box. 16 Provider Business Practice TIVERTON The city name in the location address of the provider being identified. Location Address City Name 17 Provider Business Practice RI The State or Province name in the location address of the provider Location Address State Name being Identified. 18 Provider Business Practice 02878-3103 The postal ZIP or zone code in the location address of the provider Location Address Postal Code being identified. NOTE: ZIP code plus 4-digit extension,if available. Provider Business Practice The country code in the location address of the provider being 19 Location Address Country US Code identified. Provider Business Practice The telephone number associated with the location address of the 20 Location Address Telephone 401 624-9981 Number provider being identified. http://www.hipaaspace.com/Medical_Billing/Coding/National Provider_Identifier/Codes/... 9/24/2013 i 19420360342 NPI number—ROBERT MARTIN DUWORS PHD Page 4 of 7 Provider Business Practice 21 Location Address Fax 508-477-9334 The fax number associated with the location address of the provider Number being identified. 22 Provider Enumeration Date 12/08/2006 The date the provider was assigned a unique identifier(assigned an NPI). 23 Last Update Date 07/08/2007 The date that a record was last updated or changed. 24 Provider Gender Code M The code designating the provider's gender if the provider is a person. 25 Provider Gender Male The provider's gender if the provider is a person. The Health Care Provider Taxonomy code is a unique alphanumeric 26 Healthcare Provider 103T0000OX code,ten characters in length.The code set is structured into three Taxonomy Code#1 distinct"Levels"including Provider Type,Classification,and Area of Specialization. 27 Healthcare Provider Psychologist Healthcare Provider Taxonomy#1 Taxonomy 1 Certain taxonomy selections will require you to enter your license number and the state where the license was issued.Select Foreign Country in the state drop down box if the license was issued outside of United States.The License Number field allows the following special 28 Provider License Number 1 PSY671 characters: ampersand,apostrophe,colon,comma,forward slash, hyphen,left and right parentheses,period,pound sign,quotation mark, and semi-colon.A field cannot contain all special characters.DO NOT report the Social Security Number(SSN),IRS Individual Taxpayer Identification Number(ITIN)in this section. 29 Provider License Number RI Provider License Number State Code#1 State Code 1 Primary Taxonomy: Healthcare Provider Primary • X-The primary taxonomy switch is Not Answered; 30 Taxonomy Switch 1 Y • Y-The taxonomy is the primary taxonomy(there can be only one per NPI record); • N-The taxonomy is not the primary taxonomy. 31 Other Provider Identifier 1 P04750 Other Provider Identifier#1 32 OtheTyperi Provider Identifier OTHER Other Provider Identifier Type#1 33 Other Provider Identifier MA Other Provider Identifier State#1 State 1 34 Other Provider Identifier BCBS Other Provider Identifier Issuer#1 Issuer 1 35 Other Provider Identifier 2 189757 Other Provider Identifier#2 36 Other Provider Identifier OTHER Other Provider Identifier Type#2 Type 2 37 Other Provider Identifier MAGELLAN Other Provider Identifier Issuer#2 Issuer 2 38 Other Provider Identifier 3 P04750 Other Provider Identifier#3 ` lVoilhwastern t MEC� `a�L Y a �, Nunewt Passages UL Other Provider Identifier . ` 6 ,d , t 39 TYPe 3 TYPI. crF, f a �3, UNS' .�� 1(Noilit west:• �jr". .t ISRt1ia' k. kt D `.7,Tgrnt�on;s. - 40 Other Provider Identifier State 3 MA Driving Directions to ROBERT MHudson o .flay Language Start Address - � n � � . 71 FE_ng1_,sh__ffl 1S..Diego _ } ,. I 'Canada Manitoba http://www.hipaaspace.com/Medical_Billing/Coding/National_Provider Identifier/Codes/... 9/24/2013 1942360342 NPI number-ROBERT MARTIN DUWORS PHD Page 5 of 7 These directions are for planning wmaia sapRatTewen p g purposes only. Edmonton. You may find that construction projects,traffic,or o other events may cause road conditions to differ from the map results. y. ; ', 618ary Ontaii6 due -------- ._,:. y Winnipeg Vancouver -- ^ F� San Diego,CA t_- - ------ 4Yesh,ngton r ,Montana Dakota 2,962 mi(about 1 day 20 hours) ! Minnesota' . ' r Mo otn 1. Head north 39 ft - south wiaconsio I Dakota �Wew 2. Turn left toward 8th Ave 66 ft Oregon' "r Aiicfiyan _ Ideho Wyoming 3 . Turn left onto 8th Ave 0.2 mi ` Nebraska Iowa. -160aaga' .. ._. .. -- --. .- ----- ~' i Jllipoia Pennsylvania g. Turn left onto G St 0.5 mi States _ Ohio ew.y; Nevada United i Take the California 94 E ML Kin ��' ut�ef, Goloredo west �• / g 0.3 mi Fninpsco 4 /•r Kansas Miss Vagmla Jr.Freeway ramp caGtmnie, _ Kentucky, ,v g_inia ¢. Merge onto CA-94 E 7.9 mi Los a .y v Tennessee North Atkemea- Carolina. Z• Take the exit on the left onto CA- 2.2 mi ! Anenix jMex co Daol6s M ssi;sitlpi Carolina D,al lot o, 125 N San Diego Alabama' Columbia .._`P.., - Texas :Georgia;, $. Take the exit onto I-8 E 272 mi Entering Arizona �_` sen� a. Louisiin , An polo Houston 9. Take exit 115 toward AZ-85/ 0.2 mi i � ,Gull of � Flaritla Phoenix/Ajo �'Ca1 orMa Moafe4y_,� Gul(o/ - ]Q. Slight left onto W Pima St 3.3 mi Mezko " Mexico Havana 11• Continue onto AZ-85 0.7 mi .;. ctitia - -- - 12. Turn left to stay on AZ-85 33.2 mi Guadeigjemos+'`Meneot,• �_. 1,}. Keep right at the fork,follow signs 34.1 mi o J O E/Phoenix and merge onto r ' I10 E t`r6uaternala a c IA. Take exit 147A-147B for AZ-202 0.1 mi Loop E/AZ-51 N 15. Take exit 147A to merge onto AZ- 12.8 mi 202 Loop E 16. Take exit 13 for Country Club Dr 0.3 mi 1Z• Turn left onto AZ-87 N/N Country 73.5 mi Club Dr Continue to follow AZ-87 N Ia. Turn right onto AZ-260 E 52.9 mi 12. Turn left onto AZ-277 N 6.8 mi 21. Turn left onto AZ-377 N/Dry Lake 33.9 mi Rd Continue to follow AZ-377 N 21. Turn left onto AZ-77 N - 3.1 mi 22. Turn right to merge onto I-40 E 775 mi Passing through New Mexico,Texas Entering Oklahoma 2U, Keep right to continue on I-35 N/US 9.9 mi -62 E,follow signs for I-44/Tulsa/ Wichita Continue to follow I-35 N 24. Take exit 138A for Turnpike toward 0.4 mi Interstate 44 E/Tulsa Toll road 2U. Merge onto John Kilpatrick 0.1 mi Turnpike Toll road 26. Continue onto I-44 E 87.1 mi Partial toll road 27. Take the Interstate 44 E/ 0.3 mi Oklahoma 66 E exit toward Joplin 28. Merge onto I-44 E 18.2 mi 22. Keep right,follow signs for I-44 E/ 1.1 mi Joplin/Turnpike Toll road M. Continue straight onto I-44 E 377 mi Partial toll road Entering Missouri http://www.hipaaspace.com/Medical-Billing/Coding/National_Provider Identifier/Codes/... 9/24/2013 i J 942360342 NPI number-ROBERT MARTIN DUWORS PHD Page 6 of 7 • 31. Merge onto I-55 N 0.9 mi 32. Take the I-55 N/I-64 N/I-70 E/ 0.3 mi U.S.40 E exit toward Illinois 33. Merge onto I-55 N/I-64 E/I-70 E/ 2.8 mi US-40 E Entering Illinois 34. Keep left to continue on I-55 N/I- 16.2 mi 70 E 35. Take exit 20A to merge onto I-70 E 78.2 mi toward Indianapolis 33&. Merge onto I-70 E 132 mi Entering Indiana 37. Take exit 69 for I-465 S/I-74 E 2.2 mi 38. Keep right at the fork,follow signs 19.5 mi for Interstate 465 S/Interstate 74 E and merge onto I-465 S/I-74 Continue to follow I-465 S 3.9. Take exit 44B to merge onto I-70 E 167 mi toward Dayton Entering Ohio 40.Take the Interstate 70 E exit 0.3 mi toward Wheeling 41. Keep left at the fork and merge onto 118 mi I-70 E 42. Keep right to continue on I-470 E, 10.7 mi follow signs for Bellaire/ Washington Pa Entering West Virginia 43. Merge onto I-70 E 27.0 mi Entering Pennsylvania 44. Continue onto I-70 E/I-79 S 3.1 mi 45. Continue onto I-70 E 36.4 mi 46. Take the I-70 E exit toward I-76 E/ 0.5 mi Pittsburgh/Harrisburg Partial toll road 47. Take exit 91-359 on the left to 152 mi merge onto I-70 E/I-76 E toward Harrisburg Continue to follow I-76 E Toll road 4$. Take exit 226 to merge onto US-11 2.2 mi N/Harrisburg Pike toward I-81/ Harrisburg Partial toll road 49. Take the ramp onto I-81 N 37.1 mi U. Take exit 89 for Interstate 78 E 0.6 mi toward Allentown 51. Merge onto I-78 E 50.3 mi 52. Keep left to stay on I-78 E 74.5 mi Entering New Jersey 53. Continue onto Interstate 78 10.1 mi Express E Partial toll road 54. Merge onto I-78 E 0.2 mi Toll road 55. Take the exit toward Interstate 95 121 ft N/NJ Turkpike N/Interstate 95 S/NJ Turnpike S Toll road 556. Follow signs for Interstate 95 N/NJ 1.4 mi Turnpike N Toll road 5Z. Take exit ISE-15X-16E-18E on the 0.5 mi left for Interstate 95 toward US 46/Interstate SO/New Jersey 3/ Lincoln Tunnel Toll road 5$. Merge onto I-95 N 12.0 mi Partial toll road http://www.hipaaspace.com/Medical_Billing/Coding/National_Provider_Identifier/Codes/... 9/24/2013 i 19,42360342 NPI number—ROBERT MARTIN DUWORS PHD Page 7 of 7 52. Keep left to continue on Interstate 3.4 mi 95 Express N,follow signs for I-95 N/George Washington Bridge 60. Continue onto Interstate 95 Upper 2.6 mi Level N Partial toll road Entering New York _1. Continue onto I-95 N 5.2 mi U. Merge onto I-95 N 105 mi Partial toll road Entering Connecticut Q. Keep right to stay on I-95 N,follow 59.0 mi signs for New London/Providence Entering Rhode Island §A. Take exit 19 to merge onto I-195 E/ 17.5 mi US-6 E toward E Providence/Cape Cod Continue to follow I-195 E Entering Massachusetts j55. Take exit 8A to merge onto MA-24 S 2.1 mi toward Tiverton R.I./Newport R.I. 5&. Continue onto RI-24 S 2.1 mi Entering Rhode Island 5Z• Take the Fish Rd exit 0.2 mi ¢$. Turn left onto Fish Rd 0.1 mi Destination will be on the right ^ 7- '1 1061 Fish Rd,Tiverton,RI 02878 Map data©2013 Google,INEGI I http://www.hipaaspace.com/Medical_Billing/Coding/National_Provider_Identifier/Codes/... 9/24/2013 Robert Martin Duwors, Phd,NPI number 1942360342, (401) 624-9981 Page 1 of 2 � Office.tei� Home I Contact Us�Link to Us U$Nedital Find: Rhode Island,RI You are viewing:Home Rhode Island Tiverton Robert Martin Duwors,Phd Robert Martin DuWors, PhD '2 NPI Number 1942360342 Online PhD in Counseling Practice Location Business Location I www.Liberty0niineDegrees.com 1061 Fish Rd 91 Captain Carltons Road Tiverton, RI 02878 Cotuit, MA 2635 Pursue your PhD in Professional i I Counseling. Request Enrollment Phone: (401)624-9981 Phone: (508)420-2288 Info Fax: (508)477-9334 Fax: (508)477-9334 I: O ! Electronic Medical Record pncticefusion.com I __—'—--_.----'---------'--'� Free Web Based EMR.No Install.Fully Featured EMR.Join Today! ( i Browse Nearby Other Information Sharon N Homan, R.N. _..._ Enumeration date: 12/08/2006 25 RAILROAD AVE,WARREN RI 02885 Last updat date: 07/08/2007 NPI#_._-.___1003005141 ----------- ..._.._ i NPI deactivation reason code: i Heather Spader, M.D. NPI deactivation date: 01/01/1970 1 593 EDDY ST,PROVIDENCE RI 02903 Taxonomy code: 103T0000OX NPI#1003012188 License number: PSY671 License number state code: RI Dr. anthony J gazzola, DMD Primary taxonomy switch: Y 6810 POST RD,NORTH KINGSTOWN RI 02852 NPI#1003015884 AdChoices[D• ► NPI ► NH Medical ► MD Medical ► Physicians - - - - - ' Cynthia Livsey, LMHC 45 WHISPERING PINES TER,WEST GREENWICH Practice Location Map RI02817 NPI#1003021254 LYNNE MARSELLA, MASTERS 160 BEECHWOOD AVE,PAWTUCKET RI 02860 iNPI#1003021726 ......_ _.._._.._ __._.._...__.. Dr. James Richard Ratcliffe, DDS 10 CHAMBERS STREET,CUMBERLAND RI 2864 NPI#1003026725 _. --- -------- -------........ .. Ms. CHERYL SACHS, MSW, ® ACSW i 2214 PROVIDENCE PIKE,NORTH SMITHFIELD RI Robert Martin Duwors,PhD 4 02696 I i 1061 Fish Rd NPI#1003026980 i Tiverton; RI 02878 (401� 624-9981 i I, at, Share I http://www.usmedicaloffice.com/ri/robert-martin-duwors-phd.1942360342.html 9/24/2013 Robert Martin Duwors, Phd, NPI number 1942360342, (401) 624-9981 Page 2 of 2 .may r Link it on your blog or website, by select all the field below and A COPY. ; I i<a href--"http://www.usmedica[office.com/ri/robert-martin-duwors-phd.1942360342.ht NPI number 1942360342 is assigned to Robert Martin Duwors, Phd. Robert Martin Duwors, Phd is practice in Tiverton, RI 02878 with phone number 5084202288. The number of page view of Robert Martin Duwors, Phd is 23. The NPI number above is maintained by the NPPES. To update the information please contact the National Plan & Provider Enumeration System. Arrest Records: 2 Secrets In siantCheckmate.corn 0 1)Enter Name and State.2)Access Full Background Checks Instantly. Home i Contact Us I Terms of Use I Privacy Policy I Lin o Us ®2013 USMedicalOffrces.com Doctors Search.All rights reserved. The doctor profiled on usmedicaloffice.com are displayed for research purposes only. Page has been loaded in 0.006 s. http://www.usmedicaloffice.com/ri/robert-martin-duwors-phd.1942360342.html 9/24/2013 M n Duwors, Phd,NPI number 1942360342, (401) 624-9981 Page l of 2 I I Home I Contact Us I Link to Us 1 dicalo 'ice.co i. Find: Rhode Island, iYou are viewing:Home Rhode Island Tiverton Robert Martin Duwors,Phd i s Robert Martin DuWors, PhD NPI Number 1942360342 Online PhD in T- -- ----- -- --.�------- ---...—--- --- ------ Counseling ti L i B Practice Location Business Location I I I www.LibertyOnlineDegrees.com 1061 Fish Rd 91 Captain Carltons Road Pursue your PhD in Professional Tiverton, RI 02878 Cotuit, MA 2635 Counseling. Request Enrollment Phone: (401)624-9981 Phone: (508)420-2288 Into I Fax: (508) 477-9334. Fax: (508)477-9334 i I I I i 111 i (I ; Electronic Medical Record i prudcefusion.can Free Web Based EMR.No Install.Fully Featured EMR.Join Today! i ff Browse Nearby j !;IifOther Information . Sharon N Homan, R.N. .._. ...... 25 RAILROAD AVE,WARREN RI 02885 j I Enumeration date: 12/08/2006 NPI 9 1003005141 Last updat date: 07/08/2007 i _.__._._.--.p____.,__._.-....--.._.............-- ! NPI deactivation reason code: i Heather S ader, M.D. I NPI deactivation date: 01/01/1970 593 EDDY ST,PROVIDENCE RI 02903 Taxonomy code: 103T0000OX ! NPI#1003012188 License number: PSY671 , _.. - I License number state code: RI ; Dr. anthony J gazzola, DMD Primary taxonomy switch: Y , 6810 POST RD,NORTH KINGSTOWN RI 02852 NPI#1003015884 i AdChoices>- ► NPI ► NH Medical ► MD Medical ► Phvsicians _. ._....._ Cynthia Livsey, LMHC I i 45 WHISPERING PINES TER,WEST GREENWICH Practice Location Map RI02817 NPI#1003021254----- ---------------------- I LYNNE MARSELLA, MASTERS 160 BEECHWOOD AVE,PAWTUCKET RI 02860 '� ��'` ..;^ � ,�• ,�t�,.r �.�� r .; ,�•a€ .�, u f. Richard Dr. James .---- .. .. ...... ... - � - r NPI#1003021 26 and Ratcliffe, DDS j r,. 10 CHAMBERS STREET,CUMBERLAND RI 2864 NPI#1003026725 - I ----------------------- S{ a t Ms. CHERYL SACHS, MSW, ti61 2214 PROVIDENCE PIKE,NORTH SMITHFIELD RI 02896.- -_..-��- ' j �f.L1, '' y � � , Robert MartinDuWori5 PhOc. ,gsl<.yrrL r :L ! Rpbert Duwors Profile - Cotuit, MA 2635 - Single Location 5796042 Page 1 of 4 �1/. Trick ofa tiny belly ^�V'-'� Y�V V�V�V�1I�/�V�V�`/�V�V•��/�Vi^�^ .{1( t�Stl>:::>1�1�V, Cut down a bit of your belly every *,gip S day by using this 1 weird old tip. FINDTHECOMPANY »COMPANIES AND ORGANIZATIONS »DETAIL EMBED I Last edited Jun 12th 2013 by Find-rheCompany <-- See all Companies --- - -- I Robert Duwors in Cotuit, Massachusetts I Dual Diagnosis Center i Single Location I www.TheTreatmentCenter.com Change Your Life In A Safe Retreat. (508) 420-2288 Review Edit I Call Us 24/7. Insurance Welcome. Address: 91 Captain Carltons Rd, Cotuit, MA, 2635 ? i User I Ratings Adchoices to 0 ratings ! ADVERTISEMENT i INFO 'CORPORATE DATA T` REVIEWS How would you rate Robert Duwors in Cotuit MA? General Information Click Stars to rate, CONTACT INFORMATIO COMPANY PROFILE _ _ Organization vy Robert Dunn' `This listing is for Robert � Be the first to review -- Duwors's Single Location Office Location 91 Captain; i in Cotuit, MA. The Write a review Carltons Rd i company primarily I Cotuit, ( operates in the Offices of Massachus Mental Health Practitioners i 2635 I (except Physicians) I United Stati y I RELATED TOPICS: ....... _ .._.._.. ............._.._....___.._......_._.! Industry. � i County Barnstable DOWNLOAD A BUSINESS REPORT FOR i ' Robert Duwors was ROBERT DUWORS founded in 2001, and is General Phone Number Privately held. i D&B Reports Description Price (508) 420- i Robert Duwors had I Comprehensive Comprehensive Order 2288 i report on credit, I $190,000 in estimated Insight Report Now -- , financial stress, i http://companies.fmdthecompany.com/l/5796042/Robert-Duwors-in-Cotuit-MA 6/13/2013 I Robert Duwors Profile - Cotuit, MA 2635 - Single Location 5796042 Page 2 of 4 revenue (Estimated i and other data). information. ROBERT DUWOR§ I' I A firm's i ( ! Credit Scoring Order EMPLOYEES _ I Robert Duwors employs j likelihood to pay i ; Report Now 0-10 (Show Value) its bills on time. ' BACKGROt, people (Estimated data). I Click Here for Other Available Credit Reports » f NAME TITLE CHECK Robert Of the 0-10 (Show Duwors Principal Get Info Value)total Robert Duwors employees, 0-10 .(Show Value) (Estimated data)are located here at the Single Location. I'> OTHER CONTACT � `INFORMATION ''4. k �.- =i General (508)420- j Phone . 2288 — i FULL CONTACT LIST AME TITLE Premium Robert Du%tWAte frincip I i r_enuires__ —1 OFFICE LOCATION ..i - 04, r Barnstable s i .00 [["__YYA7 m t ��e 4. \ ✓[ .a��(z —_��JT 1_f'` ,, "66d 149 i c r7 s i r 9� outfiR j Marstons i r m lrpl s xNk,. it �m ����t a�� �f� Mills°e—,,.� 28 � a Maslipee r r k r fi�j�� Centerville rM � s� 151 T— y 'd'r c -Coturt j J I � �/ Mashpee�gtver�� i I � tNoo�ands 1 tl r i asf .* r 1 � A = nouthx,�. '• � " I View a map of all Companies and Organizations I http://companies.fmdthecompany.com/l/5796042/Robert-Duwors-in-Cotuit-MA 6/13/2013 Robert Duwors Profile - Cotuit, MA 2635 - Single Location 5796042 Page 3 of 4 Corporate Data INDUSTRIES OWNERSHIP i 1 Offices of Mental Health ( � Year Founded 2001 i Practitioners(except ------- Physicians) j I ` COMPANY SIZE ! REVENUE . i_ Employees 0-10 At This (Show Sales $190,000 I Location Value) i Volume -- — Total Number 0-10 . :. of Employees (Show SIC INDUSTRIES I Value • Psychotherapist, Except M.D. Reviews There aren't any reviews yet. Be the first to write one. Detailed Ratings(optional) 1.Choose a rating Products and/or Services 2.Add a title Employees Customer l Service 3.Write a review Billings and Collections Submit Online PhD in Counseling www.LibertyOnlineDegrees.com Pursue your PhD in Professional Counseling. Request Enrollment Info Adchoices p http://companies.fmdthecompany.com/l/5796042/Robert-Duwors-in-Cotuit-MA 6/13/2013 Robert Duwors Profile ' Cotuit, MA 263.5 - Single Location 5796042 Page 4 of 4 Incorrect data? Please, email us at datasupport@findthebest.com Was this page helpful? Yes Somewhat No Company Network Connect About Partner With Us Team FindTheData FindTheCoupons Follow us on Facebook 4 Contact Us Businesses Content Policy FindTheBest Death-Record Follow us on Twitter / Blog Advertisers Privacy FindThel-isting LocateGrave Follow us on Google+ . Press Jobs Terms Follow us on Linkedln Iin ©2013 Fin_dTheBest.com, Inc. All Rights Reserved. UNITED STATES! —1 I http://companies.fmdthecompany.com/l/5796042/Robert-Duwors-in-Cotuit-MA 6/13/2013 Robert Duwors in Cotuit, MA 02635 - Chamber of Commerce Page 1 of 2 For Businesses:Sian Uo(FREEp I Sin In I Feedbac WCHAMBEROFCOMMERCE,COM Search the Chamber directory of over 14 million businesses nationwide! Your Business...Online (E.G.DENTIST.SPA) (CITY,STATE,OR ZIP) FIND A BUSINESS CHAMBER SEARCH ADVICE BUSINESS TOOLBOX ADD YOUR BUSINESS FAQ Home c Massachusetts n Cotuit n Altemative Healing Practitioners a Robert Duwors Arrest Records: 2 Secrets InstatltCheckmate.com 1)Enter Name and State.2)Access Full Background Checks Instantly. Adcholces tb Robert Duwors. 91 Captain Carltons Rd Cotuit,Massachusetts 02635 I D r (508)420-2288 Found—Robert DuworsA�N 30,000 See Robert Duwors's Phone,Email Address,Social Profiles,and Morel DVANTAGE@ BONUS MILES; Spokeo.convRoberl Duwors ads PLUS REVIEWS DOUBLE MILES 0 ON ELIgBIE AMERICAN AIRLINES PURCHASES' � r i I BASED ON:OREVIEWS The webpage Cann I aAra E � PRINT SAVE TO FAVORITES I DIRECTIONS Most likely causes: ABOUT US: • There might be a t -- -- . Tf vnr r rIirllnei nn n Robert Duwors is located at the address 91 Captain Cantons Rd in Cotuit,Massachusetts 02635.They can be contacted via phone at(508)420-2288 for hours and directions. BUSINESS LOCATION Robert Duwors has an annual sales volume of 501 K-999,999.. X❑ For maps and directions to Robert Duwors view the map above.For reviews of Robert Duwors see below. SPONSORED LINKS HOURS OF OPERATION: No hours available for Robert Duwors CATEGORY: http://www.chamberofcommerce.com/cotuit-ma/40554639-robert-duwors/ 6/13/2013 r Robert Duwors in Cotuit, MA 02635 - Chamber of Commerce Page 2 of 2 Treatment Ads by Google related to:Alternative Healing Practitioners Cotult Massachusetts Call Now.Get Help Call Now.Insurance Accepted,Start Todayl Alternative Healing Practitioners www.treatmentaiternatives.com/ Speech Therapy&Audiology Holistic Health&Healina Passionate about Holistic Healing?Study Online@Home,At Your Own Pace www.naturalhealingcollege.com/Holistic Peter J.D'Adamo.ND Center of Excellence in Generative Medicine-Renowned Naturopath www.generativemedicine.org/ Holistic Cancer Center Specializing in unique akemative treatments for outstanding results. www.newhopemedicalcenter.com/ Services-About Us Extraordinary Healer Heals Any Disease,Any Distance Powerful Healing Testimonials. www.antonioshealinghands.com/ Medical Intuitive-Testimonials Additional Information ;.. ......._... --._... - — -----.—_—_�_. � --- — --1 .Last Updated:1 211 3/2 01 2 USER REVIEWS: This business has not yet been reviewed. 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Adchoices to SITE MAP I FAO I PRIVACY POLICY I TERMS OF USE I ADVERTISE I AFFILIATES]ABOUT I PARTNERS I CHAMBER PARTNER PROGRAM TOP CITIES:ATLANTA I BRONX I BROOKLYN I CHICAGO I CLEVELAND I DALLAS I DENVER I DETROIT I HOUSTON I LAS VEGAS I LOS ANGELES I MIAMI I MINNEAPOLIS I NEW YORK I PHILADELPHIA I PHOENIX I SAINT LOUIS I SAN ANTONIO I SAN DIEGO I SAN JOSE TOP SEARCHES:ATLANTA I BRONX I BROOKLYN I CHICAGO I CLEVELAND I DALLAS I DENVER I DETROIT I HOUSTON I LAS VEGAS I LOS ANGELES I MIAMI I MINNEAPOLIS I NEW YORK I PHILADELPHIA I PHOENIX I SAINT LOUIS I SAN ANTONIO I SAN DIEGO I SAN JOSE ®2013 CHAMBEROFCOMMERCE.COM http://www.chamberof6ommerce.com/cotuit-ma/40554639-robert-duwors/ 6/13/2013 ti Robert Duwors in Cotuit, MA 02635 - Chamber of Commerce Page 1 of 2 For Businesses:Sign U (FREEI)I Sinn In I Feedback CHAMBEROFCOMMERCE.cOM Search the Chamber directory of over 14 million businesses nationwidel Your Business...Online (E.G.DENT)ST.SPA) fC)TY,SrArE,ORZ)P) FIND A BUSINESS CHAMBER SEARCH ADVICE BUSINESS TOOLBOX ADD YOUR BUSINESS FAQ Home»Massachusetts a Cotuit Alternative Healing Practitioners a Robert Duwors Arrest Records:2 Secrets InstantCheckntate.com 1)Enter Name and State.2)Access Full Background Checks Instantly. Adcholces Lb Robert Duwors 91 Captain Carllons Rd ( Cotuit,Massachusetts 02635 (508)420-2288 Found—Robert Duwors XARN 30,000 See Robert Duwors's Phone,Email Address,Social Profiles,and Morel DVANTAGE@ BONUS MILES" Spokeo.conVRobeA Duwors ads PLUS REVIEWS DOUBLE MILES 0 ON EL1GiBLE AMQt[CAN AIRLINES PURCHASES' ARUN j BASED ON:OREVIEWS The webpage Cann t1HT13K .e , PRINT SAVE TO FAVORITES DIRECTIONS I Most likely causes: . There might be a t ABOUT US: _ Tf rlir inrl nn Robert Duwors is located at the address 91 Captain Cantons Rd in Cotuit,Massachusetts 02635.They can be contacted via phone at(508)420-2288 for hours and directions. BUSINESS LOCATION Robert Duwors has an annual sales volume of 501 K-991 a For maps and directions to Robert Duwors view the map above.For reviews of Robert Duwors see below. SPONSORED LINKS HOURS OF OPERATION: No hours available for Robert Duwors CATEGORY: http://www.chamberofco=erce.com/cotuit-ma/40554639-robert-duwors/ 6/13/2013 Robert Duwors in Cotuit, MA 02635 - Chamber of Commerce Page 2 of 2 Treatment Ads by Google related to:Alternative Healing Practitioners Cotult Massachusetts Call Now.Get Help Call Now.Insurance Accepted,Start Todayl Alternative Healing Practitioners www.treatmentalternatives.com/ Speech Therapy&Audiology Holistic Health&Healing Passionate about Holistic Healing?Study Online@Home,At Your Own Pace www.naturalhealingcollege.com/Holistic Peter J.D'Adamo.ND Center of Excellence in Generative Medicine-Renowned Naturopath www.generativemedicine.org/ Holistic Cancer Center Specializing in unique alternative treatments for outstanding results. www.newhopemedicalcenter.com/ Services-About Us Extraordinary Healer Heals Any Disease,Any Distance Powerful Healing Testimonials. www.antonioshealinghands.com/ Medical Intuitive-Testimonials Additional Information Last Updated:12/13/2012 USER REVIEWS: i This business has not yet been reviewed. SpringHill Suites@ Man-iott.com/SpringHillSuites . Spacious Suites w/Free Breakfast&Internet.Book SpringHill Suites. Adchaces to SITE MAP I FAQ I PRIVACY POLICY I TERMS OF USE I ADVERTISE I AFFILIATES I ABOUT I PARTNERS I CHAMBER PARTNER PROGRAM TOP CITIES:ATLANTA I BRONX I BROOKLYN I CHICAGO I CLEVELAND I DALLAS I DENVER I DETROIT I HOUSTON I LAS VEGAS I LOS ANGELES I MIAMI I MINNEAPOLIS I NEW YORK I PHILADELPHIA I PHOENIX I SAINT LOUIS I SAN ANTONIO I SAN DIEGO I SAN JOSE - TOP SEARCHES:ATLANTA I BRONX I BROOKLYN I CHICAGO I CLEVELAND I DALLAS I DENVER I DETROIT I HOUSTON I LAS VEGAS I LOS ANGELES I MIAMI I MINNEAPOLIS I NEW YORK I PHILADELPHIA I PHOENIX I SAINT LOUIS I SAN ANTONIO I SAN DIEGO I SAN JOSE ®2013 CHAMBEROFCOMMERCE.COM hq://www.chamberofco=erce.com/cotuit-ma/4055463.9-robert-duwors/ 6/13/2013 Home Page Page 1 of 1 Home Page About Its Services Cotuit Center _ Contact --"' Mashpee Mental Health Center Dedicated To Providing Comprehensive Mertta.l. Health s ,• Counseling Services We Provide A Wide Range - of Mental Health Services „l'•'�f Individual.and Group Therapy 1 Couples Counseling.�: Dual Diagnosis Counseling Marriage and Family Therapy f " Multiple Family Group Psychological Testing Neumpsychological Evaluations �lt at Sexual Abuse/Trauma Psychiatric Consultation School Consultation HOME • ABOUT US SERVICES CONTACT ' Content Copyright 2012 MASHPEEHEALTHCENTER.COM. All Rights Reserved. http://www.mashpeementalhealthcenter.com/ 6/13/2013 `Home Page Page 1 of 1 Home Page About Us Services Cotuit Center Contact l "1 = Mashpee Mental Health Center Dedicated To Providing Comprehensive Mental Flealth Counseling Services We Provide A Wide Range of Mental Health Services ill •^ Individual and Group Therapy Couples Counseling Dual Diagnosis Counseling Marriage and Family Therapy Multiple Family Group Psychological Testing \europsychological Evaluations `. Sexual Abuse/'Trauma ' Psychiatric Consultation \ School Consultation • HOME • ABOUT US SERVICES CONTACT Content Copyright 2012 MASHPEEHEALTHCENTER.COM. All Rights Reserved. http://www.mashpeementalhealthcenter.conVHome_Page.html 6/13/2013 `.Services Page 1 of 1 Home Page About Us Services Cotuit Center Contact SERVICES I Office Hours g Services Designed Monday-Friday Especially for: 9:00arn-6:00pm We Accept All Major - r k ; Group Homes Insurance Plans Sober Homes ♦�, f Private Schools ! Community Programs t. V f Additional Services: Case Consultation Psychological Assessment F. "'1 Pharmacotherapy Crisis Consultation Program Development Assistance HOME • ABOUT US • SERVICES • CONTACT Content Copyright 2012 MASHPEEHEALTHCENTER.COM. All Rights Reserved. http://www.mashpeementalhealthcenter.com/Services.html 6/13/2013 ''About Us T Page l of 1 r i i I E t � s y I I r r l Home Page About Us Services Cotuit Center Contact i ABOUT US I Our Mission i I To provide high quality mental health services to the community and underserved populations across die lifespan.We seek to provide a place of learning, research and training for our students, staff and general ' public. i Our Staff Consists of a multidisciplinary team composed of the various clinical specialties that are involved in the training of mental health I professionals and conducting behavioral research studies in collaboration with their treatment agencies and educational institutions. I , Our Services i i I We offer confidential office-based and site-based services,e.g.Schools or t Group Homes. Our staff works collaboratively with other agencies, 6 physicians and professionals to provide the most effective treatment and care. r HOME • ABOUT US • SERVICES • CONTACT Content Copyright 2012 MASHPEEHEALTHCENTER.COM. All Rights Reserved. http://www.mashpeementalhealthcenter.com/About_Us.html 6/13/2013 "Cotuit Center Page 1 of 2 i i i Home Page About Us Services Cotuit Center Contact I The Cotuit Center COTUIT CENTER Treatment Facility For Adults With Dual Diagnosis Issues Amon The Cotuit Center The Cotuit Center, a part of the Mashpee Mental Health Center, provides residential care to post-detoxified, chemically dependent adults. The program and its highly skilled staf offer added expertise m treating individuals whose substance abuse is complicated by psychiatric illness. Clients in the residential program may be admitted from the community or following a brief inpatient stay. Residential clients participate in a structured program on a daily basis with Master level Clinicians.Treatment length of time varies per resident, with a minimum expected stay of one month and many choosing to remain in residential treatment six months or longer. Our Services Individuals receive a mental health evaluation by a licensed clinician, have access to a Mashpee Mental Health Center Staff Psychiatrist and other prescribers expert in the treatment of dual diagnosis disorders. Treatment includes the following: Twice weekly individual psychotherapy and daily group therapy and/or Twelve Step Program participation, along with milieu therapy are essential components of the holistic treatment experience. These services are reimbursable through insurances, and residents are asked to pay a fee to support their housing expenses,which in some instances is reimbursable through insurances,on a case by case basis. Please contact Mashpee Mental Health Center to learn more about these services and to make application for admission.We accept all major insurance plans. http://www.mashpeementalhealthcenter.com/Cotuit_Center.html 6/13/2013 S:Cotuit Center Page 2 of 2 Phone 508-477-5488 Nix'b08=477=9334 ---�—�--'�----'"-- Mashl!eeMentatHealth@gmaii.com Our Staff A part of Mashpee Mental Health Center,all staff have been trained by Robert DUWors,Ph.D.,Instructor in Psychiatry at Harvard Medical School in his Rhode Island research center in Mindfulness and Neurofeedback techniques,which are also made available to residents as adjunctive treatment interventions which are also integral aspects of the services provided residents.There are two onsite staff members and a maximum number of ten residents. Program Features Individual Psychotherapy Group Therapy Twelve Step Program Participation Milieu Therapy Illness Management Life Skills Education After Care Assistance Relapse Prevention Self-help Meetings Yoga Therapy and other Relaxation Techniques HOME • ABOUT US • SERVICES CONTACT Content Copyright 2012 MASHPEEHEALTHCENTER.COM. All Rights Reserved. http://www.mashpeementalhealthcenter.com/Cotuit_Center.html 6/13/2013 ,a Robert Duwors Own This Business? Edit Company Info 91 Captain Carltons Road Cotuit, MA 02635 mar) Ads • Addiction Treatment A way to treat your addiction with-out addictive medicine. Learn more. www.treatingopioidaddiction.com • The ads are not affiliated with Robert Duwors About Robert Duwors Phone: (508)420-2288 1 Website: Information not found Is this your company? Claim This Profile Top 5 Psychotherapists near Cotuit, Massachusetts 1. Robt H Dimitri 2. Robert R Fournier 3. Family Therapy Center 4. Jacqueline Durette 5. Edwards, Betsey A 1. » See All Psychotherapists More Details for Robert Duwors Robert Duwors in Cotuit, MA is a private company categorized under Psychotherapists. Our records show it was established in 2001 and incorporated in Massachusetts. Register for free to see additional information such as annual revenue and employment figures. Company Contacts Is this your company? Claim This Profile Robert Duwors Principal • Search for more contacts Business Categories o Psychotherapists in Cotuit, MA o Health Practitioner's Office o Offices of Mental Health Practitioners (except Physicians) Robert Duwors Business Information Business Information State of Massachusetts Incorporation Locates' &2- &jZ=jmView Annual Rv �1�s� ate 6NVrQfcVjglMental Health Practitioners (except 4Physicians) Employees 4 ** Years in Business 12 • Products or Services Is this your company?Add Your Products and Services Companies like Robert Duwors usually offer: Child Psychotherapists, Catholic Psychotherapists, Somatic Psychotherapists, Multilingual Psychotherapy and Behavior Psychotherapy. Do You Work Here or have some other connection? Write a Recommendation Follow This CompanvYou're Followingstop What Companies Are Saying Explore companies like - Robert Duwors 0 Search outside U.S. Search in U.S. search in U.S. K In nearby cities • Cotuit, MA Psychotherapists (1) • Marstons Mills,MA Psychotherapists (3) • Mashpee,MA Psychotherapists (4) • Osterville, MA Psychotherapists (2) • Centerville, MA Psychotherapists (1) • West Barnstable, MA Psychotherapists (4) • Forestdale, MA Psychotherapists (3) • Hyannis,MA Psychotherapists (4) • Barnstable, MA Psychotherapists (1) • Sandwich,MA Psychotherapists (2) Related searches • Other companies that match "Robert Duwors" • Jobs in Cotuit, eMa All U.S. Psychotherapists » Other companies on Manta • Robt H Dimitri Psychotherapists in Forestdale, MA • Robert R Fournier Psychotherapists in Forestdale, MA • Family Therapy Center Psychotherapists in Forestdale, MA • Jacqueline Durette Psychotherapists in Marstons Mills, MA • Edwards, Betsey A Psychotherapists in Marstons Mills, MA Add your company for free. 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P• orPOBox---- 4 � � City,Stet ZIP+4 D , r- - MI Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years t Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000.9047 I Town of Barnstable o Regulatory Services Thomas F.Geiler,Director * HARNS'ABIE• ' Building Division MASS. 9� 039. Tom Perry, Building Commissioner �Ev g A 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 - c May 15, 2013 Mashpee Mental Health Center Robert M. Duwors 400 Nathan Ellis Highway Mashpee,Ma 02649 Re: Zoning Complaint Property ID: Map 038 Parcel 034 Locus: 91 Cap'n Carleton's Rd, Cotuit Zoning: RF Single-family Residential Zone Dear Mr.Duwors, Please be advised that this office has received numerous complaints concerning your property located 91 Cap'n Carleton Road. Our records identify this dwelling to be a 3 bedroom single- family home located in the RF residential zone. The complaints lodged claim there are too many occupants andpmultiple vehicles at this address. In residential districts, occupancy is limited to members of a single family and typically all parties are related by blood or marriage.,The proper number of bedrooms and corresponding septic capacity must be factored into the equation in order to determine the maximum allowed occupancy of all homes. I must also advise you that the property is not a registered rental per the requirement of our local ordinance and therefore has not been inspected by the Health Division to ensure its compliance with the state sanitary code. Please call to arrange an inspection by both zoning and health officials. I am available directly at 508-862-4027 and I will gladly coordinate this effort on your behalf. erely, Rob' C. Anderson Zoning Enforcement.Officer q JAIllegal Apartments\91 Cap Carelton Rd Duwors letter 04242013.DOC i SENDIER:C0dPLETETI�ISSfjCTI0N COMPLETE THIS SECTION ON DELIVERY I ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. X ent Ag ■ Print your name and address on the reverse Addressee so.ttiat we can return the card to you. B. Received by(Printed Name) C: f eli ry ■ Attach this_card to the back of the mail piece, or on the front if space permits. D. Is delivery address different from item 1? s 1. Article Addressed to: If YES,enter delivery address below: 13 No S I Q� ► IV; n �""" ''1'�►'^^�"`I I trvice Type 4( certified Mail O Express Mail Hrj k ;Ip� VLF. - 09( 0 Registered 19 Return Receipt for Merchandise 13 Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) p Yes 2.,Article Number, I I r r : : r a r ; (rransfer from service labeq Ill, t 1,7 Q121 1 Q 1,0 0 0 0 0 i 2 8'4 11,7 41 v I PS Form 3811,.Feb�u.ry 2004. i E ! Domestic Return Receipt 102595-02-M-1540 m , , i UNITED STATE , a�a "•`.'le . G'r�'."t... 4wM�:� '.4;... °".' �°�8 5 lvlFlf""°"c'¢ ^: ': , st�gkfs • Sender: Please print your name, address, and Z1 in this box • i i TOW OF BARNSTABLB BUILDING DIVISION "0 MAIN ST. HYAN NIS,MA 02601 I I I I I I I 1i11 J(,1 III III a11111111 Ili,"111i1i,111111111i1111111111'1u1'1 i ,�. NAME OF OFFENDER - B A R 14 s ' I TOWN OF ADDRESS OF OFFENDER t -.Lt •f 1 "l + (� 4 i BARNSTABLE CITY.STATE•ZIP CODE ;; '+ '1 � 1NE rq MV/MB REGISTRATION NUMBER OFFOSE XAX\:l'AN I.E. Y ✓ j[ •?... r ii �..g.- �1 J �' •✓. ` - ; 1�4JL/"v J �t -a .l'1i.{si.�'l t...�..•�t •J',,•,��.4-.r+,..r (i:Tl.! �N r 'v' U 63 1 4 ¢. ED wF► i�f'"! lYf as rF T'r�'lr�. 1./ r v ?w r( �,t✓isS,�Zv�^�. �`3 r TIMEAND DATE OF VIOLATIOH'a '* LOCATION OF VIOLATION' r ,,,..,NOTICE OF (d,M'G-P,M.)ON f 20 -�, !,,,�;,,t�,✓ (1c\,1-e fr,ry s. u r41 SIGNATU�,F DR.FNFORCING PERSON' R .s... � fl ` ENFORCING 0, a. BADGE NO. U VIOLATION 1 rt� �c.. �y Fb•L� �.�t. '' !a' I TOWN HEREBY ACKNOWLEDGE RECEIPT OF CITATION X ILL f ORDINANCE Unable to obtain signature of oftP�nder. THE NONCRIMINAL FINE FOR THIS OFFENSE IS Z i i � =C Date mailed t. u _,-:, LL t'c R YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL "z DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LL REGULATION a (1)You may elect to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal.holidays excepted,. LL before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Bamstable Clerk,P. Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. n I.yF �2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST. � ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREEETT ARNS ABLE,MA 02630,Attn:210 Noncriminal Hearings and enclose a copy citation for a hearing. �- 3 If you fail to a the above offense or to request a hearing within 21 days,or if O y pay q g ay, you fail to appear for the hearing or to pay.am," - hearing to be due,criminal complaint may be issued against you. c` ❑ I HEREBY ELECT the first option above,confess to the offense-charged;and enclose paymme t.- ` Signature NAME OF OFFENDER f- - r l) ,r"V. BAR ." - r' .sr�-.:ram, tp, TOYWN OF ADDRESS OF OFFENDERy ;_,S ,; xxx...zz� nr MV/M8 REGISTRATION NUMBER - - �1NE rq� � � � • OFFENSE •'�'1+i�''�' ,.{t i •^�•=1..• `17,,r•,•'-^ / fi'.,rN�7 Uj y t /Y iw.'4 - .I{.,.(1f4'� /j J �•'.%L-.. .r2• 6..r• . 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'- CD W OF TOWN I HEREBY ACKNOWLEDGE.RECEIPT OF CITATION X a a 0`Unable to obtain.sig of offender. � OR'DINANCE ,. : THE NONCRIMINAL FINE FOR THIS OFFENSE IS t W Date mailed w FOR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL y DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w "`REGULATION kn �. , (1)You may sled to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 der Monday through Friday,legal holidays excepted, LLaj ...1 before:The Barnstable Clerk,200 Main Street,Hyannis,-MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P. Box 2430, CL Hyannis;MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. �~ VAR 2 If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630.Attri:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. a., (3)If you fail to pay the above offense or to request a hearing within 21 days,or H you fail to appear for the hearing or to pay any fine determined at the f• hearing to be due,criminal complaint may be Issued against you. I '•-` ❑ I HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of S Signature Imo---- ------ -• ----- COMPLETE THIS SECTION ON DELIVERY i�,�DtR:.COMPLETE-THIS SECTION Iii Complete items 1,2,and 3:Al'so complete A. Signature item 4 if Restricted Delivery is desired: X ❑Agent ■ Print your name.and address on the reverse ❑Addressee so that.we can return the card to you. B. Rec (P kited Name) C. D to of D livery ■ Attach'this card to the back of the mailpiece, f` ,1 or on the front if space permits. v" ' D. Is delivWaddress different from Rem 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No Robert Duwors �. PO Box 1292 . = Mashpee,-MA 02649 3. Service Type -Certified Mail ❑ Express Mail ❑Registered ❑ Return Receipt for Merchandise ❑insured Mail ❑C.O.D. i %T1 4. Restricted Delivery?(Extra Fee) ❑Yes z:'Argcle 1 7008 3230 �0002 5178 061i ((� sfer-from service labeQ fiom PS Form 3811, February 2004 -Domestic Return`Receipt io2595-02-M-1540 CERTIFIE® RECEIPT Lr) :i (Domestic Mail Only,-t4O insurance coverage Provided) • F HPostage $ Lr] Certified Fee / 0 Postmark, E3 Return Receipt Fee Here O (Endorsement Required) i iv�nl C3 Restricted Delivery Fee n1 — �. N 'i (Endorsement Required) m rU Total Postage&Fees. $ rM i Sent T I cp F O Apt.No.; R ---- -------------- - -�------- PO ox or PO B No. 1 i Town of Barnstable �pFVE rpN, Barnstable ti Regulatory- Services p� Thomas F. Geiler, Directo AbAmwicaMtV r Public Health Division I 1639. Thomas McKean,Director 2007 200 Main,-Street Hyannis, MA 0 01 Office: 508-862-4644 1 Fax_: 508-790-6304 October 31, 2012 Robert Duwors PO Box 1292 Mashpee, MA 02649 As of October 1, 2006' a knew rental registration ordinance was put into affect requiring all property owners' of rental- units to register their rental units with the Town 'of Barnstable Health Division. Once registered all rental properties will receive a yearly inspection to insure no Massachusetts State Sanitary::Code or Town of Barnstable Ordinance violations exist. According to our records, you own.the rental property at 91 Cap'n Carleton's Road Cotuit, MA. Enclosed is an application. `If dwelling.is occupied, you must provide occupants name(s). Also provide the occupant's contact phone number for inspection scheduling purposes. Please use a separate application for each r..erital unit you own. Should you need more applications, they are available online at www.town.barnstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate 2010 fees included. This must be completed within (14) fourteen days of your receipt of this letter. Failure to comply with this ordinance will result in the issuance of a non-criminal ticket citation.in the amount of$100. Each day of non-compliance is considered a separate offense. Should you have any-questions, please feel free to call 508-862-4644. Thank you in advance for your cooperatio i i Timothy . O'Connell, R.S. C\ , Health Inspector Health Division Direct#508-862-4646 aster Detail - '� Page I of l Logged In As: TOWN\oconnelt Health Master Detail Application Center Parcel Lookup. Selection Items Tuesday, October 30 2012 Parcel Septic Perc Well Fuel Tank Parcel: 038-034 Location: 91 CAP'N CARLETON'S RD, COTUIT Owner: DUWORS, ROBERT M Business name: i Business phone: Rental property: [ i Deed restricted: G Number of bedrooms Contaminant released: C I Fuel storage tank permit: Save-Parcel Chan es 9 ` Return to •Lookup I Parcel Info Parcel ID: 038-034 ' Location:91 CAP'N CARLETON'S RD Developer lot:LOT 14 Secondary road:CAP'N SAMADRUS ROAD Primary frontage: 126 Village:COTUIT Secondary frontage: 122 Town sewer exists at this address: No Fire district:COTUIT Road Index:0226 Asbuilt Septic Scan: 038034_1 Interactive map:ms Town zoneof contribution: AP (Aquifer Protection Overlay District) State zone of contribution:OUT Owner Info Owner: DUWORS, ROBERT M Streets:PO BOX 1292 Co-Owner: City:MASHPEE Street2: Deed date: 12/15/1988 State:.MA Zip: 02649 Country: Land Info Acres: 0.54 Use: Single Fam MDL-61. Deed reference:C116476 Topography: Zoning:RF Neighborhood: 0106 Utilities: Road: Construction Info 1 Building No ear Buil Gross Area Living Area Bedrooms Bathrooms Location: 1978 2786 1634 3 Bedroom 1 Full + iH Buildings value:$138,800.00 Extra features: $27,600,00 Land value: $140,800,00 Ii http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=03R014 /Web Request Page 1 of 3 L" Logged In As: TOWN\oconnelt Citizen Request Management Tuesday,October 30 2012 Route to Users Search Requests Create Requests Request Information Request ID: 415E Created: 10/26/2012 4:18:11 PM Status: AssStaff Assigned To: O'Connell,Timothy Health Office Anonymous: Yes Request Category: Chapter 170 : Housing Overcrowding edit Routine work: No Estimate: No edit Date scheduled: Estimated it 9 2012 edit / / Change Estimated Completion Completion Date: Oct November 2012 Dec Date: Sun Mon Tue Wed Thu Fri Sat 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 z7 28 29 30 1 2 3 4 5 6 7 8 Created By: Parvin, Lindsay Priority: Health Office Medium edit Citation Numbers: edit Requesto:rI:n formation Requestor Request DETAILS: LOCATION: 91 CAP'N CARLETON'S RD Cotuit, Ma 02635 Request Parcel Number Requestor a reports that the home Map: 03 I 8 Block: 034 I Lot: 000 ; is a rental and suspects that it is being used to house former convicts and sex offenders. Requestor reports Parcel Lookup I that people are constantly being i picked up and dropped off at the residence at all hours of the day and night. Email: i Edit Reouestor Information j http://issgl2/intemalwrs/WRequest.aspx?ID=41533 T t oFE r Town of Barnstable Regulator . Services Public Health Division BARNSrABMASS IEg Thomas McKean, Director `bAT i639 d`� 200 Main Street Ep MA'S Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 I September 11, 2013 Robert Duwors PO Box 1292 Mashpee, MA 02649 On October 31, 2012 you were ordered to register your rental located at 91 Cap'n Carlton's Road, Cotuit; MA. Then-on June 13, 2013 you were issued a non criminal ticket citation for $100 due to your failure to register your rental units. You are again ordered to register this rental unit within (7) seven day of your receipt of this letter. Enclosed is an additional $100 non criminal ticket citation due to your failure to comply. As of October 1, 2006 a new rental registration ordinance was put into affect requiring all property owners of rental units to register their rental units with the Town of Barnstable I Health Division. Once registered all rental properties will receive a yearly inspection to insure no Massachusetts State Sanitary Code or Town of Barnstable Ordinance violations exist. Enclosed is an application. If dwelling is occupied, you must provide occupants names . Also PP g � P � Y P P ( ) � provide the occupant's contact phone number for inspection scheduling purposes. Please use a separate application for each rental unit you own. Should you need more applications,they are available online at www.town.bamstable.ma.us. Go to the Health Division page by looking in the Department Menu. There is a link to the Rental Registration information on the Health Division page. You may print out as many as you need, and return them to the Health Division with the appropriate fees included. Failure to comply with this ordinance will result in the issuance of additional non- criminal ticket citation in the amount of $100. Each day of non-compliance is considered a separate offense. i f Should you have any questions, please feel free to call 508-862-4644. Thank you in advance for your.cooperation. omas McKean,R.S.,C Director of Public Health Town of Barnstable I n Town of Barnstable Regulatory Services + BARNSrABLE, MASS Thomas F. Geder, Director1 . i Public Health Division I Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 1 Office: 508-862-4644 ^1 508-79 6304 Date: September 23, 2013 I Bar(s): 70766 1 Name of Offender: Robert Duwors Location of Violation: 9-1 Cap'n Carleton's Road Cotuit, MA i Date(s) of Violation: June 13, 2013 j -Violation(s): Town of Barnstable Board Code § 170-4. Failure to register rental properties. ' Facts: On-October 31, 2012 a certified letter was sent to said offender explaining the rental ordinance. According to United States Postal Service records, said offender.signed for this letter at 8:52am on November 24, 2012. Due to the lack of response from Mr. Duwors a$100 citation was issued to said offender on June 13, 2013 I - i . i The Health Division feels that approximately eight (8) months is ample time to either inform us of his rental citation or comply with said ordinance. Furthermore, due to the lack of response or compliance coupled with a three (3) month period since first citation was issued a second$100 citation(70774) was issued to said offender on September 11, 2013 I i Respectfully Submitted, l Timothy B. O'Connell, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 (508) 862-4644 i i 1 P�oFTHE ro Town of Barnstable STAB Regulatory Services i659. �� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 . Date: December 26, 2013 Bar.(s): 70774 .Name of Offender: Robert Duwors-._-._ .- _— - ... _- - - ._._.. ---- --------...-------- -- --- Location of Violation: 91 Cap'n Carleton's Road Cotuit, MA . Date(s) of Violation: June 13, 2013 Violation(s); Town of Barnstable Board Code § 170-4. Failure to register rental properties. Facts: On October 31, 2012 a certified letter was sent to said offender explaining the rental ordinance. According,to United States Postal Service records, said offender signed for.this:letter at 8:52am on November 24, 2012. Due to the lack of response from Mr. Duwors a$100 citation (Bar 70766) was issued to said offender on June 13, 2013 The Health Division feels that approximately eight(8) months is ample time to either inform us of his rental citation or comply with said ordinance. Furthermore, due to the lack of response or compliance coupled with a three (3) month period since first citation was issued a second $100 citation (70774) was issued to said offender on September 11, 2013 Respectfully Submitted, Timothy B. O'.Connell, RS Health Inspector Town of Barnstable 200 Main Street Hyannis, MA 02601 (508.) 862-4644 i Citations — Duwors 91 Carleton , Cotuit Health 70774 Hearing 2/7/2014 Friday Health 70766 Arraignment 3/26/2014 Weds. Zoning 74129 Arraignment 3/26/2014 Weds. Zoning 74130 Arraignment 3/26/2014 Weds. Ask to have BAR# 70774 included in the arraignment on 3/26/ 14 If he does not appear . i ; CERTIFIED MAIL. RECEIPT F <Fi k BAR ; Postage $ Certified Fee a j J Return Receipt Fee fJ a MV/MB REGISTRATION NUMBEA �t _ p (Endorsement Required) \� S 1] "C Restricted Delivery Fee '(Endorsement Required) ! �1 \�\� i 1c..^ P71�` W II �. p Total Postage&Fees _Q a " CATI OF VIOLATIO Z I _ ,20 {3 L Sent To ru /� ,and`/ [1 �— r� -- -------- _ - I 1 BADGE N0. W I O Street,Apt.No.; _ / U or PO Box.No. I V CD Citgi-o" Stteiii. ziP+a D TION X ~' < eD tr THE NONCRIMINAL FINE FOR THIS OFFENSE IS S �-IN ~ ' C LUYOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2J WILL OPERATE AS A FINAL a REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P..M.,Monday through Friday,legal holidays excepted, y before:The Barnstable Clerk, W Main Street,Hyannis,MA HE D or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a 1. Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. - (2)If you desire to contest this matter in a noncriminal proceadin ,you mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST I BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREE�BARNS TABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this ) citation for a hearing. i (e ri you fail to pay the above offense or to request against within 21 days,or ff you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. � I ❑ 1 HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of S Signature . .- NAME OF OFFENDER ( F:k• 1 I. - - - .. _ �rFC\,J),' TO_ - -OF ADDRESS OF.O NOER - - f LE CITY;STAB t , `ci•� rgy, _ - f MV/MB REGISTRATION.NUMBER- I _ ' ":eAii\�TABIl. pFFJ7dSE �F0 MASS.-. C �� J i � ! _ t }r�• _.. 79-'`�?i' t„'-1 � '.'F �� 'i-tt :_ 1 L�T(-1•y«f`,!. •`-(,Lr?'tlll - n.� - FVrS� a"' ' 1 -TIME GATE OF�VIOLA,}M N - ATrprN OF VIOLATION-� NOTICE OF � 9A.MJ/ P M.)ON E� 20 ` - 1 - SIGNATURE-OF.ENF•0 CING'P SON EN, ING OEPi? - _ <� c - t VIOLATION � .%P„ :L�l/�€-?(— �' I BnoGENo. . — _ t" I HEPEBY ACKNOWLEDGE RECEIPT OF CITATION X - - -- —_ QR'�I.NAN.C.E - © Unable,t0 obtal nature of offepder.:' THE NONCRIMINAL`FINE FOR THIS OFFENSE IS S � ~Date mailed _.W - O R YOU HAVE THE.FOLLOWING`ALTERNATIVES WITH REGARD.TO DISPOSITION OF7HIS~MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL. a REGULATION DISPOSITION WITH NO:RESULTING CRIMINAL.RECORD 1 .You m y O ay+elect to pay the above.tine,.efthariry appearing In.per.cn between 8:30;A M and 4 Do PM Monday through Friday-legal holidays excepted before.The'Bamstable Clerk.200 Main.Street,.Hyannis,MA 02601,.oi bymailing a.check,'money order or" note to Barnstable Clerk.PO.Box 2430 LLJ y I` Hyannis,MA-0260%WtTHIN'TWENTY-0NE(21.)DAYS-OF THE-DATE OFTHIS NOTICEi--ram+. _ a - (2)If you desire to contest this matter in a noncriminal proceedingy you may do so by making wrilten.requestYo DISTRICT COURT.DEPARTMENT FIRST BARNSTABLE'DIVISION,COURT COMPOUND;MAINBTFiEET BARNSTABLE,MA 02630,Attu 21D Ndncnminal Hearings and enclose a copy of this citation for•a;hear_ng •.e..p� :. (3)If-you fali'to.pay the above offense:or to request:a hearing within 21-days,or ityori fad to appear for the hearing or to pay any fine determined at—the. _ hearing to be,due,.cnm'in. complaint may be Issued againsPyou ❑ I HEREBY'ELECT the first option above confess to the offense charged,and`enclose payment to the amount of$ ' I. Signature Landfall Association, Inc. Post Office'Box 2029 Cotuit, Massachusetts 02635 June 11,2013 Thomas K. Lynch Town Manager Town of Barnstable Town Hall—367 Main,Street Hyannis, Massachusetts 02601 RE: Complaint regarding violations of zoning regulations at 91 Captain Carleton's Road Cotuit, MA Dear Sir: Landfall Association, Inc. is the homeowners' association for the Landfall development located off of Putnam Avenue in_Cotuit. We are writing to raise a formal complaint to the Town of Barnstable over the conduct.of a business, a half way house, in a house designated by the Town of Barnstable as a single family home in a residential area of Cotuit. Landfall Association, Inc. is a nonprofit corporation formed to manage the common areas of the Landfall Development pursuant to-restrictive covenants filed.with.the Barnstable Land Court. The Association recently contacted' and met-,.with Jessica Rapp-_ Grassetti, Barnstable Town Councilor representing Precinct 7 which includes Cotuit. ..Councilor Grassetti advised the association to contact the Town Manager directly with.our complaint specifically to request the town to move affirmatively to curtail illegal.,.utilization of the premises located at 91 Captain Carleton's Road (town locator #038034) in the Landfall development off Putnam Avenue in Omit, Precinct 7 of the Town of Barnstable. The owner of record of the property is Robert DuWors who we understand does not live in the residence but rather resides in Mashpee. All lots in the Landfall development are zoned as Use Code II01O...Residential Property with Single Family use. Members of the Board of Directors have been advised that the house is being used as a residence for up to ten persons who are said to be involved in a substance abuse treatment program. The Association has been unable to confirm the number of residents or the actual use. However numerous'unrelated adult persons are frequently seen coming and going from the residence. More than eight automobiles have been observed at the house on numerous occasions. It is the board's.understanding that-Mr. DuWors is a clinician who treats persons with substance abuse issues and that he is using the residence as a halfway house for.his patients. A copy of a webpage for the Mashpee Mental. Health Center advertising its "Cotuit Center" is attached to this letter. Robert.DuWors is listed as President. of. the Mashpee Mental Health Center. Landfall Association operates as a neighborhood association pursuant to Restrictive Covenants filed in the Massachusetts Land Court and appended to each and every deed of property in the development. Those covenants state that houses*in the development are for single family use only and further state that no commercial business may be carried on at any residence. It would appear that Mr. DuWors' lot is in violation of both of those covenants. The Association has in the past had problems collecting.dues from Mr�DuWors and he has.consistently evaded service by the Barnstable Sheriff for.the past two years. Further, since the property is zoned for single family use, it is clear that the current use of that property is in violation of the zoning regulations of the Town of Barnstable. In addition, the Board contends that the operation of a halfway`:house constitutes a commercial business which is similarly prohibited by the-zoning regulations of the Town of Barnstable for that lot. The Board understands that Town of Barnstable personnel from the zoning department have visited the property and that some correspondence from that department has been forwarded to the homeowner. The Board.has..been advised that this,will be a lengthy process. We fear that the homeowner will ignore correspondence from the Town in the same way that he has ignored correspondence from our homeowners'association. What the association has been unable to determine is whether the premises located at 91 Captain Carleton's Road has been licensed by any agency of the Town of Barnstable or the Commonwealth of Massachusetts. If not, the association would like the town to determine whether this facility is being operated without proper licensure. Obviously there are liability implications for'the Town of Barnstable if the town continues to I allow an unlicensed entity to provide mental health services to Barnstable residents. A number of our association members have` forward to complain about the numerous strange people wandering the streets of Landfall and loitering around 91 Captain Carleton's Road. We have a number of children who live with their parents in the development and we expect the number of children to increase substantially during the summer as grandchildren make their annual visits. The Board and members of the association fear a multitude of strange persons loitering in our neighborhood with children present. We are asking your assistance in assuring that the Town of Barnstable is making all of the correct timely efforts to correct this situation-and to return our neighborhood to a peaceful and safe environment. Would you and your department heads please look into this matter and provide Landfall Association and its members with a written report in the next thirty days. That report would . include the town's assessment of the alleged violations and an action plan for remedy. Thank you for your consideration. LANDFALL ASSOCIATON,INC. By. Walter Heyde, resident Cc: Landfall Board of Directors Tom Geiler, Regulatory Services Thomas McKean, Board of Health Wayne Miller, Board of Health Ruth Weil,Town Attorney Chief Paul MacDonald, Barnstable Police Department Robin Anderson,Zoning Jessica Rapp Grassetti, Precinct 7 Town Councilor -�.'`� pm .e g5`_, r sr L'`++'0. 2 r �.r� f.,; �'• Fs.F S y "'" x.. g,,*.sf:^.Y �`u- .''-w.r � 'r." .� ,:.. �ie:::3a;�.. wE'^"s:.h����.,.��� ��.r..:e w.,.tr..n=� t3�as.,ri`.:.._ 5r�w�,x?e �.*�'��..r��•�;`S_'E�..'R`'a�`�u e:� �. .. 3Y L 0"'T U I T L E No TE Ka' Treatment Facility For ' , Adults•With Dual `D`iagriosis Issues • r_ • r i 'J, !z�>.�`"rx ] 1�1 :L 'IS..( 5. ,fi'L'. . -. 3 i - ;9P ;s ilk Y a. i The Cotuit Center, a part of the Mashpee Mental Health Center,provides residential care to post- detoxified, chemically dependent adults.The program and its highly skilled staff offer added expertise in treating individuals whose substance abuse is complicated by psychiatric illness. Clients in the residential program may be admitted from the community or following a brief inpatient stay. Residential clients participate in a structured program on a daily basis with Master level Clinicians.Treatment length of time varies per resident, with a minimum expected stay of one month and many choosing to remain in residential treatment six months or longer. i Individuals receive a mental health evaluation by a licensed clinician, have access to a Mashpee Mental Health Center Staff Psychiatrist and other prescribers expert in the treatment of dual diagnosis disorders.• Treatment includes the following: Twice weekly individual psychotherapy and daily group therapy and/or Twelve Step Program participation, along with milieu therapy are essential components of the I holistic . treatment experience. These services are reimbursable through insurances, and residents are asked to pay a fee to support their housing expenses, which in some instances is reimbursable through insurances, on a case by case'' basis. Please contact Mashpee Mental.Hearth Cente to learn more about these services and to make application for admission.We accept all major insurance plans. Phone 508-477-5488 Fax: 508-477-9334 :='r}11"a l..`'`"7T A part of Mashpee Mental Health Center, all staff have been trained by Robert DuWors, Ph. D., Instructor in Psychiatry at Harvard Medical School:in his Rhode Island research center in Mindfulness and Neurofeedback techniques, which are also made available to residents as adjunctive treatment interventions which are also integral aspects of the services provided residents. There are two onsite staff members and a maximum number of ten residents. i Landfall Association,Inc. Post Office Box 2029 Cotuit,Massachusetts 02635 June 11, 2013 Thomas K. Lynch Town Manager Town of Barnstable Town Hall—367 Main Street Hyannis,Massachusetts 02601 RE: Complaint regarding violations of zoning regulations at'91 Captain Carleton's Road Cotuit, MA Dear Sir: Landfall Association, Inc. is the homeowners' association for the Landfall development located off of Putnam Avenue in Cotuit. We are writing to raise a formal complaint to the Town of Barnstable over the conduct of a business, a half-way house, in a house designated by the Town of Barnstable as a single family home in a residential area of Cotuit. Landfall Association, Inca is a nonprofit corporation formed to manage the common areas of the Landfall Development pursuant to restrictive covenants filed with the Barnstable Land Court. The Association recently contacted and met with Jessica Rapp Grassetti, Barnstable Town Councilor representing Precinct 7 which includes Cotuit. Councilor Grassetti advised the association to contact the Town Manager directly with our complaint specifically to request the town to move affirmatively to curtail illegal utilization of the premises located at 91 Captain Carleton's Road (town locator #038034) in the Landfall development off Putnam Avenue in Cotuit, Precinct 7 of the Town of Barnstable. The owner of record of the property is Robert DuWors who we understand does not live in the residence but rather resides in Mashpee. All lots in the Landfall development are zoned as Use Code 1O10...Residential Property with Single Family use. Members of the Board of Directors have been advised that the house is being used as a residence for up to ten persons who are said to be involved in a substance abuse treatment program. The Association has been unable to confirm the number of residents or the actual use. However numerous unrelated adult persons are frequently seen coming and going from the residence. More than eight automobiles have been observed at the house on numerous occasions. It is the board's understanding that Mr. DuWors is a clinician who treats persons with substance abuse issues and that he is using the residence as a halfway house for his patients. A copy of a webpage for the Mashpee Mental Health Center advertising its "Cotuit Center" is attached to this letter. Robert DuWors is listed as President of the Mashpee Mental Health Center., Landfall Association operates as a neighborhood association pursuant to Restrictive Covenants filed in the Massachusetts Land Court and appended to each and every deed of property in the development. Those covenants state that houses in the development are for single family use only and further state that no commercial business may be carried on at any residence. It would appear that Mr. DuWors' lot is in violation of both of those covenants. The Association has in the past had problems collecting dues from Mr. DuWors and he has consistently evaded service by the Barnstable Sheriff for the past two years. Further, since the property is zoned for single family use, it is clear that the current use of that property is in violation of the zoning regulations of the Town of Barnstable. In addition, the Board contends that the operation of a halfway house constitutes a commercial business which is similarly prohibited by the zoning regulations of the Town of Barnstable for that lot. The Board understands that Town of Barnstable personnel from the zoning department have visited the property and that some correspondence from that department has been forwarded to the homeowner. The Board has been advised that this will be a lengthy process. We fear that the homeowner will ignore correspondence from the Town in the same way that he has ignored correspondence from our homeowners'association. What the association has been unable to determine is whether the premises located at 91 Captain Carleton's Road has been licensed by any agency of the Town of Barnstable or the Commonwealth of Massachusetts. If not, the association would like the town to determine whether this facility is being operated without proper licensure. Obviously there are liability implications for the Town of Barnstable if the town continues to allow an unlicensed entity to provide mental health services to Barnstable residents. A number of our association members have come forward to complain about the numerous strange people wandering the streets of Landfall and loitering around 91 Captain Carleton's Road. We have a number of children who live with their parents in the development and we expect the number of children to increase substantially during the summer as grandchildren make their annual visits. The Board and members of the association fear a multitude of strange persons loitering in our neighborhood with children present. We are asking your assistance in assuring that the Town of Barnstable is making all of the correct timely efforts to correct this situation and to return our neighborhood to a peaceful and safe environment. Would you and your department heads please look into this matter and provide Landfall Association and its members with a written report in the next thirty days. That report would include the town's assessment of the alleged violations and an action plan for remedy. Thank you for your consideration. LANDFALL ASSOCIATON,INC. By: �-t�664� � Walter Heyde, resident Cc: Landfall Board of Directors Tom Geiler, Regulatory Services Thomas McKean, Board of Health Wayne Miller, Board of Health. , Ruth Weil,Town Attorney Chief Paul MacDonald, Barnstable Police Department Robin Anderson,Zoning Jessica Rapp Grassetti, Precinct 7 Town Councilor i 'k �� ��� tt .�a s L y+ r+ � c n �t ?�' a f: ..��d E ��� r � r��Y t� � �� 'h�rv�� 4��y�y�' �r�s•¢'" 'i LOOm"TUIT Treatment Facility For Adults With Dual Diagnosis Issues F, The Cotuit Center, a part of the Mashpee Mental Health Center, provides residential care to post- detoxified, chemically dependent adults.The program and its highly skilled staff offer added expertise in treating individuals whose substance abuse is complicated by psychiatric illness. Clients in the residential program may be admitted from the community or following a brief inpatient stay. Residential clients participate in a structured program on a daily basis with Master level Clinicians.Treatment length of time varies per resident, with a minimum expected stay of one month and many choosing to remain in residential treatment six months or longer. Individuals receive a mental health evaluation by a licensed clinician, have access to a Mashpee Mental Health Center Staff Psychiatrist and other prescribers expert in the treatment of dual diagnosis disorders. Treatment includes the following: Twice weekly individual psychotherapy and daily group therapy and/or Twelve Step Program participation, along with milieu therapy are essential components of the holistic . treatment experience. These services are reimbursable through insurances, and residents are asked to pay a fee to -- 1 support their housing expenses, which in some instances is reimbursable through insurances, on a case by case basis. Please contact Mashpee Mental Health Center to learn more about these services and to make application for admission.We accept all major insurance plans. Phone 508-477-5488 Fax: 508-477-9334 M.ashpee'�•Ient��li',:.a1thC� znail.cor�: A part of Mashpee Mental Health Center, all staff have been trained by Robert DuWors, Ph. D., Instructor in Psychiatry at Harvard Medical School in his Rhode Island research center in Mindfulness and Neurofeedback techniques, which are also made available to residents as adjunctive treatment interventions which are also integral aspects of the services provided residents.There are two onsite staff members and a maximum number of ten residents: i I � I -O 4 5 r k C ri - ?'ems rl CL •A ias f..r 7� U \ ��` ,' ....; `�, .�� �•^ .. . � , ' ,` �• ' . �'� .� �..... 3, ..... ',: F + � ti, ,.,,, .._. s f: � K a I '\ ,4 t` \ � �� I ` ' . �� -� i i. . � �� �{ r � Y��„�•'"` .e TOWN OF BARNSTABLE Permit No. ---.-20649 t Building Inspector cashSAM -- — '°o I. �°'"i OCCUPANCY PERMIT Bond _ X /7 "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Roberts Realty Trust Address 56 Nain St.,Kingston, "IA lot A4 91 Cap'n. )Carleton Road. Cotuit Wiring Inspector j� l I / /e —e.; Inspection date Plumbing II,ispector, ' �, / _ Inspection date v Gas Inspector r Inspection date ,.-Engineering Department` . , �.�� r �� / / Inspection date l THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. / 7�' Q. r r ... Building Inspector s'1f i J' I �r 1/ 0 ,d. kP `* r t, •, , . CEtZT�F`'EL� pL.b'Tr Pi.._./Sl.,l ` 1 bA'Ti= CG►Z TII= MAT- T14G-. �-ovWDAT4ail 5wc"Ajk ; 1�EI?�Gi.i �c:.VIPI-YS WIT" T►-II= 5I DE U"C-- Aava SETl3ACIC VC-QUiIZEAAE -J rlS CGi= T"E r U 1 RLGtStZiZ�� i�iJp St�Z.vEYo2S ,' T1-115 l7►._.Ai�l IS tJU'T 13,G.<,c'p Ui...1 � /ar'.l . uS'4EiZ�/1Ll.G c� MASS. APPUI Ca,tiT ►�kiT IBA USCcJ Tv Dc-:TC-.C'_Mi%4& LGT LIWaS -- v -- 3 y . • Assessors map and-lot number .......:� l�� 2-'g �� �F TN E TO a Permit number .................g .�.a........... Sewa ........................^ SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANC 2 BARNSTABLE, House number ............... .1................................................... WITH ARTICLE II STATE 90 rasa p '639. `0 SANITARY CODE AN-D TOWN`. amiN TOWN OF -.BARNS- LJIL W"!4 E BUILDING~,"IASPECT0R APPLICATION FOR PERMIT TO ..... .1'... :�We4�l�l w ... . .. TYPE OF CONSTRUCTION ................. ... Y ►wl ......................:......:............................................ ............. ........ ............19. a TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: I. r I C����.� �dt�2lTorlo�-u �T Location L......( .....................t.................... .......I.............. (.. .... ..:....::.:.............. Proposed Use .......T_?Pt;�e,'j..Ca?C..........�.kl.. .1`P.. 1.. ............................................ ZoningDistrict .................`.....t...J...!.......................................Fire District .............0—O ..................................................... -. `n n V Name of Owner �0.0efl�. �-!...... T�v.ST....Address ....vr_�...�1 aLk VL.........:....1`�• Name of Builder ..... n ... .`.........V.r!� Address ��P...1 V 1Q\V� `?l.s....1�1:K ( ....10�{4. Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...................:......1.......................................Foundation ..........................3Y �...�CMGY��`� Exterior .....4� kK...���-Y. �'.�!ArV1b6C�r�.Roofing ...........�� ..��....�?.���. �.4P................. P �.`� ...........Interior . LSD Floors .......... ...1. ................................................. ................... .... .......................................................... Heating ......... ..........0. .........................Plumbing . '�� ............................................ Fireplace ....... ................................................................Approximate Cost ................... �Co,� ?C?p a.FG'.................... Definitive Plan Approved by Planning Board ______________________________19 . Area ;SX A*. o.- .......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .... ... 1% - � ` Roberts Realty Trust \ . ^ � �2O84� ' r---q�—�- permit for —two 'o—t—ory-------- — � ~ . v single family dwell' � - ^ � --------------------------' ` 91 Cap'u. Carleton Road ^°^.'.~. .------------,--.------ Cotuit ----.---------------------- Roberts Realty Trust - Owner --------------------.—.. ' frame Type of Construction -------------- � � -------~'------------------ #l4 Plot -------'-' Lot .----------. � ' October 8 78 � Permit Granted . . lg Date of Inspection � � - ' Date Completed ' ' ' PERMIT REFUSED | | ----._—.—..----------- 19 �`.------~—.-----------~----- -..------.—.~—.—..----------.- . � .,,—.--------.—..--.--....—.----- ' . . ----.—.—.----.---.--...—.—.--~... Approved � —.--------------.. 19 ' -------.-'-----.—......--.—..---, � ------'^.~—~.--.—.—.—,—.—.....,... ` Assessor's map and lot number ............. ..... ......��......� .. r� /I'' V �C• - CF TN E t0 41. Se,Mjge Permit number ........................................................ d� Z BARNSTADLE, i tJouse number 9/ MAea 90� i639 YI►Y a� TOWN OF BARNSTABLE T BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..........t••• �� „�t uc.A........� ....1 .�........i. .- ......... TYPE OF CONSTRUCTION ................. rJ ter.�r�... rt�.:.f:.......}..................................... ........ V • •••.•..••••••.••• .............. f�............... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies+ for a permit according to the following information: Location ........................................'....................................................................................................................................... ........ Proposed Use r�r .t t 1 r 1 r "`` !L U.L - .. wr..'. .t.`'. -...... ........................................... ......................1....... ........... .. . ... --.- Zoning District .................!'` �...��................................,........Fire District ........... ..:.. .Ut�........................................ Name of Owner inn, .r .►?... ' ?rx f+U 1 tau G?.!......Address .....: .. •..C?.t. .... .!.......I` a;. Name of Builder ........ r 1.... !. .... :v.t.................Address ........................................................... .. ► t Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms .....................................Foundation �Y `............................ ....................................... ................................. Exterior ....+A..`.!y:. t l rr, ,.,t 4- .►t:t9C�u�a...Roofing ...........�-t::�f�� c.t 1 .ii. .... i ....................................... ....l.............. ....................................< ' .................... Floors .Interior .I- yt:.............................................................. ........................................................................ Heating i ► , h ...........................Plumbing „ e 4 ti .. ..... .....................!..... .................. ....................... Fireplace Approximate Cost ... ..:............................................................................... ................ .................................................. K C rf a-:: Definitive Plan Approved by Planning Board -----------_______-----------19 . Area ..................... Diagram of Lot and Building with Dimensions Fee """" .��...�........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / r Name ........ .../rtiA;;'T/l.. 1 /., ....;!/.!/iu�..�;.z..c a Roberts Realty Trust . A=38-34 t No .`..20649„ Permit for ....twp,.'Atory,....... inle family..dwell. �lg....................... Location ........91..qR' ...................... oGu7,t... ...................................... Roberts Re Owner ................................ � Y..�rJal............ Type of Construction .... ...frame....................... ...................................... . ..................................... Plot ............................ Lot ......#14................... Permit Granted ......Octob....er . ...19 78 Date of Inspection ................. ..............19 ;t Date Completed ............... ......................19 PE T REFUSED ............................ ............................... 19 ........ ..... 1. .~�.../........................ ................................. ......... . . ... ........1. .. !. ..... a...................... Approved ............ ................................... 19 s V ............................................................................... ..................... ......................................................... P I U.S. Postal ServiceTM CEI'ITIFIED MAIL. RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) For delivery iuebsite at www.usps=a iq y 7 i tl• 1. - - Jill PS Form 3800,August 20G6 See Reverse for Instructions Certified Mail Provides: ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Sen,ce for tfvo years Important Reminders: I • 4A ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. -For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Retum Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover yie fee.Endorse mallpiece"Return Receipt Requested".To receive a fee waiver Tor a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT.Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 E Town of Barnstable Regulatory Services Thomas F.Geiler,Director BARNSTABLE, ` Building Division MASS. VV" 039. ,0� Tom Perry, Building Commissioner j (< O' 200 Main Street, Hyannis,MA 02601 iJ Office: 508-862-4038 Fax: 508-790-623e 9 May 1, 2013 Robert M. Duwors PO Box 1292 Mashpee,MA 02649 Re: Zoning Complaint Property ID: Map 038 Parcel 034 Locus: 91 Cap'n Carleton's Rd, Cotuit Zoning: RF Single-family Residential Zone Dear Mr. Duwors, Please be advised that this office has received numerous complaints concerning your property located 91 Cap'n Carleton Road. Our records identify this dwelling to be a 3 bedroom single- family home located in the RF residential zone..You should be aware that a series of complaints has been lodged declaring that there are too many occupants and multiple vehicles at this address. In residential districts, occupancy is limited to members of a single family and typically all parties are related by blood or marriage. Additionally,the proper number of bedrooms and corresponding septic capacity must be factored into the equation in order to determine the maximum allowed occupancy of all homes. Subsequently,I have been informed that the property is not registered as a rental per the requirement of our local ordinance nor has it been inspected by the Health Division to ensure its compliance with the state sanitary code. As the complaint identifies overcrowding, I respectfully suggest that ft would`be in the best-interest of all parties-to meet at the site and discuss the matter at length. Please call to arrange an inspection by both zoning and health officials. You may reach me directly at 508-862-4027. 1 will gladly coordinate this effort on your behalf and respond to any questions or concerns that you may also have. enjoy perre.,ly, J Rob C. Anderson Zoning Enforcement Officer TOVl1 ,QF BAttNSlA13Lh " j .` U.S.POSTAGE>>PITNEY BOWES DIVISIQN Ow I•ii'p QO d�7��lt.�y#'�: i- ( `q 1<l ,� 3 02601 02 oso, $ 006.110 I 7012 1010 0000 2846^ 5629 0001383424MAY 01 2013 to �" Robert M. Duwors C)D PO Box 1292 Mashpee, MA 02649 f r" I — 0.5�I1 13 KG'i Umiv i 1.1 5InNUCR �T D U W O R S BOX CLOSED UNABLE TO FORWARD RETURN TO SENDER il. BC: 0260140902001 -c0369-`02 2 5 3- 01-43 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature f item 4 if Restricted Delivery is desired. ❑Agent X ,+ ■ Print your name and address on the reverse ❑Addressee I i so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, A, or on the front if space permits. D. Is delivery address different from item 1? n YesxNo r i 1. Article Addressed to: If YES,enter delivery address below: is so? 3. Service Type t jzCertified Mail ❑Express Mail ❑ Registered aLHeturn Receipt for Merchandise � 1 ❑ Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2.•Article Number, 0000i P (Transfer.i`roni service label) 7 12 101 PS Form.3811,August 2001 Domestic Return Receipt 102595 o2-M-1sao I Town of Barnstable dFVE Regulatory Services Thomas F.Geiler,Director. BAMSTnsi.E, Building Division MASS. 1639. m Tom Perry, Building Commissioner 'O�En 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 May 1, 2013 Robert M. Duwors PO Box 1292 Mashpee,MA 02649 Re: Zoning Complaint Property ID: Map 038 Parcel 034 Locus: 91 Cap'n Carleton's Rd,Cotuit Zoning: RF Single-family Residential Zone Dear Mr.Duwors, Please be advised that this office has received numerous complaints concerning your property located 91 Cap'n Carleton Road..Our records identify this dwelling to be a 3 bedroom single- family home located in the RF residential zone. You should be aware that a series of complaints has been lodged declaring that there are too many occupants and multiple vehicles at this address. In residential districts, occupancy is limited to members of a single family and typically all parties are related by blood or marriage. Additionally,the proper number of bedrooms and corresponding septic capacity must be factored into the equation in order to determine the maximum allowed occupancy of all homes. Subsequently,I have been informed that the property is not registered as a rental per the requirement of our local ordinance nor has it been inspected by the Health Division to ensure its compliance with the state sanitary code. As the complaint identifies overcrowding,I respectfully suggest that it would be in the best interest of all parties to meet at the site and discuss the matter at length. Please call to arrange an inspection by both zoning and health.officials. You may reach me directly at 508-862-4027. I will gladly coordinate this effort on your behalf and respond to any questions or concerns that you may also have. enjoy erely, G�J I — Rob -C. Anderson Zoning Enforcement Officer U.S. Postal ServiceT11 CERTIFIED MAE-tTm RECEIPT ' (Domestic Mail m Only;No Insurance Coverage Provided) For delivery information visit our website at www.usps.come r PIMA or PO Box MA ' ' ,p / PS Form 3800,August 2006 __ -__ -- _See Reverse for Instructions Certified Mail Provides: , ■ A mailing receipt E. ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with Fist-Class Mail®or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 i Town of Barnstable ' Regulatory Services Thomas F.Geiler,Director HARNSTAaLE; ` Building Division MASS. 1679• �� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 June 21,2013 Mashpee Mental Health Center Robert M. Duwors 400 Nathan Ellis Highway Mashpee,Ma 02649 Re: Zoning Complaint Property ID: Map 038 Parcel 034 Locus: 91 Cap'n Carleton's Rd, Cotuii Zoning: RF Single-family Residential Zone Dear Mr. Duwors, Please be advised that this office has received a voicemail message from your secretary,Eileen on June 14,2013 stating that you are consulting with an attorney concerning the aforementioned zoning complaint. There has been no contact from you directly or any party representing you since Eileen called on the 10'of June. It is therefore imperative that you contact this office to clarify the current use of your property at 91 Cap'n Carleton Rd as well as to open a dialogue concerning the nature of the complaint and available remedies. It is our sincerest desire to be able to close out this complaint but we are hampered by lack of communication. I must therefore direct you to contact this office by July 11, 2013 in order to stay additional enforcement efforts. Sincerely, Robin C. Anderson Zoning Enforcement Officer JAIllegal Apartments\91 Capn Carelton Rd Duwors demand letter 06212013.DOC Certified Letter 7012 1010 0000 2850 9699 06/21/2013 First Class Mail 06//21/2013 Postal ServiceTM CERTIFIED MAIL,, RECEIPT' -. Ir Ir (Domestic Mail Only,;No Insuran6e Coverage Provided) 137 a- Ir a o C31 0 Ln Ln ° ►rl C13 cp CO Postage $ ru Certified Fee p O ; M Postmark p O : O Return Receipt Fee Here O p ; 1-3 (Endorsement Required) C3 O i M Restricted Delivery Fee 0 O (Endorsement Required) rq . rR rl �� p ' p Total Postage Fees M r=1 • �. Sent To rl —� rl ri -----—----—-------------—-------------------------—----------• O --_ M _ 1 Street,Apt N or PO Box No.. City,State,Z1P+4 rrf3iOD,August 2066 See Reverse tbr-Instruciions a 1 Building Division U.S.POSTAGE>>PITNEYBOWES 200 Main Street Hyannis, AM 02601 ?� # ZIP 02601 $ 000.460 02 1 VN 0 1383424 JUN. 21. 2013. Mashpee Mental Health Center Robert M. Duwors 400 Nathan Ellis Highway Mashpee, Ma 02649 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3.Also complete A. Sig a Item 4 if Restricted Delivery is desired. Agent ■ Print your name and address on the reverse Addressee so that we can return the card to you. e i ed by(Printed Name) C. t livery ■ Attach this card to the back of the , or on the front if space R�rmi D. Is delivery address different from item 1? Yesl 1. Article Addressed to: '• If YES,enter delivery address below: 13 No 3. S ice Type , ►tified Mail O Expo Mall 13 Registered M(etum Receipt for Merchandise. 13 Insured Mall 13 C.O.D. 4. Restricted Delivery?(Extra Fee) O Yes � 2. Numr R cisfe fiom s ery ce labe9� } I7 012 10Ili 0 100'0 2 8 5 01 9 6?9 9 , I PS Form 3811,February 2004 Domestic Return Receipt 102595.02-M"isao;� UNITEb STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • TOWN OF$AWSTABLB 3 r., Bt%-fi I G DIVISIoN i p o�.. -'•`L'��:5;� try► ��$ri his T � i , /�� ' r Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language Assessing Division Property Lookup Results - 2013 367 Main Street,Hyannis,MA.02601« ,BACK TO SEARCH<< Print Frie Owner Information - Map/Block/Lot: 038 / 034/ - Use Code: 1010 Owner Owner Name as of 1/1/12 DUWORS,ROBERT M Map/Block/Lot GI S MAPS PO BOX 1292 038/034/ MASHPEE, MA.02649 Co-Owner Name Property Address 91 CAP'N CARLETON'S RD Village: Cotuit Town Sewer At Address: No GIs Zoning Value: RF i Assessed Values 2013 - Map/Block/Lot: 038/ 034/- Use Code: 1010 2013 Appraised Value 2013 Assessed Value Past Comparisons Building $ 135,700 $ 135,700 Year Total Assessed Value Value: Extra $26,200 $26,200 2012-$311,200 Features: 2011 -$312,100 Outbuildings: $5,100 $5,100 2010-$314,800 Land Value: $146,400 $146,400 2009-$391,000 2008-$379,300 2013 Totals $313,400 $313,400 2007-$378,700 Tax Information 2013 - Map/Block/Lot: 038 /034/- Use Code: 1010 Taxes Cotuit FD Tax(Residential) $548.45 Community Preservation Act Tax $82.36 Fiscal Year 2013 TAX RATES HERE Town Tax(Residential) $2,745.38 $3,376.19 Sales History - Map/Block/Lot: 038 /034/- Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: DUWORS, ROBERT M 12/15/1988 C116476 $160000 GRALTON,JOHN P&VANESSA M 4/15/1985 C101000 $123900 BECKER, HELENA N 5/21/1979 C78187 $0 Photos 038 / 034/ - Use Code: 1010 There are not any photos for this parcel Sketches - Man/Block/Lot: 038 / 034/ - Use Code: 1010 http://www.town.bamstable.ma.us/assessing/propertydisplayscreen 13.asp?ap=0&searchpar... 3/20/2013 C: Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 \ Select Language Assessing Division Property Lookup Results - 2013 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< Print Frie Owner Information - Map/Block/Lot: 038 /034/- Use Code: 1010 Owner Owner Name as of 1/1/12 DUWORS, BERT M Map/Block/Lot G/S MAPS PO BOX 1292 038/034/ MASHPEE, MA. 02649 Co-Owner Name Property Address 91 CAP'N CARLETON'S RD ^J to G V ICI Village:Cotuit Town Sewer At Address: No GIS Zoning Value: RF Assessed Values 2013 - Map/Block/Lot: 038 /034/- Use Code: 1010 2013 Appraised Value 2013 Assessed Value Past Comparisons Building $135,700 $ 135,700 Year Total Assessed Value Value: Extra $26,200 $26,200 2012-$311,200 Features: 2011 -$312,.100 Outbuildings: $5,100 $5,100 2010-$314,800 Land Value: $146,400 $146,400 2009-$391,000 2008-$379,300 2013 Totals $313,400 $313,400 2007-$378,700 Tax Information 2013 - Map/Block/Lot: 038 /034/- Use Code: 1010 Taxes Cotuit FD Tax(Residential) $548.45 Community Preservation Act Tax $82.36 Fiscal Year 2013 TAX RATES HERE Town Tax(Residential) $2,745.38 $3,376.19 Sales History - Map/Block/Lot: 038 / 034/ - Use Code: 1010 History: j Owner: Sale Date Book/Page: Sale Price: DUWORS, ROBERT M 12/15/1988 C116476 $160000 GRALTON,JOHN P&VANESSA M 4/15/1985 C101000 $123900 BECKER, HELENA N 5/21/1979 C78187 $0 Photos 038 / 034/ - Use Code: 1010 There are not any photos for this parcel Sketches - Man/Block/Lot: 038 / 034/ - Use Code: 1010 j http://www.town.bamstable.ma.us/assessing/propertydisplayscreen 13.asp?ap=0&searchpar... 3/20/2013 Official Website of The Town of Barnstable- Property Lookup Page 1 of 5 Select Language Assessing Division Property Lookup Results - 2013 367 Main Street,Hyannis,MA.02601 «BACK TO SEARCH<< Print Frie Owner Information - Map/Block/Lot: 038/034/ - Use Code: 1010 Owner Owner Name as of 1/1/12 DUWORS,ROBERT M Map/Block/Lot GIS MAPS PO BOX 1292 038/034/ MASHPEE, MA.02649 Co-Owner Name Property Address 91 CAP'N CARLETON'S RD C e:Cotuit Sewer At Address: No oning Value: RF Assessed Values 2013 - Map/Block/Lot: 038 /034/- Use Code: 1010 2013 Appraised Value 2013 Assessed Value Past Comparisons Building $135,700 $135,700 Year Total Assessed Value Value: Extra $26,200 $26,200 2012-$311,200 Features: 2011 -$312,100 Outbuildings: $5,100 $5,100 2010-$314,800 Land Value: $146,400 $146,400 2009-$391,000 2008-$379,300 2013 Totals $313,400 $313,400 2007-$378,700 Tax Information 2013 - Map/Block/Lot: 038/ 034/ - Use Code: 1010 Taxes Cotuit FD Tax(Residential) $548.45 Community Preservation Act Tax $82.36 Fiscal Year 2013 TAX RATES HERE Town Tax(Residential) $2,745.38 $3,376.19 Sales History - Map/Block/Lot: 038/ 034/- Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: DUWORS, ROBERT M 12/15/1988 C116476 $160000 GRALTON,JOHN P&VANESSA M 4/15/1985 C101000 $123900 BECKER, HELENA N 5/21/1979 C78187 $0 Photos 038 / 034/- Use Code: 1010 CP404 3 P 0 .) S �- http://www.town.bamstable.ma.us/Assessing/propertydisplayscreen l 3.asp?ap=0&searchpa... 7/12/2013 �S Town of Barnstable *Permit U� Expires 6 o�issue date., Regulatory Services . ' Fee ✓�'. MASS. g Thomas F.Geiler,Director. Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma:ns Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number —� Prop-,rly.Address91 Cc, -Residential Value of Work 5 8 o O Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name __-__ Telephone Number Home Improvement Contractor License#(if applicable) _ Construction Supervisor's License#(if applicable) Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit a uest(check box) k Wrt, v Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to f'Jt' ❑Re-roof(hurricane nailed}(not stripping. Going over existing layers of roof) ❑ Re-side #of doors-- ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and.inspections required: Separate Electrical&Fire Permits required. .: - *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property.Owner Letter.of Permission. A"dopy of the Home Improvement Contractors License& Construction Supervisors License is required. SIGNATURE: ?die Commontsealth of Massachusetts Deparbnent of Industrial Accidents O,fce a,f Investigations 600 Washington Street .Boston,MA #2111 . rincwv.mrrss.govldiri : . Worken' Compensation Insurance Affidavit Big iMer-IContractors/Electr c anslPlumbers. Applicant Information Ptease Print LmbI Name(Busine 'Qn/ludividual):\Cb �J�c-�' b LLk+70 45 h Address: I Co pk- C o_,\Yb ns City/State/Zip: Co� �� '�.�. Phone# Are you an eztLpleyer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with .4. ❑ I am a general c oritractor and I employees(full and/or part-time). * gave hired the gub-contr�scbacs 6- ❑New ron�i�ciion 2.❑ I am a sole pmpriet&or listed on the attached sheet, 7,. ❑modeling �s ' These sub-contractors have strip and have no employees 8. ❑Demolition w for in employees andhave workers' working any capacity- I 9. ❑Building addition [No workers' comp.insurance comp.sqs umme. required] 5. ❑ We.are a corporation and its 1 G.❑Electrical repairs or additions 3 I am a homeowner doing all work officers have-exercised dmir 111.❑Plumbing repairs or additions (((����`` mysel€ [No workers'comp right of exemption per blGL I- RDof repairs msurance required.]T C. 152, 1(4),and we have no `'`� employees-[No workers' 13.0 Other camp.insurance required:]: •Any apphs=that checks boa fl:most also fill oat the section.below showing their vmAe&maspensation policy informatiaa Homeowners who submit this affidavit indicatng they am doing all wat and then hue outside contractors mast submit a new affidavit indicating such IContr&cmrs that check this boa must attached an zdditiow sheet showing the name of the sirb amttscb md'=W whether or not those entities hare employees. Ifthe sub-caatzcwrs have empIoyeees,they—st provide then workers'comp.policy number. am an ernployt:r that is providing xroxdrers'colt:pensntiart insarrtrtce far rriy eazpinyees. Baloty is thtt psiicy and job site. information. lusmranrP Company Name: Policy or Sel€ins.Lic.# Expiration Date: Job Site Address: City/stawzip. A.Etach a copy of the workers'compensation policy declaration page(showing the policy msmber and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 1,500_©a and/or one-year imprisonment,as well as civil penalties in.the form of a STOP WORK ORDER and a fine of up to$250.G0 a day against the violator.. Be advised that a copy of this-statement may be forwarded to the Office of Investigations of U DIA for insurmce coverage ver fcaition ' 3 do hereby cardunder th sand ofperjrury that Me information provided above is brue and correct 5i Date: t7 Phone.#: �41� UJ Official use only: Do not writs in this area,to be completed by city or town official City or Town: PermitUcense# Issuing Authority(circle tone): 1..Boar4:of Stealth 2.Building Department 3.Cityaown C1erk.4.Pectrical hmpec#or 5:Plumbing Inspector �oFTt ra,,� Town of Barnstable P O� Regulatory Services BARNSTA$r> Thomas F.Geiler,Director. Mass. ;9;ta��� Building Division. Tom Perry,Building Commissioner 200 Main Street, Hyanriis, MA 02601 www.town.barnsta ble.ma,us Office:. 508-8624038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION {� Please Print DATE: JOB LOCATION: —1 I C0—CI\ C�i.���1 �1.(s� T P2r1S ` number street village HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow ' homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such.use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official.on a form acceptable to the Building Official,that he/she shall be responsible for all such'work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner"certifie"s-thafhe/she understarids the Town of Barnstable Building Department minimum inspection procedures and.requ' ments and t e will comply with said procedures.and requirements.: . Signature.e om er Approval of Building Official° Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot pro_ceed against the unlicensed,person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a.form,currently used by several,towns. You may care t amend and adopt such a form/certification for use in your community. + BARNSTABLE + 9� , ,�� Town of Barnstable Regulatory Services Thomas F: Geiler,Director Building Division Thomas Perry, CBO. . Building Commissioner 200 Main Street,, Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-4038. Fax: '508-790-6230 Property Ownei Must Complete and Sign This Section If Using A Builder \"s a.QQ�S ; as Owner of the subject property hereby authorize 1'Y) 14 S IQ�:� ' to act on my'behalf, in all matters relative to work authorized by this building permit application for: ca� �►. , ec,.rl ���� �a �:Cfiu; (Address of Job) Lt A/ Signaturelloownet Date Print Name if Property Owner is applying for permit,please complete the Homeowners License Exemption Form on;the reverse:side. :