HomeMy WebLinkAboutHarbor Point at Centerville - Certificates of Inspection 22 R I CHARDSON -RD
HARBOR POINT
5 AT CENTERVILLE - - ---- - \\M
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_1 Town of Barnstable
of t�E ro
Building Department Services
Brian Florence, CBO BSTLE
+: BARNSTABLE, *
eartnsuue• rtar.u•mrun•in'ueis.
o. n�Ass Building Commissioner M1WSWSWI.OSAVLLF•dM6P6&k
1639' '. '1639-2014
A 200 Main Street, Hyannis, MA 02601 575
www.town.barnstable.m.a.us
Office: 508-862-4038 Fax: 508-796-6230
3/3/2020
The Nathanson Group PLLC
600 University St, Ste. 2000
Seattle, WA 98101-1.195
Re: Certificate of Inspection Application
-Dear Mr. Cohen,
Enclosed please find the The Nathanson Group PLLC check number-21200__in,;
amount of$125.00, dated February-26, 2020-,.
This was sent to us in error for a name change that has been already' to
KRE-BSL Husky Centerville Operations LLC. The I c-ation`is 22,Richardson Road;_?
Centerville, MA 02632. Harbor_Point:at_CenterviIle.-�
If you have any questions please do not hesitate to contact me at (508) 862-4039
Regards,
Brenda Coyle
Bre y
Permit Tech.
I
5
T H E
NATHANSON
GROUP
BUILDING DEPT.
February 27, 2020 FEB 2 8 2020
VIA FEDERAL EXPRESS TOWN OF BARNSTABLE
Town of Barnstable
Building Commissioner
200 Main Street
Hyannis, MA 02601
Re: Certificate of Inspection Application
Enclosed is a New Certificate of Inspection Application for the facility known as Harbor Point at
Centerville, located at 22 Richardson Road, Centerville, MA. This application is being filed due to another
change of ownership,with no change in use.
Once the new certificate is issued, please return a copy to me via email at ioshc@nathansongroup.com
and the originals to the establishment address. If you have any questions regarding the application,
please do not hesitate to contact me at(206)957-0632.
Sincerely,
Josh Cohen
Regulatory Compliance Assistant
Enclosure w/filing fee
One Union Square
600 University Street,Suite 2000
Seattle,WA 98101-1192
206.623.6239 www.NathansonGroup.com
The State of-Massachusetts -
i6y�s,
Town of Barnstable
New and Renewal Certificate of Inspection Application
Date 2`7/20
Fee Required $125
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,hereby apply for a Certificate of Inspection
for the below-named premises located at the following address:
Street and Number: 22 Richardson Road Centerville, MA 02632-2453
Name of Premises: Harbor Point at Centerville
Purpose for which premises is used: BUILDING ®EPT,
License(s)or Permit(s)required for the premises by other governmental agencies:
FEB 2 8 2020
TOWN OF BARNSTABLE
Certificate to be Issued to: KRE-BSL Husky Centerville Operations LLC
Address: 201 Jones Road, Suite 300 West,Waltham,MA 02451
Telephone: (181)489-2825
Owner of Record of Building: KRE-BSL Husky Centerville LLC
Address:
Name of Present Holder of Certificate:
Owner of Business: KRE-BSL Husky Centerville Operations LLC
E-Mail: compliance@benchmarkquality.com
G ATURE OF PE O TO WHOM CERTIFICATE �
Z
IS ISSUED OR AUTH IZED AGENT
v
Lynda Maryanski
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in,the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# EXPIRATION DATE
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1HErO,•.w The Commonwealth of Massachusetts �-
Town of BarnstableBAPN ;
M&r a.
°lED Mai a>0' 2020
Certificate of Inspection
Issued to KRE Husky Centerville Licensee LLC Certificate No.
Type: Building -Certificate of Inspection
DBA Harbor Point at Centerville IC-19-220
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 209-016 6/30/2020
in the Town of Barnstable
22 RICHARDSON ROAD, CENTERVILLE
Location Use Group Classifications) Allowable Occupant Load
1st R-2: Apartment houses, dormitories 121
Restrictions 56 DELUXE STUDIO UNITS
2 PERSONS PER UNIT
9 STUDIO UNITS
1 PERSON PER UNIT
BASEMENT TRAINING ROOM
OCCUPANT LOAD 48
This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place
within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Building Commissioner Brian Florence Date of Inspection' 7/23/2019
Signature of Municipal Building Date of Issuance
Commissioner 7/1/2019
r
t
t
. :Th _
. a Commonwealth of Massachusetts
TOWN•OF BARNSTABLE j
" In accordance with the Massachusetts State Building Code,Section 106.S;,this
..
z
'CERTIFICATE``-:OF`INSPECTION
' is issued to HARBOR POINT AT CENTERVILLE,
x � ��;Ci$t"tlfi, that have i x f � t
']�:. respected the premises known as4 F-
` 'HARBOR POINT.'AT CENTERVILLE', '
< located at 22'RICHARDSON'ROAD in the Villdge'of�CENTERVILI:E;
K -,
County of Barnstable- Commonwealth of Massachusetts.
Construction Type: r ,
+ Use Group(s): R2
The means of egress are suffrcient for the following number:of persons "
c Location Capacity, ' Location., apacity
,
56 DEL n :
UXE STUDIO UNITS
2 PERSONS PER UNIT _ x
9 STUDIO UNITS
V.l PERSON PER UNIT.' .
„BASEMENT„TRAINING,ROOM 48
CHAIR a
• S ONLY
Certificate Number:. Date Certificate Issued: Date Certificate Expired: Map: Parcel -{ a
201404902 : 8/17/2014 8/17/2019 209 016
The building official shall be-notified within(10)days of any
changes in the above information.
Building Official.:
f
TOWN OF BARNSTABLE INSPECTION WORKSHEET Clasen
CERTIFICATE NO: F 201404902 CANCELLED: 0 MAP: 209
DBA: IHARBOR POINT AT CENTERVILLE PARCEL: 016
NAME/MANAGER: IHARBOR POINT AT CENTERVILLE
STREET: 22 RICHARDSON ROAD
VILLAGE: CENTERVILLE 1. STATE: F—MA—] ZIP: 02632- SEQ NO: 1�
BUSINESS TYPE: MULTI-FAMILY
CONSTRUCTION TYPE:
STORYI: CAPACITY: USEI: R2 Capacity Under 50: ❑
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USES: Outside Seating: ❑
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: LOCI: 56 DELUXE STUDIO UNITS CAPS: LOC8:
CAP2: LOC2: 2 PERSONS PER UNIT CAP9: LOC9:
CAPS: LOC3: 9 STUDIO UNITS CAP10: LOC10:
CAP4: LOC4: 1 PERSON PER UNIT CAP11: LOCI 1 t
CAPS: 48 LOC& BASEMENT TRAINING ROOM CAP12: LOC12:
CAPE: LOC& CHAIRS ONLY CAP13: LOC13:
CAP7: LOCI: . CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: 't_P-
08/12/2014 08/17/2014 08/17/2019
COMMENTS: REVISED CAPACITY 4/12/04.. COI REPLACEMENT FILE IN MULTI FAMILY OR SEE STREET
ADDRESS FILE. ADDED BASEMENT ROOM 8/1107
��r�.•,nr"�Z.,rx�'j �' :y+.-r•-'-^+vF•'•. '• •y -:ra�s.��.••,; .F - -- -
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(FIE Town of Barnstable r
,
ti Building Division.
200 Main Street
* ' MASSB� ' Hyannis;-MA 02601 BARNS TAT I,E
1639. ,0� (508) 862-4038 �k Q L5 . E n WITME
U. S.SSC �ei�A'f CU-VY kYlPt?�S
'Inspection Report ❑ Notice of Violation
Business: PA Na:8 Date of Inspection: 71-221/9
Contact: Info:
Address: Info:
Phone: Info:
Email: Info:
During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR,
Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)were noted:
"-5 Section(s): t!(C?, Location: A L..1 1,7
��
rn ON
Two _sT P OPERA
Section(s): Location: ,�� l 'x+r rrdY" f�� IrM ,�
a
Section(s): Location:
21
`
FT 4� 11C?f�tMI" %1�A+7' Section(s): �0+(� Location: �j t,�^s�°`�y
C-na j 0,0 1l�'si+ D Section(s): Location:
44
Q Section(s): Location:
Section(s). �,.�r�... Location:
ti *
Section(s): Location:
Q Section(s): Location:
Action required to abate the above violation(s)you must:
Q None:no violations were observed at the time of inspection
Q Make corrections immediately and contact this office for a follow-up inspection
Re-inspection fee of$ is required and a re-inspection to be requested by business within days.
Make corrections prior to your next annual or semi-annual inspection.
Q Property/busineesss owner or owners approved agent contact inspector for consultation
Official/Inspector: ratt�, i�s ..-✓ Telephone: 508 862-4038
Received By: r Dater /1
Print Name:; 'C r
Section 102.6 existing structures-The owner as defined in 780 CMR 2,shall be responsible for compliance with provisions
of 780 CMR 102.6 And,if aggrieved by this notice and order;to show cause as to why you should not be required abate the
violation in this notice,you may file a Notice of Appeal(specifying the grounds thereofi with the State Building Code
Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§100.
i
f
THE
NATHANSON n^ nf TtN\G
, nR!C'',�� �
GROUP `I
June 27, 2019
Town of Barnstable
Building Commissioner
200 Main Street
.Hyannis, MA 02601
Re: Certificate of Inspection Application
Enclosed is a New Certificate of Inspection Application for the facility located at 22 Richardson Road,
Centerville, MA. This application is being filed due to a change of ownership of the facility.
Please return the Certificate to the facility address. Thank you.
If you require additional information, please contact me at 206-623-6239 or
shandal@nathansoneroul).com.
Sincerely,
0�
Shanda London
Senior Regulatory Compliance Coordinator
One Union Square
600 University Street,Suite 2000
Seattle,WA 98101-1192
206.623.6239 www.NathansonGroup.com
i
(0� �cd-%
THE
NATHANSON `f 0 C—
GROUP ,� \
"
June 26, 2019
..,'t x
SEND VIA FEDERAL EXPRESS
;. -
Town of Barnstable
Inspectional Services .
Public Health Division ;--
200 Main Street o
Hyannis, MA 02601
Re: Application for Permit to Operate a Food Establishment for.Change of Ownership
To Whom It May Concern:
This letter is to inform you of the upcoming change of ownership scheduled to occur on or about July 11,
2019 at the assisted living residence known as Harbor Point at Centerville and located at 22 Richardson
Road,Centerville, MA 02632-2453 (the "Facility").The current licensed operator is B-X Centerville LLC and
the new licensed operator will be-KRE Husky Centerville Licensee LLC (the "New Operator"). We
understand that as part of the change in ownership, we-must provide an updated application under the
New Operator's name. Accordingly, we are submitting the New Operator's application with this letter.
Please note that there will be no change to the menu, the certified staff, or any other aspect of the food
establishment operations as part of the change of ownership. Additionally, we were informed that the
one outdated item under the current ownership is the expired ServSafe certificate for Christopher Lynch.
We have included the ServSafe certificate for Steven Sprague and are confirming the status of Christopher
Lynch. We will provide that update as soon as it is available.
We also understand that a food inspection will occur under the New Owner after July 11, 2019. If there
is any concern about processing the attached prior to the July 11 change or if you need additional
information, please call or email me at aishiad@nathansongroup.com or(206) 623-6239.
Thank you.
Sincerely,
l/
Aishia Dueno
Regulatory Compliance Coordinator
Enclosures w/filing fee
One Union Square
600 University Street,Suite 2000
Seattle,WA 98101-1192
206.623.6239 www.NathansonGroup.com
The State of Massachuse
tts
.*6jg � ' Town of Barnstable
t6�q ��
- r
New .
and Renewal Certificate of Inspection Application
Date June 12, 2019 Fee Required $125
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7, hereby apply for a Certificate of Inspection
for the below-named premises r lo
cated ocated at the following address:
Street and Number: 22 Richardson Road, Centerville, MA 02632
Name of Premises: Harbor Point at Centerville
Purpose for_which premises is used: Change of Ownership
License(s)or Permit(s)required for the premises by other governmental agencies: Executive office of Elder Affairs
-ertificate to be Issued to: KRE Husky Centerville Licensee LLC
kddress: 201 Jones Road, Suite 300 West, Waltham, MA 02451
relephone: 781-489-2825
)caner of Record of Building: KRE-BSL Husky Centerville LLC
kddress: Attn: Peter Sundheim 9 West 57th Street, Suite 4200, New York' NY 10019 M:o
game of Present Holder of Certificate: _
)wner of Business: KRE Husky Centerville Licensee LLC00
,f
-Mail: compliance@benchmarkquality.com
,U
;IGNATURE OF PERSON TO WHOM CERTIFICATE
S ISSUED OR AUTHORIZED AGENT � MOM
Andrea M.Teichman -
'LEASE PRINT NAME
� 5 1
YSTRUCTIONS:
Make check payable to: TOWN OF BARNSTABLE
Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS,MA02601
LEASE NOTE:
Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
Application and.fee must be received before:the certificate will be issued:
The building official shall be notified within ten(10)days of any change in the above information.
DR OFFICE USE ONLY:
ERTIFICATE#
�C� — Q EXPIRATION DATE ilx�
I
Town of Barnstable
Building Department
Brian Florence, CBO
Building Commissioner BUILDING KEPT
200 Main Street, Hyannis, MA 02601
www.town.bamstable.ma.us
.lUL--:Y'.7 2019
Pre-application for Business Certificate TOWN OF BARNSTABLE
Date Map Parcel ®l `J
Applicant Information
Applicants Name Harbor Point at Centerville
Applicants Address 22 Richardson Road Email Address compliance@benchmarkquality.com
Telephone Number 781-489-2825 Listed Unlisted
Business Information
New Business? _ Yes No
Business is a registered corporation? ------------------------, yes No
If yes Name of Corporation KRE Husky Centerville Licensee LLC
Does business operate under the registered corporate name? es No
Is the business a sole proprietorship or home occupation? __-__---- Yes No
If yes then a Home Occupation Registration is required—See Building Division Staff
Name of Business KRE Husky Centerville Licensee LLC
Business Address 201 Jones Road,3rd Floor West,Waltham,MA 02451
Type of Business Senior assisted living facility
Building Commissioner Office Use Onl
Co ditions
GU ,
Building Commissi OK Date
Clerk Office Use Only
SHE t
The State of Massachusetts
90 Town of Barnstable
New and Renewal Certificate of Inspection Application
Date June 12, 2019 Fee Required $125
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,hereby apply for a Certificate of Inspection
for the below-named premises located at the following address:
Street and.Number: 22 Richardson Road, Centerville, MA 02632
Name of Premises: Harbor Point at Centerville
Purpose for which premises is used: change of Ownership—
License(s)or Permit(s)required for the premises by other governmental agencies: Executive Office of Elder Affairs
Certificate to be Issued to: KRE Husky Centerville Licensee LLC
Address: 201 Jones Road, Suite 300 West, Waltham, MA 02451
Telephone: 781-489-2825
Owner of Record of Building: KRE-BSL Husky Centerville LLC
Address: Attn: Peter Sundheim 9 West 57th Street, Suite 4200, New Yolk, NY 100:1r9
�e
Name of Present Holder of Certificate:
Owner of Business: KRE Husky Centerville Licensee LLC -
E-Mail: compliance@benchmarkquality.com
SIGNATURE OF PERSON TO WHOM CERTIFICATE �(�1�1�J
IS ISSUED OR AUTHORIZED AGENT
PAID
Andrea M. Teichman ,1
PLEASE PRINT NAME 0 (
INSTRUCTIONS: �� 1
1) Make check payable to: TOWN OF BARNSTABLE
2) Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# ��� ti �� EXPIRATION DATE
r THE
NATHANSON — TOWN
r A r+� N� T]! L E
GROUP T�T��N ��Y c�,�;�f�Jlt� ,_�.
z
. fY m�tY f imp .
June 27, 2019
Town of Barnstable
Building Commissioner
200 Main Street
Hyannis, MA 02601
Re: Certificate of Inspection Application
Enclosed is a New Certificate of Inspection Application for the facility located at 22 Richardson Road,
Centerville, MA. This application is being filed due to a change of ownership of the facility.
Please return the Certificate to the facility address. Thank you.
If you require additional information, please contact me at 206-623-6239 or
shandal@nathansoneroup.com.
Sincerely,
A�
Shanda London
Senior Regulatory Compliance Coordinator
One Union Square
600 University Street,Suite 2000
Seattle,WA 98101-1192
206.623.6239 www.NathansonGroup.com
THE
NATHANSON �( .�"
GROUP
June 26, 2019 2
SEND VIA FEDERAL EXPRESS
Town of Barnstable
Inspectional Services
Public Health Division a
200 Main Street o
Hyannis, MA 02601
Re: Application for Permit to Operate a Food Establishment for Change of Ownership
To Whom It May Concern:
This letter is to inform you of the upcoming change of ownership scheduled to occur on or about July 11,
2019 at the assisted living residence known as Harbor Point at Centerville and located at 22 Richardson
Road, Centerville, MA 02632-2453 (the"Facility").The current licensed operator is B-X Centerville LLC and
the new licensed operator will be KRE Husky Centerville Licensee LLC (the "New Operator"). We
understand that as part of the change in ownership, we must provide an updated application under the
New Operator's name. Accordingly, we are submitting the New Operator's application with this letter.
Please note that there will be no change to the menu, the certified staff, or any other aspect of the food
establishment operations as part of the change of ownership. Additionally, we were informed that the
one outdated item under the current ownership is the expired ServSafe certificate for Christopher Lynch.
We have included the ServSafe certificate for Steven Sprague and are confirming the status of Christopher
Lynch. We will provide that update as soon as it is available.
We also understand that a food inspection will occur under the New Owner after July 11, 2019. If there
is any concern about processing the attached prior to the July 11 change or if you need additional
information,please call or email me at aishiad@nathansongroup.com or(206) 623-6239.
Thank you.
Sincerely,
Aishia Dueno
RegulatoryCompliance Coordinator
Enclosures w/filing fee
One Union Square
600 University Street,Suite 2000
Seattle,WA 98101-1192
206.623.6239 www.NathansonGroup.com
1;Y?
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TOWN OF BARNSTABLE INSPECTION WORKSHEET
CERTIFICATE NO: 201404902 CANCELLED: MAP: 209
DBA: I HARBOR POINT AT CENTERVILLE PARCEL: 016
NAME/MANAGER: IHARBOR POINT AT CENTERVILLE
STREET: 22 RICHARDSON ROAD
VILLAGE: CENTERVILLE STATE: ® ZIP: 02632- SEQ NO: 1❑
BUSINESS TYPE: MULTI-FAMILY
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: R2 Capacity Under 50: El
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: ❑
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: LOC1: 56 DELUXE STUDIO UNITS CAPS: LOC8:
CAP2: LOC2: 2 PERSONS PER UNIT CAP9: LOC9: r
CAP3: LOC3: 9 STUDIO UNITS CAP10: LOC10:
CAP4: LOC4: 1 PERSON PER UNIT CAP 11: LOC11:
CAPS: 48 L005: BASEMENT TRAINING ROOM CAP12: LOC12:
CAPE: LOC6: CHAIRS ONLY CAP13: LOC13:
CAP7: LOCI: CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION:
08/12/2014 08/17/2014 08/17/2019
o 6 CMi
COMMENTS: REVISED CAPACITY 4/12/04.. C01 REPLACEMENT FILE 1N MULTI FAMILY OR SEE STREET
ADDRESS FILE. ADDED BASEMENT ROOM 8/1/07
r
r
The Commonwealth of Massachusetts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HARBOR POINT AT CENTERVILLE
Certify that I have inspected the premises known as: _
HARBOR POINT AT CENTERVILLE
located at 22 RICHARDSON ROAD in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
56 DELUXE STUDIO UNITS
2 PERSONS PER UNIT
9 STUDIO UNITS
1 PERSON PER UNIT
BASEMENT TRAINING ROOM 48
CHAIRS ONLY
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201404902 8/17/2014 8/17/2019 209 016
The building official shall be notified within(10) days of any
changes in the above information.
Building Official
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APPLICATION 201404902: Summary View/Maintain Q
22 RICHARDSON ROAD
Fee
Plan Reviews (0) permit Type Contractor Issued Status Total
Board Reviews (0)
Prerequisites (0) C CERTIFICATE PROPERTY 07/29/2014 Completed 215.00
20091753 OF OWNER
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oFtME r�,, Town of Barnstable
Regulatory Services
BAMSPABLE,
9 MASS. $ Richard V. Scali,Director
16
,39prA�� 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
July 07, 2014
Harbor Point at Centerville
22 Richardson Road
Centerville, MA 02632
Re: Harbor Point at Centerville
Certificate of Inspection
Multi-family (5-year Certificate)
Attached you will find an application for a Certificate of Inspection as required by
Section 106.5 of the Massachusetts State Building Code, Eighth Edition.
Please complete the application and return to this office with the required fee:
65 units - $215
The fee has been established by the Massachusetts State Building Code (Table 110), and
amended by the Barnstable Town Council effective 8/6/01, and must be paid before the
Certificate of Inspection/Capacity Card may be issued. .
A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State
Code. t
Sincerely,
Thomas Perry ,
Building Commissioner
6
Enclosure
RichardsonRM
TOWN OF BARNSTABLE INSPECTION WORKSHEET coos
CERTIFICATE NO: 200903693 CANCELLED: MAP: 209
DBA: IHARBOR POINT AT CENTERVILLE PARCEL: 016
NAME/MANAGER: HARBOR POINT AT CENTERVILLE
STREET: 122 RICHARDSON ROAD
VILLAGE: CENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 1❑
BUSINESS TYPE: MULTI-FAMILY
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: R2 Capacity Under 50: r
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: C
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: LOC1: 56 DELUXE STUDIO UNITS CAPS: 48 L005: BASEMENT TRAINING ROOM
CAP2: LOC2: 2 PERSONS PER UNIT CAPE: LOC6: CHAIRS ONLY
CAP3: LOC3: 9 STUDIO UNITS CAP7: LOC7:
CAP4: LOC4: 1 PERSON PER UNIT CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: PrntThis Sciee
0 08/17/2009 1 08/17/2014
Pant Certificate of Inspection
COMMENTS: REVISED CAPACITY 4/12/04. COI REPLACEMENT FILE IN MULTI FAMILY OR SEE STREET
ADDRESS FILE. ADDED BASEMENT ROOM 8/1/07
TOWN OF BARNSTABLE INSPECTION WORKSHEET dose
CERTIFICATE NO: 201404902 CANCELLED: 0 MAP: 209
DBA: I HARBOR POINT AT CENTERVILLE PARCEL: 016
NAME/MANAGER: IHAR13OR POINT AT CENTERVILLE
STREET: 122 RICHARDSON ROAD
VILLAGE: ICENTERVILLE STATE: FWA ZIP: 02632- SEQ NO: 10
BUSINESS TYPE: MULTI-FAMILY
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: R2 Capacity Under 50: ❑
STORY2: CAPACITY: USE2: Outside Seating: ❑
STORY3: CAPACITY: USE3:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: LOC1: 56 DELUXE STUDIO UNITS CAPS: LOCK:
CAP2: LOC2: 2 PERSONS PER UNIT CAP9: LOC9:
CAP3: LOC3: 9 STUDIO UNITS CAP10: LOC10:
CAP4: LOC4: 1 PERSON PER UNIT CAP11: LOC11:
CAPS: 48 L005: BASEMENT TRAINING ROOM CAP12: LOC12:
CAPE: LOC6: CHAIRS ONLY CAP13: LOC13:
CAPT. LOCI: CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: �1 06t;This Scree
08/12/2014 08/17/2014 OS/17/2019
PrIntCerUfacate of Ins oectio
COMMENTS: REVISED CAPACITY 4/12/04. COI REPLACEMENT FILE IN MULTIFAMILY OR SEE STREET
ADDRESS FILE. ADDED BASEMENT ROOM 8/1/07
eommonweattb of Alaozarbaatt.5
TOWN OF•BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HARBOR POINT AT CENTERVILLE
Cert[fp that I have inspected the premises known as:
HARBOR POINT AT CENTERVILLE
located at 22 RIC14ARDSON ROAD in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are sufficient for the following number of persons:
Location Capacity,Location Capacity
56 DELUXE STUDIO UNITS BASEMENT TRAINING ROOM 48
2 PERSONS PER UNIT CHAIRS ONLY
9 STUDIO UNITS
1 PERSON PER UNIT
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
200903693 8/17/2009 8/17/2014 209 016
The building official shall be notified within (10) days of any
changes in the above information.
Building Official
r.
PERMIT PAYMENT RECEIPT �•
j.
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 MAIN STREET
HYANNIS, MA 02601
DATE: 08/10/09
TIME: 10:14
-----------------TOTALS-----------------
PERMIT $ PAID 215.00
AMT TENDERED: 215.00
AMT APPLIED: 215.00
CHANGE: .00
APPLICATION NUMBER: 200903693
PAYMENT METH: CHECK
PAYMENT REF: 1696
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) Fee Required $ aZ./S p 0
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5.1 I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: p2 �i G�a2d So t,/ Cg�v� %`��2� �� Uvt 6 3 Z
Name of Premises: /g 04 / d, °"f 4 � C`p�t.e2,.,1/,e
Purpose for which premises is used: /31-S T 4•5 '�-
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
U11N ,
s
Certificate- be Issued to: /�R e �V rt
co s'' Address: OZ A ' i e_ 44 o•, /W �;�.,7� v, /le 1-1,4- da63 2
� r
Telephoi e: 7 3
Ownp_of R cord of Building: 6\0 4-e< 1"HIV 4 143.S 3)4•04?l
Address:
Name of Present Holder of Certificate: /7/a.n Sb ell.�;
r .
Name of Agent, if any:
SMNATUME OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
L/f S �ysv40
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application.with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part.thereofto be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY: q
CERTIFICATE# �Zdl�.9'r�6 / �� EXPIRATION DATE:
1020115a
oFt rq,,, Town of Barnstable
*
Regulatory Services
* sAPNsrAar.•e. «
MAss. g Thomas F. Geiler, Director
0390.SA�� Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-190-6230
July 14, 2009
Harbor Point at Centerville
22 Richardson Road
Centerville, MA 02632
Re: Harbor Point at Centerville
Certificate of Inspection
Multi-family (5-year Certificate)
Attached you will find an application for a Certificate of Inspection as required by
Section 106.5 of the Massachusetts State Building Code.
Please complete the application and return to this office with the required fee:
65 units - $215
The fee has been established by the Massachusetts State Building Code (Table 106), and
amended by the Barnstable Town Council effective 8/6/01, and must be paid before the
Certificate of Inspection/Capacity Card may be issued. n
A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State
Code.
Sincerely,
T as Perry.
Building Commissioner
Enclosure
RichardsonRd22
oFt ra,,, Town of Barnstable
Regulatory Services
* B"NWABM
v MASS. Thomas F. Geiler, Director
�ATEDNIA'�a 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
MEMORANDUM
TO: Tom
FROM: Lois
DATE: 7/14/09
RE: Harbor Point at Centerville
The Certificate of Inspection for Harbor Point at Centerville expires in August. I have
attached a draft letter with a fee of$215 for a five-year certificate. It is.now classified as
Use Group R2, and I've used the multi-family fee schedule,Note f($85 plus $2 per
dwelling unit): $85 + $2 x 65 = $85 + $130 $215.
Is this the correct fee? Our file doesn't show how the fee was determined in 2004.
If the fee is correct, please sign the letter.
780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS
THE MASSACHUSETTS STATE BUILDING CODE.
TABLE 106
REQUIRED NQNIMUM INSPECTIONS AND CERTIFICATIONS FOR SPECIFIED USE GROUPS
(See 780 CMR 3.00 and 4.00 for complete description of use groups)
Use
Group Use Group Use Group Description Minimum Maximum Certification
inspections Period
A-1 Assembly-Theaters With stage and scenery Semi-Annual One Year
over 400 capacity Movie Theater Semi-Annual One Year
A-1 Assembly-Theaters With stage and scenery Annual One Year
400 or less capacity Movie Theater' Annual
One Year
A-2 Assembly-Night Clubs or ver 400 capacity' Semi Annual'
f similar uses 0 or less capacity' Annual' One Year
3 Assembly Lecture Halls, Over 400 capacity S One Year
emi Annual One Year
recreation centers,terminals,etc. 400 or less capacity Annual
One Year
A-4 Assembly low density,recreation&. Prior to issuance of
similar uses each new certificate Five Years.
A-5 Assembly Stadiums,bleachers,places of Prior to issuance of
outdoor assembly each new certificate One Year
Special Amusement Buildings or Special Amusement Buildings or Annually prior to
portions thereof portions thereof issuance of a new .
(780 CMR 413.0) CMR 413.7 One Year
780
( ) certification
E Educational Educational Prior to issuance of
each new certificate One Year
E Day Care Child day care centers Prior to issuance of
(see 780 CMR 4.00) each new certificate One Year
Incapacitated-hospitals,nursing �, �� ��•
1-2 Institutional homes,mental hospitals,certain day Prior to issuance of Two Years
/ care facilities(see 780 CMR 4.00) each new certificate
I-3 Institutional Restrained-prisons,jails,detention Prior to issuance of
titers,etc. each new certificate Two Years
R-1 Residential Hotels,motels,lodging houses, Prior to issuance of
dormitories,etc. each new certificate One Year
R-2 Residential Multi family Prior to issuance of; Five Years
each new certificate
R-1 Residential Special Occupancy Detoxification facilities Prior to issuance of
(see 780 CMR 4.00) each new certificate Two Years
R-2 Residential Special Occupancy Summer camps for children
(see 780 CMR 4.00) Anne One Year
R-3o or Residential Special Occupancy Group Residence Annual"
(see 780 CMR 4.00) A One Year j
R-5 Residential Special Occupancy Limited Group Residence
(see 780 CMR 4.00) Annual One Year
Any premise' that is licensed by the Alcohol Beverage Control Commission
(ABCC) and from which alcoholic beverages are sold and consumed on the Annual(per M.G.L. One Year I'
premises;per M.G.L. c. 10, § 74; also see 780 CMR 106.5.1, 106.5.1.1 and c.10,§74) (per M.G.L:c.10,§74) r
106.5.1.1.2
Notes applicable to Table 106
Note 1. When appropriate for A-2 USES,the Inspection for the Certificate Of Inspection should be timed to
satisfy the requirements of M.G.L:c. 10,§74(also see the bottom row of Table 106)..
Note 2. Premises licensed (via the ABCC)to sell and serve alcohol on the premises incl„de many other
USES beyond A-2 USES.
General. The maximum certification period specified in Table 106 is intended to provide administrative
flexibility. For those.buildings and structures or parts thereof allowing more than one year maximum
certification period,the building official may determine the length of validity of the certificate issued. For
example;a building in the R-2 use group could be issued a certificate valid for one,two,three, our or five
years t th f
.780 CMR 107.0 DUTIES AND POWERS OF Inspections,as to any structures or buildings or parts
173E STATE INSPECTOR thereof that are owned by the Commonwealth or any
(Refer to M.G.L,c. 143§3A) departments,commissions,agencies,or authorities I
107.1 The State Inspector. In every city and town of the Commonwealth. The state inspector shall
780 CMR shall be enforced by the State Inspector of have as to such buildings and structures all the {
the Department of Public Safety, Division of powers of a building commissioner or inspector of i
16 780 CMR-Seventh Edition 8/22/09 (F'ffer.tivr.Qn/n%zJ �I
ri
780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS
THE MA
haU Niissu: ,s vithout the posting of a valid'eeriificate`of
shall
required b
• compliar where re 9 y Table 106. A -
�e � of inspection as herein specified shall not -
intil an inspection is made certifying that
such ins Ire
`%� rg or structure or parts thereof complies
comsuch a applicable requirements of 780 CMR;
may acai he fee is paid as specified in Table 106.
may acre dO b ities may increase or waive only in their
ties in )r any specific use group the fees as
and be c l O n said Table 106.
agency o
on: Municipalities may revise or-modify,
1065 In t in part those fees for buildings and
groups: es or parts thereof owned by 'the
inspect a ality, county or political subdivision
thereof it and for buildings and structures or parts ,
structure used solely for religious purposes.
. 1AtSL.L' 1Vn
REQUIRED MINIMUM INSPECTIONS AND CERTIFICATIONS FOR SPECIFIED USE GROUPS
(See Chapters 3 and 4 for con lete descri lion of use grou s) J
Use ' : ::" MAZ,,,,,,,. Fees for Maximum
7/ fl
Use Group
Group ...,... - _ oup Descnption. Certifcation Certification
Use Gr Minimum...`
Inspections.:
Period'. ' Period
A-1. sembly-Theaters With stage and scenery. Semi-Annual One Year $75
ver 400 capacity Movie Theater !
Semi-Annual One Year
sseinbly-Theaters With stagc and scenery - •;. Annual...--:. _.. . One Year
$75 �i"v"
A-2- 00 or less S40 v
capacity' Movie Theater.. Annual .. One Year. $40 p
A-2 Assembly-Night Clubs Over 400.capacity Semi Annual One Year $75 j7e
r similar uses 400 or less capacity' Annual One Year S40 d7
Over.400 ca aci_
. . ... .. P . ty . Semi Annual .:•- One Year, note a 1
_A-3 alls;recitation centers;400 or 1" capacity Annual One Year
.. eraunals•etc..., ;.. .. - <. :'�::
_. $40 !a F
A-4 Assembly Churches,low density,recreation Prior to issuance of Five Years $40
&similaz uses each new certificate
A-5 scmbly, Stadiuitis_bleachers,-places of Prior toissuance of :One Year note b
!_, lot. assembly `..: each new certificate
4(780
ial Amusement Special Amusement Buildin or Annuall gs y prior to One Year As established by
dings of portions portions thereof issuance of a new the city or town in
of.. (780 CMR 413,7) certification
accordance with
CMR 413.0) 780 CMR I o6.5
E ational Educational. Prior to issuance of One Year $40 v
each new certificate
ay Care Child des care centers-
E!= y - Prior to issuance of. One Year. $40
(see Chipter 4) each new cctificaie
Institutional Incapacitated hospitals nursing Prior to issuance of Two Yeats note d
each t
I-2 homes,mental hospitals,certain h new eertif sate
day care facilities(see Chapter 4) f
titiltional;.: Restrained- nsons'ails i.
I-3,; •. __ P . ) __ : Priorto issuance of Two-Years note c .
_•• detention centers,- : ... :each Lew certificate. �.` - - -
R-1 esidential Hotels,motels,lodging houses, Prior to issuance of One Year note e
dormitories,etc.(note g) each new certificate
rR 2 ': csidential Muln family(Wort g) Prior to issuance
of Five:Years note f
r.. .-.,...`.
. _.
each new ceitifrcatc- _ ..
esidential Special° Detoxification
R-I facilities Prior to issuance of Two Years 1
cupancy (see Chapter 4) each new certificate S75
tR
al Special 5iariT§. or children.. AnmuiaJ One Year note h
cy _ (see Chapter 4)al SpecialGroup Residence Annual One Year note h
y (see Chapter4)al Spenal Limited Group Residence.., Annual One Year note h r �17�- I
Y '` (sec Chapter 4)
f
780 CMR: STATE BOARD OFBUILDING REGULATIONS AND STANDARDS
ADMINISTRATION
Notes applicable to Table 106
General:The maximum certification period specified in Table 106 is intended to provide administrative flexibility.
For those buildings and structures or parts thereof allowing more than one year maximum certification period,the -
building official may determine the length of validity of the certificate issued. For example,a building in the R-2 use
group could be issued a certificate valid for one,two,three,four or five years. Theaotal amount of fees charged for
a certificate or certificates issued during the maximum certification period can exceed the fee listed or referenced in
column 4 of Table 106. For example,if the building official issues a certificate valid for two years for a building in
the R-2 use group,the fee charged would be 215 times the fee per maximum certification period as determined for the
building in question using the formula in Note f.
Note a. For buildings or structures,or parts thereof,in the A-3 Use Qw�p categories,with capacities over 400, the
fee to be charged for the maximum certification period of one year i 7 or accommodations for up to.5,000 persons,
plus$15 for the accommodations for each additional 1,000 persons or fraction thereof.
Note b. For all buildings or structures—or thereof,in t1-5 use group,the fee to be charged for the maximum
certification period of one year is�fbf skting accommodations for up to 5,000 persons, plus$8 for the
accommodation for each additional 1,000 persons or fraction thereof.
Note c. For all buildings and structures r eo,T the I-3 use group,the fee to be charged for the maximum
certification period of two years ist or each structure containing up to'100 beds, plus a$2 charge for each
additional ten beds or-fraction.thereo over the initial 100 beds.-G—
Note d. For hospitals,nursing homes,sanitarium ar -orphanages in the 1-2 use group,the fee to be charged for the
maximum tern icationperiod of two years i $7 or each structure containing up to 100 beds,plus a$2 charge for
each additional ten beds orfraction thereof over the initial 100 All other buildings or structures or parts thereof
in the 1-2 use group classification shall be charged a fee.of r a two year maximum certification period.
Note e. For all buildings and structures or arts thereof in the R-1 use group,the fee to be charged for the maximu
certification period of one year shall be�4p0�or up to five uni m
ts plus$2 per unit for all over five units. A unit shall
be defined as follows:
two hotel guest rooms;
two lodging house guest rooms;
two boarding house guest rooms;or
four dormitory beds
Note f. For all buildings and structures or arisAereof in the R-2 use group,the fee to be charged for the maximum
certification period of five years shall be plus$2 per dwelling unit except that three family dwelling units shall
be exempt from such fees.
Note g. For purposes of determining the required number of inspections,the maximum certification period,and the.
fees,as specified in Table 106,dormitories are included in the R-1 use group classification rather than the R-2.
.Note h. Summer camps for children in use group R-2 shall be inspected and certified annually prior to the beginning
of each season. The annual fee shall be$15 for the first 25 residential units: $8 for each additional 25 residential �.
units;and$15 for each assembly building or use. (A residential unit for this purpose shall be defined as four beds). 5
106.6 Reports by the Building Official retained in the official records as long as the building
: The or structure to which they relate remains in existence
106.6.1 Report to Appointing Authority
building official shall submit to the appointing unless otherwise,provided for bylaw.
authority of the jurisdiction a written report of 780 CMR 107.0 DUT>IES AND POWERS OF
operations in a form and content and at intervals TBE SPATE INSPECTOR
as shall be prescribed by the appointing authority. (NLGJ—c.143,§3A)
106.6.2 Report to assessors: Pursuant to 107.1 The State Inspector. In every city and town
M.G.L. c. 143, § 61, the..building official:shall 780 CMR shall be enforced by the,State Inspector of
give to the assessors of the municipality written the Department of Public Safety, Division of
notice of the granting of permits for the Inspections,as to any structures or buildings or parts
con m
struction of any buildings or structures,or for thereof that are owned by the Commonwealth or any
the removal or demolition,or for-any substantial departments,commissions, agencies,or authorities
alteration or addition thereto. Such notice shall of the Commonwealth. The state inspector shall
be given within seven days after the granting of have as to such buildings and structures all the
each permit, and shall state the name of the powers of a building commissioner or inspector of
person to whom the permit was granted and the buildings. All buildings and structures owned by
location of the building or structure to be any authority established by the legislature and not.
constructed,reconstructed,altered,demolished or. owned by the Commonwealth shall be regulated in
removed. accordance with 780 CMR 106.0.
106.6.3 Report to Local United Staten
Postinaster: Pursuant to M.G.L.c. 143,§3X the 107.2 Other responsibilities: The state inspector
building official shall notify the local United shall make periodic reviews of all local building
States Postmaster of the issuance of a building inspection practices;provide technical assistance and
permit. authorizing. the construction of any advice to the local building officials in the
building containing ten or more residential units. implementation of 780 CMR, and report in writing
his findings to the building officials.
106.7 Department records: The building official
shall maintain official records of applications 1073 Review by the Commissioner of Public
received,permits and certificates issued,inspections Safety: The Commissioner of the Commonwealth
performed fees collected,reports of inspections,and of Massachusetts,Department of Public Safety shall
notices and orders issued. Such records shall be establish districts which shall be supervised by a
1 n nrni wn r•n,rD _C;vri,T:Xt;.,.. 17
°PIKE ofa��1n' ✓
The Town of Barnstable
* snRNSTABM ;
9c�p 69. � Department of Health, Safety and Environmental Services
TFn �" Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
January 6, 1999
To Whom It May Concern:
Please be advised that due to a change in the 6th Edition of the Mass. State Building
Code, the use group classification for the Harborpoint at Centerville is now R-2 instead of
1-2.
Sincerely,
Ralph M. Crossen
Building Commissioner
RMC/lbn
g990106a
eommonweaftb of Alaszarbaq;M5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HARBOR POINT AT CENTERVILLE
3 Certifp that I have inspected the premises known as: HARBOR POINT AT CENTERVILLE
located at 22 RICHARDSON ROAD in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R-2 n
The means of egress are sufficientfor the following number ofpersons:
r. Location Capacity Location Capacity
56 DELUXE STUDIO UNITS BASEMENT TRAINING ROOM 48 "
2 PERSONS PER UNIT CHAIRS ONLY
9-STUDIO UNITS
•` 1 PERSON PER UNIT REISSUED 8/1/07 S4 -
y' Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel.
40452 8/17/2004 8/17/2009 209 016
The building official shall be notified within 10 days o an
g .� ( ) aY .f Y
changes in the above information.
Building Official
d..
5 s
<L Corr moubjea tb of J+1a!6!6ar Uattq;
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to HARBOR POINT AT CENTERVILLE
31 QCertifp that I have inspected the premises known as: HARBOR POINT AT CENTERVILLE
located at 22 RICHARDSON ROAD in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R-2
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
56 DELUXE STUDIO UNITS BASEMENT TRAINING ROOM 48
2 PERSONS PER UNIT CHAIRS ONLY
9 STUDIO UNITS
1 PERSON PER UNIT REISSUED 8/1/07
Certificate Number: Date Certificate Issued: Date Certificate Expired:
Map Parcel
40452 8/17/2004 8/17/2009 209 016
The building official shall be notified within(10)days of any '
changes in the above information.
Building Official
A=fat4-t- ►a for 3 36 �,p !/l/l�(�'
. .� a -
-10
a
v`
TOWN OF BARNSTABLE INSPECTION WORKSHEET Coos
CERTIFICATE NO: 40452 CANCELLED: MAP: Fio97
DBA: IHARBOR POINT AT CENTERVILLE PARCEL: 016
NAME/MANAGER: IHARBOR POINT AT CENTERVILLE
STREET: 122 RICHARDSON ROAD
VILLAGE: ICENTERVILLE STATE: FKA ZIP: 02632- SEQ NO: 1❑
BUSINESS TYPE: MULTI-FAMILY
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: R-2 Capacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: .
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: LOC1: 56 DELUXE STUDIO UNITS CAPS: L005:
CAP2: LOC2: 2 PERSONS PER UNIT CAP6: LOC6:
CAP3: LOC3: 9 STUDIO UNITS CAP7: LOCI.
CAP4: LOC4: 1 PERSON PER UNIT CAP8: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: � Frint�This Screen
07/28/20041 08/17/2094 08/17/2009
PrintCertificate of.lnspection
COMMENTS: REVISED CAPACITY 4/12/04
Commonbica tb of 41aggarbUqett.5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.S, this
CERTIFICATE OF INSPECTION
is issued to HARBOR POINT AT CENTERVILLE
I Certify that I have inspected the premises known as: HARBOR POINT AT CENTERVILLE
located at 22 RICHARDSON ROAD in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R-2
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
56 DELUXE STUDIO UNITS
2 PERSONS PER UNIT
9 STUDIO UNITS
1 PERSON PER UNIT
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
40452 8/17/2004 8/17/2009 209 016
The building official shall be notified within(10) days of any
changes in the above information.
Building Official
i
TOWN OF BARNSTABLE INSPECTION WORKSHEET caos
CERTIFICATE NO: 40452 CANCELLED: MAP: 209
DBA: IHARBOR POINT AT CENTERVILLE PARCEL: 016
NAME/MANAGER: IHARBOR POINT AT CENTERVILLE
STREET: 122 RICHARDSON ROAD
VILLAGE: CENTERVILLE STATE:. F MA ZIP: 02632- SEQ NO: 10
BUSINESS TYPE: MULTI-FAMILY
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: R-2 Capacity Under 50: ,
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: 1`.
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: LOCI: 56 DELUXE STUDIO UNITS CAPS: 48 L005: BASEMENT TRAINING ROOM
CAP2: LOC2: 2 PERSONS PER UNIT CAPE: LOC6: CHAIRS ONLY
CAP3: LOC3: 9 STUDIO UNITS CAP7: LOCI:
CAP4: LOC4: 1 PERSON PER UNIT CAPS: LOC8: REISSUED 8/1/07
PTr1A iThisSSc een
INSPECTION: DATE ISSUED: EXPIRATION:
�Qii884, 08/17/2004 08/17/2009 apPint'Ce ficateof ln�pectron COMMENTS: REVISED CAPACITY 4/12/04. COI REPLACEMENT FILE IN MULTI FAMILY OR SEE STREET
ADDRESS FILE. ADDED BASEMENT ROOM 8/1/07
r
The Town of Barn• stable
BARNSfABLE, i
9q, M 39 �' Department of Health, Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
January 6, 1999
To Whom It May Concern:
Please be advised that due to a change in the 6th Edition of the Mass. State Building
Code,the use group classification for the Harborpoint at Centerville is now R-2 instead of
I-2.
Sincerely,
Ralph M, Crossen
Building Commissioner
RMC/lbn
g990106a
Town Of Barnstable *Permit# Ma
Expires 6 m onifis from issue date
X_PSS PERMIT Regulatory Services Fee
Thomas F.Geiler,Director
J U N 2 5 2009 Building Division P
TOWN OF 3ARNSTAKE Tom Perry,CBO, Building Commissioner
200 Main Street,Hyannis,MA 02601
www.towm.barristable.ma.us
Office: 508-862-4038 Fax: 508-7 - 230
EXPRESS PERMIT APPLICATION - RESIDENTIAL ONL
Not Valid without Red X-Press Imprint •
Map/parcel Number `� uL,7n
Property Address J I / �t l
�Lt
. , Lit) Minimum fee of$25.00 for w �$60Residential Value of Work ro0 -
Owner's Name&Address kl,
Contractor's Name e' O Telephone Number
Home Improvement Contractor License#(if applicable)
Construction Supervisor's License#(if applicable) 0 V J
❑Workman's ompensation.Insurance
C k one:
I am a sole proprietor
❑ I am the Homeowner,.
❑ I have Worker's Compensation Insurance
Insurance Company Name
Workman's Comp.Policy#
Copy of Insurance Compliance Certificate must be on file.
Permit Request(check box)
Re-roof(stripping old shingles) All construction debris will be taken to---joen e _
❑Re-roof(not stripping. Going over existing layers of roof)
❑ Re-side
❑ Replacement Windows/doors/sliders. U-Value (maximum.44)
*Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc.
***Note: Pro erty Owner must sign Property Owner Letter of Permission.
opy the Ho Improvement Contractors License is required.
3IGNATURE:
J2 —
?Torms:cxpmtrg
Zevisc061306
I �
I The Commonwealth ofMassachusetts Y
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111'
www.mass.gavldia '
Workers"Compensation Insurance Affidavit: Builders/Contractor-s(Electridans/Plumbers
A licant Information ____ Please Print Le ' I
d�C'. a j�n S
.KName(Business/Organization/Tndividual):.�f `e v'WG r S cf 0
•Address: 4
Ci /State/Zi 61
e n lc I v. I�L (7 4 o a'� �'� Phone.#: CS
112
tY p•
Are you an employer?Check the appropriate box: :Type of prof ect(required):,
1.❑ I am a employer with 4. Q I am a general contractor and I
�.,�loyees(full and/or part=time).
* , have hired the sub-contractors 6. ❑New construction ..
2.L"1 I am a'sole proprietor or partner- listed on the-attached sheet 7. 0.Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition :
or]ang for me in.eny capacity. employeeo and have workers'
�t 9. []Building-addition
[NO workar8'comp.insurance COMP.msuranCe$' t
required.]
5. [] We are a.corporation.and its 10.❑Blectdcal repairs or additions
3:E I am a homeowner doing.ill-work . officers have exercised their 11.❑Plumbing repairs or additions '
right b t f exemption per MGL
myself[No workers comb. 12:E]Roof repairs �
`insurance.required:]t c. 152, §1(4),and we have no
employees.[No workers' 13.F Other '
comp.insurance required.]
*Any`applicant that checks box#1 must also fill out the section below showing they workers'compensation.policy information:
t Horneowncmrho submit this affidavit indicating they are doing all work and diem hire outside contractors mutt submit a new affidavit indicating'such.
tCantraet ors thatcheck this boz mutt attached,
ttached as additional sheet showing the name of the subcontractors-andstate whether or not those entities have
employees, If the sub-contractors have employees,they must providt their work='corm.polidp number.
jam an employer that is proyldtng workers'compensation insurance foamy employees. Below is the policy and job site'
information.
Insurance Company NaJne:
Policy#or Self-ins.Uc.0 Expiration Date:
lob Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing 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 nP to$1,500.00,and/or one-year imprisonment:.as well as civil penalties in the form of a STOP WORK•ORDER and a fine
of up to$250.00 a day against thg violator. Be advised that a copy of this statement maybe forwarded to the-Office of'
Investigations of the DIA,foi insurance coverage verification '
l ijo hereby certi der a pains-art enalties of perjury that the information provided above tr true and correct
Si atnre: j Dater _
Phone#: 4`6�`{
Official use on y. Do not wr to :`this area,to be completed by,city or town:offelaI
City or Town:' - .Permit/License•#
Issuing Authority(circle-one):
J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contixct Person: •Phone#: s<
oFtHE Tw,, Town of Barnstable
Regula
tory story Services
BAMWASM
Mnes. �, Thomas F.Geiler,Director
1639- �0
ATFo��a Building Division
Tom Perry,Building Commissioner ..
200 Main Street,Hyannis,MA 026.01
www.town:barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize d '0 to act on my behalf,
in all matters relative to work authorized by this building permit application for.
a�
(Address of Job)
Sign of Owner Date
Print Name
If Property Owner is.applying for permit please complete, the
Homeowners License Exemption Form on the reverse side.
Q:FORM&O WNERPERMISSION
^ - aVlassachusetts-,Department-of Puttlic Sufet�
Board of Buildin�4 Regulations and Standards
' Construction Supervisor License
License: CS 80579
Restricted to: 00
JOSEPH W POWERS
130 FULLER RD "`
CENTERVILLE,'MA 02632
J" Expiration: 6/5/2011 `
('ununissiuner Tr#: 17417'
'T�;�' ✓�ie �.;�zmom�sea� a���aaaac�u6el�6 � - _ _.___ y� i
+ L'oard of*Building Regulations nd Standards License or registration valid for individul use only I
HOME IMPROVEMENT CONTRACTOR i before the expiration date. If found return to:
Regi.tratig i w1:39619 t Boar i A'Building Regulations and Standards
Ex iraUon One Ashburton Place Rm 1301 I;
P 7/28/2009 '` Tr# 131937 ,
Bosto;�,Ala.02108
: TYRe DBA
o; E
, JOEr.POWERS HWE RENOVATIONS
S JOSEPH POWERS
• t 130 FULLER RD
C NTERVILLE,RiA 02632 Aflministrator Not valid without signature
_
• w p
_ / . AW,
r�f
J LAW OFFICE OF
MYER R. SINGER
26 UPPER COUNTY ROAD,P.0.BOX 67
DENNISPORT,MASSACHUSETTS 02639
t'/ER R. SINGER TEL: (508)398-2221
DREW L.SINGER FAX: (508)398-1568
j'
October 16, 1998
VIA FAX - 790-6230
Town of Barnstable
Att: Mr. Ralph Crossen,
Building Commissioner
367 Main Street
Hyannis, MA 02601
Re: Benchmark Assisted Living
Dear Ralph:
After reviewing the Board of Fire Prevention regulations it appears that Regulated Seating
is required for institutional use with the provisions of 527 CMR 2905 Table 1. Regulated Seating
includes upholstered furniture that would be owned by the occupants of the residential units
within Harbor Point at Centerville, an Assisted Living Facility.
Under the State Building Code, Assisted Living Residences which are certified as such by
the Executive Office of Elder Affairs shall be classified in the Residential use group.
Although portions of an assisted living residence which are used for any use other than
residential shall be classified in accordance with the intended use. It does not seem correct to
classify units in which residents live as being an area of the building that is used for a use other
than residential.
I know you have some concern regarding portions of assisted living residences that have
persons with Alzheimer's disease. I believe your concern is that these resident's units are in some
way"locked". In fact, at Harbor Point I am advised that none of the resident's rooms are locked
by Harbor Point. Each person in their unit, after they enter it, can lock the door against persons
entering without permission. But it is not a"locked"unit against a resident's will. Each person is
free to enter and leave their individual home at will.
Each resident with Alzheimer's disease wears a bracelet. Except in the case of a fire
emergency, as any such person approaches a door to leave their wing or neighborhood within the
building, the door would lock electronically. This locking system, however, is automatically
deactivated if there is a fire alarm within the building. In such an emergency no person is
restricted from entering or leaving their neighborhood within the building or the building itself.
It
Town of Barnstable
Att: Mr. Ralph Crossen
October 16, 1998
Page 2
In my opinion, an institutional rating for the building is not warranted first, under the
Provision of the building code requiring classification of assisted living residences in Use Grou
and secondly, because of the actual residential use being unrestricted as I have set forth P R
.
It is my opinion that those portions of an assisted living residence that might
be
other than residential would be in those portions of properties that are common areas or devoted
to some other use such as the beauty salon, bae .c. ed
are not within a persons "home". If this were not he case, ant assisted living rThese functions and areas
esidence Harbor Point that has only persons with Alzheimer's disease would haveno ort on oft th as
would be classified in the Ruse group. This is not consistent with 780 CMR 310.1. at
We agreed several years ago that if the Centerville Nursing Home was kept
the same
and simply changed to an assisted living center within, it would not be a change of use under size
Zoning By-law. I believe it was on this basis that you issued a buildingcerthe
remodeling work at the building. I do not believe this zoning classification controls classification or
under the State Building Code. Since state law requires that the assisted living residence allowss
every resident to retain and use their own personal property in the resident's living area so as to
maintain individuality and personal dignity, it appears to me that the building code requiring
assisted living residences to be classified in the R use group is consistent and was adopted to
provide for allowing the provisions for the use and operation of assisted living residences not t
be in conflict with the building code. o
In my opinion, the various provisions of the state law and the Code of Massachusetts
Regulations to be reasonable must be interpreted in a consistent manner. It is m opinion
that
is accomplished by the Executive Office of Elder Affairs stating that Harbor Point at Cent that this
an Assisted Living Residence and the building code stating that assisted living residences which
is
are certified as such by the Executive Office of Elder Affairs shall be classified in the residential
use group as applicable. The Executive Office of Elder Affairs does not classify Harbor Point at
Centerville as other than an assisted living residence even though it only has residents
Alzheimer's disease. I think it is therefore reasonable to say that theonly
hprovisionwith
stating that assisted living residences are to be classified in a residential use group requires 310.1
you as
the building commissioner under the building
ng code change the building code classification
to R. from I
Thank you for reviewing this issue again.
Very truly yours,
Myer
MRS/g Myer R. Singer
F:ID0CS1w0RK\N80161tr.ba1
TOWN OF.
CEi�1FICATE OF OCCUPANCY
a.ARCEL ID 209 CIS . GE0114ASE" ID I2814
�DDRE9S 22 RICHARSON ROARPHONE 17 —285
CENTER'S I LLF Z I I'
IOTT 2 1A.:& ry E
tDEVELOPMENT DISTRICT CC
WRMIT 308 I SCR1I'T. ICN CENT.PLA,CE ASSISTED LIV. �
'ERMIT TYPE r'�C0'0 TITLE CERTIFICATE CE OCCUPANCY
°aNTRACTORS= Department of Health, Safety '.
RCRITECTS = and Environmental Services
'."OTAL. FEES:
'O m { 119E
756 CERTIFICATE OF OCCUPANCY
* BARNSTABLE,
MAS&;: �►
039.;; �®
E®NiAI�
._ .. BUILDI IV SIO
DATE ISSUED 09/!8/1998 EXRIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED .FOR
(READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
2 2 2
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC-, MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.