HomeMy WebLinkAboutBrookside At Regency - Certificates of Inspection f 120 S. MAIN STREET
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°FtHE� The Commonwealth of Massachusetts
Town of Barnstable
" 2024
. TED.MON
Certificate of Inspection
Issued to Brookside At Regency Certificate No.
Type: Building -Certificate of Inspection
DBA Brookside At Regency 1C-17-13
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 208-089-001 8/31/2024
in the Town of Barnstable
120 SOUTH MAIN STREET, CENTERVILLE
Location Use Group Classification(s) Allowable Occupant Load
1st R-2: Apartment houses, dormitories 29
Restrictions 29 Assisted Living Units
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 Official Jeff LauZon Date of Inspection 12/23/2019
Signature of Municipal Building Official p Date of Issuance
9/1/2019
II / °F S►+E rah
The State of Massachusetts , h
a Town of Barnstable
163
Fp.Mp<
New and Renewal Certificate of Inspection Application
Date 1/11/2017 Fee Required 143.00
n accordance with the provisions of the Massachusetts State Building Code,Section 110.7,hereby apply for a Certificate of Inspection
or the below-named premises located at the following address:
Street and Number: 120 SOUTH MAIN STREET,CENTERVILLE
Name of Premises: Brookside At Regency
DBA: Brookside At Regency
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
Certificate to be Issued to: Brookside At Regency
(Corp, LLC,or name of Business)
Address: 120 SOUTH MAIN STREET,CENTERVILLE
Telephone: (508)790-5800
Owner of Record of Business or Larry Santilli
Establishment:
Address: 135 South Road Farmington;CT 06032
Manager or Persons responsible for
daily operation:
• 4 `
E-Mail: W!?1,115f7eabiq liP lQP.Cfl.Y?Lt/12,l1f°C�_ /°/lYYY1
SIGN URE OF PERSON TO HOM CERTIFICATE �o
Ln
IS IS UED OR AUTHORIZED AGENT '`7
o. W
. a
PLEASE PRINT NAME
_ = a
a�
INSTRUCTIONS: Of v .M`
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:
R -
CERTIFICATE# TIC-17-13 EXPIRATION DATE 9/8/2019
'r. Town of Barnstable
Building Division 4'
' 200 Main Street
��•prEZMASS.aV3T�A1 SY�" Hyannis,MA 02601.Annvsrns • MALSTON" lU.GS'f.TABLE
AA BNkIN�EBARNS
LT,5 FYWA un NAis(508) 862-4038 ?A f.
1630 0;
513
Inspection Report ❑ Notice of Violation
Business: �(Z00� '-D E /A-r Per.F,J CY Date of Inspection: /zj"//q
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:
0 Section(s). Location:
0 Section(s): Location:
0 . Section(s): Location:
0 Section(s)' Location:
0 Section(s): Location:
0 Section(s): Location:
0 Section(s): Location:
0 Section(s): Location:
0 Section(s): Location:
Action required to abate the above violation(s)you must:
®` None:no violations were observed at the time of inspection
0 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.
0 Make corrections prior to your next annual or semi-annual inspection.
0 Property/business owner or owners approved agent contact inspector for consultation
Official/Inspector: 61 m c—_/X-nn� Telephone: _(508)862-4038
Received By: _ Date: 12 o
Print Name: 4-e
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 thereoj)with the State Building Code
Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§1#0.
� r
The State of Massachusetts
NAM Town of_Barnstable `'
New and Renewal Certificate of Inspection Application
Date 1/11/2017 Fee Required 143.00
n accordance with the provisions of the Massachusetts State Building Code,Section 110.7,hereby apply for a Certificate of Inspection
or the below-named premises located at the following address:
Street and Number: 120 SOUTH-MAIN STREET,CENTERVILLE
Name of Premises: Brookside At Regency
DBA: Brookside At Regency
Purpose for which premises Is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
Certificate to be Issued to: Brookside At Regency
(Corp,LLC,or name of Business)
Address: 120 SOUTH MAIN STREET,CENTERVILLE
Telephone: (508)790-5800 (so 9? Is-
Owner of Record of Business or Larry Santilli -6A.y a LA-Akso
Establishment:
Address: 135 South Road Farmington, CT 06032,
Manager or Persons responsible for
daily operation:
E-Mail: AdYI'ni�rkSfi7eGtfd�2 0&
W � O
SIGN URE OF PERSON TO HOM CERTIFICATE <
IS IS UED OR AUTHORIZED AGENT ?< rn
C" a
10
PLEASE PRINT NAME — 8
W
INSTRUCTIONS: V M.
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:
l CERTIFICATE## TIC-17-13 EXPIRATION DATE 9/8/2019
TOWN OF BARNS 4BLE
BUILDING DEPART,IAENT SERVICES U.S.PbSTAGE>>PITNEYsowes
200 MAIN STREET _
HYANNIS,MA 02601
�f e -low-
ZIP 0250, s 000.500
• 02 4VV
00003.36455 AUG. 21. 2019
i
BROOKSIDE AT REGENCY
120 SOUTH MAIN STREET
CENTERVILLE, MA 02632
ATTN: STEVEN COLARUSSO
iw *� ZT.3.J"c::Fl
THE Town of Barnstable
Building Deparbnent
sAxxsr.xr E Brian Florence, CBO
Building Commissioner
200 Main Street, Hyannis,MA 02601
wwW town.barnstabkmaus
Office: 508-862-4038 Fax: 508-790-6230
Dear M2ilageZ
Attached please find an application for the annual Certificate of jnspection(COI)required by
780 CMR the Massachusetts State Building Code,Ninth Edition Chapter 1-Section 110.7
which reads:
110.7Pa oc c-rnspeccYons.The budding o�=d-rball inspectperiodieally existing b=angs and
stru res and parts thereof in amrdana with Table 110 entitled Schedule for Ptriodu Inspections of Exirting
Buildings.Such buildings shall not be oaupied or con imm to be otrupied a i6ord a valid ceriifiiate of
' inpectlon. -
Please complete the application and tet=to the Budding Coramissiones's Office with the
required fee(am.onnt as set on the top right hand comer);the fee must be paid before the '
Certificate of Iuspe.ction=y be issued.
Generally periodic inspections ate unannounced;-however you may feel free to contact us for
inspection once the application fee is paid
For your convenience,we will be testing emergency lights,eat signs to ensute that the
batteries and lighting are functional and.tnaldng sutethat the doors work and the ci is are i
cleat.You will need to have any fire.egtinguishets,fire alarm systems and/or Ansel systems.
(stove hood/extinguisher)inspected and tagged and a copy,of the te6nid2w reports onsite
for the insp ection. -
If you would like to have yout COI application ernailed please provide an eta2il on the y
Certificate of Inspection Application.
Sincer
Brian Florence, CB O
Building Commissioner
r V
TOWN OF BARNS 4BLE
BUILDING DEPAR7,14ENT SERVICES } ;; U.S.PbSTAGE>�PITNEYBOWES.. ;
200 MAIN STREET '
HYANNIS,MA 02601 r ® C
ZIP 02601 $ 000s50()
f 02 4Y4
00003.36455 AUG. 21. 2019
k BROOKSIDE AT REGENCY
120 SOUTH MAIN STREET
CENTERVILLE, MA 02632 -
ATTN: STEVEN COLARUSSO r
iwa: B2:T:!C- � -III i!l.tfill t.-l.l41J)it)'1lif1 11111l t lip t1.!'1i'!1'ttIsn
The Commonwealth of Massachusetts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.S, this
CERTIFICATE OF INSPECTION
is issued to RADIUS REGENCY OPERATING, LLC .
Certify _ that I have inspected the premises known as:
BROOKSIDE AT REGENCY
located at 120 SOUTH MAIN STREET in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R2
The means of egress are suff cient for the following number of persons:
Location Capacity Location }� Capacity
ASSISTED LIVING UNITS 29
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201407501 9/8/2014 9/8/2019 208 08900
The building official shall be notified within(10) days of any
changes in the above information.
Building Official
.r•,-.�iyn.:.l^w'!'^Tw.RS!'nw^}'.�fiR�.^0��... •+n•w+.w�sr+l r. _. _
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE
BUILDING DEPARTMENT ,.•
200 MAIN STREET
HYANNIS, MA 02601
DATE: 10/28/14
TIME: 12:31
-----------------TOTALS-----------------
PERMIT $ PAID 143.00
AMT TENDERED: 143.00
AMT CHANGE:
143.0000
APPLICATION NUMBER: 201407501
PAYMENT METH: CHECK
PAYMENT REF: 002268
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION ,(
Date V (X) Fee Required:$ #� 3
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Cade, Section 106.5, I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: ) tJ i� Sl�'eC T
Name of Premises: �ro4lk
Purpose for which premises is used: S�!S i�p� b vi n G/
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit lVone A enc
e y e-c,TiuL -e�fCe- OF E'Ldge Affilck16_
Certificate to be Issued to: i5ro6
Address: l — �i i _ f yt S`t`/'f r r`elyfL��
Telephone: SOR_ Zff S9
Owner of Record of Building; cns
Address: 3.5 Soot h Rrat Fi .rlmfn,-tbn cT A�E'�
Name of Present Holder of Certificate;
Name of Agent, if any; -7—
g � I E'(,�aT GAY-'1J SS O r
SIGNATURE OF PERSON TO WHOM[CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT '
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)Tie building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLI': n
`°CERTIFICATE# (7I qO EXPIRATION DATE: �V
J020115a
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A
yofTKE Town of Barnstable
Building Department
BAJV � � Brian Florence, CBO
ASS
&6 1&6 Building Commissioner
200 Main Street, Hyannis,MA 02601
wWw.town.barnstable.ma:ns,
Office: 508-862-4038 Fax: 508-790-6230
au
Dear Manager
Attached please find an application for the annual Certificate of Inspection(COI)required by
780 CUR the Massachusetts State Building Code,Ninth Edition Chapter 1 -Section 110.7,
which reads:
II0.7Padodic Inspections. The building ofuial rhall inrpectperzodicalll existing buildings and
structures and pats tbereof in accordance with Table 110 entitled Schedule for Periodic k4ections of Exirting
Buildings. Such building)shall not be occupied or corttznue to be occupied withoutt a valid certifxwe of
inspection.
Please complete the application and tetum to the Building Comtnissionet's Office with the
required fee (amount as set on the top right-hand comet);the fee roust be paid before the
Certificate of Inspection may be issued
Generally periodic inspections are„mmn ounced;however you may feel free to contact us for
inspection once the application fee is paid
For your convenience,we wiR be testing emergency lights, exit signs to ensure that the
batteries and lighting are functional and.maldng sure that the doors work and the exits ate
clear.You will need to have any fire.extinguishers,fire alarm systems and/or Ansel systems,
(stove hood/extinguisher) inspected and tagged and a copy of the technicians reports onsite
for the inspection.
If you would like to have your COI application emailed please provide an email on the
Certificate of Inspection Application.
Sincer ,
Brian Florence, CBO
Building Commissioner
�p 1HE.Tpt,_
The State of-Massachusetts
Town of Barnstable
�prEO:MPYA ue
New and Renewal Certificate of Inspection Application
Date 1/11/2017 Fee Required 143.00
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: 120 SOUTH MAIN STREET,CENTERVILLE
Name of Premises: Brookside At Regency
DBA: Brookside At Regency
Purpose for which premises is used:
License(s)or Permit(s) required for the premises by other governmental agencies:
Certificate to be Issued to: Brookside At Regency
(Corp, LLC,or name of Business)
Address: 120 SOUTH MAIN STREET,CENTERVILLE
Telephone: (508)790-5800
Owner of Record of Business or Larry Santilli
Establishment:
Address: 135 South Road Farmington, CT 06032
Manager or Persons responsible for Steven Colarusso
daily operation:
E-Mail:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
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# TIC-17-13 EXPIRATION DATE 9/8/2019
Town of Barnstable
Building Division
200 Main Street
Hyannis, MA 02601
RESIDENT CARE DIRECTOR
BROOKSIDE AT REGENCY
120 SOUTH MAIN STREET
CENTERVILLE, MA 02632
ATTN: STEVE COLARUSSO
i
TOWN OF BARNSTABLE INSPECTION WORKSHEET Grose
CERTIFICATE NO: 1 201407501 CANCELLED: MAP: 208
DBA: IBROOKSIDE AT REGENCY I PARCEL: 089001
NAME/MANAGER: IRADIUS REGENCY OPERATING,LLC
STREET: 1120 SOUTH MAIN STREET
VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 1❑
BUSINESS TYPE: MULTI-FAMILY
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: R2 Capacity Under 50: ❑
STORY2: CAPACITY: USE2: Outside Seating: ❑
STORY3: CAPACITY: USE3:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 29 LOC1: ASSISTED LIVING UNITS CAP8: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP11: LOC11:
CAP5: L005: CAP12: LOC12:
CAP6: LOC6: CAP13: LOC13:
CAPT LOCI: CAP14: LOC14:
INSPECT DATE ISSUED: EXPIRATION: P.rintThis Scree'
0 /2009 09/08/2014 1 09/08/2019
i0 a8 [
.Print Certificate ofins ctipt ��ri
COMMENTS:
1
�FTME Town of Barnstable
Regulatory Services
* s
• BAMSPABLE.
MAM. $ Richard V. Scali,Director
i639• ��
A,EpN,orA Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
SECOND NOTICE
September 24, 2014
Linda McLellen
Resident Care Director
Brookside at Regency
120 South Main Street
Centerville, MA 02632
Re: Assisted Living .
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 it to this office wit the required fee:
29 units - $143
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.
A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State
Code.
Sincerely,
Thomas Perry ,
Building Commissioner
Enclosure
Wain&120
oFt�E Town of Barnstable
Regulatory Services
BMWSTABv MASS. Richard V. Scali,Director
�'prEpMp`lp`� 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
August 6, 2014
Linda McLellen
Resident Care Director
Brookside at Regency
120 South Main Street
Centerville, MA 02632
Re: Assisted Living
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 it to this office wit the required fee:
29 units - $143
The fee has been established by the Massachusetts State Building Code (Table 106), and
amended by the Barnstable Town Council effective 8/6/01,and must be paid before the
Certificate of Inspection/Capacity Card may be issued.
A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State
Code.
Sincerely,
Thomas Perry
Building Commissioner
Enclosure
Wain&120
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION `
Date (X) Fee Required$ 4
No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, 1 hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used:
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to:.
Address:
Telephone:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
Name of Agent, if any:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:"
I)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:
J020115a
eommonweaYtb of JRa5'5arbU5ett5
TOWN"OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this .
CERTIFICATE OF INSPECTION
is issued.to RADIUS REGENCY OPERATING, LLC
Q�Prtlfp that 1 have inspected the premises known as:
BROOKSIDE AT REGENCY
located at 120 SOUTH MAIN STREET 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
ASSISTED LIVING UNITS 29
Certificate Number: ' Date Certificate Issued: Date Certificate Expired: Map -Parcel:
200904218 9/8/2009 9/8/2014 208 - 089001
The building official shall be notified within (10)`days of any
changes in the above information.
Building Officia
e
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 MAIN STREET �.
HYANNIS, MA 02601
DATE: 09/08/09
TIME: 13:14 ✓
-----------------TOTALS-----------------
PERMIT $ PAID 143.00
AMT TENDERED: 143.00
CHANGEPLIED: 143.00
APPLICATION NUMBER: 200904218
PAYMENT METH: CHECK
PAYMENT REF: 000179
AUG. 28. 2009 8:27AM CAPE REGENCY 1 NO. 090 P. 3
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) Fee Required$ I!V3•�4:P'
FIVE YEAR CERTIFICATE
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: \'Z S� 5 Vx�k)�5, P&r j e, {s/
Name of Premises: „�I•ti1®� c.� { --e-e ►
Purpose for which premises is used: ASS `I V 1 nlGa �� C/1'
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit A
c� F OF ExEcU71✓t Dr-��cE
Certificate to be Issued to: AD S & N( D E9P)1 A)
Address: U0. _f0 V O A
- -
Telephone: 9 3�Owner of Record of Building: C JZ.
Address: Sect-C7t1- 1 1141,7 r- / S 0, 1-0 I-e A G H r�6 03
Name of Present Holder of Certificate:I a_( i(�t�
Name of Agent,if any:
SIGNATURE OF PERSON TO WHOM CERTIRCATE'
IS ISSUED OR AUTHORIZED AGENT
�if v�e CUlaroSso
��,p Caf QI'uJSae-
PLEASE 1?IiI1VT 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: 9��L
J020115a
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commonwealth of Massachusetts .
s
Executive Office of Elder Affairs
DBVAL L.PATRICK TIMOTHY P.MURRAY
Governor Lieutenant Governor
BROOKSIDE AT REGENCY
120 South Main Street
Centerville, MA 02632
SPONSORED BY: RADICES REGENCY OPERATING, LLC
Is hereby certified to operate an Assisted Living Residence,
with a maximum number of Units not to exceed 29 of which 29 are designated as a Special Care Residence, from June 12, 2009 to June 12, 2011.
Eleanor Shea-Delaney Interim Secre ary Date
Executive Office of Elder Affairs
TOWN OF BARNSTABLE INSPECTION WORKSHEET ciosw
CERTIFICATE NO: 1 200904218 CANCELLED: MAP: 208
DBA: IBROOKSIDE AT REGENCY PARCEL: 089001
NAME/MANAGER: IRADIUS REGENCY OPERATING,LLC
STREET: 1120 SOUTH MAIN STREET
VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632- SEQ NO:
BUSINESS TYPE: MULTI-FAMILY
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: R2 Capacity Under 50: F
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: t l
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 29 LOC1: ASSISTED LIVING UNITS CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: LOC3: CAP7: LOC7:
CAP4: LOC4: CAP8: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION:
Print This.Scree
09/08/2009 1 09/08/2014
;:.PcintGertifica#e.oflnspe. ctioni
COMMENTS:
�FIKE roy, Town of Barnstable
Regulatory Services
BAMSTAB9 MASS. Thomas F. Geder, Director
E1639. Building Division
Thomas Perry, CBO,.Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.mams
Office: 508-862-4038 Fax: 508-790-6230
August 3, 2009
Linda McLellen
Resident Care Director
Brookside at Regency -
120 South Main Street
Centerville, MA 02632
Re: Assisted Living
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 it to this office wit the required fee:
29 units - $143
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.
A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State
Code.
Sincerely,
Thomas Perry f
Building Commissioner
Enclosure
Wain&120
oFtr�,, Town of Barnstable
Regulatory Services
BAM9 MASS. Thomas F. Geiler, Director
rf1639- A Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-8624038 Fax: 508-790-6230
MEMORANDUM
TO: Tom
FROM: Lois
DATE: 7/29/09
RE: Brookside at Regency
We have a COI for Cape Regency nursing home that�expires 2/18/11R. The Certificate of
Occupancy for the 29 unit assisted living facility was issued 6/19/09.
We have COIs for other assisted living facilities (see attached), Use Group R2;five years,
fee $85 plus $2 per unit. Do we need a COI for Brookside? If so, please sign the
attached letter.
Commonbraftb of rbazetfiq
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to RADIUS REGENCY OPERATING LLC
.Q�Erttfp that Lhave inspected the premises known as:
CAPE REGENCY
located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): 1-2
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
BEDS 120 3RD FLOOR MAIN DINING RM
1 ST FLOOR DINING ROOM TABLES/CHAIRS 49
TABLES/CHAIRS 60
CHAIRS ONLY 127 SEE SECOND SHEET
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
200900387 2/18/2009 2/18/2011 208 089-001
The building official shall be notified within (10) days of any
changes in the above information. _
Building Official
Yje Commonbicaltb of Itlazzarbu!6err
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to RADIUS REGENCY OPERATING LLC -
I QCertitp that I have inspected the premises known as:
CAPE REGENCY
located at 120 SOUTH MAIN STREET. in the Village of CENTERVILLE "
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): I-2
The means of egress are suff cient for the following number of persons:
Location Capacity Location Capacity
1 ST FLOOR TV ROOM TABLES/CHAIRS 25
2ND'FLOOR TV ROOM
3RD FLOOR TV ROOM
CAPACITY OF EACH: REISSUED 4/15/08
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel'
200900387 2/18/2009 2/18/2011 208 089001
The building official shall be notified within(10) days of any
changes in the above information.
Building Official
07/22;'2009 07: 40 617-522-9740 JGTRUSLOW PAGE 02
ZONING U,RTIFICATF
July 22,2009
Health Care RE IT, Inc, and
HCRI Massachusetts Properties Trust IT
One SeaGate, Suite 1500
P. 0, :fox 1475
Toledo, Ohio 43603-1475
Ladies and Gellfl.emen:
I am the duly appointed, Zoning Administrator for the Town of Barnstable,
Massachusetts (the "Town.") and, am responsible for the enforcement of the.zoning laws
"Zoning Code') of the Town and its Villages, including the Village of Centerville. I am familiar
with the existing Cape Regency Rehabilitation &Nursing Center and its new addition., a 29-
apartment assisted living faci.l.i,ty known as B.roolcside at Regency(the "Facility.") Located at 120
South Main, Street, Centerville, Massachusetts. Based upon my review of the Zoning Code, and
the otlicr recui:ds applicable to the Eacil.ity, I hereby certify the following:
1• Ilsc. The Facility is located.in an RC-2 Zoning District and an Aquifer
Protection Overlay District. It is not located in other overlay districts or any special.districts
such as historical districts. On October 2, 2006, it was issued. an Order of Conditions (DEP-?File
No. SE3-4537) by the Barnstable Conservation Com.mission.' The site plans for the Facility were
approved by the Barnstable Site.Plan Review Committee on January 3, 2007. On January 24,
2007 tbe,use and operation of the Facility as a 29-unit assisted living faci.l.ity was approved by
the Barnstable Zoning Board of Appeals in Special Permit No. 2007-002 that was recorded in.the
Barnsta,blo County Registry of Docds .in Book 21797, Page 214.
2. Dimensional RP uirements_ Th.e.Facility is in.compliance with all
dimensional requirements,including, but not limited to, m:i,ni..M rri lot area, height limitations,
maximum floor.area ratio and setback requi.renaen.ts. -
3. Parking anal Loading Requirements. The Facility is in compliance with. all
parking and loading rcquirem.cnts, includ61g numbL;.r of spaces, handicapped:spaces, subcompact
spaces, anal dimensions of spaces.
4• Screening and Landscape Requirements. The Facility is in compliance
with, ai.l screening and landscape.requirements.
5. Sign Requirements. The Facility is ;in.compliance with all sign
requi.remon.ts.
SUC TOL:#1653355vi
07/22/`2009 07: 40 617-522-9740 JGTRUSLOW PAGE 03
6. Driveway Pennits. Access to the Facility is ftom-South Main Stxeet. As
an addition to the existing Cape Regency Rehabilitation and Nursing Center, the,Facility does
iiut:nzod a separate driveway permit.
7. Certificate of Oceubancx. A final.,pcnxlancnt and unco„di.ti.ona.l
certificate of occupancy was duly issued for. the Facility on ,Tune 19, 2009, a copy of which is
attached hereto..
8. Violations. There are no existing violations of the Zoning Code or any
other applicable laws, ordinances, rules, regulations and codes, including,but not Fmited to,
building codes, fire codes, environmental codes and safety codes.
This Certificate is being given-to you in connection with your lease transaction for
the Facility. You may rely upon the contents axial accuracy of this Certificate in. closing the
transaction.
(Signature)
Thomas Perry
(Tit1P) Building Commissioner, Town of Barnetable
(Date) /CO
Attachment
$[.K TOT-:#1653355v1 2
I
m
J
N
N
o T awn of B a nsta-b l eN
m
Building. Department - 200 Main Street
sAIiNETt18[ �} tD
Hyannis, MA ON01
�508 862-4038Certif icate ' d 0-ccumancy
CD
J
Ql
J
Applicationfl amber. 200705589 N
CO Plumber:. 20080343
Parcel ID; 20.80$9�01
CO Issue,Date: 161191C9
Location: 120.SOUTH ItAAIN SIREET Zanig.Classification: SPLIT ZONCiVG
Proposed 11se. NURSING HOMES
Village: CENTERVILLE
Cl
Gen ;;Qntracw: PAPANTONIS. ANTHONY Permit Type: CC00 LO
r
0
CERTIFICATE OF OCCUPANCY COMM
Comments:
1
9,/a
$01 In partment 5igiature D
Date Signed
m
m.
I
a
Mass5a0u, sSett!6
Eb.e Cammonbnaltb of
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
I 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. m
Construction Type:
Use Group(s): R-2
The means of egress are suff cient 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 Off vial
°FtHE r � Town of Barnstable
Regulatory Services
BARNSTABLE,
MASS. Thomas F. Geiler, Director
1639.
TE0,,,, 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
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)
is e In ecti n as required b
Attached you will find an application for a Certificate of. sp o q y
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 Massa6husetts 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.
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
1
Richard n 2 so Rd 2
• � ��j,� �CorrrrrYor��oe�cYt�j of :�.�����u�err� . .
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is.is'sued to PATRICIA HERLIHY, EXECUTIVE DIRECTOR
I Certifp that 1 have inspected the premises known as: WHITEHALL ESTATE(ASSISTED LIVING)
located at 790 FALMOUTH ROAD. in the.Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): R-2
The means of egress are sufficient for the following number ofpersons:
. .Location Capacity, Location Capacity
80 UNITS 9 TWO-BEDROOMS
(ASSISTED LIVING)
32 STUDIOS DINING ROOM 70
39 ONE-BEDROOMS
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
40207 8/4/2004 8/4/2009 271 001
The building official shall be notified within(10) days of any p-
changes in the above information.
Building Official
Town of Barnstable
Regulatory Services
MMSfABLK ` Thomas F. Geiler, Director
MASS.
FOM;.iA`` 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 13, 2009
Patricia Herlihy, Executive Director
Whitehall Estate
790 Falmouth Road
Hyannis, MA 02601
Re: Certificate of Inspection
Multi-family Dwelling
Dear Ms. Herlihy:
Attached you will find an application for;a Certificate of Inspection as required by
Section 106.5 of the Massachusetts State Building Code,.Seventh Edition.
Please complete the application and return to the Building Commissioner's Office with
the required fee:
80 Units—(5-year certificate) .. $245.00
Dining Room (Capacity 70) 50.00
Total $295.00
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. Upon receipt of the fee, we will
issue the Certificate of Inspection for a 5-year period.
A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State
Code.
Sincerely,
Thomas Perry
Building Commissioner
Enclosure
J090713a