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HomeMy WebLinkAboutCape Regency Rehabilitation & Healthcare Center - Certificates of Inspection CAPE REGENCY NURSING H' oF�HEr The Commonwealth of Massachusetts Town of Barnstable ADO" 2019 Certificate of Inspection Issued to Cape Regency Rehabilitation & Certificate No. Healthcare Center Type: Building -Certificate of Inspection DBA Cape Regency Rehabilitation & IC-16-362 Healthcare Center Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot [iO8-089-001 2/18/2019 in the Town of Barnstable 120 SOUTH MAIN STREET, CENTERVILLE Location Use Group Classifications) Allowable Occupant Load 1st 1-2: Hospitals, nusring homes 395 Restrictions 120 Beds 1st Floor Dining Room 60 Table/Chairs 127 Chairs Only 3rd Floor Main Dining Room 49 Table/Chairs 1st Floor TV Room 2nd Floor TV Room 3rd Floor TV Room 39 Tables/Chairs 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 Jeff Lauzon Date of Inspection 8/10/2017 Signature of Municipal Building f, Date of Issuance Commissioner ma`s•✓ ' 2/19/2017 , Town of Barnstable P�°F ENE T°�y .Building Department Services Brian Florence, CBO BAR BARMTABLE f TQSTASL.L, �a MASS. �Q) Building Commissioner "w " QIO 639. 1639. 14 rFa MnY.a' 200 Main Street, Hyannis, MA 02601 �� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - Second Notice 5/10/2019 Cape Regency Rehabilitation & Hlth. Ctr. 120 South Main Street Centerville, MA.02632 Re, Expired Certificate of.Inspection Dear Steven Colarusso, Please be advised that 780 CMR the Massachusetts State.Building Code Chapter 1 Section 110 requires periodic inspections of commercial facilities such as yours. Our office mailed the application for your inspection on Date. We have not received your completed application and payment which are past due. . Enclosed for your review is a copy of the letter and Certificate of Inspection Application. To avoid enforcement action kindly sign the application and submit it with the requisite fee. If you have any questions please do not hesitate to contact Brenda Coyle, Permit Tech. at (508) 862-4039 Regards, Jeff Lauzon Local Inspector 3 yo� The State of Massachusetts Town of Barnstable � 's639 ♦ `� a ArED MP'� New and Renewal Certificate of Inspection Application t Date 12/21/2016 Fee Required 89,00 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: Cape Regency Rehabilitation&Healthcare Center Purpose for which premises is used: License(s)or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Cape Regency Rehabilitation&Healthcare Center Address: _ 120 SOUTH MAIN STREET,CENTERVILLE Telephone: Owner of Record of Building: Lawrence Santilli Address: 135 South Road Centerville, MA 02632 Name of Present Holder of Certificate: Steven Colarusso Name of Agent,if any Steven Colarusso 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-16-362 EXPIRATION DATE 2/18/2017 5 pr HE :.TheCommonwealth of., Massachusetts Town of Ba` rnstable Unr+AN. r '6 9 2019 `K fO MAC _ Certificate'& Inspection :-Cape Regency Rehabilitation-&.Healthcare Center Certificate No. Issued to Steven Colarusso Type: Building -Certificate of Inspection IC-16-362 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 208-089-001 2/18/2019 in the Town of Barnstable " 120 SOUTH MAIN STREET, CENTERVILLE Location Use Group Classification(s) Allowable Occupant Load 1st 1-2: Hospitals, nusring homes 395 Restrictions 120 Beds 1st Floor Dining Room 60 Table/Chairs 127 Chairs Only 3rd Floor Main Dining Room ;. 49 Table/Chairs 1st Floor TV Room 2nd Floor TV Room 3rd Floor TV Room 39 Tables/Chairs 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. Jef f LaUZOn Date of Inspection $ 2017/10/ Signature of Municipal Building+,, ; r - Date Of Issuance Commissioner , � ', 2/19/2017 oFtKE Ta,. Town of Barnstable Building Department Services mumsrA E, Mnss. Brian Florence, CBO 1639. �0 i°rFn i,,ar s Building Commissioner 200 Main Street, Hyannis,MA 0260.1 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Reminder Dat�:Y Dear Manager, Your Certificate of Inspection Expired 0 e sent a letters) dated ( )with the Certificate of Inspection Application. Enclosed for your review is a copy of the letter and the Certificate of Inspection Application. Kindly sign the application and submit it with requisite fee. If you have any questions,please feel welcome to contact Brenda Coyle Permit Tech. at 508-862-4039. Sincerely, Brian Floren e,T Building Commissioner ITown of Barnstable �FSHE rq� Building Department Services Jeffrey Lauzon, t �xxsTasLe Interim Building Commissioner BSTtiDL 9 MASS. 200 Main Street, Hyannis, MA 02601 �p i63q. �� 1639-20i9 www.town.barnstable.ma.us �� Office: 508-862-40.38 Fax: 508-790-6230 . y, Dater 1q Dear Manager: r Enclosed you will find the application for Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code,Eighth.Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand comer);the fee must be paid before the inspection can be performed. It is your responsibility to contact our office to set up the appointment for your inspection and to pay before the Certificate of Inspection expires. *Contact this office On payment is made to arrange for inspection. Such buildings shall not be occupied or cont' ue o be occupied without a. valid Certificate oflnsp ( O e 4 ection. C I E rr (12 ire nowhave the capability to email your COI. Please provide an Email address on the Certificate oflnspection Application: Sincerely, Jeffrey L on all, y Interim B ' ding Commissioner ............ ra Town of Barnstable Building Department Services snaxsras[.$. - Jeffrey Lauzon, °i . Interim,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLEASE FORWARD THE ATTACHED PAGES TO: TO: CAPE REGENCY REHABILITION& HEALTHCARE CTR. FAX NO: 508-771-7411 RE: EXPIRED CERTIFICATE OF INSPECTION ATTN: STEVE COLARUSSO FROM: BRENDA COYLE,PHONE NUMBER 508-862-4039 DATE: JULY 19,2017 PAGES: 5 (INCLUDING COVER SHEET) 6 THANK YOU, BRENDA COYLE N . Rev:121901 Jul. 19. 2017 2: 50PM No, 3688 P, 3 The State of Massachusetts l `Y 'down of Barnstable New and Renewal Certificate of pp Inspection Application P )ate July 20,2017 . ,,"-'Fee Required 69A0' 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 i Jame of Premises,- Cape Regency Rehabilitation&Healthcare Center 'urpose for which premises is used; ' .icenge(s)or Permits)required for the premises by other governmental agencies: 'ertiflend to be Issued to: Cape Regency Rehabilitation&Healthcare Center Nddrm,. 220 SOUTH MAIN STREET,CENTERVILLE relepholie: m )weer of Record of Building: Lawrence Santilli531 - address: 139 South Road Farrnington,Ct.06032 dame of Present Holder of Certificate: -1;Cap -a Re enc Rehabilitation&Health Care Center -- Y. _ dame of Agent,If any Manuel Benevides il INVOICE APPROVAL Date Rec. CLCode—._-----Amt' 8 Iolao GNATURE OF PERSON TO WHOM CERTIFICAn /37? Amt. S ISSUED OR AUTHORIZED AGENT rl=Code Amt.' GL Code------��---- Approving Total fy ad Manager ED Date to ?LEASE PRINT NAME Approval__L_A/P 1)Make check payablg`to: TOWN OF BARNSTABLE,,r Z)Return this application with your che&fo: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02603. OLEASE NOTE: 1)Application_form with accompanying fee must be submitted for each building or structure or partthereofto be certified, 1)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, FOIi2EME USE ONLY: CERTIFICATE 4 TIC-16.362 ��EXPIRATION bATE 2/18J2017 ..�w� i . L t 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 RADIUS REGENCY OPERATING LLC Certify that have inspected the premises known as: CAPE REGENCY REHABILITATION&HEALTHCARE CENTER located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity BEDS 120 1ST FLOOR TV ROOM 1 ST FLOOR DINING ROOM 2ND FLOOR TV ROOM TABLES/CHAIRS 60 3RD FLOOR TV ROOM CHAIRS ONLY 127 CAPACITY OF EACH: 3RD FLOOR MAIN DINING RM TABLES/CHAIRS 39 TABLES/CHAIRS 49 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel . 201501174 2/18/2015 2/18/2017 2 089-001 The building official shall be notified within(10) days ofr changes.in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS c�i TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPE.Q'ION �3 1.,5 Date �� + ) Fee Required$ r ( ) No Fee Required 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: t Street and Number: 1 2C) Soua Min :5 7—nee:% Ce_vTr&yii1& Name of Premises:CCI ILL y ,/A)r',St r7 c; o_a [ IZ—i4- Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Aizency Lv���VlR,ty� � � JCL 1�Zh`�� , �C^,niN►a'�no+D�ii1fiV1 �r� �I6/1��t�Gt(ihv5�,}1'� Certificate to be Issued to: C E-1 Address: :s*'-' , Cul• et'yme' 'S 1l m 1 r Telephone: Owner of Record of Building: C^e•�e Address: 3 } P,bc- Name of Present Holder of Certificate: U:) Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME z� tr3 c..J INSTRUCTIONS: C30 1)Make check payable to: TOWN OF BARNSTABLE M 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# ,- � �r� 0111711 _ EXPIRATION DATE:. 1020115a . 19ot P. 1 Communication Result Report ( Ju1. 19, 201,7 2. 50PM ) 2) Date/Time; Jul. 19. 2017 2:49PM M File Page No. Mode Destination Pg (s) ' Result Not Sent ----------------------------------------------------------------------------------------------------- 3688 Memory TX 915087717411 P. 5 OK f --------------------------- ---------------------------- ___-________------------_______ Reason for error - - E. 1) Hang UP or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size E. 6) Destination does not support IP—Fax -- = Town of Barnstable - Building Department Services _ Jeffrey Lamm . -_ - motiim.>:nad:nq coumsesom . .. -- -'---: -- 2W Mdn SUSK B[yem1;AAA 07601 .. ww.oymo.wrnmuhuua. office:506-E62-ms Fa:508790-Q30 - PLEASE FORWARD THE ATTACHED PAGES TO:. TO: CAPE REGENCY BEHABIIMON A IFALTHCARE CTTL FAX NO: 508.771-.7411 RE: EXPIRED CERTTFICAMOFINSPXCIION ATM SIEVECOLARUSSO FROM BRENDA COIIX PHONE NUMERSOS4624M DATE: JULY 19,2017 PAGES: 5 O NCLUDING COVER SHEET) •T THANK YOU, BRENDA COYLE i. Town of Barnstable oF +E r Building Department Services gyp' ti� Jeffrey Lauzon, Interim Building Commissioner' BSTL v� " 200 Main Stree Hyannis,MA 02601 "°" "`" tsw,xhi9 AT n'MA�� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Date: "r 19 1 Dear Manager: Enclosed ou will find the application for Certificate of Inspection as required b Section Y pP P q Y 110.7 of the Massachusetts State Building Code,Eighth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand comer);the fee must be paid before the inspection can be performed. It is your responsibility to contact our office to set up the appointment for your inspection and to pay before the Certificate of Inspection expires. *Contact this office once payment is made to arranaeforinspection. Such buildings shall not be occupied or con ue o be occupied without a . valid Certificate of Inspection. (COI E ire A- I R We nowhave the capability to email your CQI. Please provide an Email address on the Certificate oflnspection Application. Sincerely, Jeffrey L on Interim B ' ding Commissioner TOWN OF BARNSTABLE INSPECTION WORKSHEET dose; - CERTIFICATE NO: 201501174 CANCELLED: MAP: 208 y DBA: ICAPE REGENCY REHABILITATION&HEALTHCARE CENTER PARCEL: 089-001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 1120 SOUTH MAIN ST. VILLAGE: CENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 10 BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: I-2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 120 LOCI: BEDS CAPS: LOC8: 1 ST FLOOR TV ROOM CAP2: LOC2: 1ST FLOOR DINING ROOM CAP9: LOC9: 2ND FLOOR TV ROOM CAP3: 60 LOC3: TABLES/CHAIRS CAP10: LOC10: 3RD FLOOR TV ROOM CAP4: 127 LOC4: CHAIRS ONLY CAP11: 'LOC11: CAPACITY OF EACH: CAPS: L005: 3RD FLOOR MAIN DINING RM CAP12: 39 LOC12: TABLES/CHAIRS CAPE: 49 LOC6: TABLES/CHAIRS CAP13: LOC13: CAPT. LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: " Print,This Scre® 02/ 13 02/18/2015 02/18/2017 w O( '4 rin11,RE fie-1e-E0a�spect on o� 01 S COMMENTS: 1 OF 1 ADDED 5 ROOMS PER COMM FIRE DEPARTMENT 8/1/2007. 4/15/08 REISSUED PER FIRE —] DEPT/DINING ROOM RELOCATED f �to. 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 RADIUS REGENCY OPERATING LLC Certify that have inspected the premises known as: CAPE REGENCY REHABILITATION&HEALTHCARE CENTER located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use,Group(s): I-2 „ The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity BEDS 120 1 ST FLOOR TV ROOM 1 ST FLOOR DINING ROOM 2ND FLOOR TV ROOM TABLES/CHAIRS 60 3RD FLOOR TV ROOM CHAIRS ONLY 127 CAPACITY OF EACH: 3RD FLOOR MAIN DINING RM TABLES/CHAIRS 39 TABLES/CHAIRS 49 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201501174 2/18/2015 2/18/2017 2 089-001 The building official shall be notified within(10)days of any z:�/ changes.in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS C,l TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date IS (X) Fee Required$ ( ) No Fee Required 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: 'aU .S 0un Mon S Tree:% f' P-Tel Mlle /v A d-2,0 _ Name-of Premises: Cam,PC; Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit 1 A enc o '�t 5 L 2�` N Cgi_ o,D Certificate to be Issued to: Gc.�� .e�dti��, '�e 1►mob of+��►�;6.. z>�,. W aim Qct Qt.ks-tr Address: `�Z,� ��u�� Y ►Iti. `� z 22� C ,L\fQCVit\L �{�✓� ��( � Telephone: Owner of Record of Building: WC'9_AC-9, 71y,A�� s Address: 3 �� ��br ;n on C70 ' t3ri`, i Name of Present Holder of Certificate: ex Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE " t IS ISSUED OR AUTHORIZED AGENT ,;; 93 P_� �1ti��T5� M;p PLEASE PRINT NAME INSTRUCTIONS: ego �-- 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# ,- ���oil _ EXPIRATION DATE: J020115a Town of Barnstable Regulatory Services MANSDALK Richard V.Scali,Interim Director Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA,02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLEASE FORWARD THE ATTACHED PAGES TO: TO: CAPE REGENCY REHABILITION & HEATHCARE CTR. ATTN: STEVE COLARUSSO FAX NO: 508-771-7411 RE: CERTIFICATE OF INSPECTION FROM: BRENDA COYLE,PHONE NUMBER 508-862-4039 DATE: 2/24/2015 PAGES: 5 (INCLUDING COVER SHEET) Rev:121901 Town' of Barristable Re ulator : erviees t .. AW Richard V. Scali,Director ►bzp ". " Building.Divisi'o n Tom Perry,C13O, Building Commissioner 200_Main Street, Hyannis, :MA 0260.1. _ www.town.barnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 January 6, 2015 f RADIUS REGENCY OPERATING LLC CAPE REGENCY REHABILITATION & HEALTHCARE CENTER 120 SOUTH MAIN-ST. CENTERVILLE MA 02632 Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of,the Massachusetts State Building Code, Eighth.Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount asset on the top right-hand:corner.). The fee has been established by the State (Table 106), and amended by,the Barnstable Town Council effective 08/06/01,, 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 . Tom Pery ' Building Commissioner Enclosure . be Commcouwea ttb of Aassoacbuoettss 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 QCEl'Y[fp that I have inspected the premises known as: CAPE REGENCY REHABILITATION&HEALTHCARE CENTER located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: Location Capacity . Location Capacity BEDS 120 1ST FLOOR TV ROOM 1 ST FLOOR DINING ROOM 2ND FLOOR TV ROOM TABLES/CHAIRS 60 3RD FLOOR TV ROOM CHAIRS ONLY 127 CAPACITY OF EACH: 3RD FLOOR MAIN DINING RM TABLES/CHAIRS 39 TABLES/CHAIRS 49 Certificate Number: Date Certificate Issue Date Certificate Expired: Map Parcel 201300772 2/18/2013 2/18/2015 0$ 0 - 01 The building official shall be notified within(10) days of any 1 A changes in the above information. Building Official(--, COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date �0. , (X) Fee Required$ g 9. d O . r ( ) No Fee Required 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. -- Name of Premises: Purpose for which premises is used: S `` License(s) or Permit(s) required for the premises by other governmental a eiicies: License-or Permit, Agency Certificate to be Issued to: Address: !1 i Telephone: --• 91 Owner,ofRecord of Building: Address: c - Name of Present Holder of Certificate: , C' LL ' Name of Agent, if any: AE P RSON TO WHOM CERTIFICATEOR AUTHORIZED AGENT rw, PLEASE PR T NAME INSTRUCTIONS: l)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: I)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: s , CER"I'1FICATE# EXPIRATION DATE: �(� �yvoc- COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ O No Fee Required 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: Name of Premises: Purpose for which premises is used: License(s)or Perinit(s)required for the premises by other governmental agencies: , License or Permit A 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: ; 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: n 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: J020115c P. 1 r" Communication Result Report ( Feb, 24. ' 2015 12:21PM ) r 2) Date/Time : Feb. 24, 2015 12:20PM File Page No, .,Mode Dest i nat ion Pg (s) : Resul t Not Sent ---------------------------------------------------------------------------------------------------- 7505 Memory TX 915087717411 P. 5 OK r ---------------------------------------------------------------------------------------- ----- Reason for error E. 1) Hang up or line fail E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) E x c e e d e d max. E—m a i l s i z e .� Town of Barnstable Regulatory Services t Wchud V.801i,&tedm Uhectw Bn1kUng Division Thom"Petry,CBO,Bedlding Cemmltdaner 200 Main Stint.Hpmt%MA02601 mvw,tawn•Daram2Dte.ma.ue - Y Omtx:508-862-4038 Pax:508-190-6230 PLEASE FORWARD THE ATTACHED PAGES TO: TO: CAPE REGENCV REHABILR'ION A HEATHCADE CTR. - ATTN: STEVECOLARUSSO PAX NO: 508-771-7411 1 RE: CERTIFICATE OF INSPECTION .. s FROM: BRENDA COVER,PHONE NUMBER 508-862-4039 DATE: =411015 PAGES: S - (INCLUDING COVER SHEET) • TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose CERTIFICATE NO: 201300772� CANCELLED: MAP: 208 DBA: ICAPE REGENCY REHABILITATION&HEALTHCARE CENTER PARCEL: 089=00t NAME/MANAGER: IRADIUS REGENCY.OPERATING LLC STREET: 1120 SOUTH MAIN-ST. VILLAGE: ICENTERVILLE STATE: MA ZIP: FO2632- SEQ NO: 1❑ BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: I-2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating; ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 120 LOC1: BEDS CAPS:' LOC8: 1 ST FLOOR TV ROOM _CAP2: LOC2: 1 ST FLOOR DINING ROOM CAP9: LOC9: 2ND FLOOR TV ROOM CAP3: 60 LOC3: TABLES/CHAIRS" CAP10: . LOC10: 3RD FLOOR TV ROOM CAP4: 127 LOC4: CHAIRS ONLY CAP 11: LOC11: CAPACITY OF EACH: CAPS: L005: 3RD FLOOR MAIN DINING RM CAP12: 39 LOC12: TABLES/CHAIRS CAP6: 49 LOC6: TABLES/CHAIRS CAP13:, LOC13: CAP7: LOC7: CAP14: LOC14: INSPE ION: DATE ISSUED: EXPIRATION:. Pain This Sc een 19 e ; w 03 2/2011 02/1.8/2013 02/18/2015 Em Print Certificate of,lrispection COMMENTS: 1 OF 1 ADDED 5 ROOMS PER COMM FIRE DEPARTMENT 8/1/2007. 4/15/08 REISSUED PER FIRE DEPT/DINING ROOM RELOCATED t , d r �CYje �oiumcou e�cYt�j of 41aoo rbuoetto 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 QCEYt[fp that I have inspected the premises known as: CAPE REGENCY REHABILITATION&HEALTHCARE CENTER r _ located,at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity. BEDS 120 1ST FLOOR TV ROOM 1ST FLOOR DINING ROOM 2ND FLOOR TV ROOM TABLES/CHAIRS 60 3RD FLOOR TV ROOM CHAIRS ONLY 127 CAPACITY OF EACH: 3RD FLOOR MAIN DINING RM TABLES/CHAIRS 39 TABLES/CHAIRS 49 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201300772 2/18/2013 2/18/2015 0 - 01 The building official shall be notified within(10) days of any changes in the above information. Building Official y PERMIT PAYMENT RECEIPT x TOWN,OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 026011` 'DATE: ..02/05/13 ;TIME 14:50 -----------------TOTALS----------------- PERMIT $ PAID 89.00 AMT TENDERED: 89.00 AMT APPLIED: 89.00 CHANGE: .00 APPLICATION NUMBER: 201300772 PAYMENT METH: CHECK PAYMENT REF: 001381 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date \ " �.Q `7j (X) Fee Required$ g 9: C2 O . ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, Irhereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street.and Number:Aao \j�M$\.\(\ Name of Premises: d ` Purpose for which premises is'used:` s�•`�\� �u�s�� �G� 1�` .� License(s) or Permit(s) required for the premises by other governmental a encies: License or Permit4 A enc Certificate to be Issued to. � t�•� '��Q, Address: aO Yi� Telephone: \ \ AVv Owner of Record of Building:M Address:' Name of Present Holder of Certificate: , ` ozi f L L �; CI Name of Agent, if any: rj f LL. M73 :'4 , ASIGAE P RSON TO WHOM CERTIFICATE ,OR AUTHORIZED AGENT c�a PLEASE PRi NT NAME INSTRUCTIONS r 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: 5..,.��� ����v ss� ��s�o �� �� ;ti t_ �. ��. k � � �. �, a t •� Town of Barnstable Regulatory Services .. .— MAW Thomas F Geiler,Director. ; _ Building Division Tom,Perry,CBO, Building Commissioner, 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. - Fax: 508 790-6230 Office: 508-862-4038 . :: , January 3, 2013 d . RADIUS REGENCY OPERATING.LLC CAPE REGENCY 120 SOUTH MAIN ST. CENTERVILLE MA 02632 Attached you will find an application for a.Certificate of Inspection as required by Section 110.7 of.the Massachusetts State Building Code, Eighth Edition. Please complete the"application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-.hand corner). The fee has been.established by the State (Table 106),-and amended by the Barnstable Town,Council effective.08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall7be kept posted as specified in Section 120.5 of the State Code.. Sincerely,: p Tom Perry. Building Commissioner Enclosure s .. .. _ - 4 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE.OF INSPECTION Date (:X) Fee Required S S 9. V O . t (: ) 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 he 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. A eric 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 applicationwith your checkto: BUILDING.COMMISSIONER,200 MAIN STREET„HYANNIS,MA 02601 PLEASE NOTE:. 1)Application form with acco npanying.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 RATE: TOWN OF BARNSTABLE INSPECTION WORKSHEET TC�ose. CERTIFICATE NO: 201100891 CANCELLED: MAP: 208 DBA: ICAPE REGENCY PARCEL: 089-001 NAME/MANAGER: RADIUS REGENCY OPERATING LLC STREET: 120 SOUTH MAIN ST. ^ VILLAGE: LC NTERVILLE STATE: �A ZIP: 02632- SEQ NO: BUSINESS TYPE: INURSING HOM� CONSTRUCTION TYPE: STORY1: L� CAPACITY: USE1: 1-2 C8p8Clt)/ Under 50: 0 STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 120 LOCI: BEDS CAPS` LOC8: 1 1ST FLOOR TV ROOM CAP2: �� LOC2: 1ST FLOOR DINING ROOM CAP9: LOC9: 12ND FLOOR TV ROOM f. CAP3: _ 60 LOC3: TABLES/CHAIRS I CAP10: — I LOC10: 13RD FLOOR TV ROOM CAP4: _127 LOCO: CHAIRS ONLY CAP11 LOCI 1: ICAPACITY OF EACH: CAPS: L005: I3RD FLOOR MAIN DINING RM CAP12: I 39 LOC12: i TABLES/CHAIRS CAP6: 49 LOC6: TABLES/CHAIRS CAP13: LOC13: 1 CAP7: LOC7: CAP14: LOC14: INSPECTION: DATEISSUED: EXPIRATION: :" PYmtThisScreen ❑ �J 02/18/2011 02/18/2013, r G3.�a. _ Print`Certificate of inspections COMMENTS: 1 OF 1 ADDED 5 ROOMS PER COMM FIRE DEPARTMENT 8/l/2007. 4/15/08 REISSUED PER FIRE 1 DEPT/DINING ROOM RELOCATED CorrYnnoubi, aftb -of 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 QLertlfp that 1 have 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): I-2 The means of egress are sufficient for the following number of persons:. Location Capacity Location . Capacity `.. BDS 120 1 ST FLOOR TV ROOM 1,ST FLOOR DINING,ROOM 2ND'FLOOR TV ROOM TABLES/CHAIRS 60 3RD FLOOR TV ROOM . CHAIRS ONLY 127 CAPACITY OF EACH: 3131) FLOOR MAIN DINING RM TABLES/CHAIRS 39 TABLES/CHAIRS 49 Certificate Number: Date Certificate Issued: Date Certificate Expired: Ma Parcel 20110089'1 2/18/2011 2/18/2013 0 089 .1 The building official shall be notified within (10) days o / a1 .fany Y changes in the above information. ==� - - ------ - =---- Building Official L— PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 02/23'11 TIME: 10:08 -----------__-----TOTALS----------------------- PERMIT $ PAID 89.00 AMT TENDERED: 89.00 AMT APPLIED: 89.00 CHANGE: .00 APPLICATION NUMBER: 201100891 PAYMENT METH: CHECK PAYMENT REF: 14177610:369 i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date X). Fee Required ( ) No Fee Required 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: 1VS g% tN AN -CME -Ao 1hzC jZ 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 A ;enc L c C e° — �7` �i - �I�CCCctL7" Certificate to be Issued to: Address: t 20 542r27;k t/+�Io.r� $ T' CeQ7" /le- t 0:2, Telephone: 50Y 7 7(? 2$ -9 Owner of Record of Building: rt ST`Co►<2 Address: Name of Present Holder of Certificate: Name of Agent, if any: GNATURE OF PERS TO OM CERTIFICATE a � . 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: QQ CERTIFICATE# EXPIRATION DATE: J0201I5a Town of Barnstable Regulatory Services �� auue�r�rce�, Thomas F Geiler,Director Building Division Tom Perry,CBO,*Building Commissioner 200 Main Street, Hyannis, MA 02601 www.towm ba rnsta ble.ma. Office: 508-862-4038 Fax: 508-790-6230 January 11, 2011 RADIUS REGENCY OPERATING LLC CAPE REGENCY 1.20 SOUTH MAIN ST. CENTERVILLE MA 02632 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 (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and amended by the Barnstable Town Council effective 08/06/01, 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, Tom Perry Building Commissioner Enclosure o m COMMONWEALTH OF MASSACHUSETTS WX' WX TOWN OF BARNSTABLE N 2' APPLICATION FOR CERTIFICATE OF INSPECTION Date 1 , / (X) Fee Required$ e�'g tom. No Fee Required 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: /�, � %(/l�l./� l Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises b ther governmental agencies: License or Permit Aggc bQdJ Certificate to be Issued to: Address: Telephone: O0 — lor'-115 Owner of Record of Building:Address: �� / (�/ C %"'� d�v OM Name of Present Holder of Certificate:, �� —^-�.f Name of Agent, if any: '_ SIG ATURE OF PERSON TO WHCW 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 02.601 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#9(1_� EXPIRATION DATE: J020115a 9 , v;{ Close "-TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 200900387 CANCELLED: 0 MAP: 208 DBA: CA�GENCY PARCEL: . 089-001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC `' } STREET: 120 SOUTH MAIN ST. VILLAGE: CENTERVILLE STATE: FWA ZIP: 02632- SEQ NO: . 1❑, BUSINESS TYPE:_ CURSING HOME CONSTRUCTION TYPE:' ! STORY1: CAPACITY: USE1' 12 Capacity Under 50: JET* STORY2: CAPACITY: USE2: STORY3: I CAPACITY: USE3: Outside Seating: ❑ BY:PLACE OF ASSEMBY_OR STRUCTURE' CAP1: 120 I LOC1: BEDS CAPS:. LOC8: 1ST FLOOR TV ROOM CAP2: LOC2: 11ST FLOOR DINING ROOM CAP9: LOC9: 2ND FLOOR TV ROOM J CAP3: 60 ! LOC3: 'TABLES/CHAIRS CAP10: LOC10: 3RD FLOOR TV ROOM CAP4: 127 LOC4: CHAIRS ONLY CAP11: LOC11: CAPACITY OF EACH: CAP5: ==1 L005: 3RD FLOOR MAIN DINING RM CAP12: 39 LOC12:' TABLES/CHAIRS ' CAPE: I 49 LOC6: TABLES/CHAIRS CAP1'3: LOC13: CAP7: L—� LOCI: CAP14: LOC14: _J INSPECTION: DATE ISSUED: EXPIRATION: �Pr nt'Th�s'Screen 02/11/2009 02/18/2009 02/18/2011 ° tot, Print 4eit�ficate ofi In's`pection ;, COMMENTS: �1 OF 1 ADDED 5 ROOMS PER COMM FIRE.DEPARTMENT 8/1/2007. 4/15/08 REISSUED PER FIRE ;DEPT/DINING ROOM RELOCATED r% 12 SoJ7A l•qc��'l C �rv�LL C s r NSTA TOVYN OF BM BLE P;mC 10 t1 9: S 9 Cape Regency el- s " 0 N MR Perry We are doing a HUD refinance on the property of cape regency at 120 south main street in Centerville and they are requesting a letter stating that there are no building code violations at the property because it is not stated on the certificate of inspection. Therefore I am requesting this from your office any assistance would be appreciated Thank you David Laakso Director Of Plant Operatio s- ' BROOKSIDE AT REGENCY SEE ASSISTED LIVING ,OIOZ M OF BARNSTABLE INSPECTION WORKSHEET cios" CERTIFICATE NO: 1 200900387 CANCELLED: MAP: 208 DBA: ICAPE REGENCY PARCEL: 089 001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 1120 SOUTH MAIN ST. VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 1❑ BUSINESS TYPE: NURSING HOME CONSTRUCTION TYPE: I STORY1: CAPACITY: USE1: I-2 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ' BY PLACE OF ASSEMBY OR STRUCTURE _ CAP1: 120 LOC1: BEDS CAPS: L005: 3RD FLOOR MAIN DINING RM CAP2: LOC2: 1ST FLOOR DINING ROOM CAPE: 49 LOC6: TABLES/CHAIRS CAP3: 60 LOC3: TABLES/CHAIRS CAP7: LOC7: CAP4: 127 LOC4: CHAIRS ONLY CAPS: LOC8: SEE SECOND SHEET INSPECTION: DATE ISSUED: EXPIRATION: P nt T,h'rs Sereen 02/18/2009 1 02/18/2011 a�,1 t�q ' Print Cert,ficate of Inspect n COMMENTS: 1 OF 2 ADDED 5 ROOMS PER COMM FIRE DEPARTMENT 8/1/2007. 4/15/08 REISSUED PER FIRE DEPT/DINING ROOM RELOCATED T�W14 OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 200900387 CANCELLED: MAP: 208 DBA: ICAPE REGENCY PARCEL: 089001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 1120 SOUTH MAIN STREET VILLAGE: CENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 2❑ BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: 12 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 1ST FLOOR TV ROOM CAPS: 25 L005: TABLES/CHAIRS CAP2: LOC2: 2ND FLOOR TV ROOM CAP6: LOC6: CAP3: LOC3: 3RD FLOOR TV ROOM CAP7: LOCI: CAP4: LOC4: CAPACITY OF EACH: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Print This Screen " 02/11/2009 1 02/18/2011 - �� Print;'Cefificate of Irispection COMMENTS: 2 OF 2 Commonbica tb of '41a.5.5arbU.5Ct't'5 TOWN OF BARNSTABLE In accordance with the Massachusetts State.Building Code, Section 106 5, this CERTIFICATE OF INSPECTION h is issued to RADIUS REGENCY OPERATING LLC QLCrtifp that 1 have 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): I-2 The means of egress are sufficient for the following number ofpersons: 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 Comm of 1a55Sar U!9Ctr 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 31 QCertifp that 1 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 sufficient 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 i Town of Barnstable g _ Regulatory Services fix. Thomas F Geiler,Director s63A Building Division Tom Perry,CBO, Building,Commissioner, 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.m a. Office: 508-862-4038 Fax: 508-790-6230 January T, 2009 RADIUS REGENCY OPERATING LLC CAPE REGENCY;A RADIUS HEALTH CARE CENTER' 120 SOUTH MAIN ST. CENTERVILLE MA 02632 Attached you will find an application for a Certificate of Inspection as required by.Section.106.5 of the Massachusetts State Building Code, Sixth Edition.. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The.fee has been established by the State (Table 106), and amended by.the Barnstable Town Council effective 08/06/01, 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 Coder Sincerely,__ - Torn-ferry Builtlirfg Commissioner Enclosure COMMONWEALTH-OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR,CERTIFICATE OF INSPECTION Date (X) Fee Required$ (. ): No Fee Require. In accordane 't�ffh 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: Name of Premises: Purpose for.which premises is used: Lice.nse(s)or Pennit(s)required for the premises by other governmental agencies: License or Permit wAgency Certificate to be Issued to: Address: Telephone: Ovrifer'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: 1).Make�theek payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,20_( 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: r MOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 20070056T7 CANCELLED: MAP: 208 DBA: ICAPE REGENCY,A RADIUS HEALTH CARE CENTER PARCEL: 089 001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 120 SOUTH MAIN ST. VILLAGE: ICENTERVILLE STATE: FkA ZIP: 02632- SEQ NO: BUSINESS TYPE: NURSING HOME CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: I-2 Capacity Under 50: FJ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 120 LOCI: BEDS CAPS: L005: 3RD FLOOR MAIN DINING RM CAP2: LOC2: 11ST FLOOR DINING ROOM CAP6: 49 LOC6: TABLES/CHAIRS CAP3: 60 LOC3: TABLES/CHAIRS CAP7: LOC7: CAP4: 127 LOC4: CHAIRS ONLY CAPS: LOC8: SEE SECOND SHEET INSPECTION: DATE ISSUED: EXPIRATION: PrintTh�s:Screen 04/15/2008 02/18/2009 Oy._ !C > ©� PrintvCertificate of�l spectwn COMMENTS: 1 OF 2 ADDED 5 ROOMS PER COMM FIRE DEPARTMENT 8/1/2007. 4/15/08 REISSUED PER FIRE DEPT/DINING ROOM RELOCATED T6WN OF BARNSTABLE INSPECTION WORKSHEET ios CERTIFICATE NO: 1 200700561 CANCELLED: MAP: 208 DBA: ICAPE REGENCY,A RADIUS HEALTH CARE CENTER PARCEL: 089001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 120 SOUTH MAIN STREET VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632 SEQ NO: 2l BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: I-2 Capacity Udder 50: f-j STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: �UtSld2 Seating: t BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 1ST FLOOR TV ROOM CAPS: 25 L005: TABLES/CHAIRS CAP2: LOC2: 2ND FLOOR TV ROOM CAP6: LOC6: CAP3: LOC3: 3RD FLOOR TV ROOM CAP7: LOC7: CAP4: LOC4: CAPACITY OF EACH: CAPS: LOC8: REISSUED 4/15/08 Prlht Thls 8cieen, a INSPECTION: DATE ISSUED: EXPIRATION: - 84H5QM4 04/15/2008 02/18/2009 �,�Pnrit Cert�f�kicate,of llnspec�ton COMMENTS: 2 OF 2 F 1 i Ebe eorr monbeattb of Alazqarbazettss 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 Certtfp that 1 have inspected the premises known as: CAPE REGENCY,A RADIUS HEALTH CARE CENTER located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: Location Capacity Location- Capacity BEDS 120 3RD FLOOR MAIN DINING RM 1ST 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 200700561 4/15/2008 2/18/2009 208 089-001 The building official shall be notified within(10) days of any G---� changes in the above information. Building Official The Commonbieartb of 1Ra55 rbU!gett!6 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 X &rtlfp that'I have inspected the premises known as:. . CAPE REGENCY,A RADIUS HEALTHCARE CENTER 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 sufficient 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 200700561 4/15/2008 2/18/2009 208 089001 The building official shall be notified within(10) days of any changes in the above information. Building Official -- -k -ter i a Sa 45t , kOC'�'�'a'D� sea) Ebe Commonbicaltb of '41a'oar ju'qettE; TOWN OF BARNSTABLE In accordancemith the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to RADIUS REGENCY OPERATING LLC Q�Prttfp that I have inspected the premises known as: CAPE REGENCY,A RADIUS HEALTH CARE CENTER 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 ofpersons: Location Capacity Location Capacity BED ^ 120 3RD FLOOR MAIN DINING RM. G TABLES/CHAIRS 49 150 SEE SECOND SHEET Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700561 2/18/2007 2/18/2009 208 089-001 The building official shall be notified within(10) days of any changes in the above information. Building Official Ebe Commonbnea tb of Aa!5!6arbU.5et1p5 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 Certifp that 1 have inspected the premises known as: CAPE REGENCY,A RADIUS HEALTH CARE CENTER 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 sufficient 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 _ ti CAPACITY OF EACH: REISSUED 8/15/07 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700561 2/18/2007 2/18/2009 208 089.001 The building official shall be notified within(10) days of any g � changes in the above information. 3 Building Official r �1 .• '..TOWN OF BARNSTABLE INSPECTION WORKSHEETC>os CERTIFICATE NO: 200700561 CANCELLED: MAP: 208 DBA: ICAPE REGENCY,A RADIUS HEALTH CARE CENTER PARCEL: 089 001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 1120 SOUTH MAIN ST. VILLAGE: CENTERVILLE STATE: FM7A ZIP: 02632- SEQ NO: 10 BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORYI: . CAPACITY: USE1: I-2 Capacity Under 50: r STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: r1. BY PLACE OF ASSEMBY OR STRUCTURE CAP1: EE LOCI: BEDS CAPS: L005: 3RD FLOOR MAIN DINING RM CAP2: LOC2: 1ST FLOOR DINING ROOM CAPE: 49 LOC6: TABLES/CHAIRS CAPS: 70 LOC3: TABLES/CHAIRS CAP7: LOCI: CAP4: 150 LOC4: CHAIRS ONLY CAPS: LOC8: SEE SECOND SHEET INSPECTION: DATE ISSUED: EXPIRATION: Priht This,S'creen� 9f97-f266T'—] 02/18/2007 02/18/2009 pnnf Certificate of fnspectiofi 01�).2--T/trl COMMENTS: ADDED 5 ROOMS PER COMM FIRE DEPARTMENT 8/1/2007 I I i TOWN OF BARNSTABLE INSPECTION WORKSHEET Cos CERTIFICATE NO: 200700561 CANCELLED: Q MAP: 208 DBA: ICAPE REGENCY,A RADIUS HEALTH CARE CENTER PARCEL: 089001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 1120 SOUTH MAIN STREET VILLAGE: ICENTERVILL STATE: MA ZIP: 02632- SEQ NO: FYI BUSINESS TYPE: INURSING HOME —� CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: I-2 Capacity Under 50: 11. STORY2: CAPACITY: USE2: STORY3: CAPACITY: USES: Outside Seating: r. BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 1ST FLOOR TV ROOM CAP5: 25 L005: TABLES/CHAIRS CAP2: LOC2: 2ND FLOOR TV ROOM CAPE: LOC6: CAPS: LOC3: 3RD FLOOR TV ROOM CAP7: LOCI: CAP4: LOC4: CAPACITY OF EACH: CAP8: LOC8: REISSUED 8/15/07 INSPECTION: DATE ISSUED: EXPIRATION: it nt.TFiisScreen ,nRM2a ?, 02/18/2007 02/18/2009 . aPrint,Gertificate:.of;lnspection COMMENTS: { .w, r TOWN OF BARNSTABLE INSPECTION WORKSHEET Dios;, CERTIFICATE NO: 200700561 CANCELLED: MAP: 208 DBA: ICAPE REGENCY,A RADIUS HEALTH CARE CENTER PARCEL: 089-001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 120 SOUTH MAIN ST. VILLAGE: ICENTERVILLE STATE: MA I ZIP: 02632- SEQ NO: 1� BUSINESS TYPE: NURSING HOME CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: I-2 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: r. BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 120 LOC1: BEDS CAPS: L005: 3RD FLOOR MAIN DINING RM CAP2: LOC2: 1ST FLOOR DINING ROOM CAPE: LOC6: TABLES/CHAIRS CAP3: 70 LOC3: TABLES/CHAIRS CAP7: p CP CAPS: LOC8: SEE SECOND SHEET INSPECTION: DATE ISSUED: EXPIRATION: '. Frint This`Screen 02/18/2007 02/18/2009 PrintCertificatieof.Inspection� • OF/� /� COMMENTS: ADDED 5 ROOMS PER COMM FIRE DEPARTMENT 8/1/2007 010 1 'Vc-*¢J'e A),�W1 C-ftfi, f ai TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 200700561 CANCELLED: MAP: 208 DBA: ICAPE REGENCY,A RADIUS HEALTH CARE CENTER PARCEL: 089001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 120 SOUTH MAIN STREET VILLAGE: CENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 2❑ BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: I-2 Capacity Under 50: 0 STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: r-I BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 1ST FLOOR TV ROOM CAP5: 25 L005: TABLES/CHAIRS CAP2: LOC2: 2ND FLOOR TV ROOM CAP6: CAP3: LOC3: 3RD FLOOR TV ROOM CAP7: LOC7: CAP4: LOC4: CAPACITY OF EACH: CAPS: LOC8: REISSUED 8/1/07 INSPECTION: DATE ISSUED: EXPIRATION: P rint This;Screen 02/18/2007 02/18/2009 Print Certificate:of,lns,pection COMMENTS: Ebe Commonbicaltb of A1a.5,5arbU,5ettfS 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 3 QCertifp that I have inspected the premises known as: CAPE REGENCY,A RADIUS HEALTH CARE CENTER located at 120 SOUTH MAIN ST. 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 BEDS 120 3RD FLOOR MAIN DINING RM I ST FLOOR DINING ROOM TABLES/CHAIRS 49 TABLES/CHAIRS 70 CHAIRS ONLY 150 SEE SECOND SHEET Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700561 2/18/2007 2/18/2009 208 089-001 The building official shall be notified within(10) days of any changes in the above information. Building Official Ebe Commonbicaltb of Aaq;.qarbUqettq 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 X Certifp that I have inspected the premises known as: CAPE REGENCY,A RADIUS HEALTH CARE CENTER 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 sufficient 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 8/15/07 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700561 2/18/2007 2/18/2009 208 089001 The building official shall be notified within (10) days of any changes in the above information. - Building Official Ebe Commoftealtb of Ifla.5.5arbu.5ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DILIS REGENCY OPERATING LLC 3 QCtrtifp that I hav 'respected the premises known as: CAPE REGENCY,A RADIUS HEALTH CARE CENTER located at 120 SOUTH MAIN in the Village of CENTERVILLE County of Barnstable Commonwealth - assachusetts. Construction Type: Use Group(s): I-2 The means of egress are suff cient for the following number ersons: Location Capacity L tion Capacity BEDS 120 3RD FL R MAIN DINING RM 1 ST FLOOR DINING ROOM TABLES/ IRS 57 TABLES/CHAIRS 70 A iluz t 2 t-- CHAIRS ONLY 150 SEE SECOND SHEE Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parc 200700561 2/18/2007 2/18/2009 208 089-001 The building official shall be notified within(10) days of any changes in the above information. Building Official Ebe eommonweattb of Aass5acbu�Ctt.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to RADIUS R NCY OPERATING LLC 3 Certifp that I have inspected t remises known as: CAPE REGENCY,A RADIUS HEALTH CARE CENTER located at 120 SOUTH MAIN STREET in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachus Construction Type: Use Group(s): I-2 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity 1ST FLOOR TV ROOM TABLES/CHAIRS 25 2ND FLOOR TV ROOM 3RD FLOOR TV ROOM CAPACITY OF EACH: REISSUED 8/l/07 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700561 2/18/2007 2/18/2009 208 089001 The building official shall be notified within(10) days of any changes in the above information. Building Official i ; - f `l®)_ — t d innct:;. CU �ctQ�ii Gct,r-0 _ '7 a �w (� 11'1 1 g oAV ��� - m .. j � � _ � � - _ � � .. - \ '+ -. `. .I � � .� �. y., '+ s'� ., 0 _ e�f � - CommonkoeaYtb of jffia!6.gar U!6ett5 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 Certlfp that l have inspected the premises known as: CAPE REGENCY,A RADIUS HEALTH CARE CENTER located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Common ealth of Massachusetts. Construction Type: Use Group(s): 1-2 The means of egress are sufficient for the following tuber of persons: Location Capacity Location Capacity BEDS 120 . Certificate Number: . Date Certificate Issued: Date Certificate Expired: ap Parcel 200700561 2/18/2007 2/18/2009 20 089-001 The building official shall be notified within(10)days of any changes in the above information. Building Official JAN,15-2007 16:37 From:CAPE REGENCY 5087717411 ?0:5088794050 P.3/3 COMMONWEALTH OF MASSAC14USETTS TOWN OF BARNSTABLE f APPLICATION FOR CERTIFICATE OF INSPECTION Date I I i 107 (X) Fee Required$ r1.i Ilr 1 ( ) No Fee Required i in accordance with the provisions of the Massachusetts State Building Code,Section 106.5,1 hereby apply for a Certificate of i inspection for the below-named promises located at the following address: i Stroot and dumber: (ad s6N-4:- " rr.rr. rr Namo of Promises; .l' C C. Purpose for which premises is'used: 1,icense(s)or Permi((s)required for the premises by other governmental agencies; Licenie or Pertttlt AUncy L 1rMSt '}c ysmlai�._ a wlwnl Certificate to be Issued to; I :, :;'Address: l�` 15 ('1(ls.. ,;� f .Gr�' n�/Akt-,,--/MA TeI" :hone: • P r r wl rrl.ri in�I ,� ... •11... Ir■ Ownef 0.Record of f--AA Address:- SLR' G .�^� rSr, Name of Present Holder of Certificate; L Name of Agont,if any: t ape 1 F� SIGNATURE OF ON TO WHOM CERTIFICATE IS ISSUED OR AWWORMD AGENT' YY^-� rt Y:�• 1 IIII I �1. �� V..� . PI A USE PRINT NAME CD z -� INS?liUCTIONS c....a 1)Make check payable to TOWN OF BARNSTABIE 2)Return this application with your check to: gUILDINO CON MISSTONER,200 MAIN STREET,HYA IS,MA 02601 m ELIrB�ESt47�'a. , 1)Application form with accompanying fee.muet be submitted for each building or structure or paR thoreofto be certified. 2)Application and fee must be received before the certificate will be-issuod," '3)aTh"6 building official;shall'be'notifed within Ccn(]0)"deys`of any change.in-the-above information-,-, CERTIFICATE 4 EXPIRATION DATE: J0201I$a :; t TOWN OF BARNSTABLE INSPECTION WORKSHEET Clos CERTIFICATE NO: 2007005617 CANCELLED: MAP: 208 DBA: ICAPE REGENCY,A RADIUS HEALTH CARE CENTER PARCEL: 089-001 NAME/MANAGER: IRADIUS REGENCY OPERATING LLC STREET: 1120 SOUTH MAIN ST. VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 0 BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: - STORYI: CAPACITY: USE1: 12 Capacity Under 50: n STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: rl. BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 120 LOC1: BEDS CAP5: L005: CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Print This', creenn A2Q2�2eW 02/18/2007 02/18/2009 .print Certificate of Inspection COMMENTS: at Town of Barnstable Regulatory Services Thomas F Geiler,Director �IMAa' Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma. Office: 508-862-4038 Fax: 508-790-6230 January 2, 2007 RADIUS REGENCY OPERATING LLC CAPE REGENCY REHAB & NURSING HOME 120 SOUTH MAIN ST. CENTERVILLE MA 02632 Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State(Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card maybe issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure FORMAL SITE PLAN REVIEW AGENDA MEETING TO BE HELD THURSDAY, SEPTEMBER 28, 2006 Growth Management Department 9:00 a.m. 2"d Floor Hearing Room Regulatory Review SPR 050-06 Cape Regency Nursing Facility Map 208,Parcel 089-001 120 South Main Street, Centerville, MA RC-2 Zoning District, RPOD ZBA Special Permit #1980-91 to allow construction of nursing home in RC-2 zoning district. Proposal: Addition of 29 units of assisted living to the existing 120-bed nursing home facility. Improvements to be made to wastewater treatment, including nitrogen removal,wetland buffer mitigation, new landscape improvements and parking area improvements. Plans previously distributed. ZBA relief required for assisted living use. Modification of SP 1980-91 necessary. Conservation Commission approval necessary. TOWN OF BARNSTABLE INSPECTION WORKSHEETCNos, CERTIFICATE NO: 21184 CANCELLED: MAP: 208 DBA: CAPE REGENCY REHAB&NURSING HOME PARCEL: 089-001 NAME/MANAGER: RADIUS REGENCY OPERATING LLC STREET: 120 SOUTH MAIN ST. VILLAGE: CENTERVILLE STATE: MA ZIP: 02632- SEQ NO: BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: I-2 Capacity Under 50: E STORY2: CAPACITY: USE2: 3: Outside Seating: Lek STORY3: CAPACITY: USE BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 120 LOC1: BEDS CAPS: L005: CAP2: LOC2: CAP6: LOC6: CAP3: LOC3: CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: 1:`Prin Jhiis Screen INSPECTION: DATE ISSUED: EXPIRATION: 02/18/2005 02/18/20OKI ,Print Certificate.of In0ectionnl 0 COMMENTS: 7. F i to i The Commonwealtb of j.a5,q.arbU0ettq 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 3 Certifp that 1 have inspected the premises known as: CAPE REGENCY REHAB&NURSING HOME 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 suff cient for the following number ofpersons: Location Capacity Location Capacity BEDS 120 Q Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 21184 2/18/2005 2/18/2007 208 089-001 The building official shall be notified within(10)days of any changes in the above information. Building Official c c� b COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date j11-31W (X) Fee Required$ ` ' 0 O ( ) No Fee Required 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 A premises located at the following address: Streei and Number: 10")0 SO t lau/1 C Name of Premises: e— (l "D 1 i m ` Purpose for which premises is used: Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc .or 1•�V�a� ��J '\ �f A�• E ��1��\C ��ta.� o• 1 q-� C L Certificate to be Issued to: 1� c, © -�. -. �..➢ �, 2AQxJ -� CkL.A'C Ne C - , Address: \`a.0 �ov� `�' �11-t - �o 4���►1�� O-4t a Telephone: csga) �'7 — `� �5 r Owner of Record of Building: �ckt�, D � ©.p,p r `-1—C- Address: sp `W Name of Present Holder of Certificate: oOLL.1m.4 Lwla4 C Name o nt,if any: SIGNA R P SON 0 WIMM CERTIFICATE IS ISSUED OR AUTHORMED AGENT, 1 (J.rn ��Pty�•,�.�• r • . PLEASE PRINT NAME r 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: ZZ&® 7 J020115a f Town of Barnstable Regulatory Services Thomas F Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barmta ble.ma. Office:508-862-4038 Fax: 508-790-6230 January 10, 2005 OAKWOOD LIVING CENTERS, INC. CAPE REGENCY REHAB & NURSING HOME 120 SOUTH MAIN ST. CENTERVILLE MA 02632 Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card maybe issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ ( ) No Fee Required 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: 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: 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: TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 21184 CANCELLED: MAP: F208 DBA: ICAPE REGENCY REHAB&NURSING HOME PARCEL: 089-001 NAME/MANAGER: JOAKWOOD LIVING CENTERS, INC. STREET: 1120 SOUTH MAIN ST. VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 1❑ BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORY]: CAPACITY: USE]: 12 �-,apacity Under 50: t STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seatlnq; BY PLACE OF ASSEMBY OR STRUCTURE CAPI: 120 LOCI: BEDS CAPS: L005: CAP2: LOC2: CAP& LOC& CAP3: LOC3: CAPI: LOC7: CAP4: LOCO: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: / 02/18/2003 02/18/2005 ,� e PnnfCrt�f�cateaf speCfiom COMMENTS: Ebb CDm11 onWeaftb of Ram bwatt.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to OAKWOOD LIVING CENTERS, INC. �ertifp that 1 have inspected the premises known as: CAPE REGENCY REHAB&NURSING HOME located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity BEDS 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map . Parcel 21184 2/18/2003 2/18/2005 208 089-001 • The building official shall be notified within(10)days of any changes in the above information. Building Official fi COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date� =, (X) Fee Required$ C� I T ( ) No Fee Required 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: UAQ CSn.s 4Pn �v� n1 ��{�r • ak1Ac Name of Premises: CA4L �o.�se `�-l��►o�e dr N�lss�t�� C�e.e�{tt" Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Aizenc Certificate to be'Issued to: _,..8, l?..� %OA l��ldS�ate,. �e�ewew. ' r"M LAJM�►�E—• Address: -oy4k 'A J ''Li CA.MT4JU& OAAk 101�43a Telephone: CkgA -0 •t a 3 S Owner of Record of Building: DOXWOO& L� sk"!' Ckokets Q%C MA06�rA.►iSsts� MMQ . Address: jQQQ 1A VA&6%A*%A Qr. VLQ -=*.I tE.wl a- Name of Present Holder of Certificate: COLJ�e ft�aer+►� Name of Agent,if any: SIGN PE ON TO CERTIFICATE IS ISS OR AUTHO GENT �Or►�, t-�ra�tle� PLEASE PRINT NAME INSTRUCTIONS: W 1)Make check payable.to; TON OF_BARNSTABLE 2)Return this application with your check to: --BUMMI)ING COMMISSIONER;200 MAIN STREET,HYANIVIS.,_MA_0260- 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. CERTIFICATE# °C EXPIRATION DATE: J0201ISa .k >� + � f/��o -�� i ��� _ �,� . ` � � v � �� � � � 1 � - �� �G e - - - _ __ _��,,_ 0�� _ r/ �' � - - -f°- - -. __ __ .����� - - � --- -- - ---- - -- - - _ _. . - � � q -- - -_ : - - --- -- - . . - - _ - - - . d e .. 4x _ ._ - _�-- --- -— ._ --- �_ . __-� - -- --- - j °lam� _ _ __ -�--___.._ _ . . . __ _ _. ____. _ --_ _ _ _ _______ __ _ _ _ � � '� �� _ - - - _ _ - � . - _ _ �_ _ . .__ _ . _ - - �- �ti�- � Z. �. __ - _ _ _ . _ _ _ ._ - __ -,_ _ _ _ _ _ _ __ _.__ .. _ ___ _ . ._ . _ _�.�.J Z _.__. _______ _._ -_ �- J G��� ��� _ �� � �� The commonwealth of M assachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to OAKWOOD LIVING CENTERS, INC. Certify that I have inspected the premises known as: CAPE REGENCY REHAB&NURSING HOME located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachusetts. .The means of egress are sufficient for the following number ofpersons.: Use Group Construction Type Location Capacity I-2 BEDS 120 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 21184 2/18/2001 2/18/2003 208 089-001 The building official shall be notified within (10) days of any changes ink! the above information Building Official !i' COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date IPA q t o% (X) Fee Required$7 9 02- ( ) No Fee 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: \ -.O �7-- Name of Premises: CAo e. NL s5�Ia S C y-c— Purpose for which premises is used: �tySS�rJo�we License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency L C-Q oC VVIcNsS�te�-�S� s oc- tQ s r5 Certificate to be Issued to: Address: 1'a0 SoJ 0,. MAC*j <_� egt . ���e c-v t\lam ol+��lf� c-4 co �-- Telephone: CGaO 7 719 -- 1 3 Owner of Record of Building: �o.�< ►.icGr� "'\-*J�u � 5 Address: S-'a.gU® ..t1 . V\'0_'r"c1(asj Ig® . C^rvA v'� Name of Present Holder of Certificate: (Oc As,tinJ. U ii„ . Ce--,�eus Name of Agent, if any: SIGNA PERSON O WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 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. 1)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: CERTIFICATE# �� / EXPIRATION DATE: �i I� The Commoubjea ltb of Aag;g;acbu5ett.0 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 1065, this CERTIFICATE OF INSPECTION is issued to OAKWOOD LIVING CENTERS, INC. 31 (tertifp that I have inspected the premises known as: CAPE REGENCY REHAB&NURSING HOME located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity 1_2 BEDS 120 21184 2/18/99 2/18/01 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in the above information Building Official 1 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date %- I- q cl (X) Fee Required$ f 9 D v ( ) No Fee Required 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: /o; a S•e u T H M Ya i n 9 `F Name of Premises: C a 0 G L N c �4 o? e /-1 n k, ' c :-r e7 u c , ry c,- N a rn Purpose for which premises is used: (�j?,- la►q h ; L�, T ' c, r- 2 u N L�'r c P C' N o M L-:�" Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit AgeM Certificate to be Issued to: C A Per l� t=G-cF N <y e NA A; t 7 Qti d P u tf� N C- IA 6 Address: /a D Sa L.z k tM Ain• 9 7— MA Telephone: So V '7 17 Sr - i 9- T 5- Owner of Record of Building: 0 61.kt.c.JtYOrj O-A MA—, e Address: C M PN 1 ��� ce)cnrc_es �,�el�,w,_.: ,/� -CA) Name of Piesent Holder of Certificate: ,Q A d(- X Name of Agent,if any: e SIGNATURE OF PE"ON TO WHOM CERTIFICATE IS ISSUED OR A TH RIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 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. CERTIFICATE# r/ 8 EXPIRATION DATE: /�P �` _ e Com monwealtb of fdaoacbuzetto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to OAKWOOD LIVING CENTERS, INC. Certifp that I have inspected the premises known as: CAPE REGENCY NURSING&REHAB CENTER located at 120 SOUTH MAIN ST. in the Village of CENTERVILLE County of Barnstable Commonwealth ofMassachuetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity BEDS 120 I-2 21184 2/18/97 2/18/99 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within (10) days of any changes in the above information Building Official o , CITY/TOWN OF :saru��aoie o pc� p p/ CAPE REGENCY NURSIN&H8i %., APPLICATION• FOR CERTIFICATE OFsINSPECTION � C Date 23 tom. (-x )".. Fee, Required $ 79 00 r ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building code, Section' 108,15, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: _ /an S� � ?�.me of Pzemises: TA-5 l'al 4 Purpose for which premises is used: S Licenses) or Permit(s) Required for the -Premises by other Governmental Agencies: License or Permit Agency Certificate to be Issued to: �x a �� •ne4° r � ;rye'vLie1, I Address: I ZO Ce \r ; Re 3 2 Owner of Record of Building: �7ct�Lr.vrrn ✓�y� C ��� 0-10, Address: �1(oc15' R+i�LAe ""�°5 ,, f Name of Present Holder of Certificate: S�-r Name of Agent, if any: vim_ SIGNATURE 0 ERSON TO WHOM CERTIFICATE IS ISSUED 0 HIS AUTHORIZED AGENT INSTRUCTIONS: 1) Make check payable to: TOWN OF BARNSTABLE 2) Return this application with your check to: BUILDING COMMISSIONER 367 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) APpllu"Clun and Can muss be received before the certificate will be issued, 3) The building :of f icial shall be notified within ten (10) days of any change in the above information. CERTIFICATE oZf/�r� EXPIRATION DATE: ; ZdA _101\_ be- con�n�or�bje t�j of a0at lee N TOWN OF -BARNSTABLE - ; In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF ' INSPECTION INSPECTION is issued to . . . . . . • . CAPE REGENCY NURSING HOME. . . . . . . , Certifp that I have inspected the . . Nurs.ing Home known as . Cade Regency Nursing Home located at 120 South main Street in the Village of Centerville County of . .Barnstable . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . . or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . 1.20 Patients Nursing. Home . . . . . . June 4, 1993. . . . . . . . . June 4, 1994 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. Juildihg Official //yyTT be commonwealtb of 01a,92;aCbU2;ett!9 ri - .. . � TOWN- OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION AP C E RE EN G CY NURSING HOME is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certtfp that I have inspected the . . . .Nursin. . . . . . . .g Home. . . . . . . . . . . known as Cape Regency Nursing Home located-at . . 120 South Main Street __..._in the . ,Village of Center..vil-le a County of . , Barnstable... Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: f BY STORY BY PLACE OF ASSEMBLY 'OR STRUCTURE Story . . . . . . . . . Capacity . . . . . . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . .Capacity . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . - , - - 120 Patients Nursing Home . . . . . . . ... . . . . . . : . . . . . June .4,. .1992. . . . . . . . . June. 4, 1993 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. uilding 0 i Commoubnealtb of 01aoatboettg; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . _ .CAPE REGENCY NURSING HOME . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . _ . . . . . . . . . . . . . . . . . . . 3 Certifp that I have inspected the . . Nursing Home . . . . . . . . known as . .Cape, ,Regency. NT14rs.iXig _Nome located at . . . .1?p South .Main Street.. . _ . _ . in the .Village. . . . of . . . . . Centerville. .. . . . . . . . . . . . . . . . . . . . . County of . , Barnstable. . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity . . . . . . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . J1 . .Patients . . . . . . .Nursing. Home June 4, 1991. . . . . . . . . . June 4, 1992. . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. us ing Official c lzbe commonbnea ltb of Alu;nrboettg TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . _ CAPE REGENCY NURSING HOME 3 Certifp that 1 have inspected the . , ,Nursing Home. . . . _ . . . _ . . . known as .Cape Regency, . uzs.�ng .Home located at . . 12 0 South Main Street_ . . . . . . . in the . . . of . . . . .C.erltervillje . . . . . . . . . . . . . . Count o Barnstable. . . . Commonwealth o Massachusetts. The means of egress are sufficient for the following y f . . . . . . . f number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity . . . . . . . . . Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . . or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 Patients. .None . . . . .. . . . . .June 4, 1990 . . . . . . . . June 4, 1991 . . . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . the above information. uilding Off ci Commoubjealtb of ;ffla55aCbU'5ett'5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . CAPE REGENCY NURSING HOME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Certffp that I have inspected the . . . .Nursing Home . . . . known as . . .p. . . . . .�. . . .x. .Nursinq Home Ca e Re enc located at 120 South. Main Street in the . ,Village of Centerville County of . . . Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . ... . . . . . Capacity Place of Assembly or structure Capacity Location Story Capacity . . . . . . . ... Story . . . . . . . . . Capacity . . . . . . . . . k. Q. Patients. . . . N .s.iR.g .Hobe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . June 4, 1989. . . . . . . . . June 4, 1990 . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number. Date Certificate Issz(ed Date Certificate Expires The building official shall be notified within .(10) days of any changes in . . . . . . . . . . the above information. B ilding Of fici - e Commoubnea ltb of �acc ju ett� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION GAPE REGENCY NURSING HOME is issued to . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Certifp that I have inspected the . . .N.1qrsing, .1i me. . , . . . . . . . , , known as GapQ. Rege-=Y. .N11X$; ng. RQine located at . . . . .12,0 ,.S,outh. Maid, .,Stx(P-et. . . . . in the of . . .Gentezvi11Q. . . . . . . . . . . . . . . . . County of . . ... . �arnsal�le , Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story Capacity . . . . . . . . . Place of Assembly or structure t Capacity acit Location Story Capacity Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nuzs;.ng. .HPme. . . . . . June 4, 1988. . . . . . . . June 4, 1989. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date. Certificate Isszted Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . the above information. uildi g Official t f �G�je: corin�or� eacYtj u5ettg TOWN- OF BARNSTABLE c ^"qua, In accordance with the Massachusetts State .Building.,Code, Section 108.15, this CERTIFICATE% OF INSPE"CTION 4. is issued to ..CAE HE PQEI�j�Y°;N•U,R$`IN� HOME .: . . . . . . . { "�ertltp that 1 have inspected the • Nursing Home Ca known as . pe;Regency, Nursing Home 1r `�1- 120 South Main Street Villa e Centerville Y .located at . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . in the . . . . of . . . . . . . . . . . County of Barnstable• .`• •' °'Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY. OR STRUCTURE Place of Assembly Story Capacity . . s 4 .W or structure Capac%ty4 Location =y a Story . . . . . Capacity x . 120 Patients Nurslnq Home Story . . . . . . . . . Capacity . . . . . . . . . . . . . °t June 4, 1987 June 4,. 1988 ( x Certificate Number Date Certificate Issi(ed Date Certificate Expires t=F tr The°`build ing 'official:shall be notified within '(10) days of. any changes the :above informal%on .2ild ng Of fic%al ° 'g 4 ,.,�.�� -,.,•,,, 'A6 m,. .....: <..� .,.:_... - -.. .a 'x �.. . . ;'k� "r,. •s r x. 7 .:�`.'._ r_• -ice:. �i `,,t�5. � ,� ll'w 1.":b.�s Y 't�.+.�f .. '..'. .ti=�., .r,. ,.�'i � •'t.' '. t" :.-� ''�J 1 4 k'°: �° rY �.. Whir. +� aJ ya 1"• ,C^, �� ,lir ,;"t ;... .,- ..,,.o;Y..t..� ar,.: � .. ��.*. .. ,s, - .< ,:1.� .,.".�: � _,;� t -s .,ar. ..X.. a, J•�7 4..1";.,m a+,,�`.- z.-� -3 � s`�-.,:s ,,... ..Y; ,. n:x,,.. e.`3,.< :.;,' r..,.,�.i ,.•' .. .....'.� �s K r.. lr,. .."'•. a .�,n _ Y -v., .f r_ , 3 �; :�.'� 5 >. ;..,,.n�}k., a "-.,- .y,.A• . r.• ,t.-...., 'r. ::''. ...,. .. ,. Y. 1 .� '7 Y c '"'S�•:- ^fit t . �,,,�_p �r .3u,�,r �' ,a•.. t ,Y ty. �.��; i _ � pzC. •:• -�fCY 5- .�'�'"-'. <, ttr< a. rE... _ � a_,a r v�r ,:'r •.t �7 7;� .<.1 z„f5 ..i t . ... Nit ,T .. , �� .,;� , � ,�_ .. ?s, .„a• ...• i.., r,. .., ,. � .. ,. ..,. t,s. '�k: , � ,`.1K.,e. .J`.. uc. :a��... `z:J." 3 d' .M,.. 5.;,.�. - ,,... .., ... :.n. 4 .a.. r .. ..-,',,7: r`� .1:.-, ., ,v _„ •`'�v' ql..n ;�h : , "<, !P-'° ..., ° .A.: i.: "pr-f. :+r.J' ^^✓ 6.. ,�: _ � r "t l` n a w ..+r .^G,�',. ...'`� _ .-.t :� �lti" v-aR i'.;3•' `'�...-i/�.7 r.-.4�' ;�Y'kr,�_Y, :S� M a�.,. s-=S."%� .:. ,:.....�..,, y,... ...=' ,,.�„�-,. �..•-•.,.:.::x,..:. ,.� ..:�., .; y. ;v. -�x�,� 7„ 'Kwa",y,. _ •.+ � '�.F^c .,e ,,«:.. t,.'. -., .c„ R r. .. .E_.$.. .. ,, rri'r 7 .a•a• Y '.c3 _ .r. f t _ 1 sy The Commonwealtb of A1a!gq.acbu!5ett!5 _ TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this +, CERTIFICATE OF INSPECTION CAPE REGENCY NURSING HOME is issued to . . . , , a v ' 9 • p p Nursing Home CAPE REGENCY NURSING HOME i �Crtif that I have inspected the . . . . . . . . . . . known as . . . . . . . . . . . . . . . . . . . . . . Located at 120 South Main Street in the •Village p n f Ceterville Barnstable County of ' . . . . . . . : . . . . . ... . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following 1 number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE • • Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . . 'i,. or structure Capacity Location Story Capacity 120 Patients Nursing Home Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . .d: F a June 4, 1986 June 4, ' 1987 1 Certificate Number Date Certificate Issued f Date Certificate Expires The building official shall be notified within (10) days of any changes in . .. . . . . the above information. B it ing Off ci ; The Cbmmonbjealtb of A1a!5!5arbU,5ett5 TOWN OFF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this :r CERTIFICATE OF INSPECTION NUPSINis issued to CAPE REGENCY .. . . . . . . HOME.. . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . Nursing Home CAPE REGENCY NURSING HOME. �erttfp that 1 have inspected the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . known as . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 South Main Street Villa e Centerville located at . . . . in the . . . . . . of . . . Barnstable County of . . . . . . . . . . . . . . . . . . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity . . . . . . . . . , Place of Assembly or structure Capacity Location Story . . . .. . . . . . Capacity . . . . . . . . . r , Story Capacity . . ... . . . . . . . . . . . . . . . . . . . . .1. . Patients . . . . Nursing Home. . . . . . . . . . . . . . . . June, 4, 1985 June 4, 1986 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be }n .otified within (10) days of any changes in . . . .►!1�. .�. . . . . . . _ Y the above information. wilding Officia >.i . - .. , ... ..� , - .•n..�... a.w. ....,ww...,..,�y�.. .x...i.....i..a M+.n 1 1,1 Y .r.. ....} .. � . ... � 1 r .- .. .. Tbe CoffirrYoubneaYtfj of 145� c�juett TOWN OF. BARNSTABLE ' In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE - OF INSPECTION is issued to . . . . . CAP REGENCY NURSING HONE.. . . . . . . . . . .. . . . . . . , l 3 Certifp' that 1 have inspected the r" Nursing Haase . . !mown as CAPE REGENCY NURSING HOME located at . . .12,Q.South Main Street. in the •Village of .Centerville .. : . : . , County of table , . . . Commonwealth o f Massachusetts. The;means o f egress, are sufficient for the following number- of persons; BY. 'STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story • • Capacity Place o f Assembly r or structure Capacity. Location Story' _ . Capacity Story' . . . . 'Cap`acity . • 120 Patients Nursing Hoare • , Junk 4, 1984 June 4, 1985; . ,. ,, . . ,., . . . ,,. . , Certificate Number"' .Date Certificate Issued. Date Certificate Expires" • a The building official -shall be, notified 7vithin (10), days of"any changes in , , i . , . . ;.,•., the above information. uil ing O f f icia . The cordmorrbjea.Ytb of a 5!9a CbUgett!9 TOWN OF BARNSTABLE In accordance .with the Massdchuseits. State Building Code, Section 108:15, this CERTIFICATE OF , ' INSPECTION CAPE REGENCY NURSING HOME • • . . • . fis issued io 1 + s • a + • + • 1 1 �Crtt�p that l have inspected the . y Nursing Home known as '. CAPE REGENCY jNURSING HOME located at . . : 120; ,south, Main Street in the Village of Centerville Barnstable County of . : . : . . 1 . : . . : : , : : : . . Commonwealth of Massachusetts. The means of egress are suf ficienG for 'the following number ,of persons: f BY STORY BY.-PLACE OF ASSEMBLY OR'STRUCTURE Story . : Cap ac Place of Assembly I or .structure Capacity Location Story . : : . : i : : , Capacity 1 . Story, s,'Capacity 120 Patients Nursing Home �' June 4 ;. 1983 June 4 ; 19.8,4' Certificate Number Date Certificate Issued Date Certificate Expires:' i The building official shall be notified within (10) days' of any changes in the above information, ilding O f f i`na ry k • e eon -monbje g Of TOWN OF 'BARNSTABLE t In accordance with the Massachusetts State Building Code, Section: 108.15, this ! 'CERTIFICATE OF INSPE'CTION is issued to . . . . . . . . . . . . l'E..RGkIcr .ING,HOME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . ?( !�► �¢ Nursing Home CAPE REGENCY NURSING HOME that 1 have inspected the . . . . . . . known as . . . . . . ... . . . . . . . . . . . . . . ' t located at . . . . 120 South Main Street village f Centerville in the . . . . . . . . . . . o . . . . . . . . . . . . . . Count o Barnstable , , . , , 'Commonwealth o Massachusetts. The means o egress are sufficient, or the follow* y f . . . . . . . . f f g ff� f f g t number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE 1st Story, , Dining •capacity , . .40, . Place of Assembly" or structure Capacity Location 2nd Story . Dining: Capacity 40 3rd Story , Dining, Capacity :. .�. . . . 120 Patients Nursing Home 1 . . . June 4, 1982 June 4, 1983 Certificate Number Date Certificate Issued Date Certificate Expires r I The building official shall be notified within (10) .days of any changes in �, the above information. da7uilding Official C01•;:;07;WEALTH OF MASSACHUSETTS � D r F.- I 0T 44� CITY/TOWN OF APPLICATION FOR CERTIFICATE OF INSPECTION Date 9 6 -21pa (.. ) Fe-e. R-equir.ed- (,Amount): - ( � No Fee Required In accordance with the provisions of the. Massachusetts State Building ; Code, Section 108 ,15 , I hereby apply for a Certificate of Inspection for the below-named premises located at the following address : i Street and Number IRO s0. M.4i )V -sr- Name of Premises r-,q,p,- R R2�_-V C Y it/yrP 5in/� .Yo a�� Purpose for Which Premises is Used /2-0 ,REp wa��•i.yG /ion I ticense( sY or Permit (s ) Required for the Premises by Other Governmental Agencies : . !: License .or Permit Agency i I Certificate to be Issued to e.4pE �E�r,�,��y NrrsiaiG h�o � Address 12o ' So. -4/ L rLL I;- Owner of Record of Building � �'" '�� a A7 s '• _A3r co� .<r Address i Name , of Present Holder of Certificate(7-E-/nP,,, �AR_Y) PP?Va.--,lr' Cot,-P �{ Na of Agent, if any IJ.4RVYAI RL. AIA-Zlf a 604' Ap/y!Ali S7 .47 n,J ! SIGNATURE OF PERSON TO WHA TITLE �= CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT l2- DATE INSTRUCTIONS: 1) Make check payable to: ?) Return this application with your check to : PLEASE NOTE: 1) Application. form with accompanying fee. must be submitted for each build- ing 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 cbanf;e ` in the above information. CERTIFICATE EXPIRATION DATE: . • - FORM SBCC-3-74 r`��n _,P't ���­,.�I-.-',--.,�I��7�,I�,:�.`,,1::,Q,,��­'-I,I'�I,-.1-.%I�,i"..�,.t'�:.I";)�:"­I. ti'{r.­ FPRLTD�NT ACCEPTANCE''CORP ' _ Y +, Jl ;" `1 3f art°_ t t� L'" y. l& e 'yr t c .y k4 .h��,,i--,i',.�-1�",�,4:�,�,���,9�-,��C'"t,�i,,I,.;.;�_A-,��,-�,�`4,�;..,.P;�I,�l;��,�_ir.�r,".­,7,i:,_!—�­1,�,r;1�.�,I�.I�..I,,,�.�,,'i-5�,;:.!�z�-�,.:..; 3 '; 7 Rev eq j m (({y��� - "' J" s `"y,," FE`E' 9�7'/ r.Ot. .� 1 o TOWN OF ;BARNSTABLE,' MASS.$320r00 , r x o o r . V :.' e y " r l THIS IS TO ¢ERTIFY THAT A PERMIT IS HEREBY GRANTED TO e ,, T f ; o`.� Prudent: AcCetance CO�p, h , 1330 Aston St~ Chestnut: ��i1 9 � ; It � - .. "f s s ' t lPROPBRTY OWNBRI 4 is t y ,� V 1 a t IADDRE58) ' `��� ld 120 bed'Nur i Rana t� t?a')� -e G�01 Ni!rz TO, s r a ` (Appeal #r980-91} : i i4m v, .� rtf,= i' }i; IBUILDt ',' ,' , (ALTER!` ,i� f k'is ` -.fRBPA1R1.: y fife -iYi ' � � a MaBC?rixx�r fr&t�iei: _ W__:,. ,400 8( ,�. t* pt t�) t°}_yF p�dl_ tp :i ` •.t ..r !TYPB OF BUILDING) : S t': t 9APPItOXIMAT SIZl) }, x a r C._ y br, r �S 120 SS d Main Street 4 Cents 8 `� 44r . °n+ o, S LOCATION _ , �, 73 .L. • �N s , ,`4 t `t{ s ?..lSTRlBT-AND NUMpERI t: y ,� f',',c t IVILLAGB) ! {. - ' A � �� ' , ..8 5 T� NAME OF BUILDER OR CONTRACTOR _ O6JCteX' Ao)>,.. o 3 tccoo x7 m'4!o APPROXIMATE CAST ,, „6OOO K '`' "Yrt N�,a m �0 I HEREBY,AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OP'THE„TOWN, E.c ti OF BARNSTABLE, REGARDING THE'ABOVE'.CONSTRUCTION "{ °cl�tL_ 1 e •tea C �.w r lOWNERI (CONTRACTOR), l- �H m}" "� co a c� } All basements lyIUST , m ;" 4m.� n6t„ 'S 3 solaced to conform to u }} t s ..Art i .� fi r r �dOt R� 22 of the State energy eodp {!_ �ji}p� +, yCl 4" J J$ yrf BUILDING INSPECTOR ': J 7 � w " ��#' f r. Sobled tp A royal of Boar 'of Health .F�� t,yitr y,;.t.�S la.z,., sPP.4 Mrvc' +,. r is x _l J '+ 4 r y f1 a j i t r t;= t r x.$ZY+bm r8n t4,'tao.. '3..F edlnuxs.F.ta'.tiss Sc.x.{.vtY."t;�a� "i >,-'R'..'.-��..f �',�,., °r'�2w.s.,tl,e`s',.-,wnt'.�.w,�.•:r.3a..s..;�n.a.SrT�iYGa�Yh�1i�4'..,.wait,�.,..�_.... c .f x -' } ,{ S .#� M i .. - .rs t r � .t ,: ... N r � i � x x :. v:u , c a � �' s. N -y�' kx 1 _ y....,lF 'p, . - _ y . - "' i .-'e -' _ — e .i d - , Ms . - ,?t .c' ..� - ,, .. + p _ ." 1 ; ro - ta t +gt r.y i y 1 t f _ - ra x l i3'� .. s`r - c'4` - ,5 , s - - y s o f; k.`• t c .F t J �• f, it - K Y a ,` h*� 51 4i` �' ,t. r S- - i;a,, $ ,L II I. It r .:Y ,• k S. ..y L: n �� z"" fi__. t ..'... . ... - r e LOCAL T,=DIIIG Drr-.J"T!.M- aJL - Ci I,`'J tip ICATE OF ilir,13PL,C'.PIoil Date:— IL 4 Z ))_QU l:inr� Inspector . Dear Sir: I hereby reCll�.st that an .inSpeCti011 be Lnatle �r on 1 O 11� pr ems�,-S for Ziil e )ose of issu.in`; a certificate Of use and 6,ccupazlcy and the posted occllpar�t load as ieqlired by the CoMIon;•realt i of Mlassachuse::ts State lhl' ` Code< Pl; ase .f CrT,m—d za cccTCy of this C?rt i.I i cate to the Dopartmez:.t of 1).b1_ic Hea!'Ulh, Lon- Term, Cale r�r r egula.tion-----Room �0, V7 Boylston Str Boston ,` o , pia sr,,ch.usett ereCtew bu�..IC:i.;1E, s 02116. 'In the cage of f��:?y n e°rr"7qy Adci.•ess of home Name of 11pp1icarti:s If corporation, lis'c correct co?por-at e nan�.ej-� <7 Si8i-v lure of A1. 1.:i.c� - I-P JOSEPH D. DALU2 TELEPHONES 77S•1120 Building Commissioner EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 November 13, 1986 Ms. Ann Gravina, Legal Assistant Choate, Hall, Stewart 53 State Street 32nd Floor Boston, MA 02109 Re: Cape Regency Nursing Home Dear Ms. Gravina: The enclosed copies have .been approved and signed, as necessary, by the Building Department of the Town of Barnstable. The Cape Regency Nursing Home located at 120 South Main Street, Centerville is a legal structure and a. permitted Nursing Home use (see Appeal #1980-91) . Peace, Joseph D. DaLuz Building Commissioner JDD/gr enc. 8 ` O INC r r r The`tt Town of Barnstable DAITITAIL { a+ S1 �s "'• Inspection Department 367 Main Street, Hyannis, MA 02601 508-790-6227k Joseph D, DaLuz j Via` Building Commisstore June 10, 1993 V a 1 !N 1y Hinckley, Allen & Snyder r' One Financial Center ' % 1 Boston, MA 02111 4� . RE: Cape Regency Nursing Home S �3: A=208 089 001 120 South Main St. , Centerville : To Whom It May Concern: . Please be advised that the Cape Regency Nursing Home located ' at 120 South Main Street, Centerville, Massachusetts (the 1+ "Premises" ) is a legal structure and, the use of said property as a nursing home is a permitted use (see Appeal #1980-91 ) . In addition, the Bu-i_l.di_ indicate that: ng Department records 1 . No outstanding zoning a-ations exist with respect , to the Prem_i.ses ; 2 . The only permits issued for the Premises by the Building Department were Building Permit #23055 ry, dated April 30, 1981, an Occupancy Permit dated . : July, 1982," and annual Certificates of Inspection issued to the Premises as required by law (the most recent having been issued June 4, 1993) . Please be further advised the undersigned was authorized. to' issue the permits referenced in numbered paragraph 2 above. ' Peace, is I os ph D. DaL Building Commissioner J q4(s tty n r V'. z y i ONE FINANCIAL CENTER BOSTON, MASSACHUSE iS 02111-2625 617 345-9000 HINCKLEY, ALLEN & SNYDER FAX:617 345-9020 Attorneys at Law Susan F.Donahue January 28, 1994 VIA TELECOPIER AND FIRST CLASS• U.S. MAIL Mr. Joseph D. DaLuz Building Commissioner Barnstable Inspection Department 367 Main Street Hyannis, MA 02601 Re: Cape Regency Nursing and Rehabilitation Center 120 South Main Street, Centerville, Massachusetts Dear Mr. DaLuz: In connection with the refinancing of the Cape Regency Nursing and Rehabilitation Center by Health Care REIT, Inc . (the "Lender" ) , the Lender is requiring as a condition to closing the completion of the enclosed Zoning Certificate. Please complete the same and return to me at your earliest opportunity in the self-addressed stamped envelope enclosed. Thank you for your kind assistance. Very truly yours, Susan F. Donahue SFD:hj Enclosure WP:SFD:OL040558.11305.AF9 1500 FLEET CENTER 0 PROVIDENCE, RHODE ISLAND 02903 ❑ 401 274-2000!-i FAX:401 277-9600 Jan, 28. 1994-h10:48AM A,HINCKLEY ALLENnvaer No, 0570 P, 1 Atrornevs at Law ONEFrNANctAt- CENTER FACSIMILE TRANSMITTAL SHEET BOSTON, AMssncxuSET7.S 02 (617) 345.9000 a Fix (617) 345.9020 FROM: Susan F. Donahue CONFIDENTIALITY NOTICE DATE: January 28, 1994 This facsimile 4=ftt ssion and the acaompa110n8 docu- menu contain legally privileged confidential informauon, (�1CLtJp1AiG MJ7ri8ER N PAGES 7`1�►NSMITTED The a0m ation is intended only for the use of the rmipient COvSR SHEET) 4 nained below. If you are not an intended recipient, you arc hereby notified that Any disclosure,copying,dis ribution or Ii''s`ou did not receive the indicated number of pages,or if atploitation of,or the taking of any Action in reliance on,the any pages are illegible,please call us imme&4tel},at, contents of this facsimile is tttrietly prohibited. If you have (d 17)345.9" received this facsimile in error,please notif/us immediatcly CLJMN r; by telephone to arrange for return of the original documents 40558 MATTER: 77307 to us at our expense. T0: h D. DaLuz FIRM: De artment i RE: --Cage Regency Nursing Home BUS.# (508) 790-6227 FAX # (508) 775-3344 URGENT MESSAGE For your information Please call sender to discuss Please see belaW Per our diwUsion As requested MESSAGE: 1500 FUET CENTER 0 PR0%jDLNCE, RRODE ISLAND 02903 0 401 274.2000 0 FAX: 401 277.9600 f • Jan, 28. 1994 10:49AM HINCKLEY ALLEN No, 0570 P. 2 ONE FINANCIAL CENTER gOSTON,MASSACHU$ETTS 02111.2825 617 345.9000 FAX;0 345.9020 HINCKLEY, ALLEN & SNYDER Attorneys at Law Susm:A Donohue January 28, 1994 � n+>rTELE,,rnpT R AND FIRST CLASS VIA U�S� MAZL v t Mr. Joseph D. DaLuz Building Commissioner Barnstable Inspection Department 367 Main Street Hyannis, KA Re: Cape Regency Nursing and Rehabilitation Centex 120 South Main Street, Centerville, Massachusetts Dear Mr. DaLuz: In connection with the refinancing of the Cape Regency, (the and Rehabilitation Center by Health Care REIT, Inc• Nursing as a condition to closing the "Lender" ) , the Lender is requiring completion of the enclosed zoning Cerliestaopportunetyein the the same and return to me at your ear self-addressed stamped envelope enclosed. Thank you for your kind assistance. very truly yours , - Susan F. Donahue SFDshj Enclosure wP:SN:0L040558.77305.0 03 R01 274-2000 FAX'401 277•l3600 1500 FLEET CENTER 0 PROVIDENCE,RHODE I%AND 029 Jan, ZONING CERTIFICATE (DATE) Health Care REIT, Inc. One SeaGate, Suite 1950 Toledo, Ohio 43604 Gentlemen: I am the duly appointed zoning Administrator for the City t of Centerville, Massachusetts (the "City") , and am responsible for the enforcement of the zoning laws (the "Zoning Code") of the City. with the Cape Regency Nursing Home located -at I am familiar 120 o „r , Centerville, Massachusetts (the +Facility") . Based upon my review ilithe and the Zoning Code, the ` other records applicable to the Fac yi following: 1. Use. The Facility is currently zoned �- under he Zoning Code. The use and operation of the Facility as a the bed nursing home is a -permitted use in such zone. The Facility is not a nonconforming use. No special use permits , conditional use permits, variances or exceptions have been granted nor are needed to use the Facility as a 120-bed nursing home. The Facility is not located in any special districts such. as historical . districts or overlay districts. 2. Dimensional Requirements . $heFacility not 'IS in compliance with all dimensional requirementincluding , limited to, minimum lot area, height limitations, maximum floor area ratio, and setback requirements. 3. Parking and Loading .Recjuiremer�t v. The Facility is in Compliance with ail parking an* in sub ompact requirements spacesincluding and number of spaces, saceg handicapped p dimensions of spaces . 4 . Screening and Landscape I Re uirement re The Facility is in compliance with all screening and landscape q • 5. Sian Requirements . The Facility is in compliance with all sign requirements. 6 . Drivewax Permits . Access to the Facility is from So AA/,y 1 . A driveway permit was duly issued on /Y � , a copy of which is attached hereto. , BIDb\bCri\OlCCOt1t.6 ' -- - Jan, 28, 1994 10, 50AM HINCKLEY ALIEN No, 0570 P. 4 T . Health Care REIT, Inc. [DATE] Page 2 7 . Certificate of occu anG . A final, permanent and unconditional certificate of occupancy was duly issued for the Facility on uG 8,L a copy of which is attached hereto. 8 . Violations . There are no existing violations of the Zoning Code or any other applicable laws, . ordinances, rules, regulations and codes, ,including but not limited to, building codes, fire codes, environmental codes and safety codes. This Certificate is being given to you in connection with your lease transaction for the Facility. You may rely upon the contents and accuracy of this Certificate in closing the transaction. (Signature) (Title) (Date) 9mD\hCLi\O1GGent.$ ZONING CERTIFICATE [DATE) Health Care REIT, Inc. One SeaGate, Suite 1950 Toledo, Ohio 43604 Gentlemen I am the duly appointed Zoning Administrator for the City of Centerville, Massachusetts (the "City") , and am responsible for the enforcement of the zoning laws (the "Zoning Code") of the City. I am familiar with the Cape Regency Nursing Home located -at 120 South Main Street , Centerville, Massachusetts (the "Facility" ) . Based upon my review of the Zoning Code, and the other records applicable to the Facility, I hereby certify the following: 1. Use. The Facility is currently zoned RC-2 under the Zoning Code. The use and operation of the Facility as a 120-bed nursing home is a permitted use in such zone. The Facility is not a nonconforming use. No special use permits, conditional use permits, variances or exceptions have been granted nor are needed to use the Facility as a 120-bed nursing home. The Facility is not located in any special districts such as historical . districts or overlay districts. 2. Dimensional Requirements. The Facility Is in compliance with all dimensional requirements including, but not limited to, minimum lot area, height limitations, maximum floor area ratio, and setback requirements . 3 . Parking and Loading Requirements . The Facility is in compliance with all parking and loading requirements including number of spaces, handicapped spaces, subcompact spaces, and dimensions of spaces. 4 . Screening and Landscape Requirements . The Facility is in compliance with all screening and landscape requirements . 5 . Sign Requirements . The Facility is in compliance with all sign requirements . 6 . Driveway Permits . Access to the Facility is from South Main Street A driveway permit was duly issued on N A a copy of which is attached hereto. emb\hcri\o1ccent.6 Health Care REIT, Inc. [DATE] Page 2 7 . Certificate of Occupancy. A final, permanent and unconditional certificate of occupancy was duly issued for the Facility on July 1992 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 limited 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 and accuracy of this Certificate in closing the transaction. t (Signature) (Title) - SSG (Date) emb\hcri\o1ccent.6 y THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A m T-NO&' DATA I hereby agree to conform \ construction. to all the Rules and Regulations of the Town of Barnstable re �garding the abc - /�� l L ��✓"' 'mac TOWN OF BA$N$TABLE Permit No. c.Building Inspector Cash ,,r-a o't OCCUPANCY PE.-``MITBond "No building nor structure shall be erected,=,aired no'iand;building or structure shall be used for a new, different, changed, or enlarged.tine;'v'A-libut a Building Permit therefor first having been obtained from the Building,"Inspectbr. No-building shall be occupied until a certificate of occupancy has been issued bythe Building Inspector. Issued to i�:' :'1 i iC:^_f r, ^,? _, .;n" Address �C'R .�'tcx-, ♦4r J�.��- L.. /y Wiring Inspector i __ ,� Inspection date Plumbing Inspector ': Inspection date Gas Inspector Inspection date Engineering Department Inspection date. THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR., UPON SATISFACTORY COMPLUNCE WITH TOWN B,EQUMEMENTS. ' 1" J- Building Inspector i TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to „CAPE REGENCY NURSING HOME . Certifp that I have inspected the . , Nursing Home Cade Rec�encx Nursing Home . . . . . . . . . . . . . known as . . . . . . . . located at . ,120 South Main Street in the ,Village. . . of . . . . . .Centerville. . . . . . . . . . . . . . County of . ,Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY .STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity . . . . . , , , , Place of Assembly or structure Capacity Story Capacity . . . . . , p y Location , Story . .. . . . . . . Capacity . . . . . . . . . 12 . . Patients Nursing. Home: Certificate Number June . . 1993 June 4, 1994 Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. uildi g 0/ficial ky The Town of Barn- � �..(,,.,L : stable Inspection llepartment 367 Main Street, Hyannis, MA 02601 508-790-6227 ; c Joseph D..DaLu Building(to' missione>j June 10, 1993 Hinckley, Allen & Snyder One Financial Center T{� Boston MA, 02111 RE: Cape Regency Nursing Home A=208 089 001 120 South Main St. , Centerville '. To Whom It May Concern: Please be advised that the Cape Regency Nursing Home locate.' at 120 South Main Street, Centerville, Massachusetts (the "Premises" ) is a legal structure and the use of said property as a nursing home is a permitted use (see Appeal #1980-91) . In addition, the Bu.i ]ding Department records ' indicate that: l• No outstanding zoninq vi ,;.Lations exist with respect to the Premises ; 2 • The only permits issued for the Premises by the Building Department were Building Permit #23055 dated April 30, 1981, an Occupancy Permit dated July, 1982, and annual Certificates of Inspection issued to the Premises as required by law (the most recent having been issued June 4, 1993) . Please be further advised the undersigned was authorize d to issue the permits referenced in numbered paragraph 2 above Peace, rl os ph D. DaL Building Commissioner JDD/gr i g ,, 3Yt't N OO KS a 6t1tSx�Y- _ rwl r J JD NT F�. ACCEPTANCE',CARP FEE $1,377.01, M 3,0`b OF BARNSTABLE, MASS.$320 00TOWN � o April 30:: 19 81 4 THIS .18 TO CERTIFY THAT A PERMIT I8 HE GRANTED TO yt� - c 3� Pruden� Acceptamce :Corp. 1330 Boylston St,,Chestnut Mill, a , (PROP[RTy.OWN[RI JJ# -- ...,� ;��,=r: Bu�1d.-120 bed Nutsi one.:. ,' a'.tAppeal #1980 #�� s TO Y 7,,�,1,[UILDI. �+' t t <ALT[Rl ��;/�IR[PAIR}22 .. `e..iq 2t-�rtl-� Masonry .,& frarhe + 1�1400 sQ1a 1��.'. ,S :�Y;t?Q y�Q j x RYP[OF RUILDINOI srY r� (APPROXIMATg st�Z[1 a ~ i Centezville, ; -l20,5out�;.Maxn Street; ekr ry ao to Oi: to` LOCATION + ,'(Vit.I Aa[I �"� • +C'C <BTR[a7 AND-NUMo[R).'- ��t an " OF BUILDER OR CONTRACTOR Owner $1 500 000 "i s >>�•`6 co, APPROXIMATE COST i HEREBY AGREE..TO CONFORM TO ALL .THE RULES'AND REGULATIONS_OF THE TOWN OF .BARNSTABLE, REGARDING THE.ABOVE CONSTRUCTION IOWN[R) (CONTRACTOR! Sewage #81-31 i c"r- �►• All basements MUST be in- RZ xy• sulata ja conform'to Arf 22 of the State energy code BUILDING INSPECTOR SobleN-to.App[oval of Board,of Health , 4 , (,,�� t L i t}..i`.ly t• ,y #,`�,�,.� :. } r t.f`l I.e� 7 tj4 w '_ : 7iii'i.N C• �.a �_is a.y� ar�..�,...:.aay.+�...�•:�. �.:�i...ctii. -..4: rYue'yuS... �':yx•;Lt�y�'• .i.�c..___....