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HomeMy WebLinkAboutSeawinds - Certificates of Inspection SEA.-WINDS 47 CEDAR ST,HYANNI,S oF,HE� The Commonwealth of Massachusetts Town of Barnstable g 9MAS& 2020 rFD MAN s Certificate of Inspection Y Issued to Seawinds Certificate No. Type: Building -Certificate of Inspection DBA Seawinds IC-19-258 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-199 7/31/2020 in the Town of Barnstable 47 CEDAR STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load. 1st. R-4: Residential care/assisted living (16 max) 2 2nd R-4: Residential care/assisted living (16 max) 8 Restrictions 2 1st Floor 8 2nd Floor This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited.' Name of Municipal Building Official BrianFlorence Date of Inspection 1/1/0001 Signature of Municipal Building Official Date of Issuance 8/13/2019 ;P�pF SHE •X The State of Massachusetts - - MAW �a Town of Barnstable 039. `0 New and Renewal Certificate of Inspection Application Date 8/13/2019 Fee Required 50.00 In accordance with the provisions of the Massachusetts State Building Code,Section 110.7, hereby apply for Certificate of Inspection for the below-named premises located at the following address: Street and Number: 47 CEDAR STREET,HYANNIS Name of Premises: Seawinds DBA: Seawinds Purpose for which premises is used: 4 License(s)or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Seawinds (Corp, LLC,or name of Business) 00 Address: 47 CEDAR STREET,HYANNIS +✓� * Telephone: (508)775-7964 ` µ Owner of Record of Business or Cape Cod HealthCare Establishment: Address: 460 West Main Street Hyannis, MA 02601 Manager or Persons responsible for K e daily operation: E-Mail: massmail.state.ma.us SIGNATURE OF PE eIZED OWHOM CERTINIS ISSUED OR AUT AGENT l , lisp PLEASE PRIN 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: rM j 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-19-258 EXPIRATION DATE 7/41/2020 oFtwe Town of Barnstable Building Division _ 200 Main Street H" SAB mass. Hyannis,MA 02601 BARNSTABI,E (508) 862-4038 Wgovj � n�W�,{n�,,4 16 0 anmsT va s.<sexuc+'owed Inspection Report ❑ Notice of Violation Business: 15 N y1,J •W!S Date of Inspection: Contact: C4-64.6 6 1 S Info: Address: 7 C41e.020— 57� 1.4yA#% Info: Phone: 450 to Info: Email:Akkryo,,j.f.nMtW6&j-5g AN'jt5rw9'< Info: U During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR, Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)were noted: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s). Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: Action required to abate the above violation(s)you must: 0 None:no violations were observed at the time of inspection 0 Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$ is required and a re-inspection to be requested by business within days. 0 Make corrections prior to your next annual or semi-annual inspection. 0 Property/business owner or owners approved agent contact inspector for consultation Official/Inspector: Telephone: 508 862-4038 Received By: Date: ZJ Print Name: Section 102.6 existing structures-The ivner as defined in 780 CMR 2,shall be responsible for compliance with provisions of 780 CMR 102.6 And,if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereoi)with the State Building Code Appeals Board within (45)days of the receipt of this order and in accordance with MGL e. 143§100. & C7 is p. Cerfificate of Inspection. 0 Section 105v6 Permit Suspension or Revocation $ Section 105.7 Perm 01.1 sit. Section 107.6 ;carst°ucti Control 0 Section 110.7 Periodic Inspection (valid Certificate) 0 Section .11 L0 Certificate of Occupancy Section 1.11 5 3 P1ac of Assembly Posting of Occupancy Section 114,1 OcciApancy or Change of Use Section 11.6 1:ns fe Structure Section 0 Testinc; of Afar insfS r in l r°Systein Section 901.90 Fire Protection Signage Section 904,1.3 t`ornmercia1 .asrrlSystem Section 904.2.2 ilood Systerrr F ainte ranee Section 906 Fire Extinguishers Section 111111 �<, l" Gla it ra. of Exterior tai s[Fir Section 1001.3.2 Testing/Certificate Exterior Stairs4"ire s ape Section 1.0043 Posting of Occupancy Limit Section 1.1115 Means of Egress Sizing Section 1.006 Numb r•of Exits and access Doors Section 1.008 M.r,arrs ofEgress Illumination 0 Section 1010,1.9. Door Operation 0 Section 1. 1. ,1a9 1 Ila war (Locks and ,atc s) 0 Section :1.01.0,1.,1.0 Panic Hardware (A or E > it 0 Section 1.011 staillvays - 0 Section 1012 Ramps e Section 10 11 Exit: Signs R Section 10 1.5 Guards 0 Section .1.030 Emergency'Escape ..._ .,....,... ..-.... .ate..•�'. .. ,_ ...- - :e.....rc,....�.w.!-.^—."`"`yl�w....c.r^... t.- _ �,, v �.. „w.�.. 3„r,.`. � The. Commonwealth of Massachusetts Epp FHB tti Town of Barnstable MAE& 6.3 2019 rEDMP1s - .. Certificate of Inspection Seawinds Certificate No. Issued to Kathleen M. Berriault Type: Building -Certificate of Inspection IC-18-173 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-199 7/24/2019 in the Town of Barnstable 47 CEDAR STREET, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 2 2nd R-4: Residential care/assisted living (16 max) 8 Restrictions 2 1st Floor 8 2nd Floor This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Brian Florence Date of Inspection 8/3/2018 Signature of Municipal Building Date of Issuance Commissioner '] 7/1/2018 N Jul, 13. 2018 12: 17PM - No, 6273 P. 3 The State of Massachusetts Town of Barnstable �.� rAP�° r New and Renewal Certificate of Inspection Application Date 7/10/2018 Fee Required 50.00 In accordance with the provisions of the Massachusetts State Building Code,Section 110.1, hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 47 CEDAR STREET, HYANNIS r' Name of Premises: Seawinds 'Purpose for which premises is used r , 'License(s) or Permit(s) required for the premises by other governmental agencies: Cer'tiflcate to be Issued to: t: Seawinds F: Address: r 47 CEDAR STREET, HYANNIS Telephone: (508)775-7964 Owner of Record of Building: Cape Cod Hea.lthCare Address: 460 West Main Street Hyannis, MA 02601 Name of Present Holder of Certificate: Kathleen M. Berrlault r Owner of Business: i Kathleen M. Berrlault F-Mail: ) kathy.berrault@massmail.state.ma.usild1l. 51IV1rly1 VIAL'O1`-Pin.7vN-TVrv-1-allYl--i..LI'�G' �aGAI�-: 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 bullding'orstructure 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: r HOR_OEFICE USE ONLY: i CERTIFICATE IC-17- EXPIRATION pA7E. 6/30/20 s I Town of Barnstable ti °s Building Department MRNSTABLE, Brian Florence, CBO MA-Sa Building Commissioner ED Mp'l 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Dear Manager: Attached please find an application for the annual Certificate of Inspection (COI) required by 780 CMR the Massachusetts State Building Code,Ninth Edition Chapter 1 - Section 110.7 which reads: 110.7Perioak Inspections. The building official shall inspectperzodically existing buildings and structures and parts thereof in accordance n ith Table 110 entitled Schedule for Periodic Inspections of Existing Buildings. Such buildings shall not be occupied or continue to he occupied urithout a valid certficate of inspection. 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 Certificate of Inspection may be issued. Generally periodic inspections are unannounced;however you may feel free to contact us for inspection once the application fee is paid. For your convenience,we will be testing emergency lights, exit signs to ensure that the batteries and lighting are functional and making sure that the doors work and the exits are clear.You will need to have any fire extinguishers, fire alarm systems and/or Ansel systems (stove hood /extinguisher) inspected and tagged and a copy of the technicians reports onsite for the inspection. If you would like to have your COI application emailed please provide an email on the Certificate of Inspection Application. Sincere , Brian Florence, CBO Building Commissioner �F1HEt The State of Massachusetts ` AAS& Town of Barnstable MASS O i699. .. AtfO MP'�a � New and Renewal Certificate of Inspection Application Date 7/10/2018 Fee Required 50.00 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: 47 CEDAR STREET, HYANNIS Name of Premises: Seawinds Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Seawinds Address: 47 CEDAR STREET,HYANNIS Telephone: (508)775-7964 Owner of Record of Building: Cape Cod HealthCare Address: 460 West Main Street Hyannis, MA 02601 Name of Present Holder of Certificate: Kathleen M. Berriault Owner of Business: Kathleen M. Berriault E-Mail: kathy.berrault@massmail.state.ma.us 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# IC-17-139 EXPIRATION DATE 6 30 2018 , WEtp � The Commonwealth of Massachusetts _ ,�M . Town of Barnstable 2018 Certificate of Inspection Seawinds Certificate No. Issued to Kathleen M. Berriault Type: Building -Certificate of Inspection IC-17-139 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-199 6/30/2018 in the Town of Barnstable 47 CEDAR STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 2 2nd R-4: Residential care/assisted living (16 max) 8 Restrictions 2 1st Floor 8 2nd Floor This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Brian Florence Date of Inspection 9/14/2017 Signature of Municipal Building ` Date of Issuance Commissioner 7/1/2017 The Commonwealth of Massachusetts Town of Barnstable 1639. • 2017 5 '4D MAY s Certificate of Inspection - Seawinds Certificate No. Issued to Kathleen M. Berriault Type: Building-Certificate of Inspection IC-16-203 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-199 _ 7/1/201.7 in the Town of Barnstable 47 CEDAR STREET, HYANNIS Location - Use Group Classifications) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 2 2nd R-4: Residential care/assisted living (16 max) 8 Restrictions 2 1st Floor 8 2nd Floor 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 Paul Roma Date of Inspection 1/12/2017` Signature of Municipal Building _ Date of Issuance 1/12/2017 Commissioner I The State of Massachusetts , 3 ' Town of Barnstable New and 'Renewal Certificate of In pectioan Application Date 6/7/2017 Fee Required 50.00 ,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°afddre5s: t j Street and iVumber: 47 CEDAR'STREM HYANNIS .Name of Premises:. SeawindS Purpose for which premises is used; ,. y License(s)or Permit(s)required for`the:premises by other governmental-agencies: # Certificate to be:lssued to Seawinds' Address,' 47 CEDAR;STREET,.HYANNIS Telephone' (508)775-7964 Owner of Record:of.Building: Cape Cod HealthCare° -Address,•: . 460 WestlVlalwStreet Hyannis, MA 026©1, Name of Present.Holde(of.Certificate, Katbleerf K.Berriault > Name of Agent;if any Kathleen`M.B+~rriault v E-mail:; kathy berrault@massmaii.state.ma.us SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT 9AME p INSTRUCTIONS: 1)Make check payableao. TOWN OF:BARNSTABLE 2)_Return this application with your check toilBUILDING 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, 2j Application and fee:must be-receiverd'before the certificate will be issued. 3)The building official.shall be notified.wlthinten`(10)days of any change inthe above;Mcirmation. FOR OFFICE'USE ONLY: ,. CERTIFICATE## TIC47-139 EXPIRATION DATE 5/7/2018 E, The Commonwealth of Massachusetts Town of Barnstable 2017 �D M .A Certificate of Inspection Seawinds Certificate No. Issued to Kathleen M. Berriault Type:. Building -:Certificatia of Inspection iC-16-203 Identify property address. including street number, name, city or town and country. Certlf lcate t anon Located at Map/Lot V27-199 4t=417 in the Town,of.Batnstable 41 CEDAR STREET, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st: R=4 Residential care/assisted living (16 max) 2 2nd', R-4 Residential carelassisted living(16 max) -8 Restrictions, 2"1st Floor 8 2nd Floor 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 lifesafety features This.certificata shall be framed.behind clearxilass andlor 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 Paul Roma Date of Inspection 1/12/2017 Signature of Municipal Building Date of Issuance' Commissioner i- G :>t .c2 ,_ 1/12/2017 Message Page 1 of 1 Coyle, Brenda From: Coyle, Brenda Sent: Wednesday, July 19, 2017 3:39 PM a To: 'kathy.berriault@massmail.state.ma.us' Subject: Expired Certificate of Inspection Good Afternoon, Kathy I reaching out to you by email, as the Sea Winds has an expired Certificate of Inspection 7/1/20.17. Please contact me with any questions. I can be reached at 508-862-4039. Thank you, Brenda Coyle Permit Tech. Town of Barnstable Building Department Services Hyannis, MA 02601 7/19/2017 Town of Barnstable CF THE 1p� Building Department Services ``l ' ti� Jeffrey Lauzon, xszes Interim Building CommissionerMAR BARNSTABL Q '""3 1639. 200 Main Street, Hyannis, MA 0.2601 -OA �� irilnaoig .. - r p' ,�► www.town.barnstWe.ma.us � Office: 508-862-4038 Fax: 508-790-6230 Date \0( Dear Manager: 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 setup the appointment for your inspection and to pay before the Certificate of.Inspection expires. *Contact this office once j2aMentis made to arrange for inspection Such buildings shall not be occupied or continue o be occupied without a. f valid Certificate of.Inspection. (COI Ex ire �- We now have the capability to email your COI. Please provide an Email address on the Cerd6cate oflnspection Application. A Sincerely,. ' e F Jeffre L onJ'" — Y Interim B ' ding Commissioner - OF SHE Tp�, Town d Barnstable Regulatory Services . * SA NSTAMR, • 9 +ss Richard V: Scali,Director fED tea. Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Dear Manager: Attached you will find an application for Certificate of Inspection as required by Section 110.7'of the Massachusetts Sate 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 tight-hand corner); the fee must be paid before the Certificate of Inspection/Capacity Card may be issued. *Please contact this office once paymentis made to arrange inspection Such buildings shall not be occupied or continue to be o td out a valid Certificate oflnspection. (Current COI Expires 1 ); We nowhave the capability to email your COI. Please provide an Email address on the Certificate•oflnspectionApp.,cation, Sincerely, tOlt. Paul Roma I Building Commissioner gdrive:CAI oF1Her The State of Massachusetts Town of Barnstable New and Renewal Certificate of Inspection Application Date 6/7/2017 Fee Required 50.00 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: 47 CEDAR STREET,HYANNIS Name of Premises: Seawinds Purpose for which premises is used: License(s)or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Seawinds , Address: 47 CEDAR STREET,HYANNIS Telephone: (508)775-7964 Owner of Record of Building: Cape Cod HealthCare Address: 460 West Main Street Hyannis, MA 02601 Name of Present Holder of Certificate: Kathleen M.Berriault Name of Agent,if any Kathleen M.Berriauit E-Mail: kathy.berrault@massmail.state.ma.us SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT - PLEASE PRINT NAME INSTRUCTIONS: 1) Make check payable to: TOWN OF BARNSTABLE, 2) Return this application with your check to: BUILDING COMMISSIONER,200 MAIN-STREET, HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall'be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# TIC-17-139 EXPIRATION DATE 6/7/2018 The Commonwealth of.Massachusetts , Town' of Barnstable • aanrr"ML ?' „�.. 2017 ,Certificate of Inspection Seawinds %Certificate No. Issued to Kathleen M. Berriault Type: Building -Certificate of Inspection IC-16-203 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-199 17 in the Town of Barnstable 47 CEDAR STREET, HYANNIS Location Use Group Classification(s) Allowable.Occupant Load- 1st R-4: Residential care/assisted living(16 max) . 2 2nd R-4: Residential care/assisted living (16 max) 8 w Restrictions. 21st Floor ., 8 2nd Floor r, , 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 Paul Roma Date of Inspection 1/12/2017' Signature of Municipal Building , Date of Issuance , Commissioner ';:� - .:.. 1/12/2017 A' Town of Barnstable Op THE tp�Y Building Department Services Jeffrey Lauzon, szAs Interim Building Commissioner B Srr 200 Main Street, Hyannis,MA 02601 °� 1639. ��0 i6]S-1U19 AT o'tr►A� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Date Dear Manager: 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 on the top right-hand corner);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 ofUce once payment is made to arrange forins�nection Such buildings shall not be occupied or continue o be occupied without a. valid Certificate oflnspection. (COI E ire --I- 1 We nowhave the capability to email your C01 Please provide an Email address on the Cerd6cate oflnspection Application. Sincerely,. Jef&e1B * on 0 i�`" �` • Interi (ding Commissioner - k �oFTHE T Town of Barnstable Regulatory ServicesRAMSTAB . 9 „ass. $ Richard V. Scali,Director �AfE 639. 06 Building m 17 il g Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.to wn.b a mstabI e.m a.us Office: 508-862-403 8 c Fax: 508-790-623 0 Dear Manager: Attached you will find an application for Certificate of Inspection as requited by Section 110.7'of the Massachusetts Site Building Code, Eighth Edition.: Please complete the application anal return to the Building Commissioner's Office with-the required fee (amount as set on the top right hand corner); the fee ' must be paid before the Certificate of Inspection/Capacity Card may be issued. *Please contact this office once payrnentis made to arrange inspection4 Such buildings shall not be occupied or continue to be o pl ed ed wit out a valid Certificate oflnspection. (Current COI Explres 1 ). 1 . We nowhave the capability to emait your COL Please provide an Email . address on the Certi6cateoflnspection Application. Sincerely, Olt,- Paul Roma Building Commissioner gdrive:COI NI ' y F,HE� The State of Massachusetts o� a Town of Barnstable `00 . tED:MA�s . a New and Renewal Certificate of Inspection Application Date 6/7/2017 t Fee Required 50.00 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: 47 CEDAR STREET,HYANNIS Name of Premises: Seawinds Purpose for which premises is used: License(s)or Permit(s) required for the premises by other governmental agencies: F Certificate to be Issued to: Seawinds Address: 47 CEDAR STREET, HYANNIS + . Telephone: (508)775-7964 Owner of Record of Building: Cape Cod HealthCare Address: . 460 West Main Street Hyannis,, MA 02601 Name of Present Holder of Certificate ` Kathleen M.Berriault Name of Agent,if any Kathleen M.Berriault E-Mail: kathy.berrault@massmail.state.ma.us SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT , PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS, MA 02601 PLEASE NOTE: 1)Application-form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information, FOR OFFICE USE ONLY: CERTIFICATE# TIC-17-139 EXPIRATION DATE 6/7/2018 oFt„E� The Commonwealth of Massachusetts Town of Barnstable • eiuwsrse�. ; tea 2017 i67p �0 Certificate of Inspection Seawinds Certificate No. Issued to Kathleen M. Berriault Type: Building -Certificate of Inspection IC-16-203 Identify property address including street number, name, city or town and.country Certificate Ex ' ation Located at Map/Lot 327-199 17 in the Town Of Barnstable 47 CEDAR STREET, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 2 2nd R-4: Residential care/assisted living (16 max) 8 Restrictions 21st Floor 8 2nd Floor 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 Paul Roma Date of Inspection 1/12/2017 Signature of Municipal Building Date of Issuance Commissioner 1/12/2017 f . J COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date J � (X) Fee Required ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: Name of Premises: S(2 a,u> Purpose for which premises is used: D Lvb 1�yaup)z;1wd License(s)or Permit(s)required for the premises by othergovernmental agencies: License or Permit AgenQy ooa Certificate to be Issued to: Address: L GC L� �� jai r` Telephone: 6 7 S d g Owner of Record of Building: rc Cl) Address: ! � (/y 9�1Q�1 T- ���. �`- � r" Name of Present Holder of Certificate: J�aa)l h,�'_5 f Name of Agent,if any: � J 2,vrlaal�-��'la$5 Mal PLEASE PROVIDE EMAIL: A SIGNATURE OF PERSON TO WHOM CERTIFICATE it IS ISSUED OR AUTHORIZED AGENT We are now able to email the certificate to you. 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# I , ( EXPIRATION DATE: J020115c -)>Y 'A//7 .�FT"Er°wy°� Town of Barnstable 200 Main Street Tel. 508 862-4038 nuwsras�.e. ( ) E 0. INSPECTION REPORT Permit: Building - Certificate of Inspection Use: Date: 8/1/2017 10:29 AM Inspector : lauzonj Permit Number: TIC-17-139 Name: Cape Cod HealthCare Address: 47 CEDAR STREET, HYANNIS Unit No. Inspection Type Inspection Item Status Comment Certificate of A- Inspection Results NIC Unable to get in. Inspection Inspection Overall Comment: Reinspection required. Overall Inspection Status: FAILED Re-Inspection Date: 8/1/2017 Date: 9114/2017 2:27 PM Inspector : lauzonj Permit Number : TIC-17-139 Name: Cape Cod HealthCare Address: 47 CEDAR STREET, HYANNIS Unit No. Inspection Type Inspection Item Status Comment Certificate of A- Inspection Results NIC Five year affidavit required by structural engineer for exterior Inspection stairs, exit hardware needs to be changed where locked from inside. Inspection Overall Comment: Reinspection required. Overall Inspection Status: FAILED Re-Inspection Date: 8/1/2017 Inspector Signature Owner Signature Total Score: 100 z � i � ���� �"�.� .��� s ��� �.��Q��b �., _ - � . � � 7 � s � ._ ��.. � � I,�;�� �� �� � i i _: C .. .,.. ..,,e.�«., j"Erg Town of Barnstable o� ' • ��exsresc.E. 200 Main Street Tel.(508)862-4038 • KAM TfoMAYb INSPECTION REPORT Date: 8/1/2017 10:29 AM Inspector: lauzonj Permit Number: TIC-17-139 Name., Cape Cod HealthCare Address 47:CEDAR STREET, HYANNIS Inspection Type Inspection Item Status Comment Certificate of Inspection A- Inspection Results FAIL Unable to get in. Inspection Overall Comment: Reinspection required. Overall Inspection Status: ; FAILED Re-Inspection Date: 8/112017 Inspector".Initials: - ---- Person in Charge Initials: Total Score: 100 The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,Section 110.7, this CERTIFICATE OF INSPECTION is issued to SEAWINDS Certify that I have inspected the premises known as: - SEAWINDS _ located at 47 CEDAR STREET in the Village of I YANNIS " �- County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): RS The means of egress are suff cient for the following number ofpersons: Location Capacity Location Capacity , 1ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201503839 7/1/2015 7/1/2016 3 7 199 The building official shall be notified within(10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$Q>119 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following"address: Street and Number: 1 Lam ah 0 i Name of Premises: . Purpose for which premises is used: G ro U p JDN14 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc �? u G SH M Certificate to be Issued to: -Address: Telephone: Owner of Record of Building: C COCf Address: .rl! Name of Present Holder of Certificate: - Name of Agent,if any: C € DID- ;;U SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT �P P_CCq 11fler 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. n FOR OFFICE USE ONLY: CERTIFICATE# c) �j EXPIRATION DATE: � I J020115c L Town of Barnstable Regulatory Services 1rtk? tt�trt$ f MAW Richard V.Scali,Director 03.9 ` Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstabl e.m a. Office: 508-862-4038 Fax: 508-790-6230 June 3, 2015 SEAWI N DS SEAWINDS 47 CEDAR STREET HYANNIS MA 02601 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: r 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, 19 Tom Perry Building Commissioner Enclosure r s + 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 SEAWINDS 9 Certify that have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): RS The means of egress are sufficient for the following_number ofpersons. Location Capacity Location Capacity 1ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued Date Certificate Expired: Map Parcel 201404226 7/1/2014 7/1/2015 327 199 The building official shall be notified within (10) days of any .ff changes in the above information. Building Official PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 06/26/14 , TIME: 14:39 TOTALS-------AL--- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 , AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 201404226 PAYMENT METH: CHECK PAYMENT REF: 5840 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: L) !7 J 0a�//,, �/ 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 Agenc Certificate to be Issued to: � S Address: `7 l W / �J . ��cz 00h19 Telephone: (YDR 5 q(CQ Owner of Record of Building: Address: l Name of Present Holder of Certificate: `, = ► Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE �rc.„� CD P77 IS ISSUED OR AUTHORIZAD AGENT Rehe-cco Porlu- 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: 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: "CERTIFICATE 4c2 D4 EXPIRATION DATE: J020115a I , Town of Barnstable Regulatory Services Richard V.Scali,Director 16 ib3p8 Building Division Tom Perry,CB0, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.m a.. Office: 508-862-4038 Fax:.508-790-6230 June 6, 2014 SEAWINDS SEAWINDS ' 47 CEDAR STREET HYANNIS MA 02601 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 tc 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 r TOWN OF BARNSTABLE INSPECTION WORKSHEET clos CERTIFICATE NO: 201305018 CANCELLED: MAP: 327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: ISEAWINDS STREET: 147 CEDAR STREET VILLAGE: HYANNIS STATE: FNIA I ZIP: 02601- SEQ NO: ❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: ❑ STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 LOC1: 1ST FLOOR CAPS: LOC8: CAP2: 8 LOC2: 2ND FLOOR CAP9: LOC9: CAPS: LOC3: CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAPT LOCT. CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: 47.41. rin This'Screen Q 0 /2011 07/01l2013 07/01/2014 u Print Certificate of_tnspectib." COMMENTS: i I 1 The eommonwealtb of Aa0.S;aCbU0ett0 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to SEAWINDS Q�EI't[f p that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress are sufficient for the following number of persons: Location Capacity. Location Capacity 1ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201305018 7/1/2013 7/1/2014 327 199 The building official shall be notified within(10) days of any changes in the above information. Building Ofcial f pppw- PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT r 200 MAIN STREET R HYANNIS, MA 02601 DATE: 07/26/13 TIME: 14:41 -----------------TOTALS------------ --- PERMIT $ PAID 25.00A } AMT TENDERED: 25.00 AMT APPLIED: 25.00 ` CHANGE: .00 APPLICATION NUMBER: 201305018 PAYMENT METH: CHECK PAYMENT REF: 5880 `an&, COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION n�l U(J Date /;�2-�2 1)3 (X) Fee Required$�Y�J ( ) 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) / Ha a OQ 4901 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 AgencX Certificate to be Issued to: Address: 17 / C2(A ` )IuamHD 00W)o �� ,.. Telephone: �b L{�� � Owner of Record of Building: r�LL-CJ�IL l.. Cod L11—PLi1�b LC�/�//!Q Address: q bD W e.S5r' " 0J'i / Name of Present Holder of Certificate: Name of Agent, if any: d Lgsz' 4'9' SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT Rebecca Por4ef PLEASE PRINT NAME co 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: t . 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 b'e issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE#OGbL EXPIRATION DATE: av J020115a ��a I�+3 `�" � �/ �c -� w�.o pry , Tree eom, monweattb of A1a,5.5acbu2;ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to SEAWINDS QLPYtifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of`HYANNIS County ofBarnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): RS The means of egress are.suff cient for the following number of persons: Location Capacity Location Capacity 1 ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired:. Map Parcel 201203613 7/1/2012 7/1/2013 3 A The building official shall be notified within(10) days of any _ changes in the above information. uilding Off, PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 06/15/12 TIME: 11 :40 -`- ------------------TOTALS------ PERMIT $ PAID 50.00 AMT TENDERED: 50.00, AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 201203613 PAYMENT METH: CHECK PAYMENT REF: 5582 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 1) �� (X) Fee Required$cZ J� ( ) 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: C Street and Number: /! �i�(W( '• ��J �I i Name of Premises: w �� Purpose for which premises is used: GroUD 1 0me, License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit enc'� , L I cy�s `- r -77 Certificate to be Issued to:- 0 r Address: / DOA Is tla 0 b6 4 Telephone: 0S_ I y ' / "! ! Owner of Record of Building: C C_cd 0- cb'U Address: l �f Name of Present Holder of Certificate: c Name of Agent, if any: R hLGC SIGMA URE OF PERSON TO WHOM CERTIFICATE . IS ISSUED OR AUTHORIZED AGENT R&e�cr'oPc -f PLEASE PRINT NAME INSTRUCTIONS: I)Make check payable to: TOWN OF BARNSTABLE 2) Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2).Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: l CERTIFICATE#�©��� � / EXPIRATION DATE: J020115a i Town of Barnstable Regulatory Services NA NAM Thomas F Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office:508-8624038 Fax: 508-796-6230 June 7, 2013 SEAWINDS SEAWINDS 47 CEDAR STREET HYANNIS MA 02601 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 shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure TOWN OF BARNSTABLE INSPECTION WORKSHEET Grose; CERTIFICATE NO: 201203613 CANCELLED: MAP: 327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: ISEAWINDS STREET: 147 CEDAR STREET VILLAGE: JHYANNIS STATE: PkA I ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: El STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 LOC1: 1ST FLOOR CAPS: LOC8: CAP2: 8 LOC2: 2ND FLOOR CAP9: LOC9: CAPS: LOC3: CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPEC 40N: DATE ISSUED: EXPIRATION:. urt+Tlai en 10/2011 07/01/2012 07/01/2013 1!5 ��� terkificate of,lns ."sctior ,', COMMENTS: Town of Barnstable Regulatory Services °AMAW Thomas F Geiler,Director tb;q. ++u�` Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 June 8, 2012 SEAWINDS SEAWINDS 47 CEDAR STREET HYANNIS MA 02601 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 Perry Building Commissioner Enclosure TO CommonWealtb of A1aqzarbuzettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106 S, this CERTIFICATE OF INSPECTION is issued to SEAWINDS 3 Grttfp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress are sufficient for the following.number of persons: Location Capacity Location Capacity 1 ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201104200 7/1/2011 7/1/2012 327 199 The building official shall be notified within(10)days of any 12 changes in the above information. Building Official PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 08/08/11 j- TIME: 09:56 a -------------------TOTALS------' —:�—„----- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 201104200 PAYMENT METH: CHECK PAYMENT REF: 5382 Pr COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION s 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: 7 ���., „� CY Ll � � 17-,Vy4 > 1 Name of Premises: ��-,��, /�� � L7..Pi�.[�i ��'1J a�C,v,_r A4 Purpose for which premises is used: License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit A enc d Certificate to be Issued to: Address: Telephone: So 7 74 — 7 C�6[1 Owner of Record of Building: Address: y 2 ,0 6 D Name of Present Holder of Certificate: t r Name of Agent, if any: SI OF PERS M CERTIF ATv IS ISSUED OR AT 3 ED AGENT tit PLEASE PRINT NA61E co M 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: 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: CERTIFICATE#A D%tb EXPIRATION DATE: . t J020I15a TOWN OF BARNSTABLE INSPECTION WORKSHEET _ Close1. CERTIFICATE NO: 201104200 CANCELLED: 0 MAP: 327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: ISEAWINDS STREET: 147 CEDAR STREET VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: `' I❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: ❑ STORY2: 2ND CAPACITY: 8 USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAPI: 2 LOCI: 1 ST FLOOR CAPS: LOC8: CAP2: 8 LOC2: 2ND FLOOR CAP9: LOC9: CAPS: LOC3: CAP10: LOC10: CAP4: LOC4: CAP11: LOCI 1: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Print This S'c o,'h ❑ , 07/01/2011 07/01/2012 oq—I U 4-l/ Rri�t;Cert fic too Inspect�ot� COMMENTS: TOWN OF BARNSTABLE INSPECTION WORKSHEET � ITS CERTIFICATE NO: 201003661 CANCELLED:, 0 MAP: ` 327' DBA: ' SEAWINDS PARCEL: 199 NAME/MANAGER: SEAWINDS ` STREET: 147 CEDAR STREET VILLAGE: IHYANNIS I STATE: FVAJ ZIP: 02601- , SEQ NO: BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: 1ST CAPACITY: 2 USE1: R5 ''Capacity Under 50: ]. STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: - -Outside Seating: 0, BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 LOC1: 1ST FLOOR CAP8: 'LOC8: CAP2: 8 LOC2: 2ND FLOOR CAP9:, LOC9 -� CAP3: LOC3: CAP10: LOC10:• n CAP4: LOC4: CAP11: LOC11: CAPS: L005: _ ;CAP12:. LOC12: I CAPE: LOC6: CAP13: 1OC13: CAP7: LOC7: CAP14: LOC14:- T, INSPECTION: DATE ISSUED: EXPIRATION: PnntTl s Scree o F28A8- 07/01/2010 07/01/2011 cy1�12I10 , Pnnt'Gertif�cate of Inspectwrr COMMENTS: .. '. a .. d • .. - n - Y_ P t Y The Commottwea tb, of J+1a.5'garbU.5ett.5 TOWN OFBARNSTABLE In accordance with the Massachusetts State Building Code, Section 1065, this CERTIFICATE OF INSPECTION is issued to SEAWINDS 3 Certifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village.of. HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): RS The means of egress are sufficient for the following number of persons: Location -Capacity Location, - Capacity 1 ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201003661 7/1/2010 7/1/2011 19 The building official shall be notified within(10) days of any changes in the above information. Building Official rt, .. PERMIT PAYMENT RECEIPT W TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET , HYANNIS, MA 02601 , DATE: 07/20/10 TIME: 15:00 -----------------TOTALS----------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 CHANGEpLIED: 25.00 APPLICATION NUMBER: 201003661 PAYMENT METH: CHECK PAYMENT REF: 4114 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 1 wc) (X) Fee Required$;Z, D d ( ) 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 he 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 AAgency. 4k "CL Certificate to be Issued to: Address: Telephone: Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent, if any: 1 G TURE OF PERS O M CERTIFICATE IS ISSUED OR AUTHORIZED GE T l+Ps 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: . 2 . CERTIFICATE#Q?O��0.3��! EXPIRATION DATE: J020115a _TOWN OF BARNSTABLE INSPECTION WORKSHEET �Clos CERTIFICATE NO: 200903044 CANCELLED: 0 MAP: 327 DBA: ISEAWINDS PARCEL: F 1-99 NAME/MANAGER: ISEAWINDS STREET: 47 CEDAR STREET VILLAGE: IHYANNIS STATE: FKA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: �. STORY1: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating: r BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 LOC1: 1ST FLOOR CAPS: L005: CAP2: 8 LOC2: 2ND FLOOR CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: [77- RrintsThis.Screeh INSPECTION: DATE ISSUED: EXPIRATION: 07/01/2009 07/01/2010 ., &?�°: Print�Gefificate�of Inspection 0'1 'to 6 4 COMMENTS: Ebe CommonbJea tb of jffia5.5aCbU.5 rt,5 TOWN OF BARNSTABLE- 1n accordance with the Massachusetts State Building Code,Section 106:5, this CERTIFICATE• OF INSPECTION is issued to . SEAWINDS 31 Certtfp that 1 have inspected the premises known as: SEAWINDS' located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type:Use Group(s): RS The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 1ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200903044 7/1/2009 7/1/2010 327 199 The building official shall be notified within(10) days of any changes in the above information. Building Official PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE F BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 07/01/09 TIME: 14:47 -----------------TOTALS----------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200903044 PAYMENT METH: CHECK PAYMENT REF: 3902 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION_ Date Y! (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:_ 2 redm 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 z )1 Certificate to be Issued to: 2 � Address: 7 0��N Telephone: i .()S 7 -5 / 9V Owner of Record of Building: cola rod &2un kilz ./ cc 6 xt t V , Address: // G Name of Present Holder of Certificate: Sep W/ V Name of Agent, if any: DM 4 SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT )qe_b,o,f,fi,a 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# 2 Opp OJ�d yy EXPIRATION DATE: J020115a Town of Barnstable $ Regulatory Services ""UAW Thomas F Geiler, Director �+, Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 June 8, 2009 SEAWINDS SEAWINDS 47 CEDAR STREET HYANNIS MA 02601 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 L t TOWN OF BARNSTABLE INSPECTION WORKSHEET coos CERTIFICATE NO: 200803172 CANCELLED: MAP: 327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: ISEAWINDS STREET: 147 CEDAR STREET VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: 0 BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: —� STORYI: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: 1 STORY2: 12ND I CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 I LOCI: 11ST FLOOR CAPS: L005: CAP2: I 8 LOC2: 12ND FLOOR CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: ,prnt�T,hisiu$creen 07/01/2008 07/01/2009 � pnnt-Certificate of inspectiortiE COMMENTS: E The eommouwealtb of 1a!65a rbu!9dt,5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to SEAWINDS I QCertifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 1 ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200803172 7/i/2008 7/1/2009 327 199 The building official shall be notified within (10)days of any changes in the above information. Building O icial i s , 1 r PERRIT SAY iEW R G-Etpf 7C GAIN (h JAt S AB L , .NIV 2C tSq ; T Ilti AA T. E. .'0 ART.` RED A A � x, �� t NUM , PA4. i T R ;. �� }� K? �fCf ,_ `,, t, , COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION b l r o� Date (X) Fee Required$ ;?S �7 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 ifollowing address: Street and Number: Name of Premises: 1 l I ctc= Cdl Uaiji Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc Certificate to be Issued to: Address: rSree+ ' Telephone: � c)00 :z c J f �� `� (D Owner of Record of Building: CmQl 6 g`m po ` er y m,S Address: 46D Wnt's, MQ Name of Present Holder of Certificate: 5C aoj od 5 Name of Agent, if any: � .Ce ot SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT ReiDer-C-0 / i�Cf I Ski Q�IfI�S PLEASE PRINT NAME I 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: l J020115a 7 r TOWN OF BARNSTABLE INSPECTION WORKSHEETCtos CERTIFICATE NO: 200703758 CANCELLED: MAP: ri271 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: ISEAWINDS STREET: 147 CEDAR STREET VILLAGE: JHYANNIS STATE: FMA7 ZIP: 02601- SEQ NO: BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: C STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating: f BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 LOC1: 1ST FLOOR CAPS: L005: CAP2: 8 LOC2: 2ND FLOOR CAPE: LOC6: CAP3: LOC3: CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: ' Screen INSPECTION: DATE ISSUED: EXPIRATION: P t This - *Z120/2006 � 07/01/2007 07/01/20661 --In . . , ' �,.� Print Certificate ofjlnspection COMMENTS: EXIT LIGHT IN KIT HEN IS OUT. THEY WILL HAVE IT REPAIRED. TO CommonWeattb of 1+1a5.5acbu5ett5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this' CERTIFICATE OF INSPECTION is issued to SEAWINDS I Certifp that 1 have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 1 ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200703758 7/l/2007 7/l/2008 327 199 The building official shall be notified within(10) days of any changes in the ab ove bove Information. Building Official d!. .ri4 f i k� � y r � '� � �`;✓r�.re '� +e�, ";� �.e x� �`u*t'"x �„�vf'^m€'."i e�*,b�e::.y».. r�+x1-+ate� � `vim( . �Z tr,af '�k .��• ec �rt - x �a p # x h Map, Q PAYP' a�9 • COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 3 le 2 (X) Fee Required$ 2"5 , ( ) 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 6f 6�f y C— G G EGG 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 e c e Certificate to be Issued to: S )��Gl1Yds Address: Telephone: C.J U� Owner of Record of Building: Address: l , lyvsMA O J&O! r Name of Present Holder of Certificate: Name of Agent, if any: 4 SIGNATURE OF PERSON WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT Fa C) 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:. N4.I'SIA E91 1)Application form with accompanying fee must be submitted for_eacc b mg 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 tel of an�change in the above information. ( � '411 � �nr coat FOR OFFICE USE ONLY: CERTIFICATE# /_967 7 03 Z� EXPIRATION DATE: J020115a r oFtHE ro,,, Town of Barnstable Regulatory Services * BARNSCABLE, 9 MASS. $ Thomas F. Geiler, Director �ArfOMp2ls,� Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.tow.n.barnstable.mams Office: 508-862-4038 Fax: 5'08-790-6230 July 3, 2006 Seawinds 47 Cedar Street Hyannis, MA 02601 Re: Seawinds Dear Director: On June 29, 2006, this department inspected the above-referenced property for the annual Certificate of Inspection. The following violation of the Mass. Building Code 780 CMR, 1023.0 (Exit Signs & Lights),1023.4, was found, and a copy of the violation was given to the Manager. 1. Exit light in Rec Room out. Exit light in kitchen out. 2. Exit light, second floor, to fire escape out. Please have these violations brought into compliance by July 20, 2006. Please call for a re-inspection when violations are in compliance, and I will issue the Certificate of Inspection. Sincerely, Tom Perry f Building Commissioner Q' b RLJ/lb v A) - Qcoiviolz TOWN OF BARNSTABLE INSPECTION WORKSHEET Clos. CERTIFICATE NO: 20061494 CANCELLED: MAP: 327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: SEAWINDS STREET: 147 CEDAR STREET VILLAGE: JHYANNIS STATE: FMA7 ZIP: 02601 SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: F? STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating: 1-1 BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 LOC1: 1ST FLOOR CAPS: L005: CAP2: 8 LOC2: 2ND FLOOR CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Pr�nt��This'Screen n f8$12'I72(3Ur 1 07/01/2006 07/01/2007 r�Pr�nt.Certificate.oflnspection o joc- COMMENTS: EXIT LIGHT IN KITCHEN IS OUT. THEY WILL HAVE IT REPAIRED. i �pFtHEip��� The Town of Barnstable BARE.MASS. Department of Health Safety and Environmental Services Y $. i639. �0 A,Fo MAC61, Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection h ti r Z r C-4-r , ~ r Location z/l orim Q, _ I A. Permit Number Y Owner li i M DS - Builder One notice to remain on job site,one notice on file in Building Department. T�following items need correcting: �3X o✓ 1-0 � �► _ t u Pleas call: 508-86 -40384- r re-inspection. Inspected by Date �� eommouweattb of Aa.5.5arbuzett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to SEAWINDS Q�Ertifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 1 ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 20061494 7/1/2006 7/1/2007 327 199 The building official shall be notified within(10)days of any changes in the above information. C.-,v%,- 2 Building Official i COMMONWEALTH OF MASSACHUSETTS # '' ` ' Y � TOWN OF BARNSTABLE E jj }"l C3 Pm 4. ! APPLICATION FOR CERTIFICATE OF INSPECTION Date 0 l5 D� _(.X) Fee Required$ ' 6 D ( ) 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: 7 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: ln Address: !/ Jo 6c�I' Telephone: \ 0 p 19 5 —N' by Owner of Record of Building: Ond /71�U ► l l.�-/ 1 �`[ /�[/7� Address: -7600 Name of Present Holder of Certificate: CQ(,lu/1 Name of Agent;if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT P&eao Rder 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: A 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 ariy change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# T EXPIRATION DATE: J020115a I TOWN OF BARNSTABLE INSPECTION WORKSHEET Coos CERTIFICATE NO: 13286 CANCELLED: MAP: 327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: ISEAWINDS STREET: 147 CEDAR STREET VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating: . BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 LOC1: 1ST FLOOR CAPS: L005: CAP2: 8 LOC2: 2ND FLOOR CAP6: LOC6: CAP3: LOC3: CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: T.�F_rint This,Screen� t°{ '07122/2U64' 1 07/01/2005 07/01/2006 ��s ,� ����,� �Print�Certific?t.4�eInSphection COMMENTS: QQR2�T�lmrd�' ing-4o-2nd floor. r The CommonbicaYtb of Aa!6!6aCbUqdt!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to SEAWINDS 31 Certifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 1 ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 13286 7/l/2005 7/1/2006 327 199 The building official shall be notified within(10) days of any changes in the above information. B ding Official L COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date b1jQJ0 -) (X) Fee Required$ ; O y ( ) 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: CQ-Qto-�— � Q� Name of Premises: Purpose for which premises is used: ,Zta p /.lOML License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit p gengy Certificate to be Issued to: �Lea u-LLn cO Address: m U (� f Telephone: fp Owner of Record of Building: Address: Name of Present Holder of Certificate: n ) C QVCf-d H-uu.m SC Uac Name of Agent, if any: ou'L . SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT Rehe-cco Poc+e-F PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE w" 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 bd'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# 2 EXPIRATION DATE: J020115a TOWN OF BARNSTABLE INSPECTION WORKSHEETCios°° CERTIFICATE NO: 1 13286 CANCELLED: MAP: 327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: DMH/CAPE COD HUMAN SERVICES STREET: 147 CEDAR STREET VILLAGE: IHYANNIS STATE: FVA7 ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: 1ST CAPACITY: 2 USE1: R5 Capacity Under 50: STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 2 LOC1: 1ST FLOOR CAPS: L005: CAP2: 8 LOC2: 2ND FLOOR CAP6: LOC6: CAPS: LOC3: CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Pr nt This Screen, 87463E2903 07/01/2004 07/01/2005m Print Certificate of lnstion COMMENTS: The CommonWealtb of Aa.5.5acbwott.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DMH/CAPE COD HUMAN SERVICES 3 Q'Certifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress are suff cient for the following number of persons: Location Capacity . Location Capacity 1ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 13286 7/1/2004 7/1/2005 327 199 The building official shall be notified within(10)days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ !3 9. &_'9 ( ) 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: a 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 AAg Certificate to be;Issued to: + Address: G :' Telephone: - 7 5 - l D Owner of Record of Building: Address: V Name of Present Holder of Certificate: ` Name of Agent ' any: ZZ /y SIGNATURE OF PtASOPi*104wfiom CERT T IS ISSUED OR AUTHbIfIZED 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._.. .w 2)App_licat on­and 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: / 9 J020115a TOWN OF BARNSTABLE INSPECTION WORKSHEETtos CERTIFICATE NO: 13286 CANCELLED: 0 MAP: F327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: DMH/CAPE COD HUMAN SERVICES STREET: 147 CEDAR STREET VILLAGE: IHYANNIS STATE: FMA ZIP: 02601 SEQ NO: BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: 1ST CAPACITY: 2 USEI: R5 rapacity Under 50: STORY2: 2ND CAPACITY: 8 USE2: STORY3: CAPACITY: USE3: Outside Seating 177 BY PLACE OF ASSEMBY OR STRUCTURE _ CAPI: 2 LOCI: ISTFLOOR CAPS: L005: CAP2: 8 LOC2: 2ND FLOOR CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAP8: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: 07/22/2002 07/01/2003 07/01/2004 P� t�e f cater tnspec>)io ; COMMENTS: � 3 63 � a . �GL O Zbe CommonWealtb of 01n;5arbu5CM6, TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DMH/CAPE COD HUMAN SERVICES X (ertifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): RS { The means of egress are sufficient for the following number of persons: ' Location Capacity.u Location Capacity y 1ST FLOOR 2 2ND FLOOR 8 r Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 13286 7/1/2003 7/1/2004 327 199 e The building official shall be notified within(10)days of any changes in the above information. r Building Official n.. h TOWN OF BARNSTABLE INSPECTION WORKSHEET coos" CERTIFICATE NO: 13286 CANCELLED: MAP: F327 DBA: ISEAWINDS PARCEL: 199 NAME/MANAGER: DMH/CAPE COD HUMAN SERVICES STREET: 147 CEDAR STREET VILLAGE: 1HYANNIS STATE: MA ZIP: 02601 SE9 NO: F BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: 1ST CAPACITY: 2 USE1: R5 rapacity Under 50: STORY2: 2ND CAPACITY: 1 8 USE2: STORY3: CAPACITY: USE3: Outside Seatlnq: BY PLACE OF ASSEMBY OR STRUCTURE CAPI: 2 LOCI: ISTFLOOR CAPS: L005: CAP2: 8 LOC2: 2ND FLOOR CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: plmfiT �s SG�n .. � 07/Ol/2002 07/Ol/2003 pn �:tif afeot Ins ectron COMMENTS: The eommouwealtb of Ram rbu!�ettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DMH/CAPE COD HUMAN SERVICES X Certifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity 1ST FLOOR 2 2ND FLOOR 8 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 13286 7/l/2002 7/1/2003 327 199 The building official shall be notified within(10)days of any changes in the above information. za 2= . —0 ; Building Official i�: COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date /� l/s` (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: `7 7 2 pe� Name of Premises: Purpose for which premises is used:G1 '�-� /'�l' License(s)or Permit(s)required for the premises by other governmental agencies: License or Perraitallncv Certificate to be Issued to: 'q Owl L r Address: Telephone: c7 9 %'7 - —7 Owner of Record of Building: C"mil' Z_�/ �1. ' titer Address: Jam, Z21 r_d__1M Ali_' Name of Present Holder of Certificate: (�' it—t� : �1/✓/�/ ► Gt�—, ��,��2/1/ L� e Name of Agent,if any: SIGNATURE OF P SO T WHOM CERTIFitAft IS ISSUED OR A IZED AGENT PLEASE PRINT NAM 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. - CERTIFICATE# G EXPIRATION DATE: 7 J020115a I ��� i j T he Commonweal th of M assachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to CAPE COD HUMAN SERVICES, INC Certify that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts._ The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity R5 1ST FLOOR 2 2ND FLOOR 8 Certificate Number Date Certificate Issued: Date Certificate Expired Map. Parcel 13286 7/l/2001 7/l/2002 327 199 t. The building official shall be notified within(10)days of any changes in the above information Building Official COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ J J� a o ( ) No Fee Required f 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: 7 �. Name of Premises: Al Alll�n44W4 Purpose for which premises is used: License(s)or Permit(s)required for the premixes by other Bove nmenW ageac;ies: License or Permit Agency C � c Certificate to be Issued to: 2�_ 4 4L� ��►�+�y o Address: ZY 7 Pltnko, - '. 61 Telephone: 7 �— Owner of Record of Building: i-,AA Address: Name of Present Holder of Certificate: Name of Agent, if any: SIG RE OF P T WHOM CERTIFICATE IS ISSUED OR AU 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# I v EXPIRATION DATE: �- The C om m onw ealth of Nt assachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,Section 106.5, this CERTIFICATE OF INSPECTION is issued to CAPE COD HUMAN SERVICES, INC Certify that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the village of HYANNIS. County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity R1 1ST FLOOR 2 2ND FLOOR 8 13286 7/1/00 7/1/01 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 0(phsk 0� (X) Fee Required$ 9 J d 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: li Purpose for which premises is used: 9c1-0 dQ � 1 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency L�tCPv►��P � a✓11.#�. Certificate to be Issued to: ®m )4 Address: - 47 &dw- Telephoner Owner of Record of Building: c,ap hf c 1^aJa C 4 S Address: b)n 6%, , d Y l a 4 A Name of Present Holder of Certificate: 4ofnt, TO WHOM CERTIFICATE RIZE NT 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# l & EXPIRATION DATE: 7/1/o I TO Com moftea ltb of A1a!65acbu0ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to CAPE COD HUMAN SERVICES, INC I QCertifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are suff cient for the following number of persons: Use Group Construction Type Location Capacity RI 1ST FLOOR 2 2ND FLOOR 8 13286 7/1/99 7/1/00 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 '3" COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ /S. r7 0 ( ) 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: 1/7 62 ` igzo.r'e 5 Name of Premises:, Purpose for which premises is used: �r®�� /�Bi�✓�P License(s)or Permit(s)required for the premises by other governmental agencies: J License or Permit Agen Certificate to be Issued to: Um �'✓ � Address: Telephone: r 4 6 Owner of Record of Building: - > Address: 7P Name of Present Holder of Certificate: Name of A S NATUROF PERSON TO WHOM CERTIFICATE IS ISSUEDOR 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)Application and fee must be received before the certificate will be issued. 3)The building official shall be notifiedwithin ten(10)days of any change in the above information: CERTIFICATE# EXPIRATION DATE: z//0 L The Commouwea ttb of l.o.zoacbuzettg; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.S, this CERTIFICATE OF INSPECTION is issued to CAPE COD HUMAN SERVICES, INC I Cerfifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachuetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity RI 1 ST FLOOR 2 2ND FLOOR 8 13286 7/1/98 7/1/99 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 �r COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date S (X) Fee Required$ 15. 0 0 ( ) 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: (�,�d a r 5 Name of Premises: 5 .Ct LJ 1 n CJ S Purpose for which premises is used: c_ ru•�� Hom f. License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued jo: -660Q i i;n)3 Address: _ WT ar- le,,� - n 0 5 f'2.60 Telephone: Owner of Record of Building: age rJujm&j Tn C! Address: (7�' LAJ r0a,',, r_ Name of Present Holder of Certificate: � ��-► n /✓d�C Name of Agent,if SI ATURE E O WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT i 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. 1119 CERTIFICATE# / .302 6 EXPIRATION DATE: 7 � �C a comcmcouiaea ltb of Olaosacbuatto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.S, this CERTIFICATE OF INSPECTION is issued to CAPE COD HUMAN SERVICES, INC �1 QCertifp that I have inspected the premises known as: SEAVAMS ` located at 47 CEDAR STREET in the rillage of HYANNIS County of Barnstable Commonwealth of Massachuetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity 1ST FLOOR 2 �y 2ND FLOOR 8 Y R. k r 13286 7/1/97 7/1/98 ' Certificate Number Date Certificate Issued: Date Certificate Expired: E The building official shall be notified within(10)days of any changes in the above information + Building Official r j° V �� k RLJ CITY/TOWN OF Barnnt$bla " . - AFPLICATION FOR C8'B=rZCA= OF ffiSPE=Z= Date- 15 . A0 ( g ) Fee Required Ste_ ( ) No tee Required In accordance with the provisions of the Massachusetts State Building cede. section lOe,ls. I heraby apply for a Certificate of Inspection for the belaw-gamed premises located at the loilowing address: Street and dumber; rl Name of Premisest wI nd h Purpose for which promisee is used: 11n D -PAV Licanse(s) or Permit(s) Required for the premises by other Gone atal Ageiteiesa License or Permit sac dQ Certificate to be issued cc f5or V/'6S Address: Owner of Record of Building; Address: b NAms Of Present Holder of Certificate: L1� Nana Agent, 3f any: Tull j6U4V— SIGNATMM OF Ox M RM CERTIMATE IS ISSUED OR HIS AUTHORIZED AGBRT INSTRUCTIONS: 1) Make check payable to: TMN. OF BARNSTABLE 2) Retu= this application with ,you; cheek tar BUILD.. AEG MOUSSIONBR A� 367 MAIN STREET, H7tANNIS, MA 0260I Z) Application to= with accompaayias fag muat be submitted for sach' buildin6 or structure or part thereof to be cartified. Z) AppllcarClvm and lag newt be received before the 9errif3aate will be issued. 3) The building afficbal shall be notified within tan (10) days of any change in ti above information. CERTIFTCATE F /,� 86 I -RATION DATES i ill � i i I TO Commoubjea ltb of l.a o.5a rbuotto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to CAPE COD HUMAN SERVICES, INC 35 &rtifp that I have inspected the premises known as: SEAWINDS located at 47 CEDAR STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massdchuetts. The means of egress are sufficient for the following number ofpersons: Location Capacity Use Group Construction Type 1ST FLOOR 2 R 3-4 2ND FLOOR 8 13286 2/1/96 2/1/97 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 COMMONWEALTH OF MASSACHUSETTS f y ' CITYITOWN OF Barnstable APPLICATION FOR CERTIFICATE OF INSPECTION Date )lf* ( X ) Fee Required ( ) 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: C� ✓�� , f�� �' IV(� ��� Name of Premises: J �' Purpose for which premises is used: License(s) or Permit(s) Required for the -Premises by of er Governmental Agencies: License or Permit Agency ]� IL ' L Certificate to be Issued to: ��% Address: AA a4V111 � . Ovner 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 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) Appllc:attun and fee must be received before the certificate will be isaued. 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE f �b�o`a �-d- EXPIRATION DATE: a 9 THE I The Town of Barnstable Um s�rrer� � �,$ Department of Health Safety and Environmental Services 1679.t� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 , Ralph Crossen Fax: 508-790-6230 Building Commis_ PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: 7 ATTN: FAX NO: -77S— — FROM: i s 4 DATE: PAGE(S): (EXCLUDING COVER SHEET r� dTME �- The Town of Barnstable KAM ��' Department of Health Safety and Environmental Services 9. Building Division 367 Main Sheet,Hyannis MA 02601 Office: 508-790-6227 Ralph Cmssen Fax: 508-790-6230 Building Commissioner Attached you will find application for Certificate of Inspection as required by Sew ior, 108.15 of the State Building Code. 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 (Section 118.0)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 121.2 of the State Code. Sincerely; Ralph M. Crossen Building Commissioner RMCIkm �r COMMONWEALTH OF MASSACHUSETTS CITYITOWN OF Barnstable APPLICATION' FOR CERTIFICATE OF INSPECTION 15. 00 Date ( % ) Fee Required .S ( ) No Fee Required In accordance with the provisions of the Maseachuaetta State Building code. Section 108#15, I hereby apply for a Certificate of Inspection for the below-named premises located at the foiloving address: Street and Number: Name of Premises: Purpose for which premises is used: License(s) or Permit(s) Required for the -Premisee by other Governmental Agencies: License or Permit Agency Certificate to be Issued to: Address: 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 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) Applawtlun and rue must be received before the certificate will be issued. 3) The building official shall be notified within ten (10) days of any change in ti above information. CERTIFICATE # EXPIRATION DATE: COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date J (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: f, AA=" 0 ' Name of Premises: /`n H Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A Certificate to be Issued to: ' -� r Address: lloq Telephone: 9,0!2: �!7 Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent,if any: /i/ SIGNATURE OF�RSO WH CER IF A IS ISSUED OR A H IZED 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. CERTIFICATE# Z/ EXPIRATION DATE: 7/ Sa -- � -oo'CSa 3,1�Z7/97­4� - . . $ The Town of Barnstable • a�,ar�. _ � Department of Health, Safety and Environmental Services Mea" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 27, 1997 Ms. Lee Canto Kelsey Commonwealth of Massachusetts Department of Mental Health 259 North Street Hyannis,MA 02601 Dear Ms. Kelsey: Pursuant to Emergency Amendments to the Fifth Edition of the State Building Code//Sections 631,636 and 638 dated December 24, 1996(copy attached),the following properties do not require any inspections from our office until further notice. Properties: 1493 Newton Road,Hyannis 357 Main Street,Hyannis 201 Hinckley Road,Hyannis 209 Main Street,Hyannis 148 Sea Street,Hyannis 32 Sea Street,Hyannis 69 South Main Street,Hyannis 800 Bearses Way,Hyannis 225 Main Street,Hyannis 182 Main Street,Hyannis 59 School Street,Hyannis 148 Cedar Street,Hyannis 120 High School Road,Hyannis 59 School Street,Hyannis 15 Sterling Road 270 North Street,Hyannis 270 North Street,Hyannis 209 Old Yarmouth Road 209 Main Street,Hyannis Founder Court Apt. 720 Main Street,Hyannis 241 Village Market,Hyannis On the other hand,it appears that the following properties are group residences or limited group residences and must be inspected as required by the Mass.Building Code. Would you please make arrangements to complete and return the enclosed applications along with the required fee of$15 for each group residence. Upon receipt we will send a building inspector to make the inspections. 336 Sea Street,Hyannis -Angel Road Residence(Group Residence) 4-7_-Cedar-Street;Hyanms Sea Winds(Limited Group Residence) 78 Pleasant Street,Hyannis-Kit Anderson House(Limited Group Residence) 50 Bent Tree Road,Centerville-Oceanside(Limited Group Residence) Sincerely, i Ralph M. Crossen Building Commissioner Enclosure r `�2/19/97 Ralph, Re: Dept. of Mental Health Group Homes Bill Gorczyka is the DMH employee who issues licenses to the DMH group homes on the Cape. He was not able to tell me if they are 631, 636 or 638 homes but he gave me the following information. 148 Cedar Street, Hyannis-Cedar Street Apartments Director: Jeanne Desmond, 775-1199 x Capacity 8. 8 consumers in 4 apartments. Staff on site during the day. No overnight staffing. All adults. (All their group homes are all adults.) All capable of self-preservation and emergency evacuation. (We issued COI 1993-94.) 336 Sea Street, Hyannis-Angel Road Residence Director: Jeanne Desmond, 775-1199 x. Capacity 5. Single residence. Same situation as above. No staff overnight. All capable of self- preservation and emergency evacuation. (We issued COI 1994-95.) 118 High School Road(listed as 120 High School Road on DMH Housing List) Dorothy Bearse Apartments Director: Susan Coutinho, 862-0308 20 apartments, 1 person per apartment. Staff on site, no overnight staffing. All capable of self- preservation and emergency evacuation. c4.7-CedarzStreet,`Hyannis;Sea Winds Director: Debby Sawka, 775-7964 Capacity 10. Residence. They do have round the clock coverage on site. More intensive supervision but can still do self-preservation. (Most recent COI expired 2/1/97.) 78 Pleasant Street, Hyannis-Kit Anderson House(Housing Assistance Corp.) Director: Kim Cabral, 771-5473 Capacity 12. Residence, one main living area and kitchen. Round the clock supervision. Similar to Sea Winds. Intensive supervision but can self-preserve. 50 Bent Tree Road, Centerville- Oceanside Director: Kimberly Buldini, 420-0527 Residence home. Round the clock staffing. Can self preserve. (Buddy recently issued CO) In addition their crisis intervention program has moved from 167 Winter Street to 270 Communications Way, Hyannis, Unit 1-3 -Crisis Intervention Program Director: Sandy Stewart, 778-4627 Capacity 7. Round the clock staffing. Short-term housing, transition from in-patient to group home or need to be more closely watched. Acute emergency prevention care. Set up is similar to a residence. Have bedrooms, one kitchen, staff offices. My understanding from our conversations is that if group homes are Section 636 they require COI, but if they are Section 638,.they do not. I think you said Section 631 s are also inspected. They are listed on the Table 108 chart. Will you or Rich Stevens determine if any of these group homes need The Town of Barnstable • seRxsrrna�, • NAM .� Department of Health, Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 27, 1997 Mr.Paul Chizek Cape Cod Human Services 175 West Main Street Hyannis,MA 02601 Dear Mr. Chizek: n:IV1 41 Enclosed is your check for$40 dated February 3, 1997 for the certificate of inspection fee. The Building Commissioner has completed a review of group residences and limited group residences in the Town of Barnstable. He has determined that 47 Cedar Street is a limited group residence;however,he has determined that the fee should be$15. The notification and new application with request for the$15 fee has been sent to Lee Canto Kelsey at the Department of Mental Health. I am sure she will forward the request to you. Sincerely, Lois Barry Building Division Enclosure COMMONWEALTH OF MASSACHUSETTS CITY/TOWN OF Barnstable 1 APPLICATION FOR CERTIFICATE OF INSPECTION Date 7_1? A 7 ( X ) Fee Required $ 0 t ( ) No Fee Required In accordance with the provisions of the Massachusetta State Building code. Section 108,15, I hereby apply for a Certificate of Inspection for the below-clamed premises located at the following address: Street grid Number; y -7 Cedar St 01 Mz'_nie jL Of ep vol Al" Name of Premises: a I,,9,,,, Purpose for which premises is used: GO* lTo.n,G— License(s) or Permit(s) Required for the Premises by other Governmental Agencies: License or Permit Agency Certificate to be Issued to: Cr.gs (.d MP„ Ce/'.o!°ef Znell Address: ► 7�; i�1! /i'lc ✓: � :�i��r ,S Owner of Record of Building: _ ram Address: Name of Present Holder of Certificate: Name o ent, if ny: SIGNATURE PERSOIC TO WHOM CERTIFICATE IS ISSUED tR 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) ApplluaLlun and fee muat•be received before the certificate will be isuued. 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: r SEAWINDS 47 CEDAR STREET, HYANNIS 1/29/97 called Paul Chizek, CEO, Cape Cod Human Services, 790-3375 47 Cedar Street is a group home, part of Department of Mental Health, but not part of their apartment program. Send COI renewal application to Cape Cod Human Services. They are the owner of the property and will pay the fee. They don't operate the program. Day-to-day operations are handled by Deborah Swaka, 775-7964. For a list of Department of Mental Health homes, call Lee Canto Kelsey, Department of Mental Health, 259 North Street, Hyannis, 775-1199. �� ���07 The commonwealtb of ft1a!5!5arbU!6ett!5 �. �-. TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION CAPE COD MENTAL HEALTH ASSOCIATION, INC. is issued to .31 Certifp that I have inspected the . . . Building . . . . . . known as , CEDAR STREET HOUSE located at 47 .Cedar Street in the Village of . .Hyannis Count o Barnstable . Commonwealth o Massachusetts. The means o egress are sufficient or the following y l . . . . . . . . . . . . . . . l l g ll� l l g number of persons: BY STORY BY °LACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity Place of Assembly or structure Capacity Location Story . . . . . . . Capacity . . . . . . :. . 8 Clients 2nd Floor 2 Clients "1st Floor Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . Total = 10 Clients ' . . . . . 1 3 �. . 3 :,{ February 1, 1995. . . . . . . . . _ . . February 1, 1996 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . . . . . the above information. Building Official r4. coo Mmoubicaltb Of- sac ju�err� 'TOWN OF' BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . • CAPE COD MENTAL HEALTH ASSOCIATION, INC. 31 Cerrifp that I have inspected the . . . . •Building • • " • • • " known as , CEDAR STREET. .HOUSE . . . . . . . " . . . . . located at . .47. .Cedar Street . . . . . . . . . . . . . . . . in the . .V�.114.9e. . . of . . . . . .Hyailrij.s. . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . - 8 Clients 2nd Floor Story . . . . . . . . . Capacity . . . . . . . . . 2 Clients " 1st •Floor • • • Total 10 'Clients March 29 , 1993 March 29 , 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. uilding J 'c al .c -..•�..r-Ft s�F w.w t +�� w �r 5 l d 5a + - ', ,. s s-� — ?s�o.�'�'^'^.7��4�?'�a�� £a'�F.;a�r,�,...,...-�3c+r�.� `2�""�'�'+"h:o.�' .�'s�:_+,,.. 't� 4,4,':?d�'�"f-xt_�:x�v '�; +�:w•�:.:.ii:��dYi.y.x.w+�s..._ _ ..7�r..sn.iti�.< i._..��e�.+b. .a.e,Gb��"��h"A c•+�'ti?,sS�4 a§ _ Tbr ttCommonwrartb of 01a!5!5aCbUS;ett'5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . CAPE COD MENTAL HEALTH ASSOCIATION 3 Certffp that I have inspected the . . . . . .Building . . . . . . . . . . . . . . known as ,DAY TREATMENT PROGRAM located at . . . .4 Bacon Terrace in the . Village of HXannis 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 . . . .1. . . . Capacity . . .2 5. . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . l. . . . Floor. . . . . . . . . . . .2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 8 9 . . . . . . . . . . . . . . . . May. .•. . . . . . . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . �i"I�ding6o�ffjci . . . . . . . . the above information. f n (`fie C�ommonettr# o lug TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY is issued to CAPE COD MENTAL HEALTH ASSOCIATION, INC. 1 (ger#ifV that I have inspected the building known as CEDAR STREET HOUSE locatedat 47 Cedar Street in the village of Hyannis Count o Barnstable Y f Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP R-3 FIRE GRADING 1 Hour OCCUPANCY LOAD 10 June 28, 1990 Exp: 6/28/91 Date Certificate Issued /Building Official The building official shall be notified of any changes in the above information. .� . COMMONWEALTH OF MASSACHUSETTS CITY/TOWN OF BARNSTABLE o t APPLICATION FOR CERTIFICATE OF INSPECTION Date ( ) Fee Required (Amount) (X ) 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 S77p16y' -1� Name of Premises Purpose for Which Premises is Used �!1 y�f�' j,9 1.1 XL x. /© License(-s )' or Permit ( s ) Required for the Premises by Other Governmental Agencies : License .or Permit Agency Certificate to be Issued to L�� 5�� �f✓ Address l J'f�' �✓r z9; to i✓/S1101A A26al Owner of Record of Building E A� i� ADC Address 79 /�C�.�s.�r ��L°f` ��`jff7✓��S �lf�, ���/ Name of Present Holder of Certificate Name of Agent , if any SIGVATURE OF PERSON, T WHOM TITLE - CERTIFICATE IS ISSUE OR HIS AUTHORIZED AGENT .oc� Z ATE INSTRUCTIONS : 1) Make check payable to : N/A 2) Return this application with your check to : Jos-eph.D. .DaLuz, Building Inspector Town of Barnstable 367 Main Street, Hyannis, MA . 02601 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 change in the above information. CERTIFICATE # EXPIRATION DATE : FORM SBCC-3-74 49OSEPFL^D. W:LUZ TELEPHONE: 775-1120 Building /ntputor EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 Date .. .. .. .. .�.Zl./`.�!... . Applicant ... .:.': Parent Organization . .. .. . . ... ... ...... ...... �7 �'£,D�,e X� 'T Location ... . . ..... .. : T..... : . . . .: . . . .4.4.,1. . . . , .. :.. ...'. .. .. .. Responsible r —®� em-rses . . . .. ..�.�. .. Telephone . .. . . . .7 7�.s elp . ... .. . .... . . .. . Number of Guests: . . ...�. .. ..Adult . .. .. . ... . ..Juvenile Board of Health Approved f� Disapproved Fire Department Approved Disapproved Planning Board Approved Disapproved Building Department I_ Approved Disapproved r �# of i TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0, this I CERTIFICATE OF USE AND OCCUPANCY CAPE COD MFNTAL HEALTH ASSOCIATION, INC. � is issued to building known as £T SC- � (ger#if V that 1 have inspected the ��� 2 S £ located at 47 Cedar Street in the village _of Hyannis County of Barnstable Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP R-3 10 FIRE GRADING 1 hour OCCUPANCY LOAD September 3, 1980 OfficialBuirding o �iar Date Certificate Issued The building official shall be notified of any changes in the a ove information. 1 - � e Tommonivialth of TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0; this CERTIFICATE OF USE AND OCCUPANCY is issued to CAPE COD MENTAL HEALTH ASSOCIATION,INC. (gertif that 1 have inspected the building known as CEDAR STREET HOUSE 0 located at 47 Cedar Street ---in the Village of Hyannis County of Barnstable Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP R-3 FIRE GRADING 1 hour OCCUPANCY LOAD 10 January 27, 1983 Q'.'.h%%—&,� Date Certificate Issued BuZtng of>ic The building official shall be notified of any changes in the above information. s ,1 1 (`� P (�vmmuufvPZ# o ttsst TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY is issued to CAPE COD MENTAL HEALTH ASSOCIATION, INC. c1 (gertif U that I have inspected the Building known as CEDAR STREET HOUSE located at 47 Cedar Street in the Village --TOf— Hyannis County of Barnstable Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP R-3 FIRE GRADING 1 Hour OCCUPANCY LOAD 10 March 29, 1993 Date Certificate Issued r uilding O fi iat The building official shall be notified of any changes in the above information. i 1 i // / �� .. f i i r COMMUNITY CONNECTIONS , INC. r .. ' STAFFED APARTMENT- -RECORD OF FIRE DRILL. RESIDENT NAME DATE OF DRILL v. TIME OF DRILL WAS RESIDENT INFORMED OF DRILL AHEAD OF TIME _kL__0 •WHAT.WAS •RESIDENT DOING IMMEDIATLY PRIOR TO DRILL WHAT ROOM WAS RESIDENT IN WHAT EXIT WAS USED_ IFF8-y�-�- HOW LONG DID IT TAKE TO EXIT MINUTES G'T SECONDS WAS %PRIMARY EXIT BLOCKED no IF EXIT TIME WAS DELAYED, EXPLAIN WHY �d OTHRCOMMENTS. - I EMPLOYEES) OBSERVING OR T �L l 'COMMUNITY CONNECTIONS , -INC. STAFFED APARTMENT- -RECORD OF FIRE DRILL. RESIDENT NAME DATE OF DRILL $' -} Y. TIME OF* DRILL • WAS RESIDENT INFORMED OF DRILL AHEAD OF TIMEQ •WHAT•WAS •RESIDENT DOING IMMEOIATLY PRIOR TO DRILL WHAT ROOM TAT S RESIDENT WHAT EXIT WAS USED r'�r�4- ' Cif y cry HOW LONG DID IT TAKE TO EXIT MINUTES O SECONDS WAS :PRIMARY EXIT BLOCKED �p IF EXIT TIME WAS DELAYED, EXPLAIN WHY OTHER COMi"ME:1TSJht4 �L dCQ � / ... • S !L••.• EMPLOYEE(S) OBSERVING DRILL i : COMMUNITY CONNECTIONS INC. • STAFFED APARTMENT- RECORD OF FIRE DRILL. RESIDENT NAME n DATE OF DRILL v. TIME OF DRILL • WAS RESIDENT INFORMED OF DRILL AHEAD OF TIME -7t4 'WHAT-WAS -RESIDENT DOING IMMEDIATLY PRIOR TO DRILL WHAT ROOK: WAS RESIDENT WHAT EXIT WAS US Ell HOW LONG DID IT TAKE TO EXIT MINUTES D 3 SECONDS WAS -.PRIMARY EXIT BLOCKED 40 IF EXIT TIME WAS DELAYED, EXPLAIN WHY • . III OTHRCOMMENTS EMPLOYEES) OBSERVING DRILL U�L� l 4 r COMMUNITY CONNECTIONS t -INC. - STAFFED APA • RTMENT .RECORD OF FIRE DRILL. RESIDENT NAME DATE OF DRILL �. TIME OF DRILL !WAS•RESIDENT INFORMED OF DRILL AHEAD OF TIME •trHAT.WAS •RESIDENT DOING IMMEDIATLY PRIOR TO DRILL �OHAT ROOM WAS RESIDENT IN inr.AT EXIT WAS US ED •r.CW LONG DID IT TAKE TO EXIT r MINUTES _ SECONDS WAS :PRIMARY EXIT BLOCKED �u EXIT TIME WAS DELAYED, EXPLAIN tAgiY -j l ;1 1:-LOYc,E( S) OBSERVING DRILL • 'COMMUNITY CONNECTIONS INC. - - STAFFED APARTMENT. - o . . .RECORD OF FIRE DRILL. RESIDENT NAME ��� �,-,.� DATE OF DRILL �,.. TIME OF DRILL v • WAS RESIDENT INFORMED OF DRILL AHEAD OF TIME •WHAT.WAS -RESIDENT DOING IMMEDIATLY PRIOR TO DRILL WHAT ROOM WAS RESIDENT IN ---------------- WHAT EXIT WAS USED l HOW LONG DID IT TAKE TO EXIT MINUTES` SECONDS WAS .PRIMARY EXIT BLOCKED `2t-,d IF EXIT TIME WAS DELAYED, EXPLAIN WHY ' '. .OTH$R. COD'1ME:ITS • .. EMPLOYEES) OBSERVING DRILL U :,:.• COMMUNITY CONNECTIONS , INC. - STAFFED APARTMENT- 0 . . .RECORD OF FIRE DRILL. RESIDENT NAME DATE OF DRILL TIME OF DRILL j U • WAS RESIDENT INFORMED 0 DRILL AHEAD OF TIME •WHAT.WAS •RESIDENT DOING IMMEDIATLY PRIOR TO DRILL WHAT ROOM WAS RESIDENT IN_ WHAT EXIT WAS USED HOW LONG DID IT TRUCE 0 EXIT_ MINUTES U SECONDS WAS .PRIMttNRY EXIT BLOCKED IF EXIT TIME WAS DELAYED, EXPLAIN -'dHY OTHER COMME:1'?'S EMPLOYEE( S) OBSERVING DRILL /� C COMMUNITY CONNECTIONS , -INC. •• STAFFED APARTMENT- . . -RECORD OF FIRE DRILL. RESIDENT NAME DATE OF DRILL 9 i 1c ,.. TIME OF DRILL • WAS•RESIDENT INFORMED F DRILL AHEAD OF TIME •WHAT.WAS -RESIDENT DOING IMMEDIATLY PRIOR TO DRILL WHAT ROOM WAS RESIDENT IN �e WHAT EXIT WAS USED HOW LONG DID IT TAKE TO EXIT MINUTES W ` ScCONDS WAS --PRIMARY EXIT BLOCKED IF EXIT TIME WAS DELAYED , EXPLAIN WHY '. .OTHER;COMMENTS'• .. .. i EMPLOYEES) OBSERVING DRILL 'COMMUNITY CONNECTIONS , -INC. - STArFED APARTMENT- 0 /.RECORD OF FIRE DRILL. RESIDENT NAME l�v � DATE OF DRILL 9 � / 19 / ,J. T.IME OF DRILL 7/ 3 d • WAS RESIDENT INFORMED OF DRILL AHEAD OF TIME •WHAT.WAS •RESIDENT DOING IMMEDIATLY PRICK TO DRILL WHAT ROOM AIRS RESIDENT WHAT EXIT WAS USED HOW LONG DID IT TAKE TO EXIT_ -_MINUTES_ G'Z SECONDS � WAS -.PRIMARY EXIT BLOCKED � IF EXIT TIME WAS DELAYED, EXPLAIN WHY OTHRCOMMENTS. EMPLOYEE(S) OBSERVING DRILL � � �je �1Corun�or�baeYtj of ��ac�ju�ett� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, .Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . . . .CAPE COD MENTAL HEALTH ASSOCIATION 3 Certifp that 1 have inspected the :. . . . .Buildin_q. . . . . . . . . . . . . . known as . DAY TRE,UMENT, PROGRAM. , located at . . . . 4 Bacon Terrace. . . . . in the . . .Village, . of . . Hyannis, , . 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 . . .1 . . . . . Capacity . 25. . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . �.$t. FIo.Qr. . . . 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .MaX. 4, 1990 . . . . . . . . . . May. 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. Building O fi The Commonbiraltb of Alaoarboettg; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section: 108.1 S, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . . CAP.E .COD. . .MENTAL. HEALTH ASSOCIATION !� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Certttp that 1 have inspected the . . . . . .Bu.ilding . . . ... . . . . . . . . . known as .DAY TREATMENT PROGRAM located at . . . .4 Bacon Terrace in the Village of HXannis 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 . . . .1 Capacity . . . . .2 5. . . . Place of Assembly . . . . . Story . . . . . . . . . Capacity . . . . . . . . . or structure Capacity Location Story . . . . . . . . . Capacity . . _ lst Floor _ . . . . . . .25. . . . . . . . . . Mai 4, 1989 May 4 , 1990 . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . . . . . . . . . the above information. "; 6�fici)7 I. �G je Comm'onbnealtb of Ala'9.5arbMettO TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION r ^r is issued to . . . . . , . . CAPE COD MENTAL HEALTH ASSOCIATION ~.� Certffp that 1 have inspected the . . . . Building . . . . . known as DAY TREATME NT PROGRAM 4 Bacon Terrace in the villa e Hyannis located at . . . . g . of . . . . . . Y . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . .25. . . . Place of Assembly 4. or structure Capacity Location Story Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . 1st Floor 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . May 4, 1988 May 4, 1989 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in � the above information. Binding Off icia � -.; COMMONWEALTH OF, 14ASSACIIUBETTS CITY/TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECT.'ION ' .Date Fee Required (Amount ) (V) No Fee - Required In accordance -with .the provisions of the Massachusetts State Building Code, . Section 108 ,15 , Ilheret. apply for a Certificate of Inspection for the below-named premises located at the following address : Assessor's Map and Lot Street and Number Name of .Premises 2G" �— P.urpose for Which Premises I is Used Licenses) or Permits ) Required for t e remises by Other Governmental Agencies.: License .or Permit Agency Certificate to be Issued to Address 4 dwner of Record of Building Address _ Ntme . of Present }colder of Certificate Name of. Agent , if any S7GA.TUBE OF PERSON TO WHOM TITLE CERTIFICATE IS ISSUED OR 11IS AUTHORIZED AGENT INSTRUCTIONS : DATE d 1) Make check payable to : N14 2) Return this application to : BUILDING COMMISSIONER 367 Main Street, Hyannis, MA 02601 Oth Floor) d:. 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 issues 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIF;CATE I EXPIRATION DATE: ii! — - •'; ` FORM SBCC-3-7ko e Mid-Cape HELPCENTER 78 PLEASANT STREET HYANNIS, MA 02601 � EMERGENCY NUMBER leFp!4STA.g .'ALL OTHER CALLS 77 1 -1 080 June 13 _ 1983 � 775-1 859 C� o 10P I StL.;INti Dear Sirs : r This is to inform you of the intent by the Cape Cod Mental Health Association, Inc. and the Dept. of Mental Health of the modification of our existing mental health Community Residence Network as well as the addition of new residential services to mental health clients in the community. The existing sites of "HUD House" , 47 Cedar Street, Hyannis , a 10-bed fully-staffed 24--hour Residential Men- tal Health facility and "Murray Way" , 44-46 Murray Way, Hyannis, a 6-bed, co-operative Residential Program, mini- mally staffed, will remain intact. The Park Avenue Community Res:i.dence at 9 Park Avenue, Centerville, will be closed June 30th and clients presently residing there will_ be integrated into our newest Resid.en- tial model, the "Community Living Program" or C.L.P. The C .L.P. will begin on July 1, 1983 . This Program intends to support clients in co-op houses and apartments in the community with visiting staff and services to their homes provided by our organization. This, hopefully, will allow the clients to begin living stable lives in the com- m-anity while our staff becomes mobile and accountable for and to clients in their own living situations . D.M.H. em- ployees will provide all Direct Client Services. The address of th:e new C.L.P. site is 1384 Falmouth Road, Centerville, a 6-bed co-op house. Please feel free to contact us with any questions or concerns that may arise. Sincerely, E Turcotte-Shamski c. Di r e -t , JMHA Mary Rase ve Sub-Area Coordinator ....,�... .:.„.... , ,-:rt.. a.:v:�:' :,. :,s.-.gy o-r).tF:i-"'�'C'.--.:.-.rsa'ip j+T,*^'+y. .:^a4" (rT..r.:. -. • - t..a •. 1 Y',H•s•W. !' - - - t Y ; j J < t �r 6 ' M } r�....� f �a. ,:.. •.Y^: g..,•a..:.'`: �r x�:. 1 t ;�.rw ;,.,.. x,. ' ..>..:'t: «, ,. .t_,,... .4 't .r. ,„,z`�:. .:.7'• kX t' A ;. „ r i., i .,..• -,<.r... ""t".r.y..., ..�J... .. � ,i,,. tr..... e,,...§�• :.tn!z : . ,. Tax. ....*,,3.i 't 'ry ��� 5 s,. i 4,. 4.kk., t. `k•:6 �++,:}} Mt�A..A. 4�a:�: �: ..r:'S "t4. k• 'z'1:'t:}i>r. :N-.N ,riy.. c^'..i ,•la:.rk• ,� ,.� r et,., y.. ;"u„^,r"r°J j i. .m5 F d#: -.�`•s 'A'*1�:.c .-'« � • s '" -n x 7,tS,(',ft t... .,."G r w;'",:e .• ,,.e' w f� fy': rhy,"t •*3. •t7 rd a ';F, ✓ A{�+ �,, Y" '," . F.ah�'., a{�y. ,: .. 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"•�: r::,- ::;,?. ;•F.v"+'{'s.. �x.,),,z•..'..ii..R r �# t' +? ,?K•7'+ Y{ft° �,,.:r r Y.. � Fr.,•.: .Y �?:5� as .aY,f -t+'t Y� si t rdi7u• t` rs- I' Ea�i:�;.^ '�•, {. .i .?§•3n,,.. 4r s� .,�� :y,,.,a•^.,:~k',' ' yr pt '`o+�;''i;:+ ;,.- ��d�tt•^t- -, rj, rit J,±;- r '-ti<., J af��,i:a r St,-'.� ,^'F '`{�_i.. .,`..�•. a h a 1 In,accordance,wath thglMassachusetts.,State B_yi, pp Code 'Section .10 4 } �' .v -r +Y` ie2�. y Y,:d{wi• -Y�:r: ;y::Y.,•i x..,y s+ .f....� SLs>::. _..< �;-. - O, ,:� 8. ',•'A:d! i .}. 4ry• i z Y, Rt;: 1 .,} 4. `r '-J .r.<5 r,. '.,i � Scy�..K ,„.s•Y.,t i,.,p t•,�'.+_,..�` as •..,. � ...... kr 3,. ��N b�t��� ':.Za:,y^•�y�".4� �F. t „`Y rc ,y ,y h�::.:�;;.�ray.:. k "`8 S%.q"..s o�,>` r - �� a r:.}• e X;,�„ ..tt,,��s "` rR. } t°.. -.:x +s'>= •c n;, �':i!f 9,:.s v t � l p�; 'hTOt. "'x`fi, 'c mLe j1tY. [ r_<',�+' },{•' .�i�, I{,-r ,.•6 ,y rt" i -w ,.. r,h.s,x3!'r ia. x#+57 S "i �,Y�` 'F; '" '`-mE'•�`'.tF -r };' ,,r.s•*r 1-,sst .' ':E ! t '4>zr Pi. :?.f - ...>;.,3,#` .;kx•, i ^•'t. ,.t i' r fir•[.''+ TF^rt iX',x �*•;:r+ .t�, R py.i.. „{ ex ,+,.;fl 1�:` •.t:•'. 12A4 a .:k ,TIFIC.ATE , ONSPE'q .. . CT IO,N 1. aw $x.: „ •'L±v.r. ..n.1r < � . ;� p. xs , s,t.,t.:.� i._ . y„ i., . i ,.,r+:t;,,..;#t�_w -'h v ���J ,.%'_ ,t, {„a'<:: ''"lx:N t=g„ +r- ; .. -,v,, f�''t tJs F f''i. ' t:�^'h ..tyti � n'+"...:,* .. ��'��f �ht. '° >ss� � � 4'•�'3 +¢, ";,,° ,-CAPE -COD MENTAL HFiALTH- ASSOCIATION < a t h ' t ,, , ° } ,!-Y, rr o>a >`•i. a :°:\ rr'�f Y Ea`¢: + t �;, :.. y fS sssued#t0 ; .• . . . . s as) A v 6 a u t ;"`r•L.^.>.'-,r,^ ;..- : •ri +&a .b .a-: .,.,..�.� ti!tr.�e r•�.,'',:; � r ..'^b ^X ..• nz, ,,s ':x�a t� i.f •t:«, �' i!�i.: ..E". ;: :.} tt r .r z' -r,: ,,, •„4� -,7 " '+:,t ''`'A. n iy,+°La h'}�s:.t t 7�;f !i.• ,.. � e r ;t s b �a f ::d in t ;�' , t r5>i �' •. , rp'?x a '•#.L }, .f..{„ ,a ctx9` fit,. a , ,yj .k .,!It a '' , ; er�tf t 1 have ins ected'kthe bttilclin t� s "_:� G u . Mid Cape,)Da Pro r . 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R.Sr gT f`2"k., F ytF l�1`�;,,, r' 3 •4. +' y, .:G'f,t,L i„ .�i'```ja a y: Er :.,t• ,- £ k'f,'., k : i+'C '`s'd "° „`s`4i '�i. .. ,.F. • z• r .. $ i.., +,.h - Y ..F ,ri s,,'+:.,: i :„• s ,{ rg r °• `� r 4 'f,' ' ".'" t"}i r'�" t.* "•s''t i< F k`#' I ix{.; rR '.a�nCt :' ~ T 1' t +'•1 R�1 It'' 1 emb r >' ,�`.��� .�;� . . . ,�. .�.,. 98Q � � "�"'�rE �;1 .: Noyember;6, 1981 w< - t Certi icate > `� ,� t Number r �� x�a+ Datf f ued � y ;-"Date, • s,{: f. fir.. 1 Certa icate Iss > Certificate Ex res' ;;�5 �tV i.s:y ~ "� s.; a '# t i , ,J, )C x::..4 n '" n> s ; < ! 2'n. •? ." },... i " 'v' e } ssq J•.i+'�. a�'vj`t cam' + I ,, ,\ti •S a s �•� ''{1 c k ..y , "�,t ,� 5 �, � t a ,r, x,-?. '� �'" 1���j��r3iy. d ✓':_is J S.. i-. '. EFH� �ra Mr,r�`i, �7! ' t a'-- •t `f f 3{t•. "k"F"r'1"'t v , • � L r t ` ", ;',Y�Ad �:Y'?`�F+q�+'+¢'iR`•¢'A. " ,a :..,) )F-.t>♦4,k r ro„tt,..,,,•�4 e L 1 '� a�'ti iqL ,. • • S.A.. •,` '#'T 1 f A Therbuildang fof facial shall be notifaed ieiathan`(10) .days of. any changes in the above information J ,F�' 't :'• i1+ ; i a ,, *i k ; . +. i i a';►' r.; .a +jt� xs. x'' adding,Off icaa xryys^..: ri .e>"g f.i;•t 3: 3. ,1; .?�, rY.f.{fl• ,�;.: t .• it ` otr."".e`�ei •s. 4 h. �� .k7tr« as a. s a , �.f t r. s � e ; }+-•atxe r sw, ",. - ..4 t,j_4 •s�ttcL �` tip 3>�"ii,4��'9.����3�w r`F''�i�rr "�w .�,t 3_:-'3La i ;1 ,tse?i�>` p���r���'S; .F .t� �,� ,r., •1' .{., x�' - ,/{ w 4� 'k>t�'.� „,�, ;t"5.� h .�'�•�5 ia. .{ ,'f J z,#* s'Y� �, n��� �,r4r ,?i, t 5 , - '< .rr '. ' `t+ s.,}e t i,! i .x: t !i''• �$e,,.e'"1}+ .x r. p}'€..+..5. r k ? ,k .y w-r: �* r ,,,.s``5 - .. . ,.•.,.,...>_..,... ' at a. Vx.�? .u.-...s.,.. ° .r.. i.:. -� :`°,-':-r.�,ta=-•�r..�'.�.J.�:s::.:.,,ii# k ' JOSEPH D. DALuz TELEPHONE: 77561120 Building Inspector EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 b Date A..!... .. ........ ...... Applicant ... . ... ... . . ... ..... Parent Organization Location Q.CA . .�� W1b . . .. . .. .. .. Responsible resident o premises .`... 4 1:15�4�,.% Telephone . . . . . Number of Guests: . .:!.. ....Adult . .. ..... . ...Juvenile Board of Health F-1 Approved E:1 Disapproved Fire Department F-1 Approved D Disapproved Planning Board I� Approved Disapproved Building Department I_ Approved Disapproved COMMONWEALTH OF MASSACHUSETTS �7 CITY/TOWN OF BARNSTABLE o t APPLICATION FOR CERTIFICATE OF INSPECTION Date '' Q d ( ) Fee Required (Amount) ( x) 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 6.l Name of Premises Purpose for Which Premis s is Use ' Licenses ) or Permit ( s ) Required for the remises by Other Governmen al Agencies : License .or Permit Agency Certificate to be Issued t Address Owner of Record f Buil in Address Name of Present older of Ce ificate Name of Agent , if any SIGNATURE OF PERSON TO WHOM c ` ITLE - CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT "��' O C DATE INSTRUCTIONS 1) Make check payable to : N/A 2) Return this application with your . check to : Joseph DaLuz, Building Inspector 367 Main Street, Hyannis, MA 02601 PLEASE NOTE : 1) Application form with accompanying fee must be submitted for each build- ing or structure or part thereof to be certified. 2) Applicationand 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. EXPIRATION DATE: CERTIFICATE #f � • FORM SBCC-3-74 . r COMMONWEALTH OF MASSACHUSETTS CITY/TOWN OF_ ��j�j)¢�L� c c s APPLICATION FOR CERTIFICATE OF INSPECTION .Date 6` { 1 q Q ( ) Fee Required (Amount) (Al) 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 �f�� q Name of Premises Purpose for Which Pre ises is Used Gh .ae(; - . License('s'j' or Permit ( s ) Required for the Premises by Oth Governmental Agencies : License .or Permit Agency Certificate to be Issued to Cap. (mod s �`a �+ /7S56Cr�� � �✓�c. _ Address 7 0' 'TV1 �n Owner of Reco d of B((uildi CIAO- Address u" Name of Present Holder of Certificate Name Agent , if any SIGNATURE F PERSON TO WHOM TIT E - CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT , g7� DATE INSTRUCTIONS: 1) Make check payable to : 2) 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 change in the above information. . CERTIFICATE # EXPIRATION DATE: - FORM SBCC-3-74 ` f he TommonfvPttlth of ffiassarhus etts .TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY is issued to _ CAPE (Inn MFMAT. REAM A SOC. �31 (Qertif that I have inspected the premises known as PROJECT HELP located at 105 Pl Pawn St in the Team of 11arnstahI P County of RarnGtahl P Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP Business FIRE GRADING 2 Hrs. OCCUPANCY LOAD April 11 , 1980 Date Certijicnte Issued Building jfi 1 The building official shall be notified of any changes in th ove information. i 'The aommonivealth of Massac4usefts ' TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY s is issued to CAPE COD MENTAL HEALTH ASSOCIATION (gerfif g that I have inspected the dwelling known as located at 9 Park Avenue in the village of Centerville County of Barnstable Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. i ' USE GROUP R-3 FIRE GRADING l hour OCCUPANCY LOAD 10 August 15, 1982 i Date Certificate Issued I Building r The building official shall be notified of any changes in the above information. COt•;;•fONWEALTH OF 14ASSACHUSETTS CITY/TOWN OF 4 APPLICATION FOR CERTIFICATE OF INSPECTION Date -/6' �aZ ( ) Fee Required (.Amount)- (ij"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 ti Name of Premises v 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 �T Owner of Record of Building 2zd r Address 17 6: LU-eo :1� Name of Present Holder of Certificate , Name of Agent , if any SIGNATURE OF PERSON TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT DATE INSTRUCTIONS: 1) Make check payable 'to: . 2) 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 issues 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: FORM SBCC-3-74 (12 JOSEPH D. O.ALUZ TELEPHONE: 773-1120 Emilding Inspector EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 'J Date �� �� ..`.. .... . . . .. . . . .. .... Applicant .. `6'• • • • . . . . . ....... . . . .. . .. . ..f. .� e . . . . . . . .. Parent Organization . ... .. . ... .. . . .. Location . . . �. . . . . . . . . . . . . . . . .. . . . . . .. . .. ... .. .. ... .. :. Responsible resident of premises .�� z�... . Telephone . . .17,..C:��. j�. . . . . . . . .. . . Number of Guests: . .... . .. . .Adult . . . .. . .. . . ..Juvenile Board of Health Approved Disapproved Fire Department Approved Disapproved Planning Board F-1 Approved Disapproved Building Department I_ Approved Disapproved i Thr-Tommontue-alth of Massar4usetts . TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY is issued to HUMAN SERVICES RESOURCE CENTER that I have inspected the dwelling known as located at 9 Park Avenue in the village of Centerville County of Barnstable Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. I ' USE GROUP R 3 ~ i FIRE GRADING 1 hour OCCUPANCY LOAD 10 August 13, 1982 Date Certificate Issued Puilding Officia The building official shall be notified of any changes in the ab a information. JOSS-—",,D DALyz TELEPHONE: 775.1120 Brri..ng tifnr EXT. 107 TOWN OF BARNSTABLE BUILDING INSPECTOR TOWN OFFICE BUILDING HYANNIS, MASS. 02601 tt ^ Date .. .. .... .......... ...... AApplicant Hv1_\n:N �CRVICF_S 0LARCz CE-NTF_ PP .... . . . .. . . ..... .. . .. . ... .. . .. . . .. . .. ... . ... .... . ... .. ... Parent Organization .S . . . ... .. .. .. .. . . .. . . ... . ... ...... ...... �n Qo-\ � E VAT 9,,\/ L Location .. .. ::... ....z . U�3E�2� b L-Nc-y\ Responsible resident of premises ... ... ..... .... . . .. .. ... .. . ... . .. .. Telephone . ..... .�.d. .� .I.�.. . ... ..... ... . Number of Guests: . .... ....Adult ... ..... . ...Juvenile Board of Health r Approved Disapproved Fire Department F-1 Approved Disapproved Planning Board Approved Disapproved Building Department I_ Approved Disapproved �y fl-M _ -==�.�' eJ`"Z(' U C.ZIj2I�?.�'•.12Cll�Czl.��• C� e� ('a�L7.1:1 Cd'C'�d l fl�'��1 c ..•• � e !2lIJt', e-/Jla�l:I1 k';/,1'. November 19 .�fe�.wltu� t�'l�i� :n�mi�r�ra•�7 , 1 Q i 9 To Whorn it May Concern: d I hereby certify that +.1man Services Lesource 'Canter, T^C appears by the records of this office to have been incorporated under the general laws of this Commonwealth ':ovar,5er 2 19;9, ("Chao „r I ;urther certify that so far as appears of record here, said corporation still has a legal existence. i, IN TESTIMONY .of which, I have hereunto H t affixed the Great Seal of the Commonwealth on the date first above written. Secretary of the Commonwealth. puty Secretary. Fun,,C D, W2. 5M 6 tNeT TOWN OF BABNSTABLE S i BAIMSTAIML o NAM o 1639. Office of the Building Inspector Septanber 3, 1980 PERMIT TO ERECT SIGN IS HEREBY N- "FEE, GRANTED TO ............. ,222„i'c�c�..'.. tal....ehth Associatic�z,.......................Lac. Project del. ................. .. . .. ........ ...... ... ......... .... .. ..................... .. ... :.. LOCATION ....................12-0 Yarmouth th„Roada.....Hyannis..................................................................................... ........ .................. .......... .. ............ ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT Building Inspector V TOWN OF BA.RNSTABLE t s�,T,n, (AX SIGN APPLICATION Owner's Name I.�AI�$e� ���,��e�,r� ��`'�7 -�-�t� ""�!� ec'(`' r^� 1 ,►� Address -7 i Location e 2(� a0 Name of Builder Address Type of Construction �OS �U�pi�OiC o' Cj�61 Free Standing or Attached Flee 5 f a ( ,4 o Zoning District Fire District I hereby agree to conform to all Rules and Regulations of the Town of B stable regarding a above construction. All permits subject to approval of the Inspector of Wires. Name Jr Diagram of Lot and Sign with Dimensions to be placed on reverse side. �tr�r �'� a t�Ca i✓► {7 IGt e, n u��'� To r 5 COMMONWEALTH OF MASSACHUSETTS CITY/TOWN OFLz s ��-e APPLICATION FOR CERTIFICATE OF INSPECTION Date �Zd �0 ( ) Fee Required (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 : Street and Number g P sal Name of Premises cow A&Iifal Purpose for Which P emises is Used License( s ) or Permit ( s ) Required for the Pr mzses by Other Governmental Agencies : License .or Permit Agency / 144 /f� re01 i Certificate to be Issued to Address Owner of Record of Building evze of �9�y� Address Name of Present Holder of Certificate Name of Agent , if any TGNATURE F PERSON TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT DATE INSTRUCTIONS : 1) Make check payable to : 2) 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. 211 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 : FORM SBCC-3-74 CUS P &YttmvniUPalf� of assar4usl is TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 1 Z0.0, this CERTIFICATE OF USE AND OCCUPANCY is issued to CAPE COD MENTAL HEALTH ASSOCIATION, INC. i l (f rdif V that 1 have inspected the building known as MID CAPE CLINIC {� located at 78 Pleasant Street the village of Hyannis 1 i ( County of Barnstable Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP B FIRE GRADING 2 hours OCCUPANCY LOAD 30 / May 20, 1980 Date Certificate Issued Building Official The building official shall be notified of any changes in the above information. i ' �' I rT f i ; The Cnummunfiettlth of 'Massachusetts TOWN OF BARNSTABLE I # In accordance with the Massachusetts State Building Code, Section 120.0, this f UIV CERTIFICATE OF USE AND OCCUPANCY a u issued to CAPE COD MENTAL HEALTH ASSOCIATION, INC. (Qertif U that I have inspected the building MID CAPE CLINIC p known as i located at 78 Pleasant Street in the villageo Hyannis j f—may ! Count o Barns table Y f Commonwealth of Massachusetts. The building is hereby certified to be in compliance i with the Basic Code and for the purpose stated below. USE GROUP B FIRE GRADING 2 hours i _ OCCUPANCY LOAD 3O November 2, 1982 Date Certificate Issued Building Official Ae building official shall be notified of any changes in the above information. T t . OMMOrnbuta ltb of Alu;!garboettE; TOWN OF `BARNSTABLE In accordance with the Massachusetts State Building Code;Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . , CAPE COD MENTAL HEALTH ASSOCIATION, INC. 31 Certifp that I have inspected the . . . . Building known as Day. .Activity .Center • .located at . , 10 Brooks Road . . . . in the ,Village . . . o f _ Hyannis 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 . .I• t. . . Capacity . . 1.5. . . . Place of Assembly or structure Capacity Location Story Capacity . . 5. . . Story . . . . . . . . . Capacity, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34. . . . . . . . . . September 4, 1988 September 4 , 1990 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. wilding Of finial a_ - — The Commouwealtb of Ba5,garbu.5ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . , .CAPE COD MENTAL HEALTH ASSOCIATION, INC. 3Certify that I have inspected the . . . . . . . . . .Buildin. . . . .g. . . . . . . . . . . . . . . known as Day Activity. Center located at . . 10 Brooks Road in the •Village of Hyannis Barnstabl County of e Commonwealth of Massachusetts. The means o e are su • • • • • • • • f egress sufficient g f f� for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . Capacity . . . . . . 1st 15 Place of Assembly . . . . . . . . or structure Capacity Location Story . . 2nd. . . Capacity . . 15 Story Capacity . . . . . . . . . 30 1st & 2nd Floors . . . . . . September 4 , 1986 September 4, 1988 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be noti fied within (10) days of any changes in . . . . . . . . . the above information. uilding Official i 4:1 The commonbiraltb of A&5zatboettz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . CAPE COD MENTAL HEALTH ASSOCIATION, INC. Certifp that I have inspected the . . . . Building . . . . . . known as Day Activity. Center located at . . 10 Brooks Road in the ,Village of Hyannis 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 1 Place of Assembly Story . .1•s�. . . Capacity . . . .�. . . . or structure Capacity Location Story . .2Aa. . . Capacity . . 1.5. . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.R. . . . . . . . . . 1.� . .& , 2n�1, Floors September 4, 1988 September 4 , 1990 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date Certificate Iss4ed Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . the above information. ', uilding Official r� `v I (`SIP C�ommun£roPttX# of tt$�tttixge##$ TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY is issued to CAPE COD MENTAL HEALTH ASSOCIATION, INC. �31 �ertif that I have inspected the Building known as Mental Health Center located at 10 Brooks Road in the Village age of�iyanniS County of RArnGtah1P Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP B FIRE GRADING 2 Hours OCCUPANCY LOAD 30 September 4, 1984 Date Certificate Issued Buikhng f 1 ial The building official shall be notified of any changes in the above information. CENTER FOR INDIVIDUAL AND FAMILY SERVICES OF CAPE COD Continuing Care Program 10 Brooks Road Hyannis,Massachusetts 02601 771-6073 25 October 1984 I Office of the Building Inspector Town Hall Hyannis, Mass. 02601 Dear Mr. DeLuse; your Per our conversation today I am requesting that office�. e issue a Use and Occupancy Certificate under the proper section indicating Use Group, Fire Grading, Occupancy Load, and Floor Plan. Your office had issued a Certificate of Inspection (section 108.15) which Mr. Carr indicates is the incorrect certificate for this building. Your cooperation and assistance is appreciated in this matter® Sincerely: ACT� TssE� �',HO itant A ' istrator Continuing re Member Agency #10 a all iAMILY SERV of Cap C e Cod.Inc. ICE e W AMERICA of Cap b -� Commoubjealtb of TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . CAPE COD MENTAL" HEALTH ASSOCIATION, INC. 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Certify p Bui].din Day Activity Center that I have inspected the . . . . . . . . . . . . g. . . . . . . . . . . . . . . . . . known as . . . . . li !i located at . . 10 Brooks Read Village H annis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the . . . . . . . . . . . . . . o f . . . . . '. . i C.ounty o . ?stable . Commonwealth o Massachusetts. The means o egress are sufficient or the following f . . . . . . . . . . . . f f g ff. f f g �I number of persons: I BY STORY BY PLACE OF 21S:SF_A1BLY OR STRUCTURE li Story . . .lst. Capacity 15 Place of Assembly . . . . . . . . . . . . , i or structure Capacity Location j Story . . .2nd. . . Capacity . .15. . . . . ii Story . . . . . . Capacity . . . . . . . . . 30 . . . . . . . . . ls.t & 2nd Floors I� September 4, 1984 September 4, 1986 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any'changes in the above information. 1�3w ding U i�a nA-T-+:craw erL O 22' August 1984 Office of the Building Inspector Town of Barnstable Barnstable Mass, 02601 Dear Sir: I am writing, again, to ask that you send up a copy of your certificate of inspection that was done here at #10 Brooks Rd, Mid-Cape Day Treatment Program. This certificate is needed for licensing purposes, I willed and spoke with Mr. DeLuse early last week who informed me that he would send the proper certificates. I thank you for your assistance in this Witter. Sincerely: SEP P OCzA ssistan is ra or ontinuing a 9 COMMONWEALTH OF MASSACHUSETTS CITY/TOWN OF BARNSTABLE - I ' 0 APP.LICATION FOR CERTIFICATE OF INSPECTION . Date 6/6/78 ( ) Fee Required (Amount ) ( X) No Fee Required In accordance with the provisions of the Massachusetts. State Building Code , Section 108 ,15 , I hereby apply for a Certificate of Inspectionfor the below-named premises located at the following address : Street and Number 10 Brooks. Road Hyannis, MA 02601' Name of Premises Day Activity Center Purpose for Which Premises is Used License( s ) or Permit ( s ) Required .for the Premises by Other Governmental Agencies : License .or Permit Agency - Public Health License Dept. of Public Heath Commonwealth of Mass . Certificate to be Issued to Cape Cod Mental Health Association, Inc. Address 78 Pleasant Street Hyannis , MA 02601 Owner of Record of Building same as above Address Namle of Present Holder of Certificate none N of Agent , if. any none Executive Director SIGNATURE OF PERSON TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT June 6 , 1978 DATE INSTRUCTIONS : 1) �I 2) . Return this appplication with your check to : Mr.. Joseph DaLuz, Building Inspector Town of Barnstable, Hyannis, MA 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 than€;e in the above information. CERTIFICATE # EXPIRATION DATE : FORM SBCC-3-74 �' �� �!� ��c � o �� �q � �- /�9/ ( J �� `� c CENTER FOR INDIVIDUAL AND FAMILY SERVICES OF CAPE COD Continuing Care Program 10 Brooks Road Hyannis,Massachusetts 02601 771-6093 November 4, 1983 Office of the Building Inspector Town Hall Barnstable , MA 02630 Dear Sir: I am writing to request that your office conduct an inspection of our building located at #10 Brooks Road, Hyannis. This building houses the Mid Cape Day gareatment Program (Cape Cod Mental Health Association and Mass. Department of Mental Health) and annual inspections are required from our quality assurance for certification. Would you please schedule a visit and inform me so that I will make myself available to you. Thank you for your assistance in this matter. Sincerely, Jose h P. Assistant nistrator Continuing are JPH/gb �( Ck 71 lP t OTJ Member Agency //}} , r/ �� 10 r it U 1J nR;edWa FAMILY SERVICE of Cape Cod,Inc ASSOCIATION OF AMERICA (`�I, 4Q &Mmnnivmlt� of tts!Bar�usetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY is issued to CAPE COD MENTAL HEALTH ASSOCIATION, INC. ffertif that I have inspected the Building known as Mental Health Center located at 10 Brooks Road in the Village of Hyannis County of Barnstable Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for the purpose stated below. USE GROUP B FIRE GRADING 2 Hours OCCUPANCY LOAD 30 September 4, 1984 Date Certificate Issued Building f ia! The building official shall be notified of any.changes in the above information. :, i