Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0790 FALMOUTH ROAD/RTE 28 (10)
790 FALMOUTH-ROAD BROOKDALE 4 �i � Z o Q � a � 00 a c cO O C �* m co O 0 CO v F LL l 790 FALMOUTH RD ` - --� - -- --- - ; EMERITUS AT CAPE COD 1 1 �� � �—e � eQ YLy9_/_g�9_v_a—� �Qe - dace c � J —�zca�. `�FZHE7pl,_ The Commonwealth of Massachusetts .} Town of Barnstable tiunss 2020 , TEO MPS Certificate of Inspection Issued to Brookdale Certificate No. Type: Building -Certificate of Inspection DBA Brookdale of Cape Cod IC-19-311 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 271-001 8/31/2020 in the Town of Barnstable 790 FALMOUTH ROAD/RTE 28, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st. R-2: Apartment houses, dormitories 32 2nd R-2: Apartment houses, dormitories 48 - Restrictions First Floor 12 Studio 18 (1 Bedrooms) 2(2 Bedrooms) Second Floor 20 Studio 22 (1Bedrooms) 6 (2 Bedrooms) This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure-to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Official Jeff Lauzon Date of Inspection 9/24/2019' Signature of Municipal Building Official ��r Date of Issuance 9/24/2019 The State of Massachusetts BARMMLE. Town of Barnstable ' s639• `�0 �� New and Renewal Certificate of Inspection Applicatio Date 1/11/2017 Fee Required 206.00 In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,hereby apply for a Cer ' for the below-named premises located at the following address: Street and Number: 790 FALMOUTH ROAD/RTE 28,HYANNIS Name of Premises: Brookdale DBA: Brookdale of Cape Cod Purpose for which premises is used: License(s)or Permit(s) required for the premises by other governmental agencies: , Certificate to be Issued to: Brookdale (Corp, LLC,or name of Business) Address: 790 FALMOUTH ROAD/RTE 28,HYANNIS Telephone: (414)918-5948 Owner of Record of Business or Brookdale Establishment: Address: 6737 W.Washington St.Suite 2300 Milwaukee, MA 53214 Manager or Persons responsible for Sharon Plunkett daily operation: E- il: �flo.stevens@brookdale.com l l �/ Ju� SIGNATURE OF PERSON TO WHOM CERTIFI E ' IS ISSUED OR AUTHORIZED AGENT jqT < PLEASE PRINT NAM A"' e INSTRUCTIONS: �, Ln 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: 6 `� 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- -12 EXPIRATION DATE 8/1 OZ 15 oc �o d � 121i T 19' TaAQU sk�y�D 118 ,a y { [2 :Studio A O Studio.B. "TcnQ" v ED I Bedroom � . nmLQa¢ooAl �'nS� F/oop .`fro x. O Z Bedroom B Bed w.ursra'l room B oiv 116 ; Z - 2 Bedroom A u n wS } � JV5 'ArmwngY �,o irvovc sooA, 3apLUN OQinIU ROOA, BUILnOVC SQOILIG AL\il'I LOBBY AWL C[M'�t.U:. 80aes OTH �y�\D7777� ykJ 9�4 ' - gD Jj"rV��O 124�' LouticQi � ., omc¢ �vrinAnvla n¢cer oMrc! ', Louwce: 103 µ'.fi SkJ �p,V . ,eL!\nrou LonuY 1 ._ .AnA,Q+LYraAT,oY \ !LQ\ATnn I:OOBV A . 126 1'41T NOON�PTO GBAARY l\/Y .LAUVBRv FUb hr7 I�v 1 7 p uvnoav ¢9 ' o I I T Brookda Ie Cape Codh :11 wv Z I tjiv� r alsvisuve jo NMOj FIRST FLOOR PLAN d ( 0 bel S�C'a vD 2 - eel •, 239._�� ,. � Studio 218�- o Studio Bedr B' :.., 1 Bedroom A ;2174 I��°D 1 Bedroom B 2 Bedroom A I 237 216 /. R, 0 2 Bedroom B 0 2 Bedroom C 214 215 I I r . 213; J�n 234 PRM9]CGYIL 243,. I 248 4i id- r � 1Wi L . - � .'" �,• '- '.Llt'VAOLL Y]. QR!... - LLLVATW � '.. X l \ 228 226 244 245 .. ro 246 247 ,207' Qc n� >, •� � '«;. /!�D" ,;�` v l 151v �t I l3ealrol'^ ` ,� ti• °"°"'• � p �Q ^ 230 , .222 5fvn�c 201' ' 209 - 225 F ] �v1�+0 0M I �0a aT '��nc�i � .232 229 -21 231`t'; 212 233. Brookdale Cape Cod.....ii4coje�� f r - I SECOND FLOOD PLAN r ]°P Z/cc 370VISNUVO gp lao, The Commonwealth of Massachusetts IL Town of Barnstable •gip 2015 ' rfD MAY� Certificate of Inspection Issued to Brookdale 'Certificate No. Type: � Building -Certificate of Inspection 'i DBA Brookdale of Cape Cod IC-17-12 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 271-001 8/17/2015 in the Town of Barnstable 790 FALMOUTH ROAD/RTE 28, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st R-2: Apartment houses, dormitories 32 2nd R-2: Apartment houses, dormitories 48 Restrictions First Floor 12 Studio 18(1 Bedrooms) 2 (2 Bedrooms) Second Floor 20 Studio 22 (1 Bedrooms) 6(2 Bedrooms) This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Official Jeff LauZon Date of Inspection 9/24/2019 Signature of Municipal Building Official ,; Date of Issuance 8/17/2010 o e4A -� fs.G lLh�$ ovQlCe ffl�mYdc�'' 120.- 4� Studio B I Bedroom J/�S /—/OD Id no� naoM v 1 Bedroom:B 117 m 1.16" � Bedroom B i 8 - i i3�o�oems. •D� o 115J- 3 a AWm AMn c pRoAl 1 ,l1ULTLlURlR86 ' ucat'� P6Rt➢pf �none ' ➢IMfnmefrzoafcl .. 'nulx,io➢u4' �eui� � y S Ot77Ct YOYEQ : P (Vf�., �QQ.. 1 Qf�\ATfI➢ID➢➢VI AONpIFr:MPON eWlsAl'O➢I:pO➢YS 1 .�.,,! . -,1%Z6 - lPfIA�ONIXdC .tl➢nARY� yl OTIICQ 130• i2r Slvvio �lLAJ 0lr? 109' ap, $3 5kv p .lOZ 104 z t � a r. 127 `3V Ti /3e,'I s132f `;` ld9 , 80 FF 'S * � �111, 129, 131 D . p F'Svl p Brookdale Cape Cody FIRST FLOOR PLAN n I y.� 241°a 02' zo ; 2 0 B 22 4 -219< 13 4. Studio A 2.18 PIP o SrudtvB-.. I Bedroom A, 238 I 217 D 0 1 Bedroom B q - I f 0 2 Bedroom A j 237 216 2 Bedroom B 0 2 Bedroom C 236 - 13D �yD�c 214 I .. ] � �f . a�•213'� topp � .�-•- mrmmevra. i- i 226 �. r •� ..2 �4P�I1• 24 •�a Z..t;. .. 228 a, 244F: Ytl 6� 247 a 230 r : 222 ' y/c �' � �A,� 225 z. , 223: .�I _ �ul�� �"c 202 _204. 1 ��'�s �• 211,;,1'' 229 • 233 �®.A ;I��� k�' 212. ,r �9 ' Brookdale Cape Cod SECOND FLOOR PLAN °F,IT The Commonwealth of Massachusetts ° Town of Barnstable MSTAB . 2015 . TEOMI�a Certificate of Inspection Issued to Brookdale Certificate No. Type. Building -Certificate of Inspection DBA Brookdale of Cape Cod IC-17-12 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 271-001 8/17/2015 in the Town of Barnstable 790 FALMOUTH ROAD/RTE 28, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st R-2: Apartment houses,dormitories 32 2nd R-2: Apartment houses, dormitories 48 Restrictions First Floor 12 Studio 18 (1 Bedrooms) 2(2 Bedrooms) Second Floor 20 Studio 22 (1Bedrooms) 6(2 Bedrooms) This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Official Jeff Lauzon Date of Inspection 9/24/2019 Signature of Municipal Building Official Date of Issuance 8/17/2010 L �G DEPT COMMONWEALTH OF MASSACHUSETTS �U1LD1 TOWN OF BARNSTABLE 15 20IVPLICATION FOR CERTIFICATE OF INSPECTION FE MULTI-FAMILY ARNSTABLE FIVE-YEAR CERTIFICATE , Date � (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 pre ises.ocated at the fqjlowing address: Street and Number: I V Name of Premises: 1e_ Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO I BEDROOM 2 BEDROOM s BEDROOM -� —POTI4'ER Certif ate to tie Issued to: 0 in Address: � d Teleph i teff 0 �. R b �Nam and Telephone Number of Local Manager, if an . Owner of Record of Building: Address: �vtsvf�y Name of Present Holder of Certificate: 441 SIGNATURE O PERSON O WH M CERTIFICATE PLEASE PROVIDE EMA ISSUED11OR PERSON AGENT R ;; 11k 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. FOR OFFICE USE ONLY- CERTIFICATE# ' i f " EXPIRATION DATE: coiappmf I w 121; .. .. ;. .12 • :�«12 • 4 1`19; TRSSH �koT�� ii8 0 Studio A NTTCIIQ `.39 : l Bedroom 117 TBedroom B -' ' s WAIT 3[ATION 116 - 2 Bedroom A 2 o - Bedroom ROObI .--. 61ULT4PURTO36' , I Sv�l� 124 wuncsr f. eTiruvMYRA necrr wUNcer. Lj� 40 • ,��D ;„:. e <' -:: sl�t�ln¢¢Y I AnM1lwtttiunon ¢usutoR wum: 3�` +.. �� oTvlca .. ,10 LIM 128 "" VT9Tm¢L6 . lUl uixyosv 107 S 109 _1 Z5 r 3 ' y 102 104 1IVv �. 106 1 tt 129 1 133 v Brookda le Ca pe. Cody ,.. . N FIRST FLOOR PLAN v N° X.` 2 ar:. 2zo; 2ao i ..�° 55vo� I j3�o Studio Alizf8 �.�. I Bedroom A' Lo —'.�---- 238 � I: 217 p D 0 1 Bedroom B 2 Bedroom A ;237 216 2 Bedroom S ' 2 Bedroom C 21.41: 215. • 4. 234: rrrr¢+ecmro 1 r •. _ - , .. l 226. 2 245, . .`° 9Y,,'. _246 'c 03. 228 44 ., 247 207 9 . IAU:tlM1V.., 90PI 201 209 223 a y .. _ 202 204 s 227. id 71 2 �06 129- w w 2330.. A Brookd Le a Cape o,. SECOND FLOOD PLAN -TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose' CERTIFICATE NO: 200904315 CANCELLED. ,: MAP: 271 i DBA: IWHITEHALL ESTATE(ASSISTED LIVING) PARCEL: 001 NAME/MANAGER: IWHITEHALL ESTATE, LLC' STREET: 1790 FALMOUTH ROAD VILLAGE: HYANNIS STATE;,! ,MA ZIP: 02601- SEO N0: BUSINESS TYPE: MULTIFAMILYlz CONSTRUCTION TYPE:. STORYI: CAPACITY: USE1: R2- "CapBCl / Und@I 50:`. STORY2: CAPACITY: a USE2. OUtSlde Seating.¢ STORY3: CAPACITY: USES: ED BY PLACE OF ASSEMBY OR STRUCTURE CAP1: - LOC1: 80 UNITS CAPS: LOC8: CAP2: LOC2: (ASSISTED LIVING) yCAP9; LOC9: CAP3: LOC3: 32 STUDIOS CAP10: LOC10: CAP4: LOC4: 39 ONE-BEDROOMS CAF11: LOC11: CAPS: L005: 9 TWO-BEDROOMS`' CAP12- LOC12:: CAPE: LOC6: .aCAP.13: LOC13: CAP7: F:70 LOC7: DINING ROOM CAP14: LOC14: . INSPECTION: DATE ISSUED: - EXPIRATION:. PrinfThls Screen �` � 09/23/2009 08/04/2009 OS/04/2014 Prink Cettifiate of InspectiQ COMMENTS: SEE STREET ADDRESS FILES; z . i f °F TFIE 1� : . � The Town of Barnstable - nnarrsr"MNAM • 1 ,0�' 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 July 13, 1999 Danielle Breault, Executive Director Whitehall Estate 790 Falmouth Road Hyannis, MA 02601 Dear Ms. Breault: Re: Certificate of Inspection Multi-family Dwelling Dear Ms Breault: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 80 Units - (5-year certificate) $235.00 Dining Room(Capacity 70) 40.00 Total $275.00 The fee has been established by the State (Table 106)and must be paid before the Certificate of Inspection/Capacity Card may be issued. Upon receipt of the fee we will issue the Certificate of Inspection for a 5-year period. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. ��0� Sincerely, 3� Ralph M. Crossen Building Commissioner Z15 j990713a TO Commonbjeattb of Alazmrbivatt!� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to WHITEHALL ESTATE, LLC I Certifp that I have inspected the premises known as: WHITEHALL ESTATE(ASSISTED LIVING) located at 790 FALMOUTH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 80 UNITS 9 TWO-BEDROOMS (ASSISTED LIVING) 32 STUDIOS DINING ROOM 70 39 ONE-BEDROOMS Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200904315 8/4/2009 8/4/2014 271 001 The building official shall be notified within (10) days of any changes in the above information. Building Official / Id PERMIT PAYMENT RECEIPT TOWN-OF BARNSTABLE i BUILDING DEPARTMENT 200 MAIN STREET , HYANNIS, MA 02601 DATE: 09/14/09 TIME: 09:50 -----------------TOTALS----------------.-- PERMIT $ PAID 295.00 AMT TENDERED: 295.00 AMT APPLIED: 295.00 CHANGE: .00 APPLICATION NUMBER: 200904315 PAYMENT METH: CHECK PAYMENT REF: 83119 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY FIVE-YEAR CERTIFICATE Date y,/o (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 Name of Premises: Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL- 8 ep STUDIO .3 Z I BEDROOM 9. 2 BEDROOM _ 3 BEDROOM OTHER Certificate to be Issued to: Address: Telephone: �� c:�o 8 7> CJ -7 G 6 Owner of Record of Building: S r�Z ' Address: Name of Present Holder of Certificate: Name of Agent, if any: " SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: . 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# Z016 9'0 J�/� EXPIRATION DATE: a oFt rqy, Town of Barnstable Regulatory Services BAPNSTneLE, C7 9 nsnss. g Thomas F. Geiler, Director �'ArE;;o. Buil.ding Division Thomas Perry, CBO,Building Commissioner CD 200 Main Street, Hyannis, MA 02601 ` www.town.barnstable.ma.us Z4 Office: 508-862-4038 Fax: 08-790-Z30 July 13, 2009 CrImmunity_ 393 T Patricia Herlihy, Executive Director . . Whitehall Estate 790 Falmouth Road , Hyannis, MA 02601 Ire,' t=' . 731 Ar f Re: Certificate of inspection Gil Multi-family Dwelling W16 Lr'itered 1t9 Q,e Dear Ms. Herlihy: Attached you will find an application for&Certificate of Inspection as required by Section 106.5 of the Massachusetts.State Building Code,`Seventh Edition. Please complete the application and return to the Building Commissioner's Office with' the required fee: 80 Units—(5-year certificate) $245.00' Dining Room (Capacity 70) 50.00 Total $295.00 . 7� The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. Upon receipt of the fee, we will y issue the Certificate of Inspection for a 5-year period. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the'State Code. Sincerely, Thomas Perry Building Commissioner Enclosure J090713a Pn�I JUL 1 4 dukuium u COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date T L� (X) Fee Required$.2- 9 C2 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: T 9 Name of Premises: W h 17 C-N A 11 ES /A ( e. Purpose for which premises ii sed: P w License(s)or Permits)required for the premises by other governmental age 'es: License or Permit Age A 9x e�uf�v� e c3 j Certificate to be Issued to: _U) i gAll 1.5me- Address: 790 r l A L4/'* R©A 4 , 4/)` nnlsj M.A• Telephone: �V O 190 9 L 1e& Owner of Record of Building: a r r 9ALL E"/ �,.1.... Address: /1!�'" 4 Name of Present Holder of Certificate: fl Le 1 V e�V�� O R(Y12 R G k 2 • J� j�/l�, Name of Agent,if any: SIGNATURE OF PERSON TO WHOM CER I ATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3j The building official shall be notified within ten(10)days of any change in the above information. CERTIFICATE# G�O a' EXPIRATION DATE: gzWo / Ebe eommonweortb of '41a!5.5arbU'5ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PATRICIA HERLIHY, EXECUTIVE DIRECTOR 3 QLertifp that l have inspected the premises known as: WHITEHALL ESTATE(ASSISTED LIVING) located at 790 FALMOUTH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R-2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 80 UNITS 9 TWO-BEDROOMS (ASSISTED LIVING) 32 STUDIOS DINING ROOM 70 39 ONE-BEDROOMS Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 40207 8/4/2004 8/4/2009 271 001 The building official shall be notified within(10) days of any changes in the above information. _- __. Building Official r The CommonWea ltb of Aaozarbuotto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to PATRICIA HERLIHY, EXECUTIVE DIRECTOR Q�erttfp that I have inspected the premises known as: WHITEHALL ESTATE(ASSISTED LIVING) located at 790 FALMOUTH ROAD in the Village of HYANNIS County of Barnstable Comm6nwealth of Massachusetts. Construction Type: Use Group(s): R-2 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity 80 UNITS 9 TWO-BEDROOMS (ASSISTED LIVING) 32 STUDIOS DINING ROOM 70 39 ONE-BEDROOMS Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 40207 8/4/2004 8/4/2009 271 001' The building official shall be notified within(10)days of any changes in the above information. Building Official r WHITEHALL ESTATE A Parkside Community Patricia M. Herlihy, RN/Executive Director 790 Falmouth Road *Hyannis,MA 02601 508-790-7666*toll-free 888-594-4834*fax 508-790-7667 herlihy@parkside-sr.com i " n �nWn �- f3 . JUL 14 COMMONWEALTH OF MASSACHUSETTS. TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF'INSPECTION Date (X) Fee Required$ .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: T 9 �I/►�Q(��� �/?� Name of Premises:40r.44AII Purpose for which premises ii�sed: ss/S t L/v/n License(s)or Permit(s)required for the premises by other governmental age . 'es: License or Pe .t A en i pUtise -� 11vin b Clef-- Certificate to be Issued to: A�dc5fe.. Address: 790 0 t'Fj 1 fN11 V7"/+► R4 A4 . 7T`/1 n fl l5. Ap od;t Telephone: ��O QD �i I. Owner of Record of Building: W �EMLESMAr— L L1... Address: ` 4 Q - A t J*6 Rd. Y h n h) S /►l7'� Name of Present Holder of Certificate: fl �� 1Q��V(,� TO R � Eke • J!rG'��T'�. Name of Agent,if any: SIGNATURE OF PERSON TO WHOM CER ATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 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. GC � o G O The CommonWealtb of Aaoarbaatt.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DANIELLE BREAULT, EXEC DIR I &rtifp that I have inspected the premises known as: WHITEHALL ESTATE(ASSISTED LIVING) located at 790 FALMOUTH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are suff cient for the following number of persons: Use Group Construction Type Location Capacity R_2 80 UNITS (ASSISTED LIVING) 32 STUDIOS 32 39 ONE-BEDROOMS 78 9 TWO-BEDROOMS 18 TOTAL 128 DINING ROOM 70 40207 8/4/99 8/4/04 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 The Commconbicaltb of Aaoarbwoettz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to DANIELLE BREAULT, EXEC DIR I Cerfifp that I have inspected the premises known as: WHITEHALL ESTATE(ASSISTED LIVING) located at 790 FALMOUTH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number ofpersons: Use Group Construction Type Location Capacity R-2 80 UNITS (ASSISTED LIVING) 32 STUDIOS 32 39 ONE-BEDROOMS 78 9 TWO-BEDROOMS 18 TOTAL 128 DINING ROOM 70 40207 8/4/99 8/4/04 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 Coyle, Brenda From: Coyle, Brenda Sent: Monday, February 06, 2017 1:40 PM To: 'flo.stevens@brookdale.com'- ' Brookdale Fee Brookdale COI Fee COI.pdf(469 KB)... Application.... Good Afternoon, Flo I am sending over some additional info so we can collect the fee for the COI, which should been collect back in 2015. This was an oversight on my part and I do apologize for any inconvenience. If you have any questions, please contact me at 508-862-4039. Sincerely, Brenda Coyle °FIME Town of Barnstable Regulatory Services &UWSTnei.e. « Mass. $ Richard V. Scali,Director 16.39. Building Division 'Paul Roma, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 February 6, 2017 Patricia Herlihy, Executive Director Brookdale Senior Living Solutions 790 Falmouth Road Hyannis, MA 02601 Re: Certificate of Inspection Multi-family Dwelling Dear Ms. Herlihy, Attached you will find an application for a Certificate of Inspection as required by Section 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 must be paid before the Certificate of Inspection/Capacity Card may be issued. Please contact this office once payment is made to arrange inspection. f J090713a f Such buildings shall not be occupied or continue to be occupied without a valid Certificate of Inspection. (Current COI Expires 8/24/2015). We now have the capability to email your COI. Please provide an email address on the Certificate of Inspection Application. Number of Units—80 (5-year certificate) • $245.00 Dining Room (Capacity 70) 50.00 Total $295.00 I am writing to you to make you aware,that when I asked for the fee in 2015 your organization paid with check number 004775 in the amount of$89.00, on March 10, 2015. This amount was incorrect and the correct amount for the fee should have been $295.00. I do apologize for any inconvenience this may have caused. We cannot issue the current COI until we receive the amount of$206.00. If you have an Y . questions, please contact Brenda Coyle at 508-862-4039. Sincerely, Paul Roma Building Commissioner Enclosure J090713a r COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY FIVE-YEAR CERTIFICATE Date (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: Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO 1 BEDROOM 2 BEDROOM 3 BEDROOM e OTHER Certificate to be Issued to: Address: Telephone: k Name and Telephone Number of Local Manager,if any: f Owner of Record of Building: Address: Name'of Present Holder of Certificate: SIGNATURE OF PERSON TO WHOM CERTIFICATE PLEASE PROVIDE EMAIL: IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME ' INSTRUCTIONS': 1)Make check payable to: TOWN OF BA,RNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 5 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: coiappmf E F I f E Tp Town of Barnstable � Regulatory Services sARNSTAaLE. 9 . MASS. Thomas F. Geiler,Director 1639. Building Division H o Thomas Perry, CBO,Building Commissioner o — 200 Main Street, Hyannis, MA 02601 www.town.barnsta ble.maxs CP 9t* Office: 508-862-4038 Fax: 08-790+Z30 rn July 13, 2009 Corr munity_ 393 Patricia Herlihy;Executive Director ; Whitehall Estate 790 Falmouth Road Hyannis,MA 02601 Irk.- Re: Certificate of Inspection G/1- (p � Multi-family Dwelling ®ate Lt'iWned 7Cr- 4 Dear Ms. Herlihy: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Seventh Edition. Please complete the application and return to the Building Commissioner's Office with the required fee: 80 Units—(5-year certificate) $245.00 T C9b Dining Room (Capacity 70) 50.00 Total $295.00 71 Z The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card maybe issued. Upon receipt of the fee, we will issue the Certificate of Inspection for a 5-year period. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure J090713a f - �� 780 CMR: STATE BOARD OF BUILDIi 1G REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUMDR iG CODE from fixed equipment into the fuel tanks of motor One-family dwelling.A building containing one vehicles or approved containers, including any dwelling unit with not more than five lodgers or building used for the sale of automotive accessories, boarders. or for minor automotive repair work.Minor repairs Two-family dwelling:A building containing two include the exchange of parts,oil changes, engine dwelling units with not more than five lodgers or • tune-ups and similar routine maintenance work. boarders per family. Retail sales of hazardous materials shall comply with 780 CYII2 307.8 or 780 CMR 426, as 3103 Use Group R-1 structures:This use group applicable. shall include all hotels,morels,boardinghouses and similar buildings arranged for shelter and sleeping 780 CNIR 310A.RES]IDENTLAL USE accommodations and in which the occupants are GROUPS primarily transient in nature,occupying the facilities 310.1 General:All structures in which individuals for a period of less than 30 days. live, or in which sleeping accommodations are provided (with or without dining facilities), 310.4 Use Group R-2 structures:This use group excluding those that are classified as institutional shall include all multiple dwellings having more than occupancies,shall be classified as Use Group R-1, two dwelling units, except as provided for in R-2,R-3,R-4 orR-S.The term"Use Group R"shaA 780 CMR 3105 for multiple single dwelling units, include Use Groups R-1,R-2 and R-3,R-4 and R-5. and shall also include all boarding houses and Note.,Assisted Living Residences which-are similar buildings arranged for shelter and sleeping eerti e`d assrrch by the Eteeutive Offu f Elder accommodations in which the occupants are primarily not transient in nature. fj` pursuant to N G L c 19D`shall�be classifzed-in the residential-use group R-1,'R=2, 310.4.1 Dormitories:A dormitory facility which R 3 orR=4asappluabl Pordons_of asisi-z's'dted accommodates more than five persons more than Liv`iitg Residence which-are.used'for any use 2%years of age shall be classified as Use Group oth h resideRtialshallbe classified in R-2. accordance w_ith the intended use. 3105 Use Group R-3 structures: This use group 310.2 Definitions:The following words and terms shall include all buildings arranged for occupancy as shall, for the purposes of 780 CMR 3 and as used one- or two-family two-famiky dwelling units, including not elsewhere in 780 CMR,have the meanings shown more than four lodgers or boarders per family and herein. multiple single-family dwellings where each unit has an independent means of egress and is separated by Dwellings: a two-hour fire separation assembly(see 780 C.MR Assisted Living Residence.A residence licensed 709.0). bytheEsecudve Office ofElderAffairspursuant Exceptions to M.G.L.c.19D. 1. In multiple single-family dwellings that are Boarding house:A building arranged or used for equipped throughout with an approved lodging for compensation.with or without meals, automatic sprinkler system installed in and not occupied as a single unit. accordance with 780 CMR 906.2.1 or Dormitory: A space in a building where group 906.2.2, the fireresistance rating of the sleeping accommodations are provided in one dwelling unit separation shall not be less than room.or in a series of closely associated rooms. one hour. Dwelling unit separation walls Dwelling unit:A single unit providing complete, shall be constructed as fire partitions (see independent living facilities for one or more 780 CMR 711.0). persons, including permanent provisions for 2. In multiple single-family dwellings that are living,sleeping,eating,cooking and sanitation. equipped throughout with an approved Hotel:Any building containing six or more guest automatic sprinkler system installed in rooms,intended or designed to be used,or which accordance with 780 CMR 906.2.3, a two- are used, rented or hired out to be occupied or hour fire separation assembly shall be which are occupied for sleeping purposes by provided between each pair of dwelling units. guests. The fireresistance rating between each Motel:A hotel as defined in 780 CMR. dwelling unit shall not be less than one hour Multiple dwelling:A building or portion thereof and shall be constructed as afire partition. containing more than two dwelling units and not 3105.1Famdy day-care home. A family day- meeting the requirements for a multiple single care home as defined by M.G.L.c.28A,§.9,shall dwelling. be classified as use group R-3 or R-4 Such Multiple single dwelling A building or portion facility shall not accommodate more than sir thereof containing more than two dwelling units children. (see 780 CMR 310.5) 58 780 CMR-Sixth Edition 11/27/98 I TOWN OF BARNSTABLE INSPECTION WORKSHEET Clos CERTIFICATE NO: 1 200904315 1 CANCELLED: MAP: 271 DBA: JWHITEHALL ESTATE(ASSISTED LIVING) PARCEL: . 001 NAME/MANAGER: WHITEHALL ESTATE, LLC STREET: 1790 FALMOUTH ROAD VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: F BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R2 Capacity Under 50: r STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 80 UNITS CAPS: L005: 9 TWO-BEDROOMS CAP2: LOC2: (ASSISTED LIVING) CAPE: LOC6: CAP3: LOC3: 32 STUDIOS CAP7: 70 LOC7: DINING ROOM CAP4: LOC4: 39 ONE-BEDROOMS CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: �P�rttint Th Screen 0 08/04/2009 08/04/2014 ���a� 'Pnnt"�Gerti icate°'aflnspect�on 0 91A 3/o 9 COMMENTS: SEE STREET ADDRESS FILES TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO:. 200904315 CANCELLED: MAP: 271 DBA: WHITEHALL ESTATE(ASSISTED LIVING) PARCEL: 001 NAME/MANAGER: 1WHITEHALL ESTATE,LLC STREET: 1790 FALMOUTH ROAD VILLAGE: JHYANNIS STATE: MA ZIP: 02601' SEQ N0: 1❑ BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: I STORYI: CAPACITY:~ USE1: R2 Capacity Under 50: r . STORY2: CAPACITY: USE2: STORY3: CAPACITY:` USE3:' Outside Seating: r. BY PLACE OF ASSEMBY OR STRUCTURE r CAP1: LOC1: 80 UNITS CAP5: L005: 9 TWO-BEDROOMS CAP2: LOC2: .(ASSISTED LIVING) CAPE: LOC6: CAP3: LOC3:. 32 STUDIOS CAP7: 70 LOC7: DINING ROOM CAP4: LOC4: 39 ONE-BEDROOMS CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: 08/04/2069 08/04%2014 f O 9�� ;/0 9 tirmC.e_,f;if�catef' Pf COMMENTS` SEE STREET ADDRESS FILES • COMMONWEALTH OF MASSACHUSE'TTS 7/ TOWN OF BARNSTABLE -- APPLICATION FOR CERTIFICATE OF INSPECTION S' s' Date Zeq d o ( ) 1io Fee Required' In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,`l hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 1 qD Ti3 J MO uA,-\ --R0o-d Name of Premises: Purpose for which premises is used A SAS 1 S'�Q j d f 1) License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Aeencv Certificate to be Issued to: _ ii r Address: D �7� 1 JIAO /A n Telephone: -' Owner of Record of Building: ha-C e L, �-. �• Address: 5wa o fc� 0 ra --r-C -T\06 c1 J+e• qd b. J6 k0 k,( e I-1600 77 Name of Present Holder of Certificate: Name of Agent,if airy: 2�w I e he 13 iL-eA Ld+-� o l L S NATURE OF PERSON T WHOM CERTMCA SUED OR AUTHOREM 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 ofany►change in the above information. CERTIFICATE# �PZ O 7 EXPIRATION DATE: ��� J °F SHE tp� The Town of Barnstable a r a a * BARNSTABLE, • 9� "�; ���' Department of Health, Safety and Environmental Services ArEo rno+1% Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 13, 1999 Danielle Breault, Executive Director Whitehall Estate 790 Falmouth Road Hyannis, MA 02601 Dear Ms. Breault: , Re: Certificate of Inspection Multi-family Dwelling Dear Ms Breault: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 80 Units - (5-year certificate) $235.00 Dining Room(Capacity 70) 40.00 Total $275.00 The fee has been established by the State (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. 1D per-eceipt 6Pt-h6;fee we wi it is e the Certificate of Inspectign_fo a�5_y_ear perm? A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, x Ralph M. Crossen Building Commissioner j990713a .. .-. . 0I�EAT,TI3 OFMA�SA�H{J$E`i'TS-:• • i ;•'• • '-:'- O l3ARN�a TABL T.OIE .ilvptl ATION_ `O CFTtTT�ZCA"t I� ' SOA1; >. _. Date ►a'-3=�1 _ - _ _ _ :. �, � � , _ e I In�ccordance•with tfte prt�}nstons af#lie Massachusetts:State Euilditig Cod'e.,Seotton 110.7,;I'ltereby apply fox a'Ceriific�t�'of. Inspcetiari:fgr"the b Torw�=pain ti pi iiise loqafe . t iiie foilotivlrig acld�ess:_ i Street aiid j�Itun$er: . I ' . f q 6 Yt<t ?a�©a£Fremises: U CH��l (i4'JL p1(3L� P�6 P�trposeifoi-wl#c.h * es is its cl;1VMIIL'I7 AItiITT -T1CPR:OF.UTIITS ER.4F.UNITS:• — ` '0 Milp-PJt Ctt#i�a#e..to`.be.Ias<tcd;ia: 1JXGo ���� � pa �rf3i j - - •�ad� '� � `�.. •�AC��iou I�. �i-� _,�i-5i�t'lh,_.'a:S •.-t�;j,, tJ-r�. (s1n - -- . -I4lepfivaib �J v tP - 4 03 r-M - �s�e-a�id:Tel }io a ber-of�,ocsl'Mau'a�r sari _ 11}} { . E :(3mter�l Record offBtiilding- !J L1�YY12C'u`a r :`.7'- :L�: : Q: SIGNAT nte of.Prescau oldpf g)AC. URE O PERSQiY TO OM,GPRTWCA L� :IS Jt`A AR AVT-T 7. p N - = 7) hake c3 ok,pa�ible to Tt)lYI�7 F�AI2N$TABL : I 2 Iletit7n s' ixsadan_witlr"opr check fo: l3UT DING COTviMTSS 4N t, .•204;ItlAIri ST I .9kNNIS IAA 0. i -LEASE T.E. - I)kppiication for;riwith aecs�tctpar�yinb-f�eAitutb�subiUittsdfoa�.each.bititdirig b seruciuc tfrpart-thersat�be.ee ��Appiivaton and:fee rcigstberecctvedbeforet]l�ceri€ficat :Villbe.issued _ = 3 ;e bifi'3dmg ai�riai•shall fiii& #tfted wi{lumen(1Tl)days 4�'ariy chango3utTte 666i forriiafibii_ �I Z�l FOP,OFFICE USE ONTiY`� - iGERTI)!ZCA"I�# •y � y � Y -:BXPII211TION D. LQ• t COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION ,ite X) ,Fee Required$.z .95 d 0 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: T Q O T A I M 0 V f� '--RO Al Name of Premises: W h i 7 C-R A 11 E S WC Purpose for which premises"sed: A L/V!rl License(s)or Permit(s)required for the premises.by other governmental age 'es: License or Permit A en ,Cen.Se_ A e Assis�e� LV)f)t e-4L a _i Certificate to be Issued to: 9611 rSMe— Address: TQo !'(�1�� �M1 R©A , .41,RnW S, `►] - Oe;t4�,61 Telephone: V0 '7 6 4.& Owner of Record of Building: - W C Tf 9ALL L LL Address: ` -FA t to VIA —R& ig n h) S Name of Present Holder of Certificate: ki Le 8,L-�Rpz&n U L� -FOR(Y zK Ekes • J1����, Name of Agent,if any: SIGNATURE OF PERSON TO WHOM CER I ATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)'Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMIISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form,with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. . G o a, o G` o p CERTIFICATE# EXPIRATION DATE. / / - 3 ZU . - . . -�fi3MfV�Ei��WEEt�T,•---DF'IvfAS�A�•~ 2_TS:•- - � j ' - :•- .--• - - ---... • :.:T©Vs�N-O�$ARPt�T�BI;E_`� .`` ;� -;• 4 - ; 3n$ccprdaucewith i ieprpvisipns_dithe Ivlassaohusetts:S`fafe$Riidiug LodekSe all 1�U.7 I`lterg6y apply fpx;s Cetfific tG'o£ IrispccrioriSorthe.biorw�wed pr��m-}s�s.`lricafeil. t#3ie falloiv�ng adfes5:=_' Sheet and�liurcberi ''_.! -1 A M-b"G��'�Cz'�1 cX 1 .: �?a�©"afPremises:"_B�'�cil-ol li1�JL`- �-�a�r�!',•i,:�-' - . _ _ . ..- . -.. _ _ Purpo§e:for W11c�preenlsesis izgdr lVl`t•M-YA14?TTY •T$PE:•ORTNIA _ B6ZR.ttF UNITS: 1 :v wTUDlb C60 ate..C6'.be.Tssudd '•Address;� ��:0= ~p1.��=��Ofl- - tti' ����f - �• ! • •._ .. --'t`plepfio�p�•.•_.fj a�"• -���":LR�''�.�•�•�: _ - - � i� �.. ; see oh a be ociil'Mana - Owner u 2tec - A. anzepfPrGset�t•Ftoid�r-Qf.Gertl�gate`!. - - : .-. - . : . .. . SIATLTRE O PI�RSOl TO: 9':.:. - PI�Er1S1u PRii+l�•Nsi, _ _ .- -- - _ _ - _ :- - . .. -1NN;rTRI-1CTIONS:�` _ .: :• �.:�-:`=: : ..-:, .•;.�.-�_.,��'-.� :.D -e*o4ayable tn;• ARI?1$TABL = :.'':. ••: . . ;.'• 2l X-Otitrn Ms *adbu7vi:. o u r►eclt.tvt BTJF AXNG�CQ.' _ SS QN : : THE IT� 3,.IV>A'M601 " •' .PLE.4'Si✓NO�TE:�.� ::•: :, • ,. _ - - - - Ij rnondr �iee �mpgnbJAli W u3irpaf-ihersq ttbe:l * s� dfc ur A 1pn Adfore$e ee.' .. .. ..3}77iabnl3�liBg9fficisi.s#rat3.b�.nfiti{ied.w�thm�en(id�x�ayso£auychang��sttie:a�i¢ve.infarlpafinri. : �I Z�I YPIRA- CAN 1 9 i M+ .:A V PERMIT PAYMEN' RECEIPT TOWN OF BARNST BLE BUILDING DEPAR MENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 03/10/15 TIME: 09:11 1 --------------------TOTALS---------`. PERMIT $ PAID 89.00 AMT TENDERED: 89.00 CHANGEPLIED: 69.00 APPLICATION NUMBER: 201501174 PAYMENT METH: CHECK PAYMENT REF: 004775 i - •-- .--. -ivOlV�itE}Nt�E�t,TT3�F'Iv1A�SACHCJ�ET'TS" - - -. • TO fiTQ103ARNST'ABL; : Al'?I ICATIt7N, fiO fi° E tTI IGAT _61. IN JON' I�'I3_TE�YMR.CE t T I e TE= Date Feb]teilgired E t 1�Fo-Fee R erred - �i�sccardance.wth i�►eprovisions:of4iie lVIassachnsetts:State Bpildiug Cod@;Se�tori 110,�:T'flereby apply_fQx s Cettifica#G'bf. nspoctiori.fortIte.below-�iamed pr�mis�s ocafe #:the failoWuig : :: • :.- SeteeU and =g 1 Y1<1 U 4�j h t S 14ame of Pretnises: 3 "C�(�1 r A p V t 1'wtosa.for wiccb premises is used;lVIiJL'I7-RAlVITI.Y_RRSInt IAT� •_` ' : TI'P : = l E°OF:IINII'S I:R.t3F.iJNIT'S. . - - -- - - - i BEDROOM > R. Gerfificate.to'.be.Issued_w:. ` -�f G as esso ri to c•f _ . It atid:Telepliolje.Num,6"f I,ocal'Maiiaget, - _ O�vusriif'Itecorrl:cifBti7din': °Jl�.... 1`ll2Y 1+acTrrgss: tc'7�3 VV. V1(A$ ii-h:. � . Preset Fioidcr of?Gettlficate. - .: . .. .:.. .. :: . -- .. .•-. - SIGNATURE fl PERSQI�I Tp�O OM C LR'FII?ICA.TE' -ma cfiec'Jxityablo to; TOWN OF BARNS A.BI 2)1 etarn t3iis application wlth yopi ctieak.to: BUII DING'.GO $SC4N ; :200 .A,I�i;STTtEE�,fi}CANNIS,.NfA 02601 PLEASE°hiOl :I k" 'hraition fyrrri with aecoraparr ing-faenitutbe suliiztit d for eaeh bi►ildi09 bi atruclure'or patt.thersaf ta_be.eei pA `2)rkpplication.andfeshiustbereceivedbeforetliecerdficafn:Wiilbe:iss U-. = i .3}T2ia 6uitding.of5ciat_shall fi,otified within feri(1i3}A!ys of:ariy°chaag��ntlie:atitive.infomiafinri_ : . FOR OFFICE usE iB ." ..; . . .. . . •.- :is '" • . BXPII2�4TION'D eA!app�t' -. � �BROOKDALE -��� —.SENIOR LIVING SOLUTIONS ( ALL THE PLACES LIFE CAN GO'" December 3, 2015 VIA US POSTAL SERVICE Building Commissioner 200 Main Street' Hyannis, MA 0260.1 RE: Brookdale Cape.Cod . . Multi-Family Certificate of Inspection To Whom It May Concern: Enclosed is our Multi-Family application for certificate of inspection for the above referenced community. Please, direct all future correspondence (renewals/permits/certificates).to the following address: Brookdale 6737 W..Washington St., Ste, 2300 Attn: Legal Milwaukee,WI 53214: Our corporate office will forward.the original certificate to Brookdale Cape Cod. If you have any questions or additional information is required, please46el free Co contact rye directly at 414-918-5948 or by email at splunkettwuerger(a-brookdale.com. �n Respectfully submitted, CO r c, Sharon Plunkett Permit Coordinator Enclosure: Application for Certificate of Inspection.Multi Family 6737 W.Washington St. Suite 2300. Milwaukee,WI 53214 OT Phone(414)918-5000 1 Fax(414)918-5050.. brookdale.com IMessage �` Page 1 of 1 Coyle, Brenda From: Coyle, Brenda Sent: Wednesday, January 11, 2017 12:00 PM To: splunkettwuerger@brookdale.com'. ro Cc: Lauzon, Jeffrey ; Subject: Expired Certificate of Inspection Good Morning, Sharon Attached is several emails and floor plan for.Brookdale. I have not heard from anyone at Brookdale regarding the name change and or, floor plan, which I stated to you before I could not read. It's not my job to label each floor plan with the-number of Bedrooms, Studio rooms, you should be providing me with the numbers; not only on the,COI Application.but on the floor plan. Brookdale is currently working with an Expired Certificate of Inspection 8/24/2015. Please contact me as soon as possible to make an appointment for an inspection. I can be reached at 508-862-4039. Thank you, Brenda Coyle Permit Tech. Town of Barnstable Building Dept. 200 Main Street Hyannis, MA 02601 1/11/2017 Message Page 1 of 1 Coyle, Brenda From: Coyle, Brenda Sent: Wednesday, December 09, 2015 11:04 AM To: 'splunkettwuerger@brookdale.com' Subject: Certificate of Inspection Application Good Morning Sharon, I have received the Certificate of Inspection Application for Brookdale. However, the last Certificate I received (July 11, 2014) has discrepancies. Please provide the Town of Barnstable Building Department with a floor plan that is labeled We are also need a sign permit for the new name change. If you have any questions, please feel welcome to contact me at 508-832-4039. Thank you, Brenda Coyle Building Department Admin. 12/9/2015 Message Page 1 of 1 Coyle, Brenda From: Coyle, Brenda Sent: Wednesday, December 02, 2015 12:16 PM To: 'pherlihy@brookdale.com' t Subject: Sign Permit Certificate of Inspection Application Good Afternoon Patricia, Pursuant our conversation on 12/02/2015 regarding the sign permit, Certificate of Inspection Application and floor plan showing the 20 designated as Special Care Residence. Please label the names of rooms and how many. Attached, you will find the application for sign and Certificate of Inspection Application. If you have any questions, please contact me at 508-862-4039. Thank II you, Brenda Coyle Building Dept. Admin. 12/9/2015 C � A)s s, WH' IrT,[E1HALL , , C/� An Emeritus Senior Living Community 15 February 2012 The Town of Barnstable Building-Inspector 200 Main Street Hyannis, MA 02601 To.Whom It May Concern: RE: Facility Name Change - Whitehall Estate/Emeritus at Cape Cod Certificate of Inspection- 8/24/09 - 8/4/2014 I respectfully request that the Doing Business As name for the license/permit,number be changecljrom Whitehall Estate to Emeritus at Cape Cod. I have.included a copy of the Fictitious Name registration filed with the Town of Barnstable, Town Clerk for Emeritus at Cape Cod for your records. We request the effective date of this change to be effective immediately. Please mail the amended license/permit to Emeritus at Cape Cod,790 Falmouth Road, Hyannis, MA 02601. Piease do not hesitate to contact me afi (508) 790-7666 should you.have any questions or if your require additional information. Sincere) U4 Patricia Herlihy_.. Executive Director Emeritus at,Cape Cod,.. 790 Falmouth Road Hyannis,MA 02601 Tel: 508-790-7666 Fax:5087790-7667 www.Emeritus.com ��(�/ V t II f � _ Bed, 3 E StudloA I Bedroom U9 I Bedroom B M 2 Bedroom A " wqt, 1T6f '2 Bedroom B..: �f - }F��S ,J}J,l } WaaN All . - ? -: ♦Imnavume :� Pogf°I +am - '� 'ice n� �37 II� fl.��f "• r� r". �r �� y N S 1k.. tea lz9 Joe } J-d 0 11� , ITEAIJL ' ESTATE - FIRST FLOOR PLANT M .Studio r a - SY Ro M Studio a- . 298 O 1 Bedroom . 1 Bedroom B p 2 Bedroom A . r MM 2 Bedroom B.. 1 �^.. -" 2 Bedroom C - Y .�vcYp - a� a� lam, �g�,( ��,�. � ,�;� aan � t 4 3 u'�� � fir• tv `¢ 30a a IIr I °r87 Jam, -IITEHAI ESTATE , SECOND FLOOR PLAN y (c� 4q 57, S i TttS!c :'_ — j'���� L�'t�f s� Yaa• EM Studio A u� t Pa 0 Studio B J IBedroom �tott�tkboar = �Y I Bedroom B 2 Bedroom A iY�re �rs4r,? 116 E 2 Bedroom B n r .. .. G1IIF'D :,MA ally ,AJAlL , - • �'% '�9t1.t85t 9r`�own.� - ,. , �i -� �p• a .f�, hrF" ,.� .. _�'•� 'ter,:>2°-�� .P. B RBC L-. '::r r5 Yy�`„'..).,: ' - 0 3,.:•, r>• r � e� e,. Lo_divcia � .� riJ`�1 .�.ourza�., errtatit:ovRe ?: �vv +i r I�iR�T - ••7 .-E A(SR- - e ; S.:}•`:,� ^A:�' Si tip.' P UM WHI .1 LHAEL ESTATE _r I a �f • r:4�Kw ..•. a • \ /l q .. ::•:Ren.,l^9tr lY+f:b .i '� .eLe51x:G•1..r..,v' f ,. /e, . a' �a t� - . 1 VCf-� 'C .. � D r '�.: �+'taf�`•i,"'�'.���yk §f �`�ct� ��.,7¢? A --� -r1,a� 1� y �* T1y�r t •}�.. ��� �js. )� C T Y y)JO y2d �z �,x c o 1`8Z `� ��} 9n gT�A0 M Studio M Studio B f F 0 I Bedroom A 238 7:. 1 Bedroom B 113 0 2 Bedroom A `© 2 Bedroom B .. .. r 5 2 Bedroom C .i • Y" U � �. :_ . �•... '0 :. a '<ri :... .: -.� � (,A�,;:. �kognaai- QJ,t-n J I . - ..;:. ,'.r'..:::..... ..:..:...e.;:, . .: ...,uCYN'Qe toBPki� -'la •y-. "HCOBD 4. - f t •a z s. N` ;� F 's,}. /� .'� z�k� 't`�UY s! D �' J�!' �-. ;�'�.,-.,�,� '.wUxuni'•:' t1.j LK7i�. ANY :F�.; .\ �S�. ` � _� S is�r5z. .i, �`#. •`;�• - - "rIh y r . c p a•,�y pp is ." Zii�,� ' el .+'�1 - - - ... � tiE'f2�:�.T.t-,lr.W'3� ••�� .ory' f xrc:ril'c4"1 �"' t .. !/���� HALL W]HvTr-i S TAT E.4 SECOND .F'I.,-OOR PLAN w I L �o �p Lam. ''' '�` � - - __ -- ■ R `�� ��1��•��L��IFt`�. ® - - iJ■ ®III � . 9 KIM Im s. 0 o ut_ tj5 mall ry�®!. a® � �`J�? �. k Ls t` � :f fib... •..,.gip r � �: ;ti7 N�►� ;+f� '�"O"':N� +l'r'�='E,h3��1l.[c,� lc•�� �a�a����{��4y� �'�0`�9. �' "�� � ® �� °R ''- i�Y4t`4a�EI��i H,�F�'.C�•;L<'�'�`ift' �.a.�9 �' .' B!6��'"���� ���a!��:.i FP ��•.'.- .fin P PH -ME 12=114 i d / i INS v 9 r z�rN m '13 ImIllppppIgg�� I101i Bp c` fj��• I � �E99 tZ MUMML ' .r u, 1 Z'+aulcll ;Ai �`'c ® o � Q•Ywir'�1� /✓,� �.A�Q.'r� v v, s..m � tr�C nV�S �V ` 1n�4� ���e - r ►: r r r Al - ..:.,cam `'.- _ •�s::;:.., �,� ;�� � �• .... .Y t#��e,$1 jt -." ct .. � ^�� �+i '`.•� e a .e.i zo-i L.r_/ i ,ems ,S Studio . Studio B 0.�'S'fu l Bedroom ei . Bedroom edroom B 2 Bedroom A �<>t�cart4 116 F 2 Bedroom B 4 I�;aao�ooMTrvi '`.'' ' rnDln eueeoae a PODi Dt+J'{ RtlOAI ..OIA�'I�4M1HG R001)1 ntCQ - 113. . (;0 ,'• :;.:,,. ,, `. ,• �rrlew GovGn DeceT : wurtcs'a �.rc � �rJiJ. U ,. _ .... _ eY1Yd 6Dh1•"/.�:.} T �EG$V�TRP1.A07NY. S (,�-� -. �t :.:�'{ - ...•._..... .,:::' M i•eti.Dtc - e J tic,.; /vJ,{� e- el w }} 1 t i `a� y``ht `1• 1 9 �: 3 �,•{. .. _ _ 1 $�. r w' t`},`'`t s 3i �33 ti��Va�O � a %� ���}��"'� `s.. ., - ..S'%✓c/i0 •v 1�f. WHITEHALL STATE FLOOR' PLAN 1�`I1?ST • l IV 13e- j�io , Q2Ja t o M Studio A M Studio B Bedroom A 238 217 ` M, I Bedroom B Rom ; 2 Bedroom A 2T , �Vr z Bedroom B EM 2 Bedroom C �c1►o 2 t i i s — — i TJA 14 srUNO , t r t . TRNLR$CPt�PR �OP.<k�N. � ,: ,. YO p.UippF _ s. ty:li: `C .\�4 _' t t.A• 40gP7O6] :. .. t .r IA4N6E, 'r t„R s lJ9/O .. .. .. ' x Ectiv,�pe 1.oBuiCD.. CENfs1 c Y'- .•. ..: _ r _ ..if/ 1. �s,�^ ,- .i. .'^ - .s. � 11•GVA'04&ioenY,. t \ r �, �T /♦�) LAUIf�AY: q�q�< `�Q O r 13 "HALL . WHIU-j T-7 Y ESTATJ-.Lj ►SECOND FLOOR PLAN • �•�i�=` r;!�ik: �""�� - �,� ; ��-Mir + a a �► �C /,n a: it �� ,;`"�`` , \C,�•,f� ,<�1�� Alt x r1/,L /i� ali` '1%4. .�a�� � E. . 'c �Illlffi � ■ ■ �'" Ilpll'� ` 0 S Ii. 1■ ■II ,a � l� � 9 MENEM MENEM Mill �� � �• A' ✓\"t i�. ,4.�9,�¢1\\`f� L — - - j I �Jl�" �'Fps®E ►6° �/ W a � 1 WAilam'® a . � dw S all S[ud1o.A rs: SYu)o „d ED StudloB ` 1 Bedroom A 2A8 $0. .. 1 Bedroom B. / r l I D-. 2 Bedroom A q ZI¢ 2 Bedroom B . 2 Bedroom C S/�o a236 y3M �[5'STvdio �D+ z3a sq3 : 2[3 lb- wam. Ar ITEHALL ESTATE SECOND FLOOD PLAN J �ubtp:L!!Qr H 4j JajO 3,t� r Z')�"'9Tdo MI StudloA M StudaB + s 1 Bedroom A. 1 Bedroom 2 Bedroom A. 23q 2k¢ 2 Bedroom B 2 Bedroom C . vc�D• J I I I I a I I4A114 {�}5'STvdio a ST°al° � r r StJo /0 udF ' ^�", _, uvp,oii' 2 vM1 SI✓J,o -. r a l4r• Sydro is WHITEHALL ESTATE SECOND FLOOR PLAN GY Bedroom B i �,{j• 12b` i .M3 2BedroomA .. 1D 21ledroomil 5 , Is9 H a7 .. �?�'r , •.: i�f �$ .,V , ^fit ' r 3 / ill o ,6e y ^ ^ 10$ lAe is3 %•� �� � ,.a,...,.=,.,.t �� � � ��.,,,. m. � -ado g712�: � � - WHITEHALL. ES'TATE - FIRST FLOOR PLAN ® SYumoA 0 k Dcdroom .. '•; BY ' .. . ' ,' • ',/Bedroom B .. .. W. _ q c'�"d� .. �•8+' 1[6.7 ::° .IM 2BedroomB 'f k38 ag r . •, .,r �•! 1(V7 y 'tJ9 - .• .,k„123 to�dr> Iys \109 /B WHITEHALL ESTATE i FIRST FLOOR PLAN . a 1 �sr fi sl+A- M Studio ., �, i SY b ....v ti,e• UM SNd1oB .' M IBedroomA ®. t Bedroom B: Is, O IBM,-.A 1 'n- d B�000m B dB u N om C ,S WHITEHALL .ESTATE SECOND FLOOR PLAN SQvJ zakfti �,�r sr r). ; r } k•�;,28r' ?e• �', say T" t s 5(JJ Srebo AB4 y' srao" dio A o Studio A I Bedromrr A CM (Bedroom B: .. .. IB, 0 21ledroomA .. .: i >137 xR$ M d Bedroom B Eg 2Bedroom C 1aa�e t�M" sr.�o .. L7.P �`J/udo - S7u�ro f� � 1 •. sq9 .. f 8r. � p yii 9t ,Q xkz. _ WHITEHALL ESTATE SECOND FLOOR PLAN f TOWN OF BARNSTABLE INSPECTION WORKSHEET Ctos CERTIFICATE NO: ! 40207 CANCELLED: MAP: 271 DBA: WHITEHALL ESTATE(ASSISTED LIVING) — —_ PARCEL: F 001 NAME/MANAGER: PATRICIA HERLIHY, EXECUTIVE DIRECTOR j STREET: 790 FALMOUTH.ROAD VILLAGE: `HYANNIS —_ _1 STATE: AMA ZIP: 02601- ,SEQ NO: 11l BUSINESS TYPE: (MULTI-FAMILY CONSTRUCTION TYPE: j STORY1: CAPACITY: USE1: —R-2 _ _•- __LL_, � _�_, _ _� Capacity Under 50: STORY2 _� CAPACITY USE2 — — Outside Seating: STORY3 CAPACITY USES BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: :80 UNITS { CAP5: I L005: 19 TWO-BEDROOMS _ _ --------i j �_ - -- ----_ CAP2: LOC2: (ASSISTED LIVING) CAP6: j — I LOC6: I CAP3: LOC3 32 STUDIOS I CAP7: 70 LOC7: IDINING ROOM j CAP4: LOC4. 39 ONE-BEDROOMS _ � CAP8: '�J LOC8: T j INSPECTION: DATE ISSUED: EXPIRATION: £ Print ThisScreen 08l17/2004 08/04/2004 08/04/2009 k —_ _ _ --- � , ,'Prmt Certificate of inspectionro , COMMENTS: ,. --------------- ----,--LL__ —L�__! Town of Barnstable Regulatory Services RARNSTASLE. 9 MASS. Thomas F. Geiler, Director 1639. o;A�",� Building Division Thomma's Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us. . Office: 508-862-4038 Fax: 508-790-6230 July 13, 2009 CrImmunity_ 393 Patricia Herlihy, Executive Director Y Whitehall Estate 790 Falmouth Road Hyannis, MA 02601 ��` p- •7.m31.� r'm' Arr... Re: Certificate of Inspection C�%�- Multi-family Dwelling App�'.-? ,: f Data Eritared Dear Ms. Herlihy: f ` Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Seventh Edition. Please complete the application and return to the Building Commissioner's Office with the required fee: 80 Units—(5-year certificate) $245.00 7b Dining Room (Capacity 70) 50.00 Total $295.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and,must be paid before the Certificate of Inspection/Capacity Card may be issued. Upon receipt of the fee, we will issue the Certificate of Inspection for a 5-year period. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure J090713a � � e_e.w � e i t� _ _ _ � _ _ __ _ ��� _ _ _ _� r t � , �� � . i F r Town of Barnstable do Regulatory Services * BARNSTABLE, MASS. Thomas F. Geiler, Director 039. ♦0 10rEn Mo+" Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.m a.us Office: 508-862-4038 Fax: 508-790-6230 July 13, 2009 Patricia Herlihy, Executive Director Whitehall Estate 790 Falmouth Road Hyannis, MA 02601 Re: Certificate of Inspection Multi-family Dwelling Dear Ms. Herlihy: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Seventh Edition. Please complete the application and return to the Building Commissioner's Office with the required fee: 80 Units—(5-year certificate) $245.00 Dining Room (Capacity 70) 50.00 Total .$295.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. Upon receipt of the fee, we will issue the Certificate of Inspection for a 5-year period. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure J090713a TOWN OF BARNSTABLE INSPECTION WORKSHEETC�os- CERTIFICATE NO: 40207 CANCELLED: MAP: 271 DBA: IWHITEHALL ESTATE(ASSISTED LIVING) PARCEL: 001 NAME/MANAGER: IPATRICIA HERLIHY, EXECUTIVE DIRECTOR STREET: 1790 FALMOUTH ROAD VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R-2 Capacity Under 50: 0 STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 80 UNITS CAPS: L005: 9 TWO-BEDROOMS CAP2: LOC2: (ASSISTED LIVING) CAPE: LOC6: CAP3: LOC3: 32 STUDIOS CAP7: 70 LOC7: DINING ROOM CAP4: LOC4: 39 ONE-BEDROOMS CAPS: LOC8: ni;Pr ntThisScre n INSPECTION: DATE ISSUED: EXPIRATION: - , 08/04/2004 08/04/2009 "" Prinf Certificate of Inspection COMMENTS: i FIHE T Town �o � w of Barnstable STAB , : Regulatory Services MASS. � 039. ,�� Thomas F. Geiler,Director,�FO MA'S A Building Division Tom Perry Building Commissioner ' 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 July 12, 2004 Patricia Herlihy, Executive Director Whitehall Estate 790 Falmouth Road Hyannis, MA 02601 Re: Certificate of Inspection Multi-family Dwelling Dear Ms. Herlihy: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to this office with the required fee: 80 Units - (5-year certificate) $245.00 Dining Room (Capacity 70) 50.00 Total $295.00 The fee has been established by the State (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. Upon receipt of the fee we will issue the Certificate of Inspection for a 5-year period. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Tom Perry Building Commissioner j990713a 7/1/99 Ralph, Re COI for Whitehall Estate Are assisted living facilities considered multi-family (rather than other R use)? If multi-family, fee would be $ 75 160 ($2 per dwelling unit, 80 apartments) 40 (if Ralph Jones determines dining room has over 50 capacity) $275 5 year certificate) Is that correct? have Ralph Jones inspect to check capacity before I request fee. 16 i The Comcmconbicaltb of lRa m6accbUzetto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DANIELLE BREAULT, EXEC DIR I QCertifp that I have inspected the premises known as: WHITEHALL ESTATE(ASSISTED LIVING) located at 790 FALMOUTH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number.of persons: Use Group Construction Type Location Capacity R-2 80 UNITS (ASSISTED LIVING) 32 STUDIOS 39 ONE-BEDROOMS 9 TWO-BEDROOMS DINING ROOM 70 40207 8/4/99 8/4/04 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 8/9/99 Re: Whitehall Assisted Living Ralph, Do we need to list the capacity or just the number of units on the COI? If the capacity: Do we give capacity of 1 for studio units? Do we give capacity of 2 for one-bedrooms? (Usually their one-bedrooms are occupied by one person,but occasionally by two. Do we give capacity of 2 for two bedrooms? Or do we give capacity of 4 for two-bedrooms? (Usually 2 bedroom units are occupied by a husband and wife.) r 8/9/99 Re: Whitehall Assisted Living Ralph, Do we need to list the capacity or just the number of units on the COI? If the capacity: Do we give capacity of 1 for studio units? Do we give capacity of 2 for one-bedrooms? (Usually their one-bedrooms are occupied by one person,but occasionally by two. Do we give capacity of 2 for two bedrooms? Or do we give capacity of 4 for two-bedrooms? (Usually 2 bedroom units are occupied by a husband and wife.) z I oFTME The Town of Barnstable ELAMSMM Department of Health, Safety and Environmental Services '°rEc Mop" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crpssen Fax: 508-790-6230 Building Commissioner CAPACITY INSPECTION RESTAURANTS DBA J L LOCATION O z�-�a,186 OWNER/MANAGER CAPACITY(LIST EACH ROOM AND ANY OUTSIDE SEATING) f61 INSPECTOR DATE OF INSPECTION J-- 19 - �1 J980706A . v 2� �, c W a s F ommon ealth oVassachus' etts C �v �EVcutive Office of EfiferA!ffairs CI ARLES D. BAKER KARYN E. POLITO Governor Lieutenant Governor Brookdale Cape Cod 790 Falmouth Road - Hyannis, N A 02601 SPONSORED BY: SUMMERVILLE 4, LLC Is hereby certified to operate an Assisted Living Residence, with a"maximum number of Units not to exceed 80, of which 20 are designated as a-Special Care Residence, from July 7, 2015 to July 7, 2017. �121& Alice F. Bonner, Secretary Date Executive Office of Elder Affairs Z W W Y omm9Wassachusetts C on�vedCtFi o E; ec�uti e O o EfiferAff-airs Cffia CHARLES D.BAKER KARYN E. POLITO Governor Lieutenant Governor Brookdale Cape Cod 790 Falmouth Road Hyannis, MA 02601 SPONSORED BY: SUMMERVILLE 4,.LLC Is hereby certified to operate an Assisted Living Residence, with a-maximum number of Units not to exceed 80, of which 20 are designated as a Special Care Residence, from July 7, 2015 to July 7, 2017. ez, i Alice F. Bonner, Secretary Date Executive Office of Elder Affairs DEFINITIONS 1-65 3.3.182.23.2 Enclosed Parking Structure Any parking 3.3.188 Organic Peroxide. Any organic compound having a structure that is not an open parking structure.[88A,2011) double oxygen or peroxy (-0-0-) group in its chemical 3.3.182.23.3 Open Parking Structure A parking structure that structure.[400,2010] meets the requirements of 30.8.1.3 ofNFPA 5000.[5000,2012] 3.3.188.1* Organic Peroxide Formulation. A pure or 3.3.182.24 Repair Garages. technically pure organic peroxide or a mixture of organic peroxides alone or in combination with one or more materials in 3.3.182.24.1 Major Repair Garage A building or portions of a various combinations and concentrations.[400,2010] building where major repairs, such as engine overhauls, 3.3.188.1.1 Class L Class I shall describe those formulations painting,body and fender work,and repairs that require draining that are more severe than a Class II but do not detonate. [400, of the motor vehicle fuel tank are performed on motor vehicles, 2010] including associated floor space used for offices, parking, or showrooms. 3.3.188.1.2 Class II. Class II shall describe those formulations that bum very rapidly and that present a severe reactivity hazard. 3.3.182.24.2 Minor Repair Garage A building or portions of a [400,2010] building used for lubrication, inspection, and minor automotive maintenance work, such as engine tune-ups, replacement of formulations Class III Class III shall describe those parts, fluid changes (e.g., oil, antifreeze, transmission fluid, formulations that bum rapidly and that present a moderate brake fluid, air conditioning refrigerants, etc.), brake system reactivity hazard.[400,2010] repairs, tire rotation, and similar routine maintenance work, 3.3.188.1.4 Class IV Class IV shall describe those including associated floor space used for offices, parking, or formulations that bum in the same. manner as ordinary showrooms. combustibles and that present a minimal reactivity hazard. [400, 3.3.182.25* Residential Board and Care Occupancy. An 2010] occupancy used for lodging and boarding of four or more 3.3.188.1.5 Class V Class V shall describe those formulations residents, not related by blood or marriage to the owners or that bum with less intensity than ordinary combustibles or do operators, for the purpose of providing personal care services. not sustain combustion and that present no reactivity hazard. [5000,2012] [400,2010] 3.3.182.26* Residential Occupancy. An occupancy that 3.3.188.1.6 Unclassified Detonable. Organic peroxides that are M provides sleeping accommodations for purposes other than capable of detonation. These peroxides pose an extremely high A health care or detention and correctional.[101,2012] explosion hazard through rapid explosive decomposition. M 3.3.182.27 Separated Occupancy. A multiple occupancy where 3.3.188.2 Organic Peroxide Storage Area See 3.3.14.8. the occupancies are separated by fire resistance—rated 3.3.189 OSHA. The Occupational Safety and Health assemblies.[101,2012) Administration of the U.S.Department of Labor. [55,2010] 3.3.182.28*Storage Occupancy. An occupancy used primarily 3.3.190 Overcrowded. A situation where the occupant load for the storage or sheltering of goods,merchandise,products,or exceeds the exit capacity or the posted occupant load. vehicles.[5000,2012] 3.3.191*Oxidizer. Any solid or liquid material that readily yields 3.3.182.28.1* Afini-Storage Building. A storage occupancy oxygen or other oxidizing gas,or that readily reacts to promote or partitioned into individual storage units, with a majority of the initiate combustion of combustible materials and under some . individual units not greater than 750 ft in area,that are rented or circumstances can undergo a vigorous self-sustained leased for the purposes of storing personal or business items decomposition due to contamination or heat exposure.[400,2010] where all of the following apply: (1) the storage units are 3.3.191.1 Class L An oxidizer that does not moderately separated from each other by less than a 1-hour fire resistance increase the burning rate of combustible materials with which it rated barrier, (2) the owner of the facility does not have comes into contact.[400,2010] unrestricted access to the storage units, and (3) the items being 3.3.191.2 Class Z An oxidizer that causes a moderate increase stored are concealed from view from outside the storage unit. in the burning rate of combustible materials with which it comes 3.3.183 Occupant Load. The total number of persons that into contact.[400,2010] might occupy a building or portion thereof at any one time. 3.3.191.3 Class 3. An oxidizer that causes a severe increase in [5000,2012] the burning rate of combustible materials with which it comes 3.3.184 Open System Use. See 3.3164.2. into contact.[400,2010] 3.3.185 Operating Pressure. The pressure at which a system 3.3.191.4 Class 4. An oxidizer that can undergo an explosive operates. reaction due to contamination or exposure to thermal or physical shock and that causes a severe increase in the burning rate of 3.3.186* Operating Unit (Vessel) or Process Unit (Vessel). combustible materials with which it comes into contact. [400, The equipment in which a unit operation or unit process is 2010] conducted. (See also 3.3.260,'Unit Operation or Unit Process.) 3.3.191.5 Oxidizing Gas.A gas that can support and accelerate M [30,2012] combustion of other materials. A 3.3.187 Operations. A general term that includes, but is not 3.3.192 Ozone Generator. Equipment that causes the limited to,the use,transfer, storage, and processing of liquids. I production of ozone. [30,2012] 3.3.193* Packaged Fireworks Merchandise. A consumer fireworks device or group of consumer fireworks devices that See Pare 1-11 IMPORTANT NOTE and Front Pare regarding Disclaimer Notices 2012 Edition irw i DEFINTI'IONS 1-65 3.3.182.23.2 Enclosed Parking Structure Any parking' 3.3.188 Organic Peroxide. Any organic compound having a structure that is not an open parking structure.[88A,2011] double oxygen or peroxy (-0-0-) group in its chemical 3.3.182.23.3 Open Parking Structure A parking structure that structure.[400,2010] . meets the requirements of 30.8.1.3 ofNFPA 5000.[5000,2012] 3.3.188.1* Organic Peroxide Formulation. A pure or 3.3.182.24 Repair Garages. technically pure organic peroxide or a mixture of organic peroxides alone or in combination with one or more materials in 3.3.182.24.1 Major Repair Garage A building or portions of a various combinations and concentrations.[400,2010] building where major repairs, such as engine overhauls; 3.3.188.1.1 Class L Class I shall describe those formulations painting,body and fender work,and repairs that require draining that are more severe than a Class II but do not detonate. [400, of the motor vehicle fuel tank are performed on motor vehicles, 2010] including associated floor space used for offices, parking, or showrooms. 3.3.188.1.2 Class IT Class II shall describe those formulations that bum very rapidly and that present a severe reactivity hazard. 3.3.182.24.2 Minor Repair Garage A building or portions of a [400,2010] building used for lubrication, inspection,and minor automotive maintenance work, such as engine tune-ups, replacement of 3.3.188.1.3 Class III. Class III shall 'describe those parts, fluid changes (e.g., oil, antifreeze, transmission fluid, • formulations that bum rapidly and that,,present a moderate_ brake fluid, air conditioning refrigerants, etc.), brake system reactivity hazard[400,2010] repairs, tire rotation, and similar routine maintenance work, 3.3.188.1.4 Class IV Class IV' shall describe those including associated floor space used for offices, parking, or formulations that bum in the same manner as ordinary showrooms. combustibles and that present a minimal reactivity hazard. [400, 3.3.182.25* Residential Board and Care Occupancy. An 2010] occupancy used for lodging and boarding of four or more 3.3.188.1.5.Class V Class V shall describe those formulations residents, not related by blood or marriage to the owners or that bum with less intensity than ordinary combustibles or do operators, for the purpose of providing personal care services.. " not sustain combustion and that present no reactivity hazard. [5000,2012] _ [400,2010] 3.3.182.26* Residential' Occupancy. An occupancy that 3.3.188.1.6 Unclassified Detonable. Organic peroxides that are M provides sleeping accommodations for purposes other than capable of detonation. These peroxides nose an extremely high A health care or detention and correctional.[101,2012] plosion hazard through rapid explosive decomposition. M 3.3.182.27 Separated Occupancy..A multiple occupancy where 3.3.188.2 Organic Peroxide Storage Area See 3.3.14.8. , the occupancies are separated by fire resistance—rated 3.3.189 OSHA The Occupational Safety and Health assemblies.[101,2012] t Administration of the U.S.Department of Labor.[55,2010], 3.3.182.28*Storage Occupancy. An occupancy used primarily 3.3.190 Overcrowded. A situation where the occupant load for the storage or sheltering of goods,merchandise,products,or exceeds the exit capacity or the posted occupant load. vehicles.[5000,2012] 3.3.191*Oxidizer. Any solid or liquid material that readily yields 3.3.182.28.1* Mini-Storage Building.` A storage'occupancy' oxygen or other oxidizing gas,or that readily reacts to promote or partitioned into individual storage units, with a majority of the initiate combustion of combustible materials and under some individual units not greater than 750 fi in area,that are rented or circumstances ,can . undergo a vigorous self-sustained leased for the purposes of storing personal or business items decomposition due to contamination or heat exposure.[400,2010] - where all of the following apply: (1) the storage units are 3.3.191.1 Class L An oxidizer that does not moderately . separated from each other by less than a 1-hour fire resistance increase the burning rate of combustible materials with which it rated barrier, (2) the owner of the facility does not have comes into contact.[400,2010] unrestricted access to the storage units, and(3)the items being 3.3.191.2 Class Z An oxidizer that causes a moderate increase stored are concealed from view from outside the storage unit. in the burning rate of combustible materials with which it comes 3.3.183 Occupant Load.. The total number of persons that into contact.[400,2010] might occupy a building or portion thereof at any one time. 3.3.191.3 Class 3. An oxidizer that causes a severe increase in [5000,2012] the burning rate of combustible materials with which if comes 3.3.184 Open System Use. See 3.3..264.2. into contact.[400,2010] 3.3.185 Operating Pressure. The pressure at which a system 3.3.191.4 Class 4. An oxidizer that can undergo an explosive operates. reaction due to contamination or exposure to thermal or physical shock and that causes a severe increase in the burning rate of 3.3.186* Operating Unit (Vessel),or Process Unit'(Vessco. combustible materials with which it comes into contact. [400, The equipment in which a unit operation or unit process is 2010] conducted. (See also 3.3.260, Unit,Operation or.Unit Process.) 3.3.191.5 Oxidizing Gas.'A gas that can`sunport and accelerate M [30,2012] combustion of other materials.. A 3.3.187. Operations. 'A general tern that includes, but is not' 3.3.192 Ozone Generator. Equipment that causes the limited to,ahe use,transfer, storage-, and processing of liquids. production of ozone. [30,2012]' 3.3.193* Packaged Fireworks Merchandise. A consumer t fireworks device or group of consumer fireworks-devices that See Pare 1-11 IMPORTANT NOTE and Front Pave regarding Disclaimer Notices 2012 Edition R Mass. Corporations, external master page Page 1 of 2 l f« u Corporations Division Business Entity summary ID Number: 202106156 [Request certificate New search Summary for: VENTAS WHITEHALL ESTATES, LLC The exact name of the Foreign Limited Liability Company (LLC): VENTAS WHITEHALL ESTATES, LLC Entity type: Foreign Limited Liability Company (LLC) Identification Number: 202106156 Old ID Number: 000885082 Date of Registration in Massachusetts: 01-05-2005 Last date certain: Organized under the laws of: State: DE Country: USA on: 10-21-2004 The location of the Principal Office: Address: 10350 ORMSBY PARK PLACE, STE. 300 City or town, State, Zip code, LOUISVILLE, KY 40223 USA Country: The location of the Massachusetts office, if any: Address: City or town, State, Zip code, Country: The name and address of the Resident Agent: Name: C T CORPORATION SYSTEM Address: 155 FEDERAL STREET STE 700 City or town, State, Zip code, BOSTON, MA " 02110 USA Country: v The name and business address of each,Manager: Title Individual name Address MANAGER MICHAEL A. SMITH 10350 ORMSBY PARK PLACE, STE. 300 LOUISVILLE, KY 40223 USA MANAGER CHRIS A. CUMMINGS 10350 ORMSBY PARK PLACE, STE. 300 LOUISVILLE, KY 40223 USA MANAGER STEVEN NOVACK 10350 ORMSBY PARK PLACE, STE. 300 LOUISVILLE, KY 40223 USA http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN... 12/2/2015 i Mass. Corporations, external master page Page 2 of 2 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: Title Individual name Address REAL PROPERTY BRIAN K. WOOD ' 10350 ORMSBY PARK PLACE, STE. 300 LOUISVILLE, KY 40223 USA ❑ ❑Confidential ❑Merger ❑ ! Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional Application For Registrationf Certificate of Amendment View fiI'm9s Comments or notes associated with this business entity: jNew"search I . ! - r - http:Hcorp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN... 12/2/2015 i Town of Barnstable Regulatory Services �$"R' `Eg` Richard V. Scali,Director Fo;9.,���� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# ' Building Official approving Application for Sign Permit Applicant. Assessors,No. Doing Business As: Telephone No. Sign Location Street/Road:_ Zoning District: Old Kings Highway:' Yes/No Hyannis Historic District? Yes/No Property Owner Name: Telephone: Address: Village:' Sign Contractor Name: Telephone: Mailing Address: Description , Please follow the cover directions.You must have an accurate rendition of sign with dimensions and location. Is the sign to be electrified? Yes/No (Note:Ifyes, a wiringpermitisrequired) r � - Width of building face fL x I0— x.10 = Check one Reface existing sign or New Total Sq. Ft. of proposed sign (s) Ifyou have additional signs please attach a sheethi ting each one with dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through§240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent: Date SIGNS/SIGNREQU 'revisedl 10413 oFt►,E ra,, Town of Barnstable Regulatory Services + BMMSTABLE, • 9 MAss. Richard V.Scall,Director 39. i6 Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall, hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale 1"= 1'.Minimum sheet size, 8.5 x 11 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minimum sheet size, 8.5 x I P. 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revisedl 10413 i oFE ram,, Town of Barnstable Regulatory Services • BARNSTABLE, + 9 MAss. $ Richard V. Scali,Director ; 1639• 'Building Division Thomas Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs ' Office: .508-862-4038 Fax: 508-790-6230 SIGN PERMIT REQUIREMENTS 1. A photograph showing the existing facade, on which has been indicated the proposed sign location. The photograph is to include a portion of adjoining stores or building. For a proposed building or new facade, an architect's elevation may be submitted in lieu of a photograph. 2. A scale drawing of the proposed sign. A scale drawing indicating: 1) The type of proposed sign(wall,hanging, free standing) 2) Dimensions of the proposed sign and any designs, logos, or lettering 3) A cross-section with dimensions showing edge detail. Minimum scale P= 1'. Minimum sheet size, 8.5.x 11". 3. A scale drawing of the bracket. A colored scale graphic indicating dimensions, showing colors, materials and method of affixing it to the sign and to the building. Minimum scale 1"= 1'. Minim=sheet size, 8.5 x 11 4. A completed Town of Barnstable Sign Application, including scaled diagram showing location of sign on building or location of free-standing sign. Show dimensions. 5. The width of the building face or the leased area. 6 NOTE: the map/parcel number is required on the application. SIGNS/SIGNREQU revisedl 10413 E COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION MULTI-FAMILY FIVE-YEAR CERTIFICATE Date ( ) Fee Required ( X ) 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: Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO 1 BEDROOM 2 BEDROOM 3 BEDROOM OTHER Certificate to be Issued to: Address: Telephone: Name and Telephone Number of Local Manager,if any: Owner of Record of Building: Address: Name of Present Holder of Certificate: SIGNATURE OF PERSON TO WHOM CERTIFICATE . . IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying-fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# EXPIRATION DATE: coiappmf f TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose CERTIFICATE NO: / 201404753 CANCELLED: , MAP: 271 DBA: EMERITUS AT CAPE COD PARCEL: 001 NAME/MANAGER: I EMERITUS AT CAPE COD STREET: 1790 FALMOUTH ROAD VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 80 UNITS CAPS: LOC8: CAP2: LOC2: (ASSISTED LIVING) CAP9: LOC9: CAP3: LOC3: 32 STUDIOS CAP10: LOC10: CAP4: LOC4: 39 ONE-BEDROOMS CAP11: LOC11: CAPS: L005: 9 TWO-BEDROOMS CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAP7: 70 LOC7: DINING ROOM CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Print hls:Screa 02/22/2012 08/04/2014 08/04/2019 0 0 jPR t Ceitiflcate of I s COMMENTS: SEE STREET ADDRESS FILES.2/17/2012 NAME CHANGE FROM WHITEHALL TO EMERITUS AT ' CAPE COD pFTHE Tp�, Town of Barnstable Regulatory Services i%F M * BAMSTABLE, NAM' $ Richard V. Scali,Director �ArFo;orp�` Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 July 07, 2014 Patricia Herlihy, Executive Director Emeritus at Cape Cod 790 Falmouth Road Hyannis; MA 02601 Re: Certificate of Inspection Multi-family Dwelling Dear Ms. Herlihy: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Seventh Edition. Please complete the application and return to the Building Commissioner's Office with the required fee: 80 Units—(5-year certificate) $245.00 Dining Room(Capacity 70) 50.00 Total $295.00 The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. Upon receipt of the fee, we will issue the Certificate of Inspection for a 5-year period. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure J090713a TOWN OF BARNSTABLE INSPECTION WORKSHEET dose' CERTIFICATE NO: 200904315 CANCELLED: 0 MAP: 271 DBA: I EMERITUS AT CAPE COD PARCEL: 001 NAME/MANAGER: EMERITUS AT CAPE COD STREET: 790 FALMOUTH ROAD VILLAGE: JHYANNIS STATE: FWA ZIP: 026017 SEQ NO:. Fll,; t BUSINESS TYPE: MULTI-FAMILY CONSTRUCTION TYPE: ,y STORY1: CAPACITY: . USE1: R2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: - Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 80 UNITS CAPS: LOC8: CAP2: LOC2: (ASSISTED LIVING) CAP9: LOC9: CAP3: LOC3: 32 STUDIOS CAP10: LOC10: CAP4: LOC4: 39 ONE-BEDROOMS CAP11: LOC11: CAPS: L005: 9 TWO-BEDROOMS CAP12: LOC12: CA06: LOC6: CAP13: LOC13:. W .. CAP7: 70 LOC7: DINING ROOM CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: . � in=Th si Screen 0 08/04/2009 08/04/2014 G2- �� - 1� , Print=Certificate of lo�peat�o� - � COMMENTS: �SEESTREE'TADDRESS,F1,LES' .1- 1" The eommcouweattb ofAazoacbuoettq . TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code;Section 106.5, this. CERTIFICATE OF INSPECTIO N ' is issued to EMERITUS AT CAPE COD QGETt[fp that 1 have inspected the premises known as: i EMERITUS AT CAPE COD < located at 790 FALMOUTH ROAD 1 in the Village'of HYANNIS • �°' ` ; F ^ Counof Barnstable ,Commonw County ealth,of Massachusetts. " ,' ,• Construction Type: Y Use Group(s): .R2 The means of egress are sufficient for,the following number of persons: K' Location apa ity r ;, Capacity Location C c � 80 UNITS : > a . , (ASSISTEDLIVING)z` , 32 STUDIOS_ .. 39 ONE-BEDROOMS r ;F '9 TWO-BEDROOMS .' DINING ROOM 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: M Parcel 200904315 8/4/2009. 8/4/2014 1 - The building official shall be notified within(10) days.of any changes in the above information. Building O al I WHITEHALL �rt�t t P 17 Nit 1: 3 An Emeritus Senior Living Community t O�1 15 February 2012 The Town of Barnstable Building Inspector 200 Main Street Hyannis, MA 02601 To Whom It May Concern: RE: Facility Name Change - Whitehall Estate/Emeritus at Cape Cod Certificate of Inspection- 8/24/09 - 8/4/2014 I respectfully request that the Doing Business As name for the license/permit number be changed from-Whitehall Estate to Emeritus at Cape Cod. I have.incl,uded a copy of the Fictitious Name registration filed with the Town of Barnstable, Town Clerk for Emeritus at Cape Cod for your records. We request the effective date of this change to be effective immediately. Please mail the amended license/permit to Emeritus at Cape Cod, 790 Falmouth Road, Hyannis, MA 02601. Please do not hesitate to contact me at (508) 790-7666 should you have any questions or if your require additional information. Sincerel Patricia Herlihy, Executive Director Emeritus,at Cape,Cod 790 Falmouth Road Hyannis,MA 02601 Tel:508-790-7666 Fax:508-790-7667 www.Emeritus.com INBOUND NOTIFICATION FAX RECEIVED SUCCESSFULLY," TIME RECEIVED REMOTE CSID DURATION PAGES—. STATUS.• - March 10, 2011 1k30's'17PMPST : 61 — 1 Received WE� � � � 1 � TOM,I CUD TOWN OF BARNSTABLE EARNS' S M ��� ' MASSACHUSEM 01J8 VMS S CERTIk1CATE fill ATE ISSUED: 02/2412011 DATE RENEWED: BOOK:197 RENEWAL BOOK: RENEWAL PAGE: AGE: 11-057 DATE DISCONTINUED: . CERTIFICATE EXPIRES: 02/24r2013 DISCONTINUED BOOK; DISCONTINUED PAGE: I In Conformity with the provisions of Chapter One Hundred and Ten I IG Section Five 5 of the General Laws as amended the undersigned hereby declero(s)that a business is conducted under the title below,located as shown,by the foliowirig named person,persons or.corporation: ` EMERITUS AT CAPE COD fffr MAILINO AIaDRESS: 3131 ELLiOTT AVE.,SUITE 500.SEATTLE,WA 98121 SUMMER'VILLE 4 LLC . MELANIE WER.DEL 3131 ELLIOTT AVE,STE SEATTM,.WA 98121 S atures; THE ABOVE NAMED PERSON(S)PERSONALLY APPEARED EFORE ME 1ZAND MADE OATH THAT THEA STATEMENTiSTRUE. , t itI T. i=� o NoTAig :I;1 Identification Presented: ` ® ;11 or Other. 134287075 DATE: March 10,2011 `cnn UBUG' CONDITIONS: NO CHANGES(ORIGINALLY WHITEHALL NURSING} �� 0Ai., C) 4i°° s Io aecordanco with the provisions of Chapter 337 of the Acts of 1985 4 Chapter 110,Section 5 of the Mass OTAI CLws; i6 Certificates shall be in effect for four years from the date of issue and shall b'e renewed each four years thereafter. IGTWA P19 must` t be filed with the city clerk upon discontinuing,retiriog or witlidrawing from such business or partnership. �ftl1{ Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during. + regular business hours to any person who has purchased goods or services from such business. violations are subject to a fine of not inog than;three hundred dollars($300)for each month during which such violation continues, CERTIFICATION CLAUSE i certify under the penalties of rjury that t0 t best of my knowledge and belief,have filed all state tax returns and paid all state taxes required under.law. * SiSnature of Individual or Corporate Name(Mandato ) By; Corporate Officer(Mandatory if applicable) r U P 9& ;rz i t I{e a CLC r — ►{2176 or federal ID Number. This license will not be issued unless this certification clause is signed by the applicant. 6' �• Your social security number will be furnished to the Massachusetts Department of Rcvcnuc to.dctcrmine whether you have met tax filing or I tax payment obligations. Licensees,who fail to correct their non-fillag or dclinqucncy will be subject to license suspension or revocation.•This request is made under the authority of.Mass.G.L.Cha 62C,S.49A ', x I --' - .......................... _.. - .... ..._.. .......... ...._....._... ?@e paid -'V .C2� °� sZ r L.L 17 Received and recorded at the above time and ate in the Office of the Town Clerk,Town of Barnstable, _ Massachusetts In . Book - 1 °t ( page ,, — ATrue Copy Attest ,��a t $' Town Clerk V r. t. s a r e. i -- E�� ;�aYN■■e �Co�n�or��eacYt .o€a �:���c:c ju�ett� � - _Y :TOWN OF BARNSTABLE s , In.accordance with the Massachusetts State Building Code, Section-106.5, this . h CERTIFICATE OF IINSPECTIONIJ is issued to WHITEHALL ESTATE, LL-C a ` QC¢rttfp that 1 have inspected the premises known as: t r _ WHITEHALL ESTATE(ASSISTED LIVING) located at 790°FALMOUTH ROAD in the:Village of HYANNIS a f County.ofBarnstable Commonwealth of Massachusetts. "C h a _ 4. . Construction`Type: . `Use Group(s): R2 , TThe means of egress are sufficient for the following number of persons: • _ Location' Capacity Location Capacity ,. wz 2. _ _ rh •,J-'r .r"r:.: .v d rr+4 a 7 +-,.-.. _•,.:'` 2� �';� y - � �� s -�` * 9 TWO 80 UNITS MS , Q (ASSISTED LIVING) - ='32 STUDIOS 'k DINING ROOM - _. ' 39 ONE-BEDROOMS .- Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel - _ t, - 200904315 8/4/2009 8/4/2014 271 `. 001 S The building official shall be notified within(10) days of anv changes in the above information. Building Official s ' I b er . 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 EMERITUS AT CAPE COD Certify that I have inspected the premises known as: EMERITUS AT CAPE COD located at 790 FALMOUTH ROAD ' in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. ' Construction Type: Use Group(s): R2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 80 UNITS' (ASSISTED LIVING) 32 STUDIOS y 39 ONE-BEDROOMS 9 TWO-BEDROOMS. DINING ROOM 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201404753 8/4/2014 8/4/2019 271 001 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 / MULTI.=FAMILY FIVE-YEAR CERTIFICATE 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: �Y )9&4, Name of Premises: 1��� Purpose for which premises is used: MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO 1 BEDROOM C_ 2 BEDROOM : 3 BEDROOM _ OTHER Certificate to. be Issued too: �MqpJas eodL Address: �`7 4:74)fwo4h �r► n�s . Telephone: VV Name and Telephone Number of Local Manager, if any: O !L R UV Xu I V-c � �t 2e 46e- Owner of Record of Building: V—CA�t1 Address: (� Name of Present Holder of Certificate: Q SIGNATURE OF PER ON TO WHO CERTIFICATE IS ISSUED OR AUTHORIZED AGE +Pde, �r PLEASE PRINT NAME INSTRUCTIONS: .l)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with.your check to: BUILDING COMMISSIONER, 200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 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#�d EXPIRATION DATE: coiappmf • J COMMONWEALTH OF MASSACHUSETTS TOWN OF 13ARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION J MULTI-FAMILY FIVE-YEAR CERTIFICATE Date T �J !r^t (X) Fee Required$ _fa ( ) 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 ffoolllllloowwiing address: A ) Street and Number: 90e G ���a�Tx1_-Ly}�x�ICS t � �r Name of Premises: F�Q 1_1-tys (& `-'AO, Purpose for which premises is used:MULTI-FAMILY RESIDENTIAL TYPE OF UNITS NUMBER OF UNITS TOTAL STUDIO I BEDROOM 2 BEDROOM 3 BEDROOM OTHER Certificate to be Issued to: �R1� A Address: 29 t� A lrn6 V4 fg ll n 1S Telephone: \ 19 /� 1 Name and Telephone Number of Local.M]]-�anager,ifan*y:'-- 1L IA R�f� e I V{. 124 r_46 Owner of Record of Building: -Y e +ps —R�tJ�'r Address: O Name of Present Holder ofCertificate: e + f"" 0 SIGNATURE OF PER ON TO WHO CERTIFICATE IS ISSUED OR AUTHORIZED AGE I 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 structurc 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 0 EXPIRATION DATE: coiappmf ... ._..... - _ , _ ,, - .. ....,,,.... ._..:_s.,_�..�...:._a,..._.,....}•:,,.._,.».:._�.:....,.,.._,,_ ..._ _.,,- ,-,- ate.-_.,. ,,....a=•--...,..-...._,� ____. _:__,.__ ..__.___._._.. _..___...... -•.,-..... .. .._ _ -• . { .............. OFFICE EbIPLOYEE " � t.i ,,' AN s Fern( LOUNGE _ } 121 4 RECEIVIIV �. �i^ ' Service r � TR15H t, � Zw .. �StudioA s, iOICH1Tf � � Studio B F - � 1 Bedroom j l 1 Bedroom B _ 116 R .. RAIT STATION _ .. 2 Bedroom A 2 ro B Bed om [NDRV LIVING RDOMrvi . RO - . hfUL PURPOSE -. ALCO� P UB/DEN Oht ROOM 113 .: r BUILDING STORAG - y: .: - - sTcexoenRe F.; - L -. M1L1IL'� ' B S 0 M�7 7 RECPT LOUNGE t '_ "ENTRY FO3 ER LOUNGE 2 - - :ELEV:\TOR:I.OBBY t. ,', OFFICE .. .>••: "�. .,e,:,:. :..,..> - ...:'. ... ,.- .-.,. �ELEVATOR.I;06BY2 ' DINING _ 126 z VDh[IN13TRATION LIBRARY ROOM 1�-OS 128. } 1& a z Main Entry 130 �22 109 104 - - <� O i. :V 132 r 129 - 108 131,_ k.r110. _ 133, 112: BROOKDALE Jol C.4pE COD _SENIOR LIVING 501,UTIONS ALL 'Ct�k tot. ,d» :> 1.1i:�i" C'AN CS),a, r� ,.... ... .,.r,....«...,<.s.s;•v,:yew.ears:Tsai':r3 :.4 :,i�k+"r„p-?`��-t� ' 790 Falmouth Road' Hyannis, MA 02601 IR F�90R PLAN 242 22,1 Studio A Y1 k 'v '+ .� j "• J "� a# •E s�' r, iri - a E2 Studio B I Bedroom A • � 5 238 0 17 �. 1 Bedroom B u ` ' QE 2 Bedroom A • - V � �� � I Y �< _ .. _ : 216 � � . . . 0 2 Bedroom B o 237 _ `* 2 Bedroom C 4 23fi � o rrif To- 215 _,� •�.235 I I I — _ I I ;I 214 � - _ fx 234 '72 X. 3OPEN :. „ _ FITNESS CEMER .- O. VI'Y/BARB . O BELOW / T 8� SHOP rTt r ` �L x F LbUNcer 2�`, lu� e cEL LLEVATORLNEM ` ELEYATOR�IiOBBY Y. �COUN7 KITCHEN= - t 226, I u a' 245 246 228 .244 247 LAUNDRY \� � � � �. r- -:r 's•g' LAUNDRY Y 3 • rI S t•�, -o s ems;-• ;�w222 20�1 � � �r s,.. � - > • 1 ..- •. r. -. ..r e, ,.. •.-.. -.s. ,. '^.,.eg, ,.c�.'�- m5 :,� r�: Sit.3 �k"�i ,�`'+.,; a:� � �` r `. .',a:' Oc: _ .. h,•R P,r_rt +car F ::� s - �) 232 229 =Z08 r 231 . 212 ° 233:' °I B ROOKDALEI CAPE Cod SENIOR LIVING SOLUTIONS ALL 'I HC- PLACiES LIFE CAN N 4:;., - 790 Falmouth Road Hyan-nis;-...MA 02601, . < ._ \r ►S"EC'OND FLOOR PLAN t