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HomeMy WebLinkAbout0876 FALMOUTH ROAD/RTE 28 - PAVILLION ESSEX, PAVILION t i i of„ r _ ¢ The:Commonwealth of Massachusetts ` Town-of Barnstable : . ,. 2019 Certificate of Inspection The Pavil lion Rehabilitation & Nursing Center Certificate No. Issued to Mary E. Benoit Type: Building -Certificate of.lnspection 1C-16-360 r Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 250-035 2/6/2019 in the Town of Barnstable 876 FALMOUTH ROAD/RTE 28, HYANNIS • Location Use Group Classifications) Allowable Occupant Load 1st 1-2: Hospitals, nusring homes 179 Restrictions 41 Beds, 1st Floor 41 Beds, 2nd Floor 82 Total Dining Room 601st Floor Seating 37 2nd Floor Seating This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Paul Roma Date of Inspection 4/10/2017 Signature of Municipal Building Date of Issuance Commissioner ¢%, �_.::- 4/10/2017 f - , TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose CERTIFICATE NO: 201500431 CANCELLED: MAP: 250 DBA: THE PAVILLION REHABILITATION&NURSING CENTER PARCEL: 035 NAME/MANAGER: JESSEX PAVILLION,LLC STREET: 1876 ROUTE 28 VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORYI: CAPACITY: 41 USE1: I-2 Capacity Under 50: ❑ STORY2: CAPACITY: 41 USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 LOCI: BEDS, 1ST FLOOR CAPS: 37 LOC8: 3RD FLOOR SEATING CAP2: 41 LOC2: BEDS,2ND FLOOR CAP9: LOC9: CAP3: - 82 LOC3: BEDS,TOTAL CAP10: LOC10: CAP4: LOC4: CAP11: LOCI 1: CAPS: L005: DINING ROOM CAP12: LOC12' CAPE: 60 LOC6:. 1ST FLOOR SEATING CAP13: LOCI 3: CAP7: 37 LOCI: 2ND FLOOR SEATING CAP14: LOC14: INSPECT ON: DATE ISSUED: EXPIRATION: -o OY1112013 02/06/2015 02/06/2017 COMMENTS: i s " Mary Benoit From: Coyle, Brenda <Brenda.Coyle@town.barnstable.ma.us> Sent: Friday, February 10, 2017 2:12 PM To: mjcarpenter@pavillionnsg.com Subject: Certificate of Inspection Application Attachments: mjcarpenter@pavillionnsg-com.pdf Good Afternoon, MJ Attached please find the letter and Certificate of Inspection for The Pavillion Rehabilitation and Nursing Center. If you have any questions, please feel welcome to contact me at 508-862-4039. *Just a reminder The Pavi on will need an inspection,please contact me to set up appointment. Sincerely, Brenda Coyle Permit Tech. Building Dept. 200 Main Street Hyannis, MA 02601 i Message Page 1 of 1 { Coyle, Brenda From: Coyle, Brenda Sent: Friday, February 10, 2017 2:44 PM To: 'mjcarpenter@pavillionnsg.com' Subject: FW: Certificate of Inspection Application -----Original Message----- - From: Coyle, Brenda Sent: Friday, February 10, 2017 2:12 PM To: 'mjcarpenter@pavillionnsg.com' Subject: Certificate of Inspection Application - Good Afternoon, MJ Attached please find the letter and Certificate of InsP ecdon for The Pavillion Rehabilitation@and Nursing Center. If you have any questions, please feel welcome,to contact me at 508-862-4039. *Just a reminder The Pax1hon will need an inspection,please contact me to setup appointment. Sincerely, Brenda Coyle Permit Tech. Building Dept. 200 Main Street Hyannis, MA 02601 2/10/2017 I t Town S Barnstable ' . °^ ;Regulatory Services. •,s,►itivsres�, � . Richard V. Scali,Director Rujiding Division ;Paul Roma,Building Commissioner 240 Main Street; :Hyannis,MA 02601, www:town 6arnsta6le.ma.us Office: 50 .862-403:8 Fax 508 79,0 6230 Dear:'Ivlanager: Attached.you will fina an application for Certificate.of Inspection as required by Section 1107.of the Massachusetts Sate Building Code,Eighth.Edition. Please complete`the:applicat on and return to the B�uildmg Coma ssiorier's Officeunth the requredfee (amount as:set on the top right-hand corner), the:fee r iust be paid.before the'Certificate af•Isispecdori/Capacity.Ar"d nay be!is'sueci. Please` ozi ctact this;office once:payrnerit ad is rneto a ti rrange ins pecon: Such buildings sha11 not be occupied or contlr�ue to be occu ;ied yr i Out"a, valid Cert &cate oflrlspectign= (Current COI:xpr'res 4a 6r ire nowha.ve the capabrlity;to errrarl your COI Please provide ar1.E'rrral' Tess., Certificate',oflnspecttoo Application; Sincerely, 1 Paul'Roma &Wdiln Cates"sioner gdnve GOt 3 COIvIIv10NWEALTH:OF MASSACHUSETTS TOWN.ORBARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date �t .) No Fee Required In accordance with Massachetso te u tateBudg'Cod Section 1107,I hereby aplyforaCerifiatefp co Inspection for;thebelow:=named.prenniites located;at'thefollowing;addt' SEreet and:Number ,.... _. Name oflPremises. Purp6se'for which-premises•is used: , License(s)'or Permits):requlred,for the premises by other;governmental agencies: Llcense',or Permit; Certificate to tie Issued :to: Address:: Telephone- _ Owner of Record bf Building; Address: . Name of Present Halder.<of,Certificate r Name of Agent;if any:' PLEASE;pROYIDE 1✓1VLAIL; SIGNATURE OF PERSON TO'WAOM CERTIFICATE ; Is ISSUED OR AUTHORIZED AGENT W-6 are=now able< o email;the certificate tayaq PLEASE:'PRINT:NAME' s r • INSTRUCTIONS;; .)::Make check payableto TOWN OF BARNSTABLE: 2)'Return this application with your check°to BUILDINGCOMISSIONER,20Q MATN'STREET,HYANNIS MA 026Q1..' PLEASE NOTE:� � 1)Applioaiion form w!th accompanying fee must be subiltted foreach buldulg.or"structure or part thereof to be certified 2)Application and fee must be recei*before thercertificate wllla?e Issued; 3)The building oEfiotal shall be notified within ten(l-0).days of change In the above ufonnatio ,, POR OFFICE USE ONLYs CERTIFICATE#;.-. _ EXPIRATION:PATE; 4020t`I.Sc SHE� Town of Barnstable Regulatory Services SARNSTABLE MAss Richard V. Scali, Director i639• `0� ArfoN,pr� Building Division Paul Roma,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 . <" Fax: 508-790-6230 Dear Manager: Attached you will find an application for Certificate of Inspection,as required by Section 110.7 of the Massachusetts Sate Building Code, Eighth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount asset 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: Such buildings shall not be occupied or continue to be occu ied without a valid Certificate of Inspection..(Current COI Expires (Q b► We now have the capability to email your COI. Please provide an Email address on the Certificate-oflnspection Application Sincerely, Paul Roma - Building Commissioner gdrive:COI I j COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION O 00 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: ; License(s)or Permit(s)required for the premises by other governmental agencies: . License or Permit Agency Certificate to be Issued to: r Address: Telephone: Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent,if any: PLEASE PROVIDE EMAIL: ` SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT We are now able to email the certificate to you. - . PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: .TOWN OF BARNSTABLE i 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fce must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: . CERTIFICATE# EXPIRATION DATE: J020115c f�w 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 ESSEX PAVILLION, LLC Certify that 1 have inspected the premises known as: , THE PAVILLION REHABILITATION&NURSING CENTER located at 876 ROUTE 28 in the Village of.-HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity BEDS, 1ST FLOOR 41 3RD FLOOR SEATING 37 BEDS,2ND FLOOR 41 BEDS,TOTAL' 82 Y " DINING ROOM 1 ST FLOOR SEATING 60 2ND FLOOR SEATING 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201500431 2/6/2015 2/6/2017 0 .035 The building official shall be notified within(10) days of any changes in the above information. Building Official i PERMIT PAYMENT RECEIPT �JOWN6 BARNSTABLE 'BUILDING DEPARTMENT !200 MAIN STREET !'HYAN IS, MA 02601 DATE; 01/22/15 TIME: 115:15 ----- -------- ------� --TOTALS------ _ PERMIT $ PAID 85.00 AMT TENDERED: 85.00 AMT APPLIED: 85.00 CHANGE: .00 APPLICATION NUMBER: 201500431 PAYMENT METH: CHECK PAYMENT REF: 113987 COMMONWEALTH OF MASSACHUSETTS '` r TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply fora Certificate of Inspection for the below--named/premises located at the following address: ' Street and Number: b �(0 4/_ �/Z �j Name of Premises: Purpose for which premises is used: License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit A enc A/s,o C'F'12,7- Certif cate to be Issued to: �/ � 1 2 /n1 O ci /�, Address: g Q(v /�i 74X Ad &VA A)/l/ S O Telephone: S'O g- � Owner of Record of Building: 12 e �—�Y /�p b A&C k Address: -.f-17 Name of Present Holder of Certificate:E5 5 4-X c1�� Y// -1 U A) .4- / C_ Name of Agent, if any: j� SIGNA UR VTHOREZ" ED TO WHOM CERTIFICATE `. TS ISSUED O AGENT PLEASE PR 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 the 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# 4 EXPIRATION DATE: 17 10201 lia A] ' , �v 1 1j 4" / 1 Town of Barnstable Re ulator Services . : 'Regulatory Richard:V. Scali,Director t " Building Division - Tom Perry,CBO, Building Commissioner . 200 Main Street,-Hyannis, MA 02601 www.town.barnstable.m a. Office: 508-862-4.038 Fax` 508-790-6230 January 6, 2015 4 ESSEX PAVILLION,.LLC THE PAVILLION REHABILITATION & NURSING:CENTER 876 ROUTE28 HYANNIS MA.02601 Attached you will find an application for a Certificate of Inspection as required,by Section 11.0.7.of the Massachusetts State Building'Code, Eighth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner) The fee has been.established by the State.(Table.,1.06), and amended by the Barnstable Town Council effective.08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Tom Perry, Building Commissioner Enclosure 't - . TOWN OF BARNSTABLE INSPECTION`WORKSHEET 10W, ~ CERTIFICATE NO: 201300257 CANCELLED: 0 MAP: 250 DBA: ITHE PAVILLION REHABILITATION&NURSING CENTER PARCEL: 035 NAME/MANAGER: JESSEX PAVILLION,LLC STREET: 1876 ROUTE 28 VILLAGE: IHYANNIS STATE: MA ZIP: 02601 SEQ NO: 1❑ BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORY1: CAPACITY: F41 I USE1_ 12 Capacity Under 50: El STORY2: CAPACITY: 41 USE2: Outside Seatin ❑ STORY3: CAPACITY: USE3: _ g' BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 LOC1: BEDS, 1ST FLOOR CAPS: 37 , LOC8: 3RD FLOOR SEATING CAP2: 41 LOC2: BEDS,2ND FLOOR CAP9: LOC9: CAP3: 82 LOC3: BEDS,TOTAL CAP10: LOC10: CAP4: LOCO: CAP11: LOC11: CAPS: L005: DINING ROOM CAP12: LOC12: CAP6: 60 LOC6: 1ST FLOOR SEATING CAP13: LOC13: CAP7: 37 LOC7: 2ND FLOOR SEATING CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Prin�Th Scre.tp o 01/ 011 1 02/06/2013 1 F-02/06/2015 Print Certificate.of-Inspection - � - COMMENTS: The eDrr monWealtb of JRaozacbuoetto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,Section 106.5, this PE CERTIFICATE OF INSPECTION is issued to ESSEX PAVILLION, LLC I QCertifp that I have inspected the premises known as: THE PAVILLION REHABILITATION&NURSING CENTER. located at. 876 ROUTE 28 ' in the pillage of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: a Location Capacity Location. Capacity BEDS, 1ST FLOOR 41 3RD FLOOR SEATING 37 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 DINING ROOM 1 ST FLOOR SEATING 60 2ND FLOOR SEATING 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201300257 2/6/2013 2/6/2015 0 03 The building official shall be notified within(10) days of any v changes in the above information. Building Ofcial . PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 01/10/13 — TIME: 16:02 : x -------------------TOTALS--� PERMIT $ PAID 85.00 AMT TENDERED: 85.00 }+ d, AMT APPLIED: 85.00 CHANGE: 00 APPLICATION NUMBER: 201300257 :G PAYMENT METH: CHECK PAYMENT REF: 113379 7 R r i y�' COMMONWEALTH OF MASSACHUSETTS ' TOWN OF BARNSTABLE " APPLICATION FOR CERTIFICATE OF INSPECTION Date ,��11j , ... (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: �VrhA n ��eTr,.e►a-) AA ®t s.-C$l Name of Premises: LS-e 1( % 0-5— Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies:. Licenn or PArmit Ageuy _ �eis fir _ a�n I I c, CA amp S� to to Certificate to be Issued to: Address: . c9 1'AAn.-W kl� +�b, 6-i �! _ rw Telephone:. Owner of Record of Building: Address: [ aa1CL,'_*Y Awuwl1�i� Z• Name of Present Holder of Certificate: Name of Agent, if any: ,711 . Tm 9 SIG A URE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT =~= 77 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#�Q I � EXPIRATION DATE: l(1 J020115a Town of Barnstable Regulatory Services MAX Thomas F Geiler,Director, Building Division Tom Perry,CBO, Building Commissioner 200.Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office: 508-862-4038 Fak: 5.08-790-6230 January 3, 2013 PAVILION SKILLED NURSING & REHAB CENTER ESSEX PAVILION,,LLC 876 ROUTE 28 : " - HYANNIS MA 02601 Attached you will find an application for Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code, Eighth Edition.` Please complete the application and return.to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner).The fee has been established by the State(Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued:: - A copy of said Certificate shall be kept posted as specified in,Section 1,20.5 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure 1 _ YOU WISH TO OPEN A BUSINESS? m Far Your Information: Business cartifical es (cost$40.00 far.4 years]: A business certificate ONLY REGISTERS YOUR NAME in town (which m siness Certificates are available at the Town Clerk's you must do by M.G.L.-it does not give you permission to operate.) Bu Office. I"FL., 3B7 m Main Street, Hyannis,MA D2601 (Town Hall) N c' /. DATE: 12I3)I12 1 /� Fill In please: pleas^{�e: Ul m� I''�2:_F)laFi� fiLl�ryle^•9�2* 'fie F 1�\V� � v W`C� �' \ _ ' s M APPLICANT'S YOUR NAME/S: i n BUSINESS YOUR HOME ADDRESS: t" � 0() law 2 fE�� H©1E #91 ► �" a rhlq a ZZI o Horne Telephone Number. (Q1� - 1 KF . ti..i TO I li-} i oVl GZ 1/� v ` C2 0 NAME OF CORPORATION. S oh LLL. d Q �C (.� TYPE OF BUSINESS r I l .z IS THIS A HOME OCCUPATION? YES -n ADDRESS OF BUSINESS Wll &v vv M� 02(a MAP/PARCEL NUMBI=R 2`�0 035 . [Assessing] When starting a new business there are several things you must do in order t o he in compliance Uviuh the rules and rzgulations of the Totivn of co Barnstable. This form is,intended to assist you iri obtaining the information you may need. You MUST GO TO 200 Main St. - [corner of Yarmr�uth D du Rd.& Main Street] to make sure you have the appropriate permits and licenses required to legally operate your business in this town. m 1. BUILDING CAM ' SSIO R'S OF L ,. This indiVidu I h jgfor z d.o4 ny p rm' requireme is that pertain to this type of business. m ut, ri edSgnatur COMMENTS:COMMENTS:A ADPAjIDA 2. BOARD OF HEALTH This individual has beert'nformad of the permit requirements that pertain to this type of business. L. IANVI Aut- riz d ai* " I �1 I , COMMENTS. � �I�,Qf� �'l]()�� � 1A�4��V VVUO T Rfr ht (T m M 3. CONSUMER AFFAIRS (LJCENSING AUTHORITY) � This individual ha On of the licensing requirements that pertain to this type of business. m m w Aut;ko'rize ignature`* o C{}1V11.111ENTS: m ry N c The Commonwealtb of j+1a!6ssacbu5ett - TOWN OF BARNSTABLE , In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to ESSEX PAVILLION, LLC 3 &rtffp that I have inspected the premises known as: THE PAVILLION REHABILITATION&NURSING CENTER located at 876 ROUTE 28 in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity BEDS, 1ST FLOOR 41 3RD FLOOR SEATING 37 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 DINING ROOM 1 ST FLOOR SEATING 60 . 2ND FLOOR SEATING 37 Certificate Number: Date Certificate Issued Date Certificate Expired: Map Parcel 201100277 2/6/2011 2/6/2013 250 035 The building official shall be notified within(10) days of any changes in the above information. Building Official TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose. CERTIFICATE NO: 201100277 CANCELLED:" MAP: 250 DBA: ITHE PAVILLION REHABILITATION&NURSING CENTER PARCEL: 035 NAME/MANAGER: IESSEX PAVILLION,LLC STREET: 1876 ROUTE 28 VILLAGE: JHYANNIS STATE: FMA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: —� STORY1: CAPACITY: 41 USE1: I-2 Capacity Under 50: ❑ STORY2: CAPACITY: 41 USE2: Outside Seating: ❑ " STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 LOC1: BEDS, 1ST FLOOR CAPS: 37 LOC8: 3RD FLOOR SEATING CAP2: 41 LOC2: BEDS,2ND FLOOR CAP9: LOC9: CAP3: 82 LOC3: BEDS,TOTAL CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: DINING ROOM CAP12: LOC12: CAP6: 60 LOC6: 1ST FLOOR SEATING CAP13: LOC13: CAP7: 37 LOCT. 2ND FLOOR SEATING CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: WQ print Th c ei [� 01/26/20111 02/06/2011 02/06/2013 .P,rin�t Certificate of=Ins p¢ctioin COMMENTS: I TOWN OF BARNSTABLE INSPECTION WORKSHEET Ri CERTIFICATE NO: 201100277 CANCELLED: MAP: 250 �DBA:ESSEX PAVILION, LLCM PARCEL: 035 NAME/MANAGER `PAVILION SKILLED NURSING&REHAB CENTER _� STREET: 1876 ROUTE 28 VILLAGE: JHYANNIS STATE: FWA I ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORYI: CAPACITY: F 41 USE1: I-2 Capacity Under 50: ❑ 4 STORY2: CAPACITY: 41 USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 LOC1: BEDS, 1ST FLOOR CAP8: 37 LOC8: 3RD FLOOR SEATING CAP2: 41 LOC2: BEDS,2ND FLOOR CAP9: LOC9: CAP3: 82 LOC3: BEDS,TOTAL CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: DINING ROOM CAP12: LOC12: CAP6: 60 LOC6: 1ST FLOOR SEATING CAP13: LOC13: CAP7: 37 LOC7: 2ND FLOOR SEATING CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: , PrintTkai��Scren =o 01/26/2011 02/06/2011 02/06/2013 m P t'Certificate.of.Cnspection COMMENTS: 7 I Ebe Commonweaftb of .5.gaCbu!5' ett5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION - is issued to PAVILION SKILLED NURSING & REHAB CENTER. 31 CE that I have inspected the premises known as: ESSEX PAVILION, LLC located at 876 ROUTE 28 in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type_ Use Group(s): i-2 The means'of egress are sufficient for the following number of persons: Location Capacity Location Capacity BEDS, 1ST FLOOR 41 3RD FLOOR SEATING 37 BEDS,2ND FLOOR 41 BEDS, TOTAL 82 DINING ROOM 1 ST FLOOR SEATING 60 J 2ND FLOOR SEATING 37 Certificate Number: Date Certificate.Issued: Date Certificate Expired: Map Parcel 201 100277 2/6/2011 2/6/2013 250 035 The building official shall be notified within (10) days of any changes in the above information. Building Official PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT r` - 200 MAIN STREET HYANNIS, MA 02601 DATE: 01/19/11 TIME: 14:55 ; 1 -----------------TOT ALS__----------------- PERMIT $ PAID 85.00 o T TENDERED: 85.00 PLIED: 85.00 .00 rON NUMBER: 201100277 `TH: CHECK 112681 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE 1 APPLICATION FOR CERTIFICATE OF INSPECTION-. „< Date (X) Fee Required $ -S�.c:57 O ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for Certificate of Inspection for the below-named premises located at the following address: Street and Number: Name of Premises: Purpose for.which premises is used: License(s) or Permit(s)required for the premises by other governmental agencies; e S License or Permit A e pr Q ASo Certificate to be Issu d to: S\{AkkA ,, . wr -s 2Q, AP cQ_kelr Address: �a 10 Owner of Record of Building: , I � ) t7l Address: f � s 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:. l)Make check payable to: TOWNOF 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-pa rt thereofto be certified. 2)_Application and:.fee must be received-before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE-USE ONLY: CERTIFICATE 71 EXPIRATION DATEG���j J020II5a TOWN OF BARNSTABLE INSPECTION WORKSHEET lao' se_ s CERTIFICATE NO: 201100277 1 CANCELLED: MAP: 250 DBA: LESSER PAVILION, LLC PARCEL: 035 NAME/MANAGER: IPAVILION SKILLED NURSING&REHAB CENTER STREET: 1876 RO TEU 28 VILLAGE: 1HYANNIS __ STATE: rMA ZIP: 0 0�J SEQ NO: u BUSINESS TYPE: NURSING HOME CONSTRUCTION TYPE: STORY1; ! I CAPACITY: 41 USE1: 1-2 Capacity Udder 50: ❑ STORY2: I CAPACITY: 41 I USE2: Outside Seatlflr ElSTORY3: .L CAPACITY: .� USE3: - 9' BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 I LOCI: BEDS, 1ST FLOOR CAPS: 37 LOC8 3RD FLOOR SEATING CAP2: 41 LOC2: (BEDS,2ND FLOOR CAPS: LOC9: CAP3: 1; 82 LOC3: BEDS,TOTAL CAP10: LOC10: CAP4: LOC4: 1 CAP11: LOCI 1: 1 CAI 5: L005: DINING ROOM CAP12: LOC12: , CAP6: I 60 LOC6: 1ST FLOOR SEATING CAP13: LOC13: CAP7: 37 j LOC7: 2ND FLOOR SEATING CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Print This Scree �tiv r8 89'�-� �- 02/06/2011 02/06/3013_ Pnnf Certificate of Insµ ection' COMMENTS: Town of Barnstable Regulatory Services 3404 Thomas F Geiler,Director 16i '� Building Division: Tom Perry,CBO Building � g 200 Main Street, Hyannis, MA 02601- r www.town.barnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 January 11, 2011 PAVILION SKILLED NURSING & REHAB CENTER ESSEX PAVILION, LLC 876 ROUTE 28 HYANNIS MA 02601 Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the "` Massachusetts State Building Code, Seventh Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and . amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be,issued. A copy of said Certificate shall be kept posted as specified in-Section 120.5 of the State Code. v .. Sincerely, Tom.Perry ; Building Commissioner Enclosure . v ,__TOWN OF BARNSTABLE INSPECTION WORKSHEET ;Cos CERTIFICATE NO: 200900209 CANCELLED: 0 MAP: 250 DBA: ESSEX PAVILION,LLC PARCEL: 035 NAME/MANAGER: IPAVILION SKILLED NURSING&REHAB CENTER STREET: 1876 ROUTE 28 VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1� BUSINESS TYPE: NURSING HOME CONSTRUCTION TYPE: STORYI: CAPACITY: F41 USE1: I-2 Capacity Under 50: C STORY2: CAPACITY: 41 USE2: STORY3: CAPACITY: USE3: Outside Seating: r7 BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 LOC1: BEDS, 1ST FLOOR CAPS: L005: DINING ROOM CAP2: 41 LOC2: BEDS,2ND FLOOR CAPE: 60 LOC6: 1ST FLOOR SEATING CAP3: 82 LOC3: BEDS,TOTAL CAP7: 37 LOC7: 2ND FLOOR SEATING CAP4: LOC4: CAPS: 37 LOC8: 3RD FLOOR SEATING 7I?nnt This Screen INSPECTION: DATE ISSUED: EXPIRATION: = 02/06/2011 Krim Gertificate,of inspection -7 oq r COMMENTS: s The eomm" onWealtb of Ja!6!6 rbu.5ett!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PAVILION SKILLED NURSING & REHAB CENTER Q�PI't[fp that 1 have inspected the premises known as: ESSEX PAVILION,LLC located at 876 ROUTE 28 in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity BEDS, 1 ST FLOOR 41 DINING ROOM BEDS,2ND FLOOR 41 1 ST FLOOR SEATING 60 . BEDS,TOTAL 82 2ND FLOOR SEATING 37 3RD FLOOR SEATING 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200900209 2/6/2009 2/6/2011 250 035 The building official shall be notified within(10)days of any changes in the above information. Building Official P k 1� PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE ' } BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 01/20/09 TIME: 14:05 -----------------TOTALS----------------- PERMIT $ PAID 85.00 AMT TENDERED: 85.00 AMT APPLIED: 85.00 CHANGE: .00 APPLICATION NUMBER: 200900209 PAYMENT METH: CHECK PAYMENT REF: 11595 r The Commonwealth of. Massachusetts' DEPARTMENT OF :_ - PUBLIC HEALTH LICENSE TO MAINTAIN A CONVALESCENT OR NURSING HOME In accordance with the provisions of the General Laws, Chapter 111, Section 71, and regulations established thereunder, a license is hereby granted to Essex Pavilion LLC Name of Licensee for the maintenance of Pavilion (The) Name of Home at 876 Falmouth Road, Hyannis, MA 02601 Address Quota not to exceed 82 Beds, as follows: First Floor Second Floor Third Floor Fourth Floor Total Level I: Beds Level I: Beds Level I: Beds Level I: Beds Level I: Beds Level II: 41 Beds Level II: 41 Beds Level II: Beds Level II: `Beds Level II: 82 Beds Level III: Beds Level III: Beds Level III: Beds Level III: Beds Level III: Beds Level IV: Beds Level IV: Beds Level IV: Beds Level IV: Beds Level IV: Beds This license is valid until January 1, 2011 , subject to revocation for cause. 1 • Commissioner of Public Health o January 2, 2009 LICENSE NO. 0869 POST CONSPICUOUSLY Date Issued - - COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION -Date (X) Fee Required$ 8.r O p ( ) 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: {Gi Q' d u Name of Premises: C-1 Va V I 1fg 0 7 ss - L LL' Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency (� c-,e n<Z m 65 va 4 Pebd tc r - t � ,(2�, I l / Certificate to be Issued to: 6 a�{ I �'1 I� 1.� 1/��S Y e-k ck Address: 41 yv)0 v Telephone: Owner of Record of Building: Let,ro mc, 1-tul (_ y1 So tti'L) r Address: SLy Name of Present Holder of Certificate: ° a yd 1 (1 a S K 1 1,1 A\,Av1 Name of Agent, if any: 1 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#,2 ©�Uoo� 9 EXPIRATION DATE: J020115a TOWN OF BARNSTABLE INSPECTION WORKSHEETClos. CERTIFICATE NO: 200900209 CANCELLED: Q MAP: 250 DBA: JESSEX PAVILION, LLC PARCEL: 035 NAME/MANAGER: PAVILION SKILLED NURSING&REHAB CENTER STREET: 1876 ROUTE 28 VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORY1: CAPACITY: 41 USE1: I-2 Capacity Under 50: I STORY2: CAPACITY: 41 USE2: STORY3: CAPACITY: USE3: Outside Seating: rl BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 LOC1: BEDS, 1ST FLOOR CAPS: L005: _ CAP2: 41 LOC2: BEDS,2ND FLOOR CAP6: LOC6: CAP3: 82 LOC3: BEDS,TOTAL CAP7. LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Rent This"Screen. 02/13/2007 02/06/2009 02/06/2011 �4 3:�`�.Pnnt Certificate of Inspection COMMENTS: -4 a*07 boa a ,/.f 1 o OKI � e Town of Barnstable Regulatory Services Thomas F Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office!508-862-4038 - Fax: 508-790-6230 January 7, 2009 PAVILION SKILLED NURSING & REHAB CENTER ESSEX PAVILION, LLC 876 ROUTE 28 HYANNIS, MA 02601 Attached you will find an application for a Certificate of Inspection_as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity.Card may be.issued. A copy of said Certificate shall be kept posted as specified in Section:120.5.2 of the State Code. Sincerely, Tom Perry Building Commissioner EncWsure,.. TOWN OF BARNSTABLE INSPECTION WORKSHEET Coos CERTIFICATE NO: 200700783 CANCELLED: MAP: 250 DBA: IESSEX PAVILION, LLC PARCEL: 035 NAME/MANAGER: IPAVILION SKILLED NURSING&REHAB CENTER STREET: 1876 ROUTE 28 VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: NURSING HOME CONSTRUCTION TYPE: STORY1: CAPACITY: 41 USE1: I-2 Capacity Under 50: fJ— STORY2: CAPACITY: 41 USE2: STORY3: CAPACITY: USES: Outside Seating: (7 BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 LOC1: BEDS, 1ST FLOOR CAPS: L005: CAP2: 41 LOC2: BEDS,2ND FLOOR CAPE: LOC6: CAP3: 82 LOC3: BEDS,TOTAL CAP7: LOCI: CAP4: LOC4: CAP8: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: �Prnt This'Screen -R2t UIJ5? 02/06/2007 02/06/2009 P . Print Certificate of Ins action COMMENTS: The Corr moubjealtb of AaqqaCbU'qPtt'q TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PAVILION SKILLED NURSING & REHAB CENTER QCPrtlfp that I have inspected the premises known as: ESSEX PAVILION,LLC located at 876 ROUTE 28 in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number ofpersons.: Location Capacity Location Capacity BEDS, 1 ST FLOOR 41 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700783 2/6/2007 2/6/2009 250 035 The building official shall be notified within(10) days of any changes in the above information. Building Official y COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required $pw`�62 C7 ( ) 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: 97� Name of Premises: Purpose for which premises is used: License(s) or Permit(s)required for the premises by other governmental agencies: Lic nse or Permit 086ef Certificate to be Issued to: Address: Telephone: Owner of Record of Building:64. _ O Address: q w 1 Name of Present Holder of Certificate: Name of Agent, if any: IV SIGNATURE OF PERSON T HOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT VUk mc e-LuA) 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# , ;��J 7 0 0 a EXPIRATION DATE: �,� J020115a ;.n Town of Barnstable Regulatory Services Thomas F Geiler,Director off' Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 January 2, 2007 PAVILION SKILLED NURSING & REHAB CENTER ESSEX PAVILION, LLC 876 ROUTE 28 HYANNIS MA 02601 Attached.you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate'shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure TOWN OF BARNSTABLE INSPECTION WORKSHEET Coos CERTIFICATE NO: 20989 CANCELLED: MAP: FY50 DBA: JESSEX PAVILION, LLC PARCEL: 035 NAME/MANAGER: lvpVILION SKILLED NURSING&REHAB CENTER STREET: 1876 ROUTE 28 VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 0 BUSINESS TYPE: INURSING HOME CONSTRUCTION TYPE: STORY1: CAPACITY: 41 USE1: I-2 Capacity Under 50: r STORY2: CAPACITY: 1 41 USE2: STORY3: CAPACITY: USE3: Outside Seating: r+ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 41 LOCI: BEDS, 1ST FLOOR CAPS: L005: CAP2: 41 LOC2: BEDS,2ND FLOOR CAP6: LOC& CAP3: 82 LOC3: BEDS,TOTAL CAP7: LOCI: CAP4: LOC4: CAP8: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: P,int This�Screen, 02/06/2005 02/06/2097 G rmC Ful COMMENTS: r eommonweaftb of 01am6acbuqett!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PAVILION SKILLED NURSING & REHAB CENTE I Certifp that I have inspected the premises known as: ESSEX PAVILION,LLC located at 876 ROUTE 28 in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity BEDS, 1ST FLOOR 41 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 20989 2/6/2005 2/6/2007 250 035 The building official shall be notified within(10) days of any changes in the above information. Building Official i� COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE 4.. APPLICATIONFOR.CERTIFICA-E OF �^- bnr.t��`lXG- 4. s�'i'. S j�, t �1.1�: k �'' !i�' _rw.�y� � �13�.-..4' .'S.':..u> p .--�^ �M L list'SP ,� -g v µ.`3 iLYSY ry�+ �:.°i i� .y'y�� .d •:"��'� �4 �+Y� f N ,j_. :Y<%. rk�'t-��?� k�u 4 c�`,„� v��'{.•�s.�,t" �v ��� � �;, .,,� �i�`:_4 ne5�„3�.F�*>..�Y, ,Fk.�s�S�<.. �.� i2e?ems �y� A tg <:,�.r �{�+1c� f. f "z. ( ) 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 premrises loW(r ated at the following .Daddress: Street and Number: 9 *4 - J Ij(-s D a I =� Name of Premises: ► +UC -_-am i t-6u J k4 (e l` ya /IN Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: S S 1 GL�/ 1 61l L G Address: ;.r, A . Telephone: `1-. s'(lJ l� -3 Owner of Record of Building: �� Qti-Q�x PAC-V� ;l�Q°'\ > S�G(�t /� Address: 0 f!D rG(��/f Ct+�9'�. a' ' J E o 2-(� 0 ' Name of Present Holder of Certificate: � pJ acle t1((�... sd C/` LP Name of Agent,if any: GF551�. �\ SIGNATURE O ERSON TO WHOM CERTIFICATE IS ISSUED OR XUTHORIZED AGENT PLEASE P NAME INSTRUCTIONS: v/�'!✓ 1)Make check payable to: TOWN OF BARNSTABLE __ _.; - 7 2)Return this application.with your.check to:"BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: ; ....•; r, - - - r _ .__ __ _ _ . .. 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 cerfif cate will be issued. 3)The building official shall be notified within ten(10) days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE EXPIRATION DATE: J020115a Town of Barnstable Regulatory Services Thomas F Geiler,Director sb�y Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma. Office: 508-862-4038 Fax: 508-790-6230 January 10, 2005 CAPE COD HOSPITAL EXT. CARE CAPE COD HOSPITAL EXT. CARE-PAVILION 876 ROUTE 28 HYANNIS MA 02601 Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ , ©61 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: Name of Premises: Purpose for which premises is used: Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: Address: Telephone: Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent,if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601. PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# EXPIRATION DATE: TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 20989 CANCELLED: MAP: F250 DBA: ICAPE COD HOSPITAL EXT.CARE-PAVILION I PARCEL: 035 NAME/MANAGER: ICAPE COD HOSPITAL EXT.CARE STREET: 1876 ROUTE 28 VILLAGE: IHYANNIS STATE: FMA7 ZIP: 02601 SEQ NO: 1❑ BUSINESS TYPE: NURSING HOME CONSTRUCTION TYPE: STORYI: CAPACITY: 41 I USE1: 12 :apaClty Under 50: STORY2: CAPACITY: 41 USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAPI: 41 LOCI: BEDS, 1ST FLOOR CAPS: L005: CAP2: 41 LOC2: BEDS,2ND FLOOR CAPE: LOC6: CAP3: 82 LOC3: BEDS,TOTAL CAPI: LOC7: CAP4: LOCO: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: , ,,,,,,,,,,,,P�► t ThISµSG[een 02/06/2003 1 02/06/2005 3 `Pnn C®it�flcate ofln°sypeCt�onl COMMENTS: The CommonWealtb of jRa.5swbu.5ettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to CAPE.COD HOSPITAL EXT. CARE X &rtifP that I have inspected the premises known as: CAPE COD HOSPITAL EXT.CARE-PAVILION located at 876 ROUTE 28 in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity BEDS, 1ST FLOOR 41 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 20989 2/6/2003 2/6/2005 250 035 The building official shall be notified within(IO)days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS . .. ....... - TOWN OF BARNSTABLE APPLICATION FOR::CERTIFICATE OF INSPECTION - Date 3 d3 (X) Fee Required$ �` , b 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: Name of Premises: e2 f' l�y Purpose for which premises is used:0&)b lq License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A �V £,e/j1 i 7—. :�7__e ivy/ s6A ,4�r/S7i9.9/� Certificate to be Issued to: e"flk-, eGfl Address: D Telephone: Owner of Record of Building: Address: U �/.S �i r Name of Present Holder of Certificate: ��� 71613�/ �' /��✓ �/o/r/ Name of Agent,if any: T w SIGNATURE OF 1KRSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRI'Kt 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. CERTIFICATE# z�?) 0 EXPIRATION DATE: J020115a n T he C OM m o n w ealth of M as s achu s e tts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to CAPE COD HOSPITAL EXT. CARE Certify that I have inspected the premises known as: CAPE COD HOSPITAL EXT. CARE-PAVILION located at 876 ROUTE 28 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 I-2 BEDS, 1ST FLOOR 41 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 20989 2/6/2061 2/6/2003 250 035 The building official shall be notified within (10)days of any changes in the above information Building Off cial i' h . f -.. � COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date I 12_q 10 1 (X) Fee Required$ '7S. O o - ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: S q Ll' T o_J n'1 cDL t_ h 126 an n 15 oZ•CP C' Name of Premises: CJO—P C— (10d 405p E,_� Y1 1 C:V-) Purpose for which premises is used: L)1.t_�oL> i nq ITo YYl - Licerse(s)or Per^iit(s)required for the premises by other governmental agencies: License or Permit Agency 16 M _P Certificate to be Issued to: C—oze— Co Lz Address: & L r r t o u.,f 'r-,cA . 14uann t R o2 C,,e Telephone:- `� ' l -J Owner of Record`of Building: i i�'l Address: C zo X q r)q 14 Lj an L ( ry) Name of Present Holder of Certificate: Name of Agent, if any: mG SIGNATftFOF PERSON TO VVHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee.must be submitted for each building or structure or part thereof to be certified. 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,informagon. CERTIFICATE# d EXPIRATION DATE: �/® The Commcofteaftb of Ifla.50accbuatt.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to CAPE COD HOSPITAL EXT. CARE X QCertifp that I have inspected the premises known as: CAPE COD HOSPITAL EXT. CARE-PAVILION located at 876 ROUTE 28 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 1-2 BEDS, 1 ST FLOOR 41 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 20989 2/6/99 2/6/01 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in the above information Building Official i tn, r 41, COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION `I Date 1 126 1 99�' (X) Fee Required'$.%S. D o �- rR'3 ( ) 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" 876 Falmouth Road, Hyannis, MA 02601 Name of premises:"' Cape Cod Hospital Extended Care Community, Paui 1 inn Purpose for which_pemises is used: Nursing Home License mttf s)or Pes)required for the premises by other governmental agencies: ,. :. ,. ',: ivrt:.•License or Permit Agency Cape + Islands Nursing Home, Corporation I Certificate to be'Issued to: Cane Cod Hnsni+-a l Pxf-eQdQ d Cape EeRva Address: 876 Falmouth Road, Hyannis, MA 02601 Telephone: (508) 775-6663 Owner of Reco , i. uilding: Dr. Alan White ` . `Address: South Street, Hyannis, MA 02601 �I - 'v � Name of Present'Holder of Certificate: Name of Agent,if any: Amy J. Baxter—McKenzie SIGNAVRE OF PERSON TqYWHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS': ;: ; 1)Make check; le 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# 9 g / EXPIRATION DATE: r �pFSF1E The Town of Barnstable • s wsrns[Z, • 9�A 1 . Department of Health, Safety and Environmental Services rEDN1P'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner January 20, 1999 CAPE COD HOSPITAL EXT. CARE-PAVILION 876 ROUTE 28 HYANNIS, MA 02601 Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Ralph M. Crossen Building Commissioner RMC/lbn ..'r. a il.' ,f `l�i� .. r., i',�,� s_M_, ?.- t.'`t;'� S�f'TV....t�.n e. - - .�i.d l•..... - ..'r The ttCom moftea ttb of Ma ooar juatto = TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to CAPE COD HOSPITAL EXT. CARE 3 QCertifp that 1 have inspected the premises known as. CAPE COD HOSPITAL EXT. CARE-PAVILION located at 876 ROUTE 28 in the tillage of HYANNIS County of Barnstable Commonwealth ofMassachuetts The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity 1-2 BEDS, 1ST FLOOR . 41 BEDS,2ND FLOOR 41 BEDS,TOTAL 82 20989 2/6/97 2/6/99 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within (10)days of any changes in the above information Building Official COMMONWEALTH OF MASSACHUSETTS CITY/TOWN OF Barnstable ��o ate✓ • AFPLICATION' FOR CERTIFICATE OF INSPECTION PAVILION Date ,a 9 ( X ) Fee Required Z 75 0 0 ( " ) No Fee Required In accordance with the provisions of the Hassachusetta State Building code. Section 108,1S, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: �0 FA L(V16 T6 Q6A 1 P O)VUru � � � Name of Premises: C �� ���� �C�_ PA ( L1 Q N Purpose for which premises is used: v V 2�i VV(rGdVt� License(s) or Permit(s) Required for the -Premiaes by other Governmental Agencies: License or Permit Agency I-151A Certi icate to be Issued to: /� �. �� / /C7X) Address: Owner of Record of Building: Address: Q ok q7 : &26&_W_L5 /72d Name of Present Holder of Certificate: Name of Agent, 'if any. ATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT INSTRUCTIONS: 1) Make check payable to: TOWN OF BARNSTABLE 2) Return this application vith .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) ApplicaLlun 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. Z U 91� EXPIRATION DATE: CERTIFICATE f 6 -------------- �je �CorrYn�or�b�ea�tfj of Alu;.garbwettE; TOWN OF BA RNSTABLE t In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . CAPE COD HOSPITAL EXTENDED CARE COMMUNITY — PA�ILI,ION �Crrt• Cape Cod Hospital Extended tfp that 1 have inspected the . . . . Building . _ • . • . . . . . • • known as ,Care Community. .— Pavilion located at . . .876. Falmouth Road • . . in the . . .Villa ge of Hyannis County of Barnstable . . • Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . 1st Capacity 41 Beds Place of Assembly Story . . Z.nd• Capacity . 41 _Beds or structure Capacity Location 41 Beds 1st Floor Story . . . . . . . . . Capacity . . . . . . . . . 41 Beds 2nd Floor. . . . . . . . . . . . . . .82 ,Beds. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .September 22, 1993 September 22 . .1.994 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in • . , YI the above information. Brlildicn�`"""'C g Official * COMMONWEALTH OF MASSACHUSETTS 0 CITY/TOWN OF Barnstable ` APPLICATION FOR CERTIFICATE OF INSPECTION .Date 09/23/93 ( Fee Required (Amount) ( ) No Fee Required In accordance -with the provisions. of the Massachusetts State Building Code, Section 108 ,15, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address : Street and Number 876 Falmouth Road Name of Premises Cape Cod Hospital Extended Care Community-Pavilion— Purpose for Which Premises is Used Skil e Nursing aci i y License( s) or Permit ( s ) Required for the Premises by Other Governmental Agencies : License .or Permit Agency Certificate to be Issued to Cape Cod Hospital Extended Care Community-Pavilion Address •876 Falmouth Road,- Hyannis, MA U2bUI Owner of Record of Building Cape & Islands Nursing Home COLP. I, DBA cape coo ExtenUeC-Care . - kddress Community-Pavilion, 876 Falmouth Road, Hyannis, Name of Present Holder of Certificate Whitehall-Pavilion Nursing Nam of Agent , if any Vice President Geriatric Facilities . SIG URE OF PERSON TO WHOM TITLE CER FICATE IS ISSUED OR HIS AUTHORIZED AGENT 09/23/93 INSTRUCTIONS : DATE 1) . Make check payable to : 2) Return this application with your check to : PLEASE NOTE: 1) Application form with accompanying fee must be submitted for each, . :. ing or structure or part thereof to be certified. build- 2) , Application and fee must be received before the certificate will be issuc 3) The building official shall be notified within' ten (10) days of any chant in the above information. CERTIFICATE # y EXPIRATION DATE: FORM SBCC-3-74 The eommonwealtb of Alazzatbuottg TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . .CAPE . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Certifp that I have inspected the . . . . . . Bui.�din(j. . . . . . . . . . . . . . known as . . .(;�Lpe. Cod, Hoppit.41. . . . . . . . . . located at . . , Park Street . . . . . . . . . . . . . . . . . . . in the village, . . . of . . 4yAnnis. . . . . . . . . . . . . . . . . . . . . . . County of . . B.arn.sta.ble. Commonwealth of Massachusetts. The means of egress are sufficient for the following . . . . . . . . . . number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story P'79W!d. Capacity .30. . . . . Place of Assembly or structure Capacity Location Story 2nd . . . Capacity 30 30 Ground Floor Rec. Room 20 Adult Psychiatric Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.0. . .&dQl.Qsc.enc.e Pediatric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . .1. 9. .94. . . V . . . . . . . J.u. l. y. . .12 I . .1.9. 9. .6. . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. Building Official The Commoubmaltb of 0a��ac�ju�ett� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION CAPE COD HOSPITAL. . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . is issued to Building Ca e Cod Hospital 3 �lCerttfp that I have inspected the . . . . . . . . . . . . . . . . . . . . . . known as . P. located at . . • Park Street in the ,village. . • of „ . . Hyannis County of Barnstable Massachusetts. The means of egress are sufficient for the following . . . . . . . . . . . . • . Commonwealth o1 number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Place of Assembly Story . .2 nd . . . Capacity . . . . or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . 70 Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . New Winq . . . . . . . July. 1.?r. .199.4 . . . . JulY. . 12, 1996. . . . . . . : . Certificate Number 1 Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any Changes in • • • • • • the above information. Building Oj f icial Commonwealtb of A1a!g!5aCbU!gCtt!5 x TOWN OF BARNSTABLE i In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . Cape Cod Hospital / Emergency Room . . . . . . p building Ca e Cod Hos ital a 31 (Certifp that 1 have inspected the . . . . . . . . . . . . . known as . . .p. . . . . . . . . . I? . . . located at . . . 27 Park Street in the g . . . . of . . . . . y. Villa e H annis County of Barnstable . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following r, number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story 1st . . . Capacity 150 Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . .150. . , Emergency Room September 20., .993. . . . . September„20,,. ,19,95. . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in h ) . . . . . . . . . . . . the above information. d- ��7" Uilding O f f ici Y i commonwrartb of a!5!9aCbU!9ett5 s . TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this r CERTIFICATE OF INSPECTION is issued to CAPE COD HOSPITAL . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certify that I have inspected the . . . . . Building known as . . .Ca e B . .QQc located at Park Street in the Village of Hyannis i County of Commonwealth of Massachusetts. The means o egress are sufficient f 8 ff� � for the following 1 number of persons: BY STORY ; - BY PLACE OF ASSEMBLY OR STRUCTURE Story Place of Assembly . . . . . . . . . Capacity . . . . . . . . . • or structure Capacity Location Story . . . . . . . . . Capacity .. . . . . . . Story . . . . . Capacity . . . . , . . , . Operating Room 1st Floor March 1, 1994 . . . . . . . Certificate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . March 1 , 1995. :. . . . . . . Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. Busl in9 Of f:c:al Commorttoealtb of Aa2;2;aCbtt2;ett,5 � vv TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . .CAPE COD HOSPITAL. . . Ctrtifp that 1 have inspected the Building known as CAPE COD HOSPITAL located at . . . . . park Street villa in the ge. of Hyannis. . . . . . . . . . . . . . . . County o/ • •Barnstable • • • • • • . . . . . . . . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . ,1st , Capacity . 2.Q . . . . . Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . . or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . 20 Radiation Therapy . . . . . . . , , , , _ . April 20, 1994 Aril 20, 1996 . . . . . . f p= . . . : . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Ex res The building official shall be notified within (10) days of any changes in . . . . . . . . . . . . . . . . . the above information. wilding JJicia! s_ �Ot�t1�0I��eR t� of lftoocbugettg; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5 this CERTIFICATE OF INSPECTION is issued to • . CAPE COD HOSPITAL Certifp that I have inspected the building located at . , • Park Street ' . . ' ' • • • known as CAPE COD HOSPITAL . . . . . . . . . . . . . . . . . . . in the . , village• of ,Hyannis County of . , _Barnstable Commonwealth of Massachusetts. . • � •The means of egress are. suffic number of persons; ient for the following BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity . . . . . . . . . Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . or structure Capacity Location �. Story . . . . . . . . . Capacity . . . . . . . . . operating poom l.st , Floor Certificate Number JulY. .l?r 1994 Jul 12 Date Certificate Issued • ' ' ' y• • �• •19.96• Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. g . . . . . . . Building Official . ' ' . r The Commonwealtb of 01a!gqacbu!5ett!5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to CAPE COD HOSPITAL . . .. . . . . . . . . . . . . . . . . . . . . . . ltertifp that 1 have inspected the . . . A . .4 in9. . . . . . . . . . . . . . . . . known as .CAU.-COV. .130.SPIV�L. . . . . . . . located at . . .Park: Street. . . . . . . . . . . . . . . . . . .. . in the . village . . . of . . . .HY.apR�.S. . . . . . . . . . . . . . . . . . . . . County o/ Barnstable. . . . . Commonwealth of Massachusetts. The means of egress are. sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . , And. . . Capacity . 4 8 . . . . . Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . . or structure Capacity Location Story Capacity . . . . . . . . . 4.. ,Beds. . . . . .ai�. .$�dq./.2z�d Floor . . . . . . . Jul 12 1994 . . . . . Y. . .. . . . . . . . . . . . . J41Y .72... . �.996. . ... . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . _ 1!' . the above information. Building Official eommonwraltb of A1a!52;aCbU2;ettq; TOWN OF . BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . .. . . . . CAPE ,COD; HOSPITAL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Certifp that 1 have inspected the Building , . . . . . . . known as . CAPE COD, HQSPITAL, . . . . . located at . . . . .ppLAk Street. . . in the .yi1lage of . . Hyannis. County of . . . .Barnstable. . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . ,1st. . . Capacity . . 3 . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Beds . South. Wind/1st Floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . July 12, 1992 . . . . . . . . . . . . . . . . July 12, 19.96. . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . . . . the above.information. Building. Official eommonwealtb of AU5000M5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . .CAPE COD HOSPITAL. . . . . . . .. . . . . . . . . . . . D . . . . ITT QCr Building CAPE COD HOSPITAL erttfp that 1 have inspected the . . . • • • • • • • • • . known as .. . . . • • • • • located at . . . .Park Street in the Yi,llage, , . . Of „Hyannis . . . . County of . . .•Barnstable Commonwealth of Massachusetts. The means .of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE 2nd Capacity 13 Place of Assembly Story . . . . . . . . . . . . , or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . Pediatrics 13 Beds Ayling/2nd Floor July 12, 1994 July 12, 1996 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . • . . • • • • • • . . • the above information. Building Official Cammonwealtb of A1aq;q;arbUg;ettg; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . CAPE COD HOSPITAL. . . . . . . .. . . . . Certifp that I have inspected the . . . . .Building . . . known as . CAPE COD HOSPITAL located at . . . Park Street . . . . . . . . . . . . . . . . . in the village . . . . of . . . . xy4nni's . . . . . . . . . . . . . . . . . . . . County of . .Barnstable. Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . .1st . . . Capacity 24. . . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . .??. .Beds. . . . . Main Bld g. /1st Floo JulY. .l?.•. . 19 9 4. . . . . . . . JulY. .4.1. .19 9 6. . . . . . . . Certificate Number Date Certificate Issued Date ertificate Expires Thebuilding bui n official cial shall g f f sal be notified within 10 days o n f O y f any changes in . the above information. uilding Official �je �Cott�rrYortb�e �tj of , a �ac u�ett� TOWN OF BARNSTABLE In accordance,with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . .CAPE COD HOSPITAL. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . �Gl.ert�fp that 1 have inspected the . . . , Building . . . • • • , • • , • • known as Cape Cod Hospital. located at . , ,Park Street • • . • • . . . • • . • • • • . • . • • in the , village o f Hyannis . . . . . . . . . . . . . . . . . . . Count Barnstable y o f • • • • • • • • • • • • • • • . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF, ASSEMBLY OR STRUCTURE Story . 2nd. . . . Capacity 30 • • . • Place of Assembly Story . . . . . . . . .Capacity . . . . . . . . . or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . 30 . . . .Beds South Wing/2nd Floor . . . . . . . . . . . Julx 1?! 1994 July 12 Certificate Number " ' " • • • • • • •,• • 19 9 6 Date Certificate Issued Dat Cerfi/icat xpires The building official shall be notified within (10) days of any changes in the above information. Building •ff O icial Commonbnealtb of Akoarbuzettg TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . ... . . CAPE COD HOSPITAL . . . . . . . .. �Crtl�}► Buildin fp that 1 have inspected the . . . . . ,9. . . . . . . . . . . . . . . . known as .Cape. Cod ,Hospital. , . . . . . . located at . . . ,Park Street , in the , village , . , of . , . ,HXannis County of . . . Barnstable . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story , 3rd. . . . Capacity . 22. . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . 22 Beds South Wind/3rd Floo Story . . . . . . . . . Capacity . . . . . . . . . Nursery .LaborV-Del.ivery/Birt in July 12 , 1994 July. 12 1996 Certificate Number Date Certificate Issued Date Cer ' icate Expires The building official shall be notified within (10) days of any changes in . . . . . . . . . . . . . . . . . . . . . . . the above information. Building Official s._\ Commonwtaltb of 0&g.5arboett r .TOWN OF BARNSTABLE ' ,In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . .. CAPE COD HOSPITAL:.. . �erttfp that I have inspected ue ... Building known as 'CAPE COD HOSPITAL located,at__.._. Park Street.. . .... .. . . . . . . . . . . . _ Village Hxasinis in the of . Count Barnstable y o/ Commonwealth o/ Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE . Story . . . 1st Capacity . .?� . : . . Place of Assembly or structure Capacity Location Story . . . . . . .Capacity Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . 20 Radiation Therapy . . . . April 20, 1992. . . . . . April 20, 1994 Certificate Number Date Certificate Issued Date Certificate Expires The buildingofficial shall be notified within 10 days o an changes in . 11 % �. ) y / y g the above information. wilding Lfi,� .. .. ....._...._...... -.. ....w....�.......�.«-.....ram.-�- r.........�.....r_a.. - -- The Commonbnea ltb of Akoarbagett.9 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . CAPE COD HOSPITAL . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . building CAPE, COD HOSPITAL .3 �tCertifp that 1 have inspected the . . . . . . . . . . . . . . . . . . . . . . . . . . . . . known as . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . located at . . . . . . . Park Street. . . . . . . . . . . . . . . . . . . in the village. _ . . . of . . . . . . Hyannis. . . . . . . . . . . . . . . . . . . Count o Barnstable ,, Commonwealth o Massachusetts. The means -o egress are sufficient or the following y f . . . . . . . . . . . . . . . l f g ff� f f g number of persons: _ BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story 1st . . . Capacity . .20 . . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . 20 Radiation Therapy Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . April. 20, 1990 April 20, 1992 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Certificate Number Date Certificate Issued Date Certificate, Expires The building official shall be notified within (10) days of any changes in . . . the above information. ?7iu�illding Offi s Tbt. Conitnonbjealtb of Aa.55arbU'qrtt.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . .CAPE COD HOSPITAL . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 3 Certifp that I have inspected the . . . . . . . Building. , . . . , , . . , known as -CAPE, ,QOD HO$P,ITAL , . . . . . . Park ,Street in the of . . . . H Y located at . . . . 11 e annis County of . . . . B a r n s t ab 1 e 'Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story3 rd . . 22 Place of Assembly - . . . . . . Capacity . . . . = or structure Capacity Location Story Capacity . . . . . . . . . 22 Beds South Wind/3rd Floor Nursery Story . . . . . . . . . Capacity . . . . . . . . . Labox r . . . . . . . . . . . .July 12, 1988 July 12, 1990 Certificate Number Date Certificate Issued Date Certificate Expires The building official,shall be notified within (10) days of any changes in r� the above information. B lding Official Commoub taltb of ;ffla5,5aC U,5ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,:Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . .CAPE COD HOSPITAL . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . 3 Certifp that I have inspected the . . . . . . . Building, , , , , . . , , known as . . The PAVILION located at . . . . Park. . . . . . . . . . . . . . . . . . . . . . in the . . .V;UlAgQ. . of . . . . . Hyar}ni.s . . . . . County of . . .Barns.table . , , Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY. OR STRUCTURE Story roun Gd Capacity . .30. _ _ . . Place of Assembly . . . . . . . . . or structure Capacity Location Story . . �na. . . Capacity . 30. . . . , 30 Ground Floor Rec. Room 20 Adult Psychiatric Story . . . . . . . . . Capacity . . . . . . . . . . . , . . . . 1.0 .Adol.edence .'Pediatri.c . . . . . . . 0 July. 5, 198.8 July 5, 1990 Certificate Number Date Certificate IssMed Date Certificate Expires The building official shall be notified within (10) days o any changes in . the above information. f sldang Offacsal Commoubjealtb of , �acc�jta�ert� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . .CAPE COD.HOSPITAL. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Certifp that I have inspected the . . Building known as . Cape Cod Hospital located at . . . . . . . Street. . . . . . . . . . . . . . . . . in the . . .Village. . of . . . . Hyannis . . . . . . . . . . . . . . . . . . . . County of . . . . B a r n s t ab 1 e Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story 2nd 13 Place of Assembly Cap acity . . . . . . . . . or structure Capacity Location Story . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . Pediatrics 13 Beds Ayling/2nd Floor July 12, 1988 July 12, 1990 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . . . . , . .. . . . ' k' the above information. B ilding Official { x � F FFeorruoubneYtj of TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . . .CAPE COD HOSPITAL Certifp that I have inspected the . . . . . . Building known as Ca e C p. . . . 4d. HQspital. . . . . . . located at . . . .Park Street . . . • . . . . , _ . . . , • _ • • • in the Village. . . o • • . . H annis Count Barnstable y o f Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . .1 s t• . , Capacity . . .2 2. . _ Place of Assembly .Story . . . . . . . . Capacity or structure Capacity Location • y . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . : . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . Main Bld g. /1st Floor . . . . . . . . . . . . July 12, 1988 Certificate Number Date Certificate Issz(ed • • • • . . . .Ju1X 12r 1990. Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. B zldang O icial . ff { � e Commonwealtb of A1a!g!garbU5rtt!5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . , , . CAPE COD HOSPITAL 31 Certifp that I have inspected the . . . . . . . . .Build' . . . .P. . . P.. . . . . . . .n J • • • . known as .Ca e Cod Hos ital located at . . . •Park Street in the . . .Village• • of • • • •Hyannis County of . Barnstable. . . • . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story , . 2nd. . . Capacity . . .70. . . . Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . . or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . 7�. . . New Wing. . . . . July 12, 1988 July 12, 1990 Certificate Number Date Certificate Issked Date Certificate Expires The building official shall be notified within (10), days of any changes in "'• p ` the above information. OBu dang O�f fac_ilal F E , . y Tbr .cammonwraltb of 0a!55aCbU5ett5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . . . CAPE COD HOSPITAL Certifp that 1 have inspected the . . . . . .Build. . . . in. . . 9. . . . . . . . . : . known as . .Cape Cod Hospital . . . . _ . Park Street Villa e located at . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . in the 9. . . . . of . . . . .Hyannis. . . . . . . . . . . . . . . . . . . . County of . . Barnstabl:e . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story2nd. . 4 8 Place of Assembly . . . . Capacity . . . or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Beds Main Bldg. /2nd Floor July 12, •1988 July 12, 1990 Certificate Number Date Certificate Isszged Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . h. . the above information. Bui d*ng Off icial s �G je Commoubjealtb of Anzatbugett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION I N is issued to . . . . . . . . . . . . .CAPE COD HOSPITAL � 1 C ertt that 1 havea inspected the . . . . . . uil.din.g. . . . . . . . . . own as . Ca .e. odsital . . . . located at . . . .Park Street . . . in the . .Villa.gq. . . of . • . . Hyannis . . . County of . . .B a r n s t ab 1 e . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . .4na . . Capacity . .30 Place of Assembly Story . . . . . . . . . Capacity . . . . . . . . . or structure Capacity Location Story . . . . . . . . . Capacity 30 Beds South Wing/2nd Floor 9 . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JulX . . .1988 . . . . . . . July 12, 1990 . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be noti fied within (10) days of any changes in the above information. ung Official . 4_r Commonwraltb of 1Ka'5.5arbUq;ett!5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . CAPE COD HOSPITAL. . . . . .. . . . . . . . . . . . . . JJCertifp that I have inspected the . . . . . .$wilding . _ . . . . . • . . • . . . known as .CApe. .Cod .Hbsp.i.taj . . . . . . . located at . . . . Park .Street in the . . .Village of . . . .Hyannis. .. . . . . . . . . . . . . . . . . . . County of . . .Barnstable . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story Capacity 1st 3 0. . . . Place of Assembly . . . . . . . . . . . . or structure Capacity Location Story . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 . . . . . . . . .. ,South, Wing/1;s. . Floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .July. 12. . .1988. . . . . . . . . . . . . . . . . .Jul 12,. .1990. . . .. . . . Certificate Number, Date Certificate Issged Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. wilding Of fici �G a �Commorttjealt of aoac u t'ag TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . ... . . . . . CAPE COD HOSPITAL . . . . . .. . . . . . . . . . . . . . . . . . . . . . . ttCertif that I have inspected the . . . . . . . .Building . . . . . . _ . . . . . known as . .Ca e, C H t p p . P. Qd. . PS.p�. a1. . . . . . . lla e located. -in=_.the . . Vi g . . . of . . . . . .Hyannis: . . . . : .. . . . . . . . . . . . . . . . . . . County of . . Barnstable. . . . . . . . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . .?nd. . . Capacity . . 4.8 . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . Story . . . . .. . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 Beds Main Bldg. p!q Floo . . . . . July 12, 1992 . . . . . . . . . . . July 12, 1994 Certificate Number Date Certificate Issued Date Certificate Expires . The building official shall be notified within (10) days of any changes in . . . . . . . . . . , the above information. lding Official �G je (ommonbntaltb of 01aoarboett5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . .CAPE COD .HOSPITAL. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . Building Ca e Cod Hos ital �Certtfp that I have inspected the . . . . . . . . . . . . known as . . . . . . . . . . . . . . . . P. . . . . located,.at w. .,. . _ . . . .Park Street . . . . . . . -he,- Villag oe. . . f . . . Hyanni . . . . .<.-. . . . . -. . �: . . . . County of . . . .Barnstable. Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . Capacity . .30 . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . .Capacity . . . . . .. . Story . . . . . . . . . Capacity . . . . . . . . . . . . . 30 Beds. . . . . . . South. Wing/1st. Floor . . . . . . . . .. . . July 12 1992 „ July l2 i 1994 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . . . . . . . the above information. wild g Official Commoi tbnealtb of '41a2;!9aCbU5ett!9 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,.Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . CAPE COD TA HOSPIL. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . ttCert[f that 1 have inspected the . . . . . . .Building Ca e Cod Hos ital p p . . . . . . . . . . . known as . . . . .P. . . . . P. . . . . located at . . . .Park Street . . . . . . . . . . . . . . . . . . . in the . Village . . . o f . . . . .HXannis County of . . .B. .arn.s.table Commonwealth of Massachusetts. The means of egress are sufficient for the following . . . . . . . . . . number of persons: BY;STORY - ­ :BY:PLACE OF ASSEMBLY OR STRUCTURE Story 2nd . . Capacity . 1.3. . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . .Pediatrics. . . 13 Beds A li„ . . _ . _ . . X ng/2nd .Floor . . . . . . . . . . . . . . . . . . . . . . July. 12 r. .1992 Ju1X 1-2 1994 r. Certificate Number Date Certificate Issued Date.Certificate Expires The building official shall be notified within (10) days of any changes in. the above information. u:d g Official a � � s :y Commoubnealtb of ;01a.92;aCbU!9ett!9 : TOWN OF BARNSTA BILE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . .CAPE COD HOSPITAL. . :. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .Certify that I have inspected the . . . . . . . .Building . . . . . . . , . . , , known as . Cape Cod Hospital located at . . . . Park Street . . . . . . . . . . . . . . . . . in the . ,Village o f . . . Hyannis County of . . , ,Barnstable . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY - - BY PLACE OF ASSEMBLY OR- STRUCTURE Story . ,1st. . . Capacity . . . . 2. . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . 22- Beds Main Bldg.,/1st Floor . . . . . . . July 12, 1992 July 12, 1994 Certificate Number Date Certificate Issued Date Certificate 'Expires The building official shall be notified within (10) days of any changes in / l the above information. lding Official j Commanbiealtb of A1a.5.qaCbU5ett5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . CAPE COD HOSPITAL. . . . . .. . . . . . . . . . . . . . . . . . . . . .3 Certif that 1 have inspected the . . . Building Ca e Cod Hos ital p p known as . . . . k?. . . . . . . . . . . .�. . . . . . . . . . . . located at . . . , Park Street. . . . . . . . . . . . . . . . . in the . . Village of Hyannis County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY-,,STORY L - , ,- -BY PLACE OF ASSEMBLY OR,=-STRUCTURE Story . .?.na. . . Capacity . . . .79. . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7�. . . . : . . . . .New Winq. . . . . . . . . . . . . . . . . July 12, 1992 July 12, 1994 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . the above information. lding Of/icial �Gjeon�ruor� ea�tj of � acju�ert� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . .CAPE COD HOSPITAL. . ... . . .. . . . . . . . . . . . . . . . . . . . . . . .3 Certtfp that I have inspected the . . . . .Building . . . . . . . . . . ... . . . known as . , The PAVILION . . . . . . . . . . . located at Park Street _ m the- y . . . . . . . .:Vl. . .age: . . of . . . . . . .H .arms<: . . . . . . . . . . . . . . . . . County of Barnstable . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story Ground, Capacity . .30. . . . . Place of Assembly Story 2nd 30 or structure Capacity Location y . .. Capacity 30 Ground Floor Rec. Room 20 Adult Psychiatric Story . . . . . .. . . Capacity . . . . . . . . . , , ,10, Adolescence Pediatric. . . . . . . . _ July 5, 1992 July 5, 1994 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. • . . . . . . ilding O1/ici �G je eorr monwealtb of Ala5larbOette; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . .CAPE COD HOSPITAL . . . . . .. . . . . . . . . . . . . . . . . . . . . ... . . . . . . . Certifp that I have inspected the . . . . . . . .Buildin_q . . . . . . . . . . . . known as , Cape Cod, Hospital located at . . . . Park Street. . . . . . . . . . . . ... . . . . . in the . . Village. . . of . . . H.yannis. . . . . . . . . . . . . . . . . . . . . . . County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: =-.BY STORY BY PLACE OF ASSEMBLY`-OR `STRUCTURE -"-" Story . .2n4. . . Capacity . . 30. . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . .30 Beds South Wing/2nd Floor . . . . . . . 1992 July„ 12� 1994 Certificate Number 7 Date Certificate Issued Date. Certificate Expires The building official shall be notified within (10) days of any changes in *Bil the above information. ng Official Co'Mmoobjealtb of 0a'9'qaCbU2 tt!9 TOWN OF BARNSTABLE In accordance'with.the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . . . .CAPE COD HOSPITAL 3 Ctrfifp that I have inspected the . . . . . . . . Building, . . .. . . . . . . . known as . .Cape. .q9d .Hospital. . . . . . . Park Street . . . . . . . . . . . . . . . . . . in-the Villagp. . . . of --.-H. . . . . . . . . . . . . . . . . . . y4nryis 6 . . . . . . . . . . . . . . . . . . . . . . . . County of . . .Barnstable. . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following . . . . . . . . . . number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story 3X d. . . Capacity . . . . Place of Ass I embly . . . .. . or structure Capacity Location Story . . . . . . . . . Capacity 22 Beds South Wind/3rd Floor Nursery Story . .. . . . . . . Capacity . . . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lab.Qr/.De1.iVexy/Rirthij g . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . .. . . . . . . .July 12,. .1992. . . . . . . July 12, 1994 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . the above information. B ilding Offici