HomeMy WebLinkAboutLarry Doughty House - Certificates of Inspection LARRY DOUGhTY HO bFL c
78 PLEASANT ST. HY
r
K.IT ANDE ON HOUSE
78 PLEASANT ST, HY Fu
T The Commonwealth of Massachusetts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code,'Section 110.7, this
CERTIFICATE OF INSPECTION
is issued to " VINFEN CORP
a -
Certify that I have inspected the premises known as:
LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS .
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
•RESIDENTS 12
v
Certificate Number: ate Certificate Issued: Date Certificate Expired: ap Parcel
201506150 8/27/2015 8/27/2016 327 136
The building official shall be notified within(10)days of an .
changes in the above information. ...,,: 7 Building Official-
- 1 l
l } Y
Z
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) Fee Required'$ 58'
( ) No Fee Required" n
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,I hereby apply fora Certificate of
Inspection for the below-named premises located at the following address: 3
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;
t
License or Permit A nc
Certificate to be Issued to: �.-}e,� o rc� �—�a-"
n j e
Address: p
i
cy Telephone: ( rop0
Owner of Record of Building -if� r
Address: 1 '"I b o ►h '. ,.i.. .
Name of Present Holder of Certificate: �9 e1 A je,v . r o f o rot 0^-�
Nam ent,if any: ✓� �C'� `
PLEASE PROVIDE EMAIL:` ram' dr �f 1`d1T�Y1, o c�S
SIGNAT OF PERSON TO WHOM CER 1,ICATE J
IS ISSUED OR AUTHORIZED AGENT We are now able to email the certificate to you.
PLEASE PRINT NAME
INSTRUCTIONS: f
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: P
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: .a
CERTIFICATE# EXPIRATION DATE:
------ 7 LI-7
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y°FSHE The Commonwealth of Massachusetts
Town of Barnstable
�STABM
2019
EO MAC e
Certificate of Inspection
Larry Doughty House Certificate No.
Issued to Dan Gray Type: Building -Certificate of Inspection IC-18-215
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 327-136 8/30/2019
in the Town of Barnstable
78 PLEASANT STREET, HYANNIS
Location Use Group Classification(s) Allowable Occupant Load
1st R-4: Residential care/assisted living (16 max) 12
Restrictions 12 Residents
This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place
within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Building Commissioner Brian Florence Date of Inspection 10/19/2018
Signature of Municipal Building Date of Issuance
Commissioner '] 8/28/2018
t
\
I
`pF SHE Tpky The State of Massachusetts.'
Town of Barnstable N
New and Renewal Certificate of Inspection Application
Date 11/29/2017 Fee Required 50.00
In accordance with the provisions of the Massachusetts State Building Code,`Section 110.7, hereby apply
for a Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 78 PLEASANT STREET,HYANNI$"
Name of Premises: tarry Doughty House
Purpose for which premises is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
Certificate to be,lssued to: ` 4%�
Address: 78 Pleasant Street Hyannis MA 02601
12kS-52C�
Telephone: 111� "l�y" �YJJ C 1 �S z lql )
- Y1l 09
Owner of Record of Building: ' �au Ai4im(V .
Address: 78 Pleasant Str et Hyannis MA 026L
Name of Present'Certificate Holder: Barnstable Housing Authority
Name of Agent, if any -
SIGNATURE OF ERSON TO WHOM C RTIFICATE+SISSUED
OR AUTHORIZED A ENT GO39
0
PLEASE PRIN NAME a t�
INSTRUCTIONS: 1 Make check payable to:TOWN OF BARNSTABLE 2 Return this icati�o. with our0?eck to: .
P Y ) � Y y
BUILDING COMMISSIONER, 200 MAIN STREET, HYA.NNI:$, MA 02601 gIZ3 W ( � @ �O
PLEASE NOTE:.1)Application.form with accompanying fee must be submitted for each,building or structure or part
thereof to be certified. 2)Application and fee-must be received before the certificate will be issued. 3)The building
official shall be notified within ten (10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# IC-17 1 EXPIRATION DATE 8 018
� . a
°f,HEr°�y The Commonwealth of Massachusetts
°� Town of Barnstable
it m 2018 _
ArfO MA'S a ..
r Certificate of Inspection
Larry Doughty House Certificate No.
Issued to Dan Gray Type: Building - Certificate of Inspection IC-17-191
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 327-136 8/27/2018
in the Town of Barnstable
78 PLEASANT STREET, HYANNIS
Location Use Group Classification(s) Allowable Occupant Load
1st R-4: Residential care/assisted living (16 max) 12
Restrictions 12 Residents
This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof,as herein specified has been
inspected for general.fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place
within the space as directed by the undersigned, failure to post or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Building Commissioner Brian Florence Date of Inspection 11/28/2017
Signature of Municipal Building Date of Issuance
Commissioner i�j _'�J 8/28/2017
I
pp1HET� Th
ti e State of Massachusetts -
9AAHSGBIE. n.f
Arf2639.
HAMTown of Barnstable
New and Renewal Certificate of Inspection Application
Date 11/29/2017 Fee Required 50.00
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, hereby apply
for a Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 78 PLEASANT STREET,HYANNIS
Name of Premises: Larry Doughty House
Purpose for which premises is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
Certificate to be Issued to:
Address: 78 Pleasant Street Hyannis MA 02601
Telephone:
Owner of Record of Building:
Address: 78 Pleasant Street Hyannis MA 02601
Name of Present Certificate Holder: Barnstable Housing Authority
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# IC-17-191 EXPIRATION DATE 8/27/2018
VINFEN
LARRY DOUGHTY HOUSE
BAYBRIDGE
ALL CORRESPONDENCE FOR THE REFERENCE HOMES SHOULD
BE SENT TO THE FOLLOWING:
DARCEY ASHLEY
950 CAMBRIDGE STREET
CAMBRIDGE, MA 02141
SPOKE WITH DARCEY ON 2/6/20180.
The: Commonwealth of Massachusetts
,per °L
- Town of Ba rnsta b e
0" 2017 3 {.
Certificate of Inspection
Larry Doughty House Certificate No.
4
Issued to Dan Gray Type: Building -Certificate of Inspection IC-16-248
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 327-136 8/27/2017
in the Town of Barnstable
78 PLEASANT STREET, HYANNIS
Location Use Group Classifications) Allowable Occupant Load
1st R-4: Residential care/assisted living (16 max) 12
Restrictions 12 Residents
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 4/27/2017
Signature of Municipal Building Date of Issuance
Commissioner 4/27/2017
WE
The State` of Massachusetts Sr"EZ Town of Barnstable
f639' ♦0 .
�IfO MA'S
New and Renewal Certificate of Inspection Application
Date 7/14/2017 Fee Required 50.00
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,hereby apply for a Certificate of Inspection
for the below-named premises located at the following address:
Street and Number: 78 PLEASANT STREET,HYANNIS
Name of Premises: Larry Doughty House (
Purpose for which premises is used: �� oC�1 1)1)07
License(s)or Permit(s)required for the premises by other governmental agencies: 0,1`
Certificate to be Issued to: Larry Doughty House
Address: 78 PLEASANT STREET,HYANNIS
Telephone:
Owner of Record of Building: Barnstable Housing Authority
Address: 78 Pleasant Street Hyannis, MA 02601
Name of Present Holder of Certificate: Dan Gray
Name of Agent,if any Dan Gray
E-Mail: grayd@vinfen.org _
SIGNAT,JAE OF PERSON TO WH M CERTIFICATE
IS ISSUED OR AUTHORIZED AG NT
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE -
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# TIC-17-191 EXPIRATION DATE 7/14/2018
�m��
°F,HE, The State of Massachusetts
p Town of Barnstable
a63y.. `0m
New and Renewal Certificate of Inspection Application
Date 7/14/2017 Fee Required 50.00
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7, hereby apply for a Certificate of Inspection
for the below-named premises located at the following address:
Street and Number: 78 PLEASANT STREET, HYANNIS
Name of Premises: Larry Doughty House
Purpose for which premises is used: .
License(s)or Permit(s) required for the premises by other governmental agencies:
Certificate to be Issued to: Larry Doughty House
Address: 78 PLEASANT STREET,HYANNIS
Telephone: ,
Owner of Record of Building: Barnstable Housing Authority
Address: 78 Pleasant Street Hyannis, MA 02601
Name of Present Holder of Certificate: Dan Gray
Name of Agent,if any Dan Gray
E-Mail: grayd@vinfen.org
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME `
ti
INSTRUCTIONS:
1) Make check payable to: TOWN OF BARNSTABLE
2) Return this application.with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601
,PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must-be received before the certificate will be issued.
3)The building official shall be notified within ten (10) days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# TIC-17-191 EXPIRATION DATE 7/14/2018
The State of Massachusetts
��. d
grAD
Town of Barnstable
New and Renewal Certificate,of Inspection Application
Date 7/14/2017 Fee Required 50.00
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, hereby apply
for a Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 78 PLEASANT STREET,HYANNIS
Name of Premises: Larry Doughty House
Purpose for which premises is used: `
License(s) or Permit(s) required for the premises by other governmental agencies:
Certificate to be Issued to:
Address: 78 Pleasant Street Hyannis MA 02601
Telephone:
Owner of Record of Building:.
Address: 78 Pleasant Street Hyannis MA 02601
Name of Present Certificate Holder: Barnstable Housing Authority
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# TIC-17-191 EXPIRATION DATE
Coyle, Brenda
To: grayd@vinfen.org
Subject: Inspections
Good Afternoon,
I have posted your payments for the 2 locations 78 Pleasant Street, Hyannis and 270 Unit I Communication
Way, Barnstable. Please let me know what works for you. Jeffrey Lauzon will be the Inspector. Please contact
me to setup the appointment.
Thank you,
�renrCa�io�fe
Permit Tech.
Town of Barnstable
Building Department
Ph: 508-862-4039
Fax: 508-790-6230
w
1
Town of Barnstable
Building Department
IARNSTasLS. t Brian Florence, CBO
y Mass.
`
s6 b 39• . Building Commissioner
.
200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
Dear Manager:
Attached please find an application for the annual Certificate of Inspection (COI) required by
780 CMR the Massachusetts State Building Code,Ninth Edition Chapter 1 - Section 110.7
which reads:
110.7Periodic Inspections. The building official shall insectperiodically existing buildings and
structures and parts thereof in accordance with Table 110 entitled Schedule for Periodic Inspections of Exzsting
Buildings. Such buildings shall not be occupied or continue to be occupied without a valid certificate of
in.pection.
Please complete the application and return to the Building Commissioner's Office with the
required fee (amount as set on the top right-hand comer);the fee must be paid before the
Certificate of Inspection may be issued.
Generally periodic inspections are unannounced;however you may feel free to contact us for
inspection once the application fee is paid.
For your convenience,we will be testing emergency lights, exit signs to ensure that the
batteries and lighting are functional and making sure that the doors work and the exits are
clear.You will need to have any fire extinguishers, fire alams systems and/or Ansel systems
(stove hood/extinguisher) inspected and tagged and a copy of the technicians reports onsite .
for the inspection.
If you would like to have your COI application emailed please provide an email on the
Certificate of Inspection Application.
Sincere ,
Brian Florence, CBO
Building Commissioner
VINFEN
LARRY DOUGHTY HOUSE
BAYBRIDGE
ALL CORRESPONDENCE FOR THE REFERENCE HOMES SHOULD
BE SENT TO THE FOLLOWING:
DARCEY ASHLEY
950 CAMBRIDGE STREET
CAMBRIDGE, MA 02141
SPOKE WITH DARCEY ON 2/6/20180.
VINFEN
LARRY DOUGHTY HOUSE
BAYBRIDGE
ALL CORRESPONDENCE FOR THE REFERENCE HOMES SHOULD
BE SENT TO THE FOLLOWING:
DARCEY ASHLEY
950 CAMBRIDGE STREET
CAMBRIDGE, MA 02141
SPOKE WITH DARCEY ON 2/6/20180.
-
The Commonwealth of Massachusetts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 110.7, this
CERTIFICATE OF INSPECTION
is issued to VINFEN CORP
Certify that I have inspected the premises known as:
LARRY DOUGHTY HOUSE
'located at 78 PLEASANT STREET in the Village of HYANNIS
County ofBarnstable Commonwealth of Massachusetts.
Construction Type: UNK r
Use Group(s): R4
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
261506150 8/27/2015 8/27/2016 327 136
The building off cial shall be notified within(10) days of any ,
changes in the above information.
Building Official
PERMIT PAYMENT RECEIPT,
TOWN OF BARNSTABLE fir:
BUILDING DEPARTMENT
200 MAIN STREET
HYANNIS, MA lf,01 M
DATE: %/,'15
TIME:. 10 4; _-
4' -TOTALS- -
j[: MTf $ PAID - '� 125.00 F,
411.
AMT TENDERED: 25.00
CHANGEPLIED: ;25:00ti,
x: g,
APPLICATION NUMBER: '201,506150 .
PAYMENT METH: CASH
PAYMENT REF: �;
Sep. 17. `20,15111.: 03AM -Vinfen Hyannis 1No. 7419 P. 3
LVVL
COMMONWEALTH OF ATASSACHUS,ETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION y� .
Data �� �.� (X) Fee Required SC2 y
( ) No Pee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.S,I hereby apply for a Certifiomo of
Inspection for the below-named promises looafed at the following address:
Street and Number: -79 tk "n
Name of Premises: C pi`LZ4�
Purpose for which premises is used:
Lieense(s)or Permit(s)required for the premises by other governmental agencies:.
Lic se or Permit A enc
( 5 S� D a, Y
Certificate to be Issued to: ��;� (� P = ?
A gross:
Telephone: '` 0(0
Owner 4f RecctB of Building:
Address:
Name of Present Holder of Certificate:
Name of Agent,if any:
SIGNAtU OF E SO TO'WHOM CERTMICATE
IS ISSUED A T 01UZ AGENT
PLEAS PR T NAME
INSTRUCTIONS:
1)Make check payable m: TOWN OP BARNSTABLt
2)Return this application with your eheok to; BUILDINC)COMMISSIONER,200 MAIN.STREET,HYANNIS,MA 02601
PLEASE NOTE:
1).Application form with accompanying The must be*submiaed for each building or structure or part thereof to be certified.
2)Application and fee must be rocoived before the certificate will be issued,
3)The building official shall be notified within ten(10) days of any change In the above information.
�S?k.b)apZC�1U'SE ONL'Y;;
CERTIMOAT8# C EXPIRATION DATE:
Received Time Sep, 17, 2015 104AM5. 41$
1UlUlt]�
Sep, 30. 2015 3. 06PM Vi nfen Hyannis No, 7479 P. 1
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1019 Rte 132 u11it
ly2nnouch Rd'
Hyannis, MA 02601
508-81 r--r200
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C! Urgent 1 Chack If Protacted Health Inforrlation is=E,' ched
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CONFIIDEN 1ALITY NOTICE:This message is Intended for the use o;M person or:enll y to which it is addressed and may contain
information that is privileged and confidential, the disclosure of which is govemad by applicable law.if ihe.reader of this message is
not the intended reclplenl,or the employee or agent responsible to deliver It to the intended recipient,you are hereby notified that any dissemination, disUlbution, use, or copying of this information Is STRICTLY PROHIBITED, If you have received this fax by error,
Please notify sender Immediately al 617-441-1600 and.destroy or retain the information.
RED(SCLOSURE OF HEALTH INFORMATION, This message may contain health information, II Is being sent to you at=ter
appropriale authorization from the person served and/or guardian,or under circumstances that do not require authoria3tion.You,the
recipient, are obligated to maintain it in a safe, secure, and confidential manner, Re-disclosure without addinonal parson served
authorization or as pen,itted by law is prohibited. Unauthorized use or re-disclosurz,or failure to maintain cony-idenSalify could subject
YOU to civil and criminal penalties described in federal and slate law.
EFFECTIVE DATE:411,1/03 REVISION DATE:5/1/13
Sep, JU, 2U15 j: UIYM vinien Hyannis No, /4/9 V. 1
COIYIM014VVPALTII OP MABSACIIUBETTS'
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X). Fee Required$ 50.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State 13uil&ng 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 �,2 ti; C,\ —�•..,cLc -, r OrJ 0-
C1
Name of Premises:. 0�(,N�en -C.OL e-ILA T-.i \�sc
Purpose for which premises is used:
License(s)or Permits)required for the premises by other governmental agencies:
License or Permit Aeenc
Certificate to be Issued to. I� !� ��,r 10 1
Address: ) 1/I�• C.
.•
TulcpLwic: J� ( ' 1 6 C
�> > .� M
Owner of Record of Buildine: •EL-. Ie,
Address: ;W.
Name of Present Holder of Certificate:
Name Agent,if any:
,SIGNXYtM OF PERSON TO WHOIJ CERTIFICATE
IS ISVED OR AUTHORIZED AGENT
PLEA E PRINT NAPO
INSTRUCTIONS:
1)Make nhenk payable tn-. TOWN OF RARNSTAAT.R
7.)Rnhirn thiQ applicatinn with ynirr chPrk tn: AIM T)TNCY(OMMTRRTOWV.R, ).nn MAIN RTRFF.T,`FTV'ATOOR, MA 0,01
PLEASE NOTE:
l)Application form with accompanying fec 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...
FQR OFFICE USE ONLY:
CERTIFICATE# EXPIRATION DATE:
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Sep, 30. 2015 3: 08PM Vi nfen Hyannis No, 7479 P. 4
Town of Barnstable
Regulatory Services
Richard'V'.Scali,Director
Building Division
Tom Perry,CBO, Building Commissioner
200,Main Street, Hyannis, MA 02601
w►iw,town,barnstable.ma.
Oft ice:508-862-403 8 Fax:508-790-6230
July 7, 2015
VINFEN CORP
LARRY DOUGHTY HOUSE
78 PLEASANT STREET -
HYANNIS MA 02601
Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of the a
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/Capaclty 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
I
Town of Barnstable
Regulatory Services
nsts ' Richard V.Scali,Director
Building Division
- Thomas Perry,CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601 .
www.town.barnstable.ma.us
,Office: 508-862-4038 Fax: 508-790-6230
PLEASE FORWARD THE ATTACHED PAGES TO:
TO: VINFEN CORP.
ATTN: JOY BULDINI GJ'
FAX NO: - - ����
RE: .CERTIFICATE OF INSPECTION APPLICATION
FROM: BRENDA COYLE, PHONE NUMBER 508-862-4039
DATE: 09/17/2015
PAGES: 5 .(INCLUDING COVER SHEET)
Rev:121901
Town of Barnstable
Regulatory Services
MAW Richard V.Scali,Director
.bra:
ate' Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.m a.
Office: 508-862-4038 Fax: 508-790-6230
July 7, 2015
VINFEN CORP
LARRY DOUGHTY HOUSE
78 PLEASANT STREET
HYANNIS MA 02601
Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of the
Massachusetts State Building Code, Eighth Edition.
Please complete the application and return to the Building Commissioner's Office with the required fee
(amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and
amended by the Barnstable Town Council effective 08/06/01, and must be paid before the
Certificate of Inspection/Capacity Card may 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 1
Enclosure
i
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF.INSPECTION L .
Date (X) Fee Required$
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for.a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number-
Name of Premises: -
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agenc
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:
J020115a
, ,
.�� - �1.�- Szz �
I
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date g / `7" (X) Fee Required SD
( ) 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:
�/ g �" )�,g 5c1 n-' j Street and Number: r
Name of Premises: �� f DO Q
Purpose for which premises is used:
License(s) or Permit(s)required for the premises by other governmental agencies:
L' se or Permit Agency
rD(A kl7jCAL
p �.
Certificate to be Issued to: V Z(Ne h
Address: 2aS Cep t C o. OZ�
Telephone: a�'
Owner of Record of Building:
Address:
Name of Present Holder of Certificate;
Name of Agent, if any: r. _>
SIGN T�EPO TO WHOM CERTIFICATE
ISISSRIZED AGENT d
(� Q)O\Ii�l 1 tJ 1 C��P.(1, f`.� ��
PLEASE INT 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: j
j'CERTIFICATE# D140
L� �� EXPIRATION DATE: ( ��
1020115a
P. 1
Communication Result Report ( Sep. 17. 2015 11 : 09AM )
2)
Date/Time; Sep. 17, 2015 11 ; 08AM
File Page
No. Mode Destination Pg (s) Result Not Sent
2863 Memory TX 915087787529 P. 4 .0K
Reason for error
E. 1) Hang up or 1 i n e f a i 1 E. 2) Busy
E. 3) No answer E. 4) No facsimile connection
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AJI
Town of Barnstable `7
Regulatory Services €
BuRdiag Division
. .. .. Theme NM.CB0,Hrt1ffing Cammin
20D Main fteA*md%MA02601 LO ..
. - www.fiww.Lamalapiama.ue � _
Ofiae:506-862-4038 Fr 50&7904230 z
rn
k PLEASE FORWARD THE ATTACHED PAGES TO:
TO: VINFEN CORP.
- ATTN: JOY BULDINI �I
FAR NO: -5222 g 170 [7��
RE: CERTIFICATE OF INSPECTION APPLICATION
FROM:BRENDA COYLE,PHONE NUMBER 5084W4039
DATE: 891/17/2015
PAGES: 5 (INCLUDING COVER SHEET
eeo:rupoi -
r
TOWN OF BARNSTABLE INSPECTION WORKSHEET lqlosej
CERTIFICATE NO: 201405302 CANCELLED: MAP: 327
DBA: ILARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IVINFEN CORP
STREET: 178 PLEASANT STREET
VILLAGE: HYANNIS STATE: MA ZIP: 02601 SEQ NO: 1❑ ,
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: JUNK
STORYI: CAPACITY: USE1: R4 Capacity Under 50: ❑
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3:
Outside Seating: ❑
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: . CAP10: LOC10:
CAP4: LOC4: CAP 11: LOC11:
CAP5: L005: CAP12: LOC12:
CAP6: LOC6: CAP13: LOC13:
CAP7: LOC7: CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: Print This SCr6e
q
09/ 2013 08/27/2014 08/27/2015 Print Certificate of ins e�tiQ ?;_
COMMENTS:
The Commonwealth of Massachusetts
too
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to VINFEN CORP
Certify that I have inspected the premises known as:
LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK;
Use Group(s): R4
The means of egress are suff cient for the following number of persons:
Location . Capacity Location Capacity
RESIDENTS 12 . .
-
Certificate Number' Date Certificate Issued: Date Certificate Expired: Map Parcel' .
201405302 8/27/2014 8/27/2015 327 136
The building official shall be notified within (10) days of any
changes in the above information. Bui ding Official
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE
BUILDING DEPARTMENT '
200 MAIN STREET
HYANNIS, MA 02601
DATE: 08/13/14
TIME: 11 :12
-----------------TOTALS-------------------
PERMIT $ PAID 50.00 ¢
AMT TENDERED: 50.00 �
CHANGEPLIED: 50.00
APPLICATION NUMBER: 201405302 1
PAYMENT METH: CHECK { "
PAYMENT REF: 232 ;I •_
,1 „�
COMMONWEALTH OF MASSACHUSETTS -
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date T
(X) Fee Required$()k
( ) 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: r P +
Name of Premises:
Purpose for which premises is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
L' se or Permit Agency
Certificate to be Issued to: V OS'.r,
Address: -7 o— ce¢2
Telephone: ? d {D`p
Owner of Record of`Building:
Address:
Name of Present Holder of Certificate:
Name of Agent, if any:
SIGNATURE SIGNATUREA P O TO WHOM CERTIFICATE
IS ISS R A T ORIZED AGENT
C3
PLEASE AJANT 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: Q f
"CERTIFICATE I ��` EXPIRATION DATE: U I
J020I15a
i
Town of Barnstable
Regulatory Services
l4ilk]W4iAl�t, �
MAW
Richard V. Scali,Director
Building Division
Tom Perry,CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.tow n.b a r n s to b l e.m a.
Office: 508-862-4038 Fax: 508-790-6230
July 7, 2014
VINFEN CORP
LARRY DOUGHTY HOUSE
78 PLEASANT STREET
HYANNIS MA 02601
Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of the
Massachusetts State Building Code, Eighth Edition.
Please complete the application and return to the Building Commissioner's Office with the required fee
(amount as set on the top right-hand corner). The.fee has been established by the State (Table 106), and
amended by the Barnstable Town Council effective 08/06/01, and must be paid before the
Certificate of Inspection/Capacity Card may be issued.
A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code.
Sincerely,
Tom Perry
Building Commissioner
Enclosure
TOWN OF BARNSTABLE INSPECTION WORKSHEET Close
CERTIFICATE NO: 1 20130619 CANCELLED: MAP: 327
DBA: ILARRY DOUGHTY HOUSE I PARCEL: 136
NAME/MANAGER: IVINFEN CORP
STREET: 178 PLEASANT STREET
VILLAGE: JHYANNIS STATE: MA ZIP: 02601 SEQ NO: FT
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: JUNK
STORY1: CAPACITY: USE1: R4 Capacity Under 50: ❑
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3:
Outside Seating: ❑
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP11: LOC11:
CAPS: L005: CAP12: LOC12:
CAPE: LOC6: CAP13: LOC13:
CAPT. LOCI: CAP14: LOC14:
INSPECT! DATE ISSUED: EXPIRATION: PintThiscreeit,
07/� 012 08/27/2013 08/27/2014 pint Certificate of Inspection
COMMENTS:
The eommouwea ltb of 4.acg;,qarcbu5ett5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to VINFEN CORP
3 QCUMP that I have inspected the premises known as:
LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are suff cient for the following number of persons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201306190 8/27/2013 8/27/2014 7 1
The building ofcial shall be notified within(10) days of any f
changes in the above information. Building Official
I
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 MAIN STREET
HYANNIS, MA 02601
.DATE: 09/06/13 a
TIME: 13:06 y/�t
----- --=------TOTALS---
PERMIT $ PAID 25.00
AMT TENDERED: 25.00
CHANGEPL.IED:. 25.00
APPLICATION NUMBER: 201306190
PAYMENT METH: CASH
PAYMENT REF:
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date —7 (X) Fee Required$ p
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,1 hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: �� Q�Ls'r•�P.or
Name of Premises: V\CN Qe_o_ L.2csA
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. y �r���n CC71
Address: _
Telephone: (')C Q (n
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
Name of Agent,if any: n ,
SIG URE OF PERSON TO WHOM CER FICATE
IS ISSUED OR AUTHORIZED AG —
PLEASE PRINT NAME
co M
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
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:: h
CERTIFICATE 3d� EXPIRATION DATE:
J020115C
I P. 1
Communication Result Report ( Sep. 5. 2013 12:43PM )
2)
Date/Time : Sep, 5. 2013 12:41PM
File Page
No. Mode Destination Pg (s) Result Not Sent
----------------------------------------------------------------------------------------------------
6925 Memory TX 915088155222 P. 2 OK
----------------------------------------------------------------------------------------------------
Reason for error
E. 1) Hans uP or line fail E. 2) Busy
E. 3) No answer E. 4) No facsimile connection
E. 5) Exceeded max. E—mail size
Town ofBarnstable
Regulatory Services
.arh ThenuFCdlv,114eetar
�s $midi ig Division
Teat Perry,0%BWldingiCan miutwer
200Main Short,Hyannis,aKA M601
eww�eee0o.,veNesa -
OtBne:508-8624030 Fse 5OB-790-6270
Julg g,2012
VINFFN CORP
1ARRY DOUGHTY HOUSE'
78 PLEASANT STREET
WARMS NIA 02601
AIIadmd yae wli find an application far s Certificate of Inspection as required bySecfm 110.7 dale -
tda0s Slate Budding Coda,F+g)rlh Edhtion
Please=nplde the application and rakan m the Building Cammissimees Ofllue with the required fee _
(amount es Sig 90 the top right-hand coned The fee has been eslabilshed by the State(Table 106),and
amended by the Barnstable Tom Cmincil effaebee OWUM1,and must be paid before the
CerOTrcabe of InspecOmVCapady Card maybe Issued
A oopy cf said CeAitcate,shal be kept posted as specified In Section 120.5 ofthe state Cade. -
Sincerely.
Tom Perry
.11ding Commissioner .
cmahoa
Town of Barnstable
: Regulatory Services
• nnR �a.t
Thomas F Geiler,Director
t63P ��
o ` 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
July.9, 2012
VINFEN CORP
LARRY DOUGHTY HOUSE
78 PLEASANT STREET
HYANNIS MA 02601
Attached you will find an application for a:Certificate of Inspection as required by Section 110.7 of the
Massachusetts State Building Code, Eighth Edition.
Please complete the application and return to the Building Commissioner's Office with the required fee
(amount as set on the top right-hand corner). The fee has been established by the State(Table 106), and
amended by the Barnstable Town Council effective 08/06/01, and must be paid before the
Certificate of Inspection/Capacity Card may be issued.
A copy of said Certificate shall be kept posted as specified in Section 120.5'of the State Code. .
Sincerely,
s
Tom Perry -
Building Commissioner
Enclosure
I
Town of Barnstable
Regulatory Services
Thomas F Geiler,Director
«u�16 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
July 3, 2013
VINFEN CORP
LARRY DOUGHTY HOUSE
78 PLEASANT STREET
HYANNIS MA 02601
Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of the
Massachusetts State Building Code, Eighth Edition.
Please complete the application and return to the Building Commissioner's Office with the required fee
(amount as set on the top right-hand corner).The fee has been established by the State (Table 106), and
amended by the Barnstable Town Council effective 08/06/01, and must be paid before the
Certificate of Inspection/Capacity Card may be issued.
A copy of said Certificate shall be kept posted as specified in Section.120.5 of the State Code. -
Sincerely,
'PAY,
Tom Perry
Building Commissioner
Enclosure
I
TOWN OF BARNSTABLE INSPECTION WORKSHEETj.O$e
CERTIFICATE NO: 201204393 CANCELLED: MAP: 327
DBA: ILARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IVINFEN CORP
STREET: 78 PLEASANT STREET
VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: 10
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: JUNK
STORY1: CAPACITY: USE1: R4 Capacity Under 50: ❑
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3:
Outside Seating:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP 11: LOC11:
CAPS: L005: CAP12: LOC12:
CAP6: LOC6: CAP13: LOC13:
CAP7: LOCI: CAP14: LOC14:
INSPECTI N: DATE ISSUED: EXPIRATION: Pint Th sScreerti Q°
dar(w.S s
0 2011 08/27/2012 08/27/2013
0 0 Liand'ht Certificate of,lnspection
COMMENTS:
TV
eomm onwe Ytb of aq.5 rbU!6ett
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to VINFEN CORP
I PrtifP that I have inspected the premises known as:
LARRY DOUGHTY HOUSE
located of 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4 .
The means of egress are suff cient for the following number ofpersons._
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201204393 8/27/2012 8/21/2013 3 136
The building official shall be notified within(10) days of any
changes in the above information.
Building Offtc
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 MAIN STREET
HYANNIS, MA 02601
DATE: 07/23/12
TIME: 10:32
------------------TOTALS------------------
PERMIT $ PAID 25.00
AMT TENDERED: 25.00 €
AMT APPLIED: 25.00
CHANGE: .00
APPLICATION NUMBER: 201204393
PAYMENT METH: CHECK
PAYMENT REF: 14-556700408
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION v ��
Date 2— (X) Fee Required$C>15
( ) NoTee 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: 54. �✓l✓�' S
Name of Premises: EC'C'N' O .40 -(
Purpose for which premises is used:
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to:
Address:
Telephone: �� �� � O 6Co r L
Owner of Record of Building: ujS i LA-
Address: 5-6111 rir s
a a
Name of Present Holder of Certificate:
Name of Agent, if any:
SIGNA RE OF PERS TO WH CER ICATE
IS ISSUED OR AUTHORIZED AG T '
r—O
aK Gc�,
PLEASE PRINT NAAIE
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# �O I U* _� EXPIRATION DATE: t .
J020115a
The Corr monwe�ltb of acr�juietto
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
.: is issued to VINFEN CORP
Q�CI'�Ifp that l have inspected the premises known as.
LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET . in the Village of HYANNIS
County of Bainstable Commonwealth"of Massachusetts.
Construction Type: UNK
j Use.Group(s): R4
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number:" Date Certificate Issued: Date Certificate Expired: Map. Parcel
201104114 8/27/2011 8/27/2012 6
The building official shall be notified within(10) days of any
changes in the above information.
Building Off cial
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 MAIN STREET
HYANNIS, MA 02601
DATE: 08/03/11
TIME: 10:22
-----------------TOTALS------ - -
PERMIT $ PAID 25.00 --
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00
APPLICATION NUMBER: 201104114
PAYMENT METH: CHECK
PAYMENT REF: 14-355128370
COMMONWEALTH OF MASSACHUSETTS:
TOWN OF BARNSTABLE
~= APPLICATION FOR CERTIFICATE OF INSPECTION
�,f �Dat U 0 E
(X) Fee Required v
( ) No Fee Required
In accordance with theprovisions of the Massachuset
ts State'Building Code Section g 106.5, Lhereby apply for a Certificate of
Inspection for the below--named premises located at the following address:
Street and Number: b 2t ((;' Amki 11 w (3 r)l
Name of Premises: Lmq hou ; )5e Vt NJ PEO
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:.
License or Permit _ A enc
�( C v
Certificate to be Issued to: . V(VAVk__1
.Address:
Telephone:
Owner of Record of Building:
Address: 4c7VI ck n a k1: d
Name of Present Holder of Certificate: �n�'I
Name of Agent, if any:
INJ r—
SIGNATYkE OF PER TO WHOMZNRTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAM
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE. '
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,.HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY: /
CERTIFICATE
EXPIRATION DATk 0'(A
J020115a
TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose
CERTIFICATE NO: 201104114 CANCELLED: MAP: 327
DBA: ILARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IVINFEN CORP
STREET: 178 PLEASANT STREET
VILLAGE: JHYANNIS I STATE: MA ZIP: 02601- SEQ NO:
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: JUNK
STORYI: CAPACITY: USE1: R4 Capacity Under 50: ❑
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3:
Outside Seating: ❑
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOCI: RESIDENTS CAP8: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: - CAP10: LOC10:
CAP4: LOC4: CAP11: LOCI 1:
CAPS: L005: CAP12: LOC12:
CAPE: LOC6: CAP13: LOC13:
CAP7: LOC7: CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: r±RiinThi cr�en o .
���-,�0 08/27/2011 08/27/2012
- PrintGecti icate�of-�Iri pecton � %
COMMENTS:
Town of Barnstable
Regulatory Services
°A �M� Thomas F Geiler,Director
t6��1P
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
July 7, 2011
VINFEN CORP
LARRY DOUGHTY HOUSE
78 PLEASANT STREET
HYANNIS MA 02601
Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the
Massachusetts State Building Code, Seventh Edition.
Please complete the application and return to the Building Commissioner's Office with the required fee
(amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and
amended by the Barnstable Town Council effective 08/06/01, and must be paid before the
Certificate of Inspection/Capacity Card may be issued.
A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code.
Sincerely,
Tom Perry
Building Commissioner
Enclosure
I
4
TOWN OF BARNSTABLE INSPECTION WORKSHEETClose
CERTIFICATE NO: 201004744� CANCELLED: 0 MAP: 327
DBA: ILARRY DOUGHTY HOUSE r T -;PARCEL: 136
NAME/MANAGER: VINFEN CORP
STREET: 78 PLEASANT STREET
VILLAGE: JHYANNIS STATE: F MA ZIP: 02601- SEQ N0: 1❑
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: JUNK
STORYI: CAPACITY: USE1: R4 Capacity Under 50: ❑`
STORY2: CAPACITY: USE2: Outside Seating: ❑
STORY3: CAPACITY: USE3;
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: LOC8: .
CAP2: LOC2: CAP9: - LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP11: LOC11-:
CAPS: L005: CAP12: LOC12:
CAPE: LOC6: CAP13: LOC13:
CAP7: LOC7: CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: ���PrintTF�iScreen�
0 08/27/201 F 08/27/2011
r' �„Prmt Cert 1'ic to a of Inspection': � >;
COMMENTS: —
�je orr�n o e crt j of f.a ,garb Sett
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 1065, this
CERTIFICATE OF INSPECTION
is issued to VINFEN CORP:
Q�Ertifp that 1 have inspected the premises known as:
LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET •in the Village of,HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are suff cient for the following number of persons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201004744 8/27/2010 8/27/2011 3 L
136
The building off cial shall be notified within(10) days of any
changes in the above information. -- =
��'' - Building Official
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE ,
BUILDING DEPARTMENT
200 MAIN STREET
HYANNIS, MA 02601
DATE: 09/13/10
TIME: 10:54
-----------------TOTALS-----------------
PERMIT $ PAID 25.00
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00
APPLICATION NUMBER:
PAYMENT METH: CHECK
PAYMENT REF: 14-155493147
Aug, 31, 2010 11 : 38AM No, 1387 P. 3
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
ii APPLICATION FOR CERTIFICATE OF INSPECTION
Date I D (X) Fee Required S Z 6717 17
( ) 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: �� ��� yt.
Name of Premises:
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
Li en a or Permit Agencx
i
Certificate to be Issued to: U1� �
Address: ��Q �l V1'T St- �anm'o a0__6.Z(0 o V{
Telephone:
Owner of Record of Building: �ril/L{/1 Sep C I C�l�.s/&-a
Address:
r
Name of Present Holder of Certificate:_v V /�J
Name of Agent, if any:
SIGN URE OF PERSON TO WHOM RTIFICATE
IS I UED 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,HYANN►S,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/U % ' �� EXPIRATION DATE: /�, -7 Z j I
oFt ,, Town of Barnstable
Regulatory Services
M ►
BAM9rABM
9 MASS, $ Thomas F. Geiler, Director,
°iEorp�m Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PLEASE FORWARD THE ATTACHED PAGE(S) TO:
TO: Larry Doughty House
ti
ATTN: Michelle Steele
FAX NO: 508 815 5222
FROM: Lois Barry
DATE: 8/31/10
PAGE(S): _3_(INCLUDING COVER SHEET)
If you have any questions, please call 508 862-4039.
r
Town of Barnstable
Regulatory Services.
XAft Thomas F Geiler,Director
Ec '� 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
July 8, 2010
VINFEN CORP
LARRY DOUGHTY HOUSE
78 PLEASANT STREET
HYANNIS MA 02601
Attached you will,find an application for a Certificate of Inspection as required by Section 106.5 of the
Massachusetts State Building Code, Seventh Edition.
Please complete the application and return to the Building Commissioner's Office with the required fee
(amount as set on the top right-handsomer). The fee has been established by the State (Table 106), and
amended by the Barnstable Town Council effective 08/06/01, and must be paid before the ,
Certificate of Inspection/Capacity Card may be issued.
A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code.
Sincerely,
Tom Perry
Building Commissioner
Enclosure
COMMONWEALTH OF MASSACHUSETTS
TOWN OF.BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) Fee Required $
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to:
Address:
Telephone:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate:
Name of Agent, if any:
SIGNATURE OF PERSON TO WHOM CERTIFICATE.
-
IS ISSUED OR AUTHORIZED AGENT
-
PLEASE PRINT NAME
INSTRUCTIONS:
I)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to BUILDING COMMISSIONER,,200 MAIN STREET,`HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or,part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten (10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE#. EXPIRATION DATE:
J020115a
TOWN OF BARNSTABLE INSPECTION WORKSHEETCtos.
CERTIFICATE NO: 200904534 CANCELLED: MAP: 327
DBA: ILARRY DOUGHTY HOUSE PARCEL: F 136
NAME/MANAGER: IVINFEN CORP
STREET: 78 PLEASANT STREET
VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: GROUP RES
CONSTRUCTION TYPE: JUNK
STORYI: CAPACITY: USE1: R4 Capacity Under 50: I
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: � .
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: L005:
CAP2: LOC2: CAP6: LOC6:
CAP3: LOC3: CAP7: LOCI:
CAP4: LOC4: CAPS: LOC8:
7PARAt T s-Scree
INSPECTION: DATE ISSUED: EXPIRATION:
08/27/2009 08/27/2010
"' "' Print�Cert�ficate of Inspection
oq�3o a R
COMMENTS:
WE r Town of.Barnstable
Regulatory Services
* BAMMBLE,
v MAS& Thomas F. Geiler,Director
•i639 ��
1639 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
September 29, 2009
s -
Sandra Perry
Barnstable Housing Authority
146 South Street
Hyannis, MA 02601
t
Dear Ms. Perry;
Enclosed is your check for$25.00 for the Certificate of Inspection for the Larry Doughty
House. We received the fee and application from Vinfen Corp..
Sincerely,
Lois Barry ,
Division Assistant
Enclosure
:
t ;
fje eomm4ubjeartb of Alamqatbu5M.5
TOWN OF BARNSTABLE
In accordance with the.Massachusetts State Building Code, Section 106.5, this .
CERTIFICATE OF INSPECTION
is issued to VINFEN CORP r'
Certlfp that I have inspected the premises known as:
LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are sufficient for the following number,of persons.
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number:. Date Certificate Issued: Date Certificate Expired: Map Parcel
200904534 8/27/2009 8/27/2010 327 136
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
200 MAIN STREET
HYANNIS, MA 02601
DATE: 09/23/09
TIME: 15:05
-----------------TOTALS-------------------
PERMIT $ PAID 25.00
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00
APPLICATION NUMBER: 200904534
PAYMENT METH: CHECK
PAYMENT REF: 194321
Sev. 9. 2009 2:01PM No. 5319 P. 3/3 0A
f,
• COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) Fee Required S��C7 t�
( . ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises: LaaU DonnMu
Purpose for which premises is used: Gra)�,
License(s)or Permits)required for the premises by other governmental agencies: 5pe I_ViV6
Li en r rmi Aenc�
(fit, (a fekll�-� �e w���tiA- k eti 4 �424�
Certificate to be Issued to: V ��'`�.� �OVp *-�(�}' V I ,L (
Address: C�!50 �.Wti�OtIC .
• Telephone:
Owner of Record of Building:
Address: V O k(10 j t'\ Q 216D '
Name of Present Holder of Certificate:\. 1 e� 1 S Ck— t�"�3 �✓y 1 CQ_ 7Yr�V 1��)�
Name of A en any: s ells
SIGNATUA 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.
47he building official shall be notified within ten(10)days of any change in the.above information
• FOP,OFFICE US Y: f _
CERTIFICATE#�8—�90 yS 3.y EXPIRATION DATE:.• `$/ A -2 D
P, 1
Communication Result Report ( Sep, 23. 2009 9:47AM )
2)
Date/Time : Sep, 23, 2009 9: 40AM
File Page
No. Mode Destination Pg (s) Result Not Sent
5599 Memory TX 95087789312 P. 3 OK
Reason for error
E. 1) Hang up or 1 i n e f a i l E. 2) Busy
E. 3) No answer E. 4) No facsimile connection
E. 5) Exceeded max. E—ma i 1 s i ze
Town of Barnstable
r
Regulatory Services
Thomas F.Geiler,Director
Building Division
Thomas Perry,CBO,Building Commissioner -
200 Main Street,Hyannis,MA 02601
waw.[owabarasfaMe.ma.m
Office: 508-862-4038 Fax: 508-790-6230
PLEASE FORWARD THE ATTACHED PAGE(S)TO:
. .TO:. Sandy Perry
ATTN:
FAX NO: 509 778 9312
FROM: Lois Barry
DATE: 9123109
PAGE(S):_3 (INCLUDING COVER SHEET)
Hyou have any questions,please call 508862-4039.
i
t t
of
Town of Barnstable .
ti
Regulatory Services
* B"W„.`E Thomas F. Geiler,Director
'OrE1639. ' Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax:- 508-790-6230
PLEASE FORWARD-THE ATTACHED PAGE(S) TO:
TO: Sandy Perry
ATTN:
FAX NO: 508 778 9312
FROM: Lois Barry
DATE: 9/23/09
PAGE(S): _3_(INCLUDING COVER SHEET)
If you have any questions, please call 508 862-4039.
Town of Barnstable
Regulatory Services
* BARNSI'ABLE,
9 MASS, Thomas F. Geiler, Director
039.
�'iOTEDMp`lA�� Building Division -
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.tow n.ba rn sta b le.m a.u s
Office: 508-862-4038 Fax: 508-790-6230
September 23, 2009
Larry Doughty House
78 Pleasant Street
Hyannis, MA 02601
By fax to Sandy Perry,
508 778 9312
Re: Certificate of Inspection
2na request
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 Massachusetts State Building Code (Table 106), and
amended by the Barnstable Town Council effective 8/6/01, and must be paid before the
Certificate of Inspection/Capacity Card may be issued.
A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State
Code.
.Sincerely,
Thomas Perry
Building Commissioner
Enclosure
jcoilet
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) Fee Required Q Q
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit A enc
Certificate to be Issued to:
Address:
Telephone:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate;
Name of Agent, if any:
r .
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)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
snatasrABLE
9 MASS. � Thomas F. Geiler, Director
�AFF039. O Building Division
Thomas Perry, CBO, Building Commissioner
200 Main Street, Hyannis, MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
PLEASE FORWARD THE ATTACHED PAGE(S) TO:
TO: Vinfen
ATTN: Chris Howard
FAX NO: 617 4411858
FROM: Lois Barry
DATE: 9/9/09
PAGE(S): _3_(INCLUDING COVER SHEET)
If you have any questions, please call 508 862-4039.
TOWN OF BARNSTABLE INSPECTION WORKSHEETCMos
CERTIFICATE NO: 200803822 CANCELLED: MAP: 327
DBA: LARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IFAMILY CONTINUITY PROGRAMS
STREET: 178 PLEASANT STREET
VILLAGE: IHYANNIS STATE: MA: ZIP: 02601 SEQ NO: FTI
BUSINESS TYPE: GROUP RES
CONSTRUCTION TYPE: JUNK
13TORY1: CAPACITY: USE1: R4 Capacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: 1-1
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: LOC3: CAP7: LOC7:
CAP4: LOC4: CAP8: LOC8:
IT Prinf This"Screen
INSPECTION: DATE ISSUED: EXPIRATION:
07/22/2008 08/27/2008 08/27/2009 print Certificate of Inspection
COMMENTS:
TOWN OF BARNSTABLE INSPECTION WORKSHEET
CERTIFICATE NO: 200803822 CANCELLED: 0 MAP: 327
DBA: �LARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IFAMILY CONTINUITY PROGRAMS
STREET: 178 PLEASANT STREET
VILLAGE: FHYANNIS STATE: FIVIA ZIP: 02601- SEQ NO:
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: UNK
STORYI: CAPACITY: USE1: R4
Capacity Under 50:
STORY2: L� CAPACITY: USE2:
STORY3: CAPACITY: USE3:• Outside Seating: r
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: F 12 LOC1: RESIDENTS CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: IL I LOC3: CAP7: LOCI:
CAP4: L= LOC4: CAP8: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: Punt TFis Screen
8/27/2008 08127/2009 ; print Certificate of'fnspection,
COMMENTS: i --- —
Ebe Commonbjeattb of �Ra5.5 rbufsett.5
TOWN OF BARNSTABLE .
M accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to FAMILY CONTINUITY PROGRAMS
31 Certefp. that 7 have inspected the premises known as:
LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS.
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are sufficient for the following number of persons:
Location . Capacity Location Capacity.
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
200803822 8/27/2008 8/27/2009 327 136
The building official shall be notified within (10) days of any
changes in the above information.
Building Official
way S Yx' Ar y ;I��}f F sSfi
vft
it
G r get
}
�a
wY
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date / c D (X) Fee Required$a2
( ) 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: yC �!'�� 'S Ti �/ 0�!s e'
Purpose for which premises is used:
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit / l A enc
L 1
Certificate to be Issued to: /% G' 7 / -2 v i if /2 d—Gh'1:/
Address: // G (/✓ I—e C
Telephone:
Owner of Record of Building: "� �� c1 P �/ u cowc� f'S u
Address: /
Name of Present Holder of Certificate:
N o t, if any: ,r
Si ATURE OF PERSON TO OM 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: j
CERTIFICATE# C9 EXPIRATION DATE:
J020115a
Town of Barnstable
�t $ Regulatory Services
• MRdS+TAti�
Thomas F Geiler,Director
a6yp ��
haws. 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
July 9, 2008
FAMILY CONTINUITY PROGRAMS '
LARRY DOUGHTY HOUSE
78 PLEASANT STREET
HYANNIS MA 02601
Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the
Massachusetts State Building Code, 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 :Cos
CERTIFICATE NO: 200704457 CANCELLED: MAP: FK7
DBA: ILARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IFAMILY CONTINUITY PROGRAMS
STREET: 78 PLEASANT STREET
VILLAGE: IHYANNIS STATE: FVA ZIP: 02601- SEQ NO: 1�
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: JUNK
STORYI: CAPACITY: USE1: R4 Capacity Under 50: r
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: M.
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: LOC3: CAP7: LOCI:
CAP4: LOC4: CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: "
Print�Th�s,Screenj
at9&442QW_ 08/27/2007 F 08/27/2008
® in Certificate of Inspection,
COMMENTS:
Ebe eommonwealtb of 41ag5acbu.qett5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to FAMILY CONTINUITY PROGRAMS
�! Q�ertifp that I have inspected the premises known as: LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are suff cient for the following number of persons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
200704457 8/27/2007 8/27/2008 327 136
The building official shall be notified within(10) days of any
changes in the above information.
Building Official
rf
fj
IL
i
PERMIT PAYMENT RECEIPT
TOWN OF BAR STABLE
BUILDING DE ARTMENT
200 MAIN STREET
HYANNNIS, MA 02601
DATE: 07/19/07
TIME: 12:19
-----------------TOTALS------------- ----
PERMIT $ PAID 25.00
AMT TENDERED: 25.00
AMT APPLIED: 25.00
CHANGE: .00
APPLICATION NUMBER: 200704457
PAYMENT METH: CHECK
PAYMENT REF: 63198
I
i
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 106.5,1 hereby apply for a Certificate of
Inspection for the below-naed premises located at the following address:
Street and Number: 1',2. 6 e� `S7� P C
Name of Premises:
Purpose for which premises is used:
License(s)or Permit(s)re4pired for the premises by other governmental agencies:
License r•Permit � f �en
Certificate to be Issued 'to: O /n .A
Addre s:
L/ o� G` w P � C'
Telephone:,
Owner of Record of Building: L '
Address:
i ? r-- o
Name of Present Holder of Certificate: G T`/
Name of Agent,if any:
�r
Si�N'TL r OF P .S®N WHOM CE?1 TIFICATE a r`
IS ISSUED OR AUTHO : AGENT '
PLEASE PRINT NAME; six5
�
.INSTRUCTIONS: z CIO
1)Make check payable toa TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HY S,MA 02601 "
co rn
PLEASE NOTE: _ 4 _ ..
1)Application form with Accompanying fee must be submitted for each building or structure or part thereof to ` 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 USEONLY: /
CERTIFICATE# �i JU 7 O ��'�7 EXPIRATION DATE:
IO10115a
TOWN OF BARNSTABLE INSPECTION WORKSHEETClos
CERTIFICATE NO: 24416 CANCELLED: 0 MAP: 327
DBA: ILARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IFAMILY CONTINUITY PROGRAMS
STREET: 78 PLEASANT STREET
VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: GROUP RES
CONSTRUCTION TYPE: JUNK
STORY1: CAPACITY: USE1: R4 Capacity Under 50:
rj-
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: I I.
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS _ CAPS: L005:
CAP2: LOC2: j CAPE: LOC6:
CAP3: LOC3: CAP7: LOCI.
CAP4: J LOC4: CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: , Print INScre n
�� 1 08/27/2006 08/27/2007
4.0. Priht Certificate of.lnsp ection '
COMMENTS:
sr
The Commoubnealtb of 4ffiaggarbU.5ettq
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to FAMILY CONTINUITY PROGRAMS
I QCertifp that 1 have inspected the premises known as: , LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are suff cient for the following number of persons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
24416 8/27/2006 8/27/2007 327 136
The building official shall be notified within(10)days of any 7z
changes in the above information.
Building Official
4�' »
�'�r„' I Hwy i•..L,r I
[ v;
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�- to
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date
(X) Fee Required$
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: - PLA10 '64t %_7 V)p— &(/jg� --
Name of Premises:
Purpose for which premises is used: ��s(�e4 tarp H6Y&jt._
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit /'� A enc
"0 c LZ —Tae}ss�_�R.��r ` e- S�J J '1s�,d�•P �o��eA�,
Certificate to be Issued to: �y rLag"�rhl� /n k4l, kou c Es
„�:... Address: "'�,� ��'7�.r.¢.�t u�.✓,✓�r /91�9 D 2�a/
Telephone:
yl
Owner of Recor'd;(of Building: c
' Address o
Name of Present Holder of Certificate l a, cjtt �r
Name of Agent,if any: ^114
she
SIGNATURE OF PERSON TO WHOM CERTIFIftgrE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTA13LE
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.f—e1n(10)days.ofany change in the above information.
PT
rt. A ?I n., 't'P `�^14�t.°.l' f�,;,�r 'f� �'1 -k. 4 �` .�� ....,ertr�......`.... __•—_.._..... ... __.
4-•t `4
FOR OFFICE USE ONLY: a
CERTIFICATE#` � �' ` ' EXPIRATION DATE:
TOWN OF BARNSTABLE INSPECTION WORKSHEETos
CERTIFICATE NO: 24416 CANCELLED: MAP: 327
DBA: ILARRY DOUGHTY HOUSE PARCEL: F 136
NAME/MANAGER: IFAMILY CONTINUITY PROGRAMS
STREET: 178 PLEASANT STREET
VILLAGE: HYANNIS ISTATE: MA ZIP: 02601- SEQ NO:
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: JUNK
STORY1: CAPACITY: USE1: R4 Capacity Under 50: M
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: r
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: LOC3: CAP7: LOC7:
CAP4: LOCO: CAPS: LOC8:
�, .P�nt,This`Screen
INSPECTION: DATE ISSUED: EXPIRATION:
08/27/2005 08/27/2006
, Print Certificate ofj!Lspectionln C
COMMENTS:
The Commonweattb of '41asP6acbm5etto
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to FAMILY CONTINUITY PROGRAMS
I QCErtifp that I have inspected the premises known as: LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
24416 8/27/2005 8/27/2006 327 136
The building official shall be notified within(10) days of any
changes in the above information. L -
Building Official
cr®
St
x.
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date / (X) Fee Required$o7i s D b
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to: (wm.
Address: �L n/A/11
Telephone:
Owner of Record of Building:
Address:
Name of Present Holder of Certificate: ..JAA)E 2, C2eCca , FC- P
Name of Agent, if any: Al lie
% M
SIGNATURE OF PERSON TO WHOM CERTIFICATE j ash
IS ISSUED OR AUTHORIZED AGENT
N)
M CV
PLEASE PRINT NAME 'a
INSTRUCTIONS: Y
1)Make check payable to: TOWN OF BARNSTABLE r
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYA S,MA 026Eli
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 EXPIRATION DATE:- 67
J02011Sa
�r 1
TOWN OF BARNSTABLE INSPECTION WORKSHEETcios
CERTIFICATE NO: 24416 CANCELLED: MAP: 327
DBA: ILARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: JJANIE CRECCO
STREET: 78 PLEASANT STREET
VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: 0
BUSINESS TYPE: GROUP RES
CONSTRUCTION TYPE: JUNK
STORYI: CAPACITY: USE1: R4 Capacity Under 50: M
STORY2: CAPACITY: USE2: OUtSlde Seating: :
STORY3: CAPACITY: USE3:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 12 LOC1: RESIDENTS CAPS: L005:
CAP2: LOC2: CAP6: LOC6:
CAP3: LOC3: CAP7: LOCI:
CAP4: LOC4: CAPS: LOC8:
/ Print;This Screennr
INSPECTION: DATE ISSUED: EXPIRATION:
08/27/2004 08/27/2065 rCertificafe of;inspecfion:
COMMENTS:
The eommonweartb of jRaq;�;arbU5ett5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to JANIE CRECCO
I Certifp that I have inspected the premises known as: LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R4
The means of egress are suff cient for the following number of persons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
24416 8/27/2004 8/27/2005 327 136
The building official shall be notified within(10) days of any
changes in the above information. 1/
Building Official
f�
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
�, APPLICATION FOR CERTIFICATE OF INSPECTION
Date V'C� l -I (X) Fee Required$2-S- 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 premiseslocated
at�tth-�e following address:
Street and Number: 1�
Name of Premises: Lam Dw - 1 r
'\Jl�
Purpose for which premises isis , Hou�-�
k.ed:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit ^ A t A A�
8 �3Z � D V 1
Certificate to be Issued to: Jan(f cV`c. cCo c4 c) Lb lA
Address: P(. C-G S Y yl Pq 0,965)0 ( .
Telephone: S d 8 r -7 ��S
Owner of Record of Building: .-
Address: g(a S T p l S t t �/
Name of Present Holder of Certificate:
Name of Agent,if any:
SIG TURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDINGCOMMISSIONER, 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:
��' � � y
�� ��
��
o y
I
TOWN OF BARNSTABLE INSPECTION WORKSHEET
CERTIFICATE NO: 24416 CANCELLED: 0 MAP: 327
DBA: LARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IFAMILY CONTINUITY PROGRAMS
STREET: 178 PLEASANT STREET
VILLAGE: JHYANNIS STATE: F MA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: JUNK
STORY]: CAPACITY: USE1: R4 Capacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USES: Outside Seating: Q
BY PLACE OF ASSEMBY OR STRUCTURE
CAP]: 12 LOC1: RESIDENTS CAP& LOC&
CAP2: LOC2: CAPE: LOC6:
CAPS: LOC3: CAP7: LOC7:
CAP4: LOC4: CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION:
08/20/2002 1 08/27/2003 08/27/2004 - ,
COMMENTS:
TOWN OF BARNSTABLE INSPECTION WORKSHEET o
CERTIFICATE NO: 24416 CANCELLED: MAP: F327
DBA: LARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IFAMILY CONTINUITY PROGRAMS
STREET: 178 PLEASANT STREET
VILLAGE: JHYANNIS STATE: F MA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: IGROUP RES — I
CONSTRUCTION TYPE: JUNK
STORYl: CAPACITY: USEl: R4 Zagacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seatlnq:
BY PLACE OF ASSEMBY OR STRUCTURE
CAPl: 12 LOCI: RESIDENTS CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: LOC3: CAP7: LOC7:
CAP4: LOC4: CAP& LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: -
tbs�5creen
08/20/2002 08/27/2003 1 1 08/27/2004
r 7 C4 I�ICQtfA Of(f1S C�O� °
COMMENTS:
TO ComcmconWealtb of 41agoarbuzetto
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code,Section 106.5, this
CERTIFICATE OF INSPECTION
,s
is issued to FAMILY CONTINUITY PROGRAMS
X Certify that I have inspected the premises known as: LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK I
Use Group(s): R4 ,, .
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
24416 8/27/2003 8/27/2004 327 136
The building official shall be notified within(10)days of any
changes in the,above information.
Building Official
G�'
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) 'Fee Required$v ✓ , C<> O
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Aizenc
NCB 7
Certificate to be Issued to: G C
Address: s 1 VA"`
Telephone:
Owner of Record of Building: (n(Q
Address: A:�o S
Name of Present Holder of Certificate: tL— In
c,
J;nt'
if any:
T M RTIFICATE
R AUTHORIZED AGENT
EASE PRINT AME
INSTRUCTIONS: .
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check-t(x BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE: Z.
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# °2 EXPIRATION DATE:
J020115a
TOWN OF BARNSTABLE INSPECTION WORKSHEET �Q
CERTIFICATE NO: 24416 CANCELLED: MAP: 327
DBA: LARRY DOUGHTY HOUSE PARCEL: 136
NAME/MANAGER: IFAMILY CONTINUITY PROGRAMS
STREET: 78 PLEASANT STREET
VILLAGE: jHYANNiS STATE: MA ZIP: 02601 SEQ NO: 1-1
BUSINESS TYPE: IGROUP RES
CONSTRUCTION TYPE: I LINK
STORYI: CAPACITY: USEI: R3/4 '�apacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seatlnq: .
BY PLACE OF ASSEMBY OR STRUCTURE
CAPI: 12 LOC1: RESIDENTS CAP& LOC&
CAP2: LOC2: CAP& LOC6:
CAP3: LOC3: CAPI: LOC7:
CAP4: LOC4: CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION:
a o2 08/27/2002 08/27/2003 g ��
R' Certifioafe of spection= 1,
COMMENTS:
The eorr monWealtb of Aa5.5acbm5ett.5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to FAMILY CONTINUITY PROGRAMS
X (tertifp that I have inspected the premises known as: LARRY DOUGHTY HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts.
Construction Type: UNK
Use Group(s): R3/4
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
RESIDENTS 12
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
24416 8/27/2002 8/27/2003 327 136
The building official shall be notified within(10)days of any
changes in the above information.
Building Official
tr
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date �����' �d2 (X) Fee Required$ 02
( ) 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: A P (easce n by+: _ 4,4 f.,A y��� d� 0 9(0 0
Name of Premises: "r t —�>O u- k+
bl S
Purpose for which premises is used: A�l.(.l r s d eak a/ �rea -h••-e }
i.
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit f A enc I
C P ,pCt�TM2 rl o e ea l
Certificate to be Issued to: Q M 1 11 //t G r4Eroe4rCl v►1 S ELP HIV LT-
Address: 1 P I e_a SG-y1+' S R11 ttn A 15 ft)j+ 0:1(90 I
Telephone: Jr0 0 1-7 1 S g 7 3 i'L rj U 9 7 7 e 75 09_
Owner of Record of Building: { 1Tn lJ�� c l S r c, AlwA-K (fir fil
Address: Soultk S/,-
Name of Present Holder of Certificate: rwAeev
� 6 lt"I Pr
d /a,--Name of Agent,if any: l , on
SIGNATUPJ1 OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
t
�S her llrecftr
PLEASE PRINT NAME
INSTRUCTIONS.
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
.2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
CERTIFICATE# 0214 1�1 G EXPIRATION DATE: oZ 7 0
J020115a
•
N l loai
6i IC,j„�.TR�EETtI
r
k`"�. ;a ,c ct _ x 'fi .ry �e.t 96 #�- t�✓'k .� a + € r y}'��(, (Aye r'"�P
PAIf TO tHEPt :3t�
OR
DER OF
1 #'era=)sty Fa of Wcy NOT GOOD OVER$1 99O
AUTH `
31G
P isSue�13y integrated Payment Sy9tems Inc Eng(ewootl Gotprada
Td CiUtYan<c itdaw YDrk State) Bultaln,:Kl Y.
A:0 2 20008681:6811'99 3 L 54 L LO L08044
TME Tpk, Town of Barnstable
&1RNRrABLE. : Regulatory Services
MASS.
Qj 039.
'0rfn,9.t° Thomas F. Geiler,Director
Building Division
Tom Perry Building Commissioner
200 Main Street, Hyannis, MA 02601
Office: 508-862-4038 Fax: 508-790-6230
PLEASE FORWARD THE ATTACHED PAGE(S) TO:
TO: Linda
ATTN:
FAX NO: 508 778 7529
FROM: Lois Barry
DATE: 8/6/02
PAGE(S): 2
(INCLUDING COVER SHEET)
Please complete the attached application and return to me at 200 Main Street, Hyannis.
We received the $25.00 fee but did not receive the application. Thank you.
�v •
s l �4 'Lo �-
o
d �
II
T he Commonweal th of M assachusetts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to FAMILY CONTINUITY PROGRAMS
Certify that I have inspected the premises known as: KIT ANDERSON HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
Use Group Construction Type Location Capacity
R3/4 RESIDENTS 12
Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel
24416 8/27/2001 8/27/2002 327 136
The building official shall be notified within(10)days of any changes in
the above information
Bu ding Official
�u
•^` .f v COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date vacJST ZOOZ0'1 (X) Fee Required S �- a
( ) 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: 6 -1 E14S?,N �l eSEZ 7-
Name of Premises: t< 17 11f cl a KJO A) Hw,S
Purpose for which premises is used: u Lfi I` S d J 6 r� /' �' ►M Win[ �r° r/�"ij
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Peimu r,_y.
Certificate to be Issued to: 64071 L�/ �[u ( �.y U Oc�� v�► r
Address: t1I L A����G S-F&z9-1- Svrfi-h 322- Lawren l .? ®f�yv
Telephone: q 9- 7 - � � Z 9
Owner of Record of Building: ft'RN S fie4 b / e #CU-S1 ( vT cs-t T-c-?
Address: y6 So 01-k S TA--c-c i '14 YA[u u q 1 d 2 6
Name of Present Holder of Certificate: (T"OS njo L J O 1J C(I
Name of Agent, if any: /u/ ti
S§1 ATtJRE OF PERSON TO WHOM tERTIACATE
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:
I)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
.2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in,the above information.
CERTIFICATE .4 y��� EXPIRATION DATE:
Town of Barnstable
Regulatory Services
9 a►MASSsi a g- Thomas F.Geiler,Director
i63s+• .0
lF039. a Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
CERTIFICATE OF INSPECTION
CAPACITY INSPECTION
DBA ZU
LOCATION
OWNER
USE CONSTRUCTION TYPE
CAPACITY&FEE j
DATE OF INSPECTION INS�EC OR COMMENTS
J990125a -
� ��ti
� �
i � � �
� � ��%�
°�TME Tay, Town of Barnstable
Regulatory Services
" mxivASS
Mnss. Thomas F.Geiler,Director
v $
`b°TF0 ;.,A�` Building Division
Peter F.DiMatteo Building Commissioner
367 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
August 15, 2001
Stephen LaBran
Program Director
FCP Inc., Kit Anderson House
78 Pleasant Street
Hyannis, MA 02601
Re: Kit Anderson House
Dear Mr. LaBran:
In order to transfer the Certificate oftInspection to FCP,Inc. we would need to receive a
completed application and fee of$25.00 from you. We would then issue the Certificate
for a one-year period. 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 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may
be issued.
A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State
Code.
If you have any questions, please call Lois Barry,Division Assistant, at 508 862 4039.
Sincerely,
Peter F. DiMatteo
Building Commissioner
Enclosure
jcoilet
FCP Inc.
FAMILY CONTINUITY PROGRAMS
Administrative Support Office Local Program
11 Lawrence Street, Suite 322 Kit Anderson House
Lawrence, MA. 01840 78 Pleasant St.
Hyannis,MA. 02601
John F. Lavery,Executive Director
Tel: (978)687-1617 Tel: (508) 771-5473
508
_ Fax: ( )778-7529
Fax: (978) 687 1597
July 30, 2001
Town of Barnstable
Building Dept.
367 Main St.
Hyannis,MA 02601
Dear Sir,
I am writing in request to transfer the"Certificate of Inspection" for Kit Anderson House to FCP, Inc.
Attached is a copy of the certificate issued on July 15, 2001. FCP, Inc. is the new vendor for the Kit
Anderson House. Currently the certificate is in the name of Gosnold. There is no alteration of site or
constructual changes;no increase in staff or capacity; so this would just a transfer not a change in services.
Your assistance is greatly appreciated.
Sincerely,
Stephen LaBran
Program Director
/mil'/ � �.l✓� ��-/� ����
The Commonwealth of m assaehusetts
TOWN OF BARNSTABLE `
( In accordance with the Alassaehusetts State Building Code, Section 106.3, this
CERTIFICATE OF INSPECTION
is issued to GOSNOLD ON CAFE COD
Certify that 1 have inspected the premises known as. KIT ANDERSON HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Co►nmonwealth of Alassachusetts. The means of egress are sufficient for the following
number of persons:
j
Use Group Coasttuction Type: Location Capacity
R3/4 RESIDENTS 12 }
i
i
j
I
i
Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel
I
24416 7/15/2001 7/15/2002 327 136 j
, i
The building official shall be notified within(10)days of any changes in
2 _the above information j
Building Official
ilk
T he o m m o n wealth of m ass achu s e' tts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 1.06.5, this
CERTIFICATE OF INSPECTION
is issued to GOSNOLD ON CAPE COD
1 Certify that I have inspected the premises known as: KIT ANDERSON HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
Use Group Construction Type Location Capacity
R3/4 RESIDENTS 12
i Ma Parcel
Certificate Number Date Certificate Issued: Date Ce
rtificate cate Expired P P
24416 4/9/20 01 4/9/2002 327 136
1
The building official shall be notified within (10)days of any changes in
the above information
Building Ofc'
�M
The Commonwealth of M assachusetts
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to GOSNOLD ON CAPE COD
Certify that I have inspected the premises known as: KIT ANDERSON HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
Use Group Construction Type Location Capacity
R3/4 RESIDENTS 12
Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel
24416 7/15/2001 7/15/2002 327 136
The building official shall be notified within (10)days of any changes in
the above in
Building Official
4x, 5 �.
Ie v�e
i T Z a ,CS
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (X) Fee Required$ .�
( ) No Fee Required
I ,
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: i E a S c
Name of Premises: .1 — Aq d-e r w
Purpose for which premises is used: 6--fieUP /?'V 12,
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
i tf D M t+
MA P Cerf i k C& h v,,i J 914
Certificate to be Issued to: i�9 e-
C'A
Address: a QO Y, 9 a 4aLtaA , 1 t k�i' 0jSy
Telephone: 5�. ,, f(
Owner of Record of Building: As%4" �S ytr IU f`� y
Address: � � 560 V. Aut U ito
f
Name of Present Holder of Certificate: )Si,U�U
Name of Agent, if y:
fF
4 N •RE OF, nnncnN Tn"I'un:T�f-CDTiTiY0-A'rV
31V1\H1 tJRi. VY• Y 1.►wv:v •v vuv: MITI.I.Ia..A
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 - ��� G EXPIRATION DATE: 2r// �?
T he C o m 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 HOUSING ASSISTANCE CORPORATION
Certify that I have inspected the premises known as: KIT ANDERSON HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts. The means of egress are sti jicient for the following
number of persons:
Use Group Construction Type Location Capacity
R3/4 RESIDENTS 12
24416 7/15/00 7/15/01
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
f
ti
�3
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date g 9 (X) Fee Required S/�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 adLdress:
Street and Number: 7 9 P l� Ufa H
Name of Premises: ►1 I {" Am J J m H e-4-f
Purpose for which premises is used: 61-"'o 17 l" l0✓ J U
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
to a g pa tt 14
Certificate to be Issued to: i l�-v,_d�t N H e-u fa
Address:
Telephone: 5 a S - -7 71 - S 9-7 3
Owner of Record of Building: 3✓h r13 kl� If t-ql i N a / wl-t7 o Y, F
Address: 1`}li f o ct 1 J4- If V a 14 h cr 1/Vl (4 o a
Name of Present Holder of Certificate: t f- R P l f N H "T-4
Name of Agent,if any:
SIGNATU4 61F P ON O WHOM CERTIFICATE
IS ISSUED OR AUTHO D 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# Z `� EXPIRATION DATE:° +i• -y
HOUS►-IG ASSISTANCE CORPORATION �, a 4132
AO,PAINISTRATIVE ACCOUNT
DATE INVOICE NO COMMENT AMOUNT DISCOUNT NET AMOUNT
06/22/00 P026935 OCCUPANCY PERMIT 15. 00 £ . 00 15. 00
CHECK: 004132 07/01/00 TOWN OF BARNSTABLE CHK TOTAL: 15 . 00
"�2119/97
Ralph,
Re: Dept. of Mental Health Group Homes
Bill Gorczyka is the DMH employee who issues licenses to the DMH group homes on the Cape. He
was not able to tell me if they are 631, 636 or 638 homes but he gave me the following information.
148 Cedar Street,Hyannis-Cedar Street Apartments
Director: Jeanne Desmond, 775-1199 x.
Capacity 8. 8 consumers in 4 apartments. Staff on site during the day. No overnight staffing.
All adults. (All their group homes are all adults.) All capable of self-preservation and
emergency evacuation. (We issued COI 1993-94.)
336 Sea Street, Hyannis-Angel Road Residence
Director: Jeanne Desmond, 775-1199 x.
Capacity 5. Single residence. Same situation as above. No staff overnight. All capable of self-
preservation and emergency evacuation. (We issued COI 1994-95.)
118 High School Road(listed as 120 High School Road on DMH Housing List)
Dorothy Bearse Apartments
Director: Susan Coutinho, 862-0308
20 apartments, 1 person per apartment. Staff on site, no overnight staffing. All capable of self-
preservation and emergency evacuation.
47 Cedar Street, Hyannis- Sea Winds
Director: Debby Sawka, 775-7964
Capacity 10. Residence. They do have round the clock coverage on site. More intensive
supervision but can still do self-preservation. (Most recent COI expired 2/1/97.)
k78 Pleasant_Street;_Hyannis--Kit Anderson House-(Housing Assistance Corp.)
Director: Kim Cabral, 771-5473
Capacity 12. Residence, one main living area and kitchen. Round the clock supervision.
Similar to Sea Winds. Intensive supervision but can self-preserve.
50 Bent Tree Road, Centerville- Oceanside
Director: Kimberly Buldini, 420-0527
Residence home. Round the clock staffing. Can self preserve. (Buddy recently issued CO)
In addition their crisis intervention program has moved from 167 Winter Street to
270 Communications Way,Hyannis, Unit 1-3 -Crisis Intervention Program
Director: Sandy Stewart, 778-4627
Capacity 7. Round the clock staffing. Short-term housing, transition from in-patient to group
home or need to be more closely watched. Acute emergency prevention care. Set up is similar
to a residence. Have bedrooms, one kitchen, staff offices.
My understanding from our conversations is that if group homes are Section 636 they require COI, but
if they are Section 638,.they do not. I think you said Section 631 s are also inspected. They are listed
on.the Table 108 chart. Will you or Rich Stevens determine if any of these group homes need
Commonwea ltb of jRaq2;a rbU5ett0
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to KIT ANDERSON HOUSE
X Certifp that 1 have inspected the premises known as: KIT ANDERSON HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
Use Group Construction Type Location Capacity
R3/4 RESIDENTS 12
24416 7/15/99 7/15/00
Certificate Number Date Certificate Issued: Date Certificate Expired:
The building official shall be notified within(10)days of any changes in 010,
the above information '�—
Building Official
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date b g `� (X) Fee Required S f 1 v D
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:. 7 $ P4 du-w:'� 'j .
Name of Premises: K i k A-h-im'f VY7 H �1
Purpose for which premises is used: "cr h rvw n[14/60✓ j U
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
t4 K g c0 t9 1
Certificate to be Issued to: i 1A-�, d ct f N N e-u t4
Address:
Telephone: G - 7 71 5 9 7 3
Owner of Record of Building: 3v O r b W4 'Hf VM-r t"a A U+6 o Y 'L=
Address: f o Lt-1-k (3- ►M (4 a It, l
Name of Present Holder of Certificate: �bh Wk d1m j N H "Ll
Name of Agent,if any:
SIGNATU O'k P RSON O WHOM CERTIFICATE
IS ISSUED OR AUTHO D 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: 7
HOUSING ASSISTANCE CORPORATION 27256
DATE INVOICE NO COMMENT AMOUNT DISCOUNT NET AMOUNT
06/30/99 P023709 APPL. FOR CERT. OF INSP 15 . 00 . 00 15 . 00
G4HECK: 027256 07/08/99 TOi,lN OF BARNSTABLE CHK TOTAL: 15. 00
The CommonWea ltb of j11a 2;0a rbu0ettq
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to KIT ANDERSON HOUSE
I lterfif p that I have inspected the premises known as: KIT ANDERSON HOUSE
located at 78 PLEASANT STREET 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
R3/4 RESIDENTS 12
24416 7/15/98 7/15/99 ;
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
TO Com moftealtb of lftzoacbufsettz
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to KIT ANDERSON HOUSE
X Certifp that 1 have inspected the premises known as: KIT ANDERSON HOUSE
located at 78 PLEASANT STREET 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
R3/4 RESIDENTS 12
24416 7/15/98 7/15/99
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
t
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date ILI 9 r (X) Fee Required$ 15. 0 0
/
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,1 hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: AJ 411 tit, &g I
Name of Premises: n ( a d 4 vJ o k H AmI j
Purpose for which premises is used: C yo uM Htvhj
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit AAgencv_
gVAI't �-o t g !In,aIA t2f�i,�ttiy �4 H
Yun(i� 1A'aw,�4s�iv 1�1acQ tu�ins� AN
Certificate to be Issued to: N
Address: —1 Y"�t a i 9'In �- T d ti ill's . �7/) • o %1 G. ��
Telephone:
Owner of Record of Building: e1 r h j h 94 V t-q.f i��, ��u.!'l�a ✓
Address: 146 St t ,Lb TV,, H Y Ali , 17A,
Name of Present Holder of Certificate: L l" o-a f4
Name of Agent, if any:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
CERTIFICATE# L 1 I EXPIRATION DATE: !S
{ e`�i/��G�'✓ III
/-7 C-
Comcmconwealtb of Alamwbuotto
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 108.5, this
CERTIFICATE OF INSPECTION.
is issued to KIT ANDERSON HOUSE
3 certifp that 1 have inspected the premises known as: KIT ANDERSON HOUSE
located at 78 PLEASANT STREET in the Village of HYANNIS
County of Barnstable Commonwealth of Massachuetts. The means of egress are sufficient for the following
number of persons:
Use Group Construction Type Location , Capacity
R3/4 RESIDENTS : 12
24416 7/15/97 7/15/98
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
..n..o�.._---------
:: F RR=Xtabla13.
y yI6
ArELICATICM Vol =TITICATZ OF INSPE=0V KIT ANDERS HOUSE
x , ree isquire�d $ 1�5. 0 0
No Ifes Require
Ia w� Ath the proviaLcme of the Mazeachucat-i State Suilding aede. saCtion
1OB,X,. Aby apply for a Certificate of tnapection for the below-named promise&
the followiug address:
Streu ..md Number: � � , J r
Name of premisea t d4V4 0 Aj 0 4S
'or Which premises is eased: D
z (cs) or Patst(e) Required !or the -Preasaisem by Gs : y .. ,: anaies:
License or h mit
�j c�±�.S �, � ..:ins;.•�w� ��..� �U� -----n.....
Certificate to be issued to: J _ -
Address. d
Amer of Record of Building: _�Irodala&
Address** ., f n L.f®. .,mill�. -tA.—a
Name of Prevent Rolder of CertifiCgce: �1 �, ��.� `
Name of Agent, if anp:
SIGNATURE OF PERSON TO VM MTIFICATZ
IS ISSUED OR HIS AUTRORIM AMMT
INSTRUCTIONS:
I) Make check payable to: TOWN—OF BARNSTABLE
1) FAturn this applLcatlon with .your check to: BUILDING C010aSSIGNER
367 MAIN STMOT, HYANNIS, MA 02601
PLEASE NOTE:
1) Application fors with accompo Tying fee moat be arubmitted for each building or
structure or part thereof tto be aertifisd.
2) Appllu Chia and Cos =s.t bast received before the cerrificaata will be issued.
3) The building offieW s"11 be notified within tau (10) dAye of aaap ehauge in t:
above informscjvn. '
�--EXPIRATION DATE
CE'RTI FT GATE.,i aZ /6 .
r., J The .Town of Barnstable
" Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis Mai 02601
Offica: 508-',90-6227 Ralph Crossen
Fax: 508-790.6230 Building Commis
J
'LEASE FORWARDI ATTACHED PAGE(S) To:
ATTN:
FAX NO! "7ZjZ 7S9 2
FROM:
DATE:
PAGE(S): ,s v (MCLUDING COVER ET)
s
The flown of ar n tabrle
Department df Health Safety and Environmental Services
Building Dimm* *vn
367 Maim Saud,Hymmis MA 02601
OMM: 508-790-6227 Ralph Crmm
Pax: 508-790-6230 Building Cammisaioner
Attached you will find application for Certificate of inspection as nxpiimd by Section
108.IS of the State Budding Cade.
Please complete the application and return to the Budding Commissioner's Office with the
required fee(amount as set on the top right hand corner). The fee has been established by
the State(Section I IS.0) and trust be paid before the Certificate of kspection/Capacity
Card may be issued.
A copy of said Certificate shall be kept posted as specified in Sedan I21.2 of the State
Code.
Sincerely,
Ralph M. Crossen
Building Commissioner
RMC/km
.................................................... -- - .., .. - --
�= The Town of Barnstable
0 A,,�' Department of Health, Safety and Environmental Services
� Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
March 27, 1997
Ms.Lee Canto Kelsey
Commonwealth of Massachusetts
Department of Mental Health
259 North Street
Hyannis,MA 02601
Dear Ms.Kelsey:
Pursuant to Emergency Amendments to the Fifth Edition of the State Building Code//Sections 631,636
and 638 dated December 24, 1996(copy attached),the following properties do not require any inspections
from our office until further notice.
Properties: 1493 Newton Road,Hyannis
357 Main Street,Hyannis 201 Hinckley Road,Hyannis
209 Main Street,Hyannis 148 Sea Street,Hyannis
32 Sea Street,Hyannis 69 South Main Street,Hyannis
800 Bearses Way,Hyannis 225 Main Street,Hyannis
182 Main Street,Hyannis 59 School Street,Hyannis
148 Cedar Street,Hyannis 120 High School Road,Hyannis
59 School Street,Hyannis 15 Sterling Road
270 North Street,Hyannis 270 North Street,Hyannis
209 Old Yarmouth Road 209 Main Street,Hyannis
Founder Court Apt. 720 Main Street,Hyannis
241 Village Market,Hyannis
On the other hand,it appears that the following properties are group residences or limited group
residences and must be inspected as required by the Mass.Building Code. Would you please make
arrangements to complete and return the enclosed applications along with the required fee of$15 for each
group residence. Upon receipt we will send a building inspector to make the inspections.
336 Sea Street,Hyannis -Angel Road Residence(Group Residence)
47 Cedar Street,Hyannis-Sea Winds(Limited Group Residence)
78=P-leasant=Street,=Hyannis=Kit�Anderson=House=(Limited Group Residence)
50 Bent Tree Road,Centerville-Oceanside(Limited Group Residence)
Sincerely,
Ralph M. Crossen
Building Commissioner
Enclosure
d�IKE
. : The Town of Barnstable
BARMADM
i6`9. 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
May 30, 1995
The Kit Anderson House
78 Pleasant Street
Hyannis,MA 02601
Attention: Mr.Kevin Sullivan,Director
On May 30, 1995,I inspected 78 Pleasant Street,Hyannis,MA.
I strongly suggest you have your electrician check the two(2)electrical outlets in front of the
kitchen sink. They should be G.F.I. outlets. (ground fault interrupters).
Approved illuminated signs reading EXIT are needed at the front door,kitchen door,top of front
stairs over hall door opening,door opening at the top of stairs in rear section of the second floor,at the
rear door at the bottom of the stairs and a marked illuminated directional EXIT sign in the hallway to the
laundry room.
Please advise this department for re-inspection.
Truly yours,
Ralph L. Jones
Inspector
RLJ:lb
i _
' COMMONWEALTH OF MASSACHUSETTS
CITY/TOWN OF Barnstable
APPLICATION FOR CERTIFICATE OF INSPECTION
Date q ( /) Fee Required S
( X ) No Fee Required
In accordance with the provisions of the Massachusetts State Building code. Section
108,15, I hereby apply for a Certificate of Inspection for the below-named premises
located at the following address: "
Street and Number: G as 3"w
Name of Premises: Ell ims
Purpose for which premises is used: GNv! 12 Hrhw
License(s) or Permit(s) Required for the Premises by other Governmental Agencies:
License or Permit ANY
d�
Certificate to be Issued
to: 0' Ss a 6 K e
Address: 79 F 83 10 St. `f tp, kE. b,
Owner of Record of Building: c1�r�SU U K WS iU 4 fii iw I�d
Address: O W J }�1l a"41j 61 iia
Name of Present Holder of Certificate:
Name of Agent, if any:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR HIS AUTHORIZED -AGENT
INSTRUCTIONS:
1) Make check payable to: XPMMRWMMDffM NO FEE REQUIRED
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) Appllcatluzi and fee must be received before the certificate will be isuued.
3) The building official shall be notified within ten (10) days of any change in the
above information.
CERTIFICATE I EXPIRATION DATE:
Town of Barnstable
Building Division
200 Main Street
-Hyannis,MA 02601MAS& BARNSTABI,E
039. (508) 862-4038 "$ na ry zfl 5r
573
❑ Inspection Report ❑ Notice of Violation
Business: IAMB 1)D kG kf /1-o L4s€ Date of Inspection: I ).3 Z0
Contact: Info:
Address:7$ 5r /-j' AW Info:
Phone: Info:
Email: Info:
I
During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR,
Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)were noted:
0 N N L (�2'� Section(s): Location:
0 WO 9 PC-I;;r6 Section(s): Location:
_ 0 Section(s): Location:
0 FIA5," FL- C.f&'14ection(s): Location:
Section(s): Location:
0 Section(s): Location:
0 Section(s): Location:
0 Section(s): Location:
0 Section(s): Location:
Action required to abate the above violation(s)you must:
0 None:no violations were observed at the time`of inspection'
Make corrections immediately and contact this office for a follow-up inspection
Re-inspection fee of$ is required and a re-inspection to be requested by business within days.
0 Make corrections prior to your next annual or semi-annual inspection.
0 Property/business owner or owners approved agent contact inspector for consultation
Official/Inspector: Telephone: (50j8)862-4038
Received By: Date: �/Z�
Print Name:
Section 102.6 existing structures-The owner as defined in 780 CMR 2,shall be responsible for.compliance with provisions
of 780 CMR 102.E And,if aggrieved by this notice and order;to show cause as to why you should not be required abate the
violation in this notice,you may file a Notice of Appeal(specifying the grounds thereof with the State Building Code
Appeals Board within (45)days of the receipt of this order and in accordance with MGL a 143§100.
Section 10-%7 Placement of Permi! (041site)
Section i.l.0.3 his.pections Required,
See doo 11 ,7 Periodic firispection (valid Certificate
Section .1.11 J) Certificate of Occupancy
tic�aa 114.1 Occupancy Change Of ITSe
a Section 90131 Testing of flee aas/Spr°i kier• ystern
0 Section 01- Fire Protection Signage
° Section .'1%a iT i'. «i sC$' 04'V SAa #.)a° �
t 1<a �
T 10#s 1 3.
1 esting t _emit cote 'Mei—io Stain°s" ive Es. a p
S�.;Acm 1004.3 �' :$��I ��n t.i �a_ $�aT.a�`caaa�4 ;Unit
sizi ag .
5
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;yet°tios 1010,1, S" ttt 1 to .
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