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Lyndon P. Lorusso Champ Home - Certificates of Inspection
LYNDON P• LORUSSO CHAMP HOUSE IM liOq4lt-, viLim Town ofgarnstabl"e1V1A Ov n�- ram` 'y �N •-� ' W Chapt r 240. 'oning. " �'` � . Artie III. stYrictRgula - 2��,,�-11. RB:-�RAD-hard RF.; e ra; A,« , ate . A . w'4ncipal permute°d uses�The folio andRF-2 Districts. Single-family resdential dwells B. Accessory uses%TThgA I wing use RB, RD-1 and RF-2 Dist�'W (1) Renting of rooms for hot mo `° family residing in a sin le-fami °Ftr The Commonwealth of Massachusetts Town of Barnstable ,.� 2020 ED.MA'�� 'Certificate of Inspection Lyndon P. Lorusso Champ Home Certificate No.. Issued to Adam Burnett Type: Certificate of Inspection IC-19-43 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-258 _ 3/31/2020 in the Town of Barnstable 75 SCHOOL STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 12 Restrictions 12 Bed Group Home 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 4/22/2019 Signature of Municipal Building - Date of Issuance Commissioner 2/28/2019 �x IHE F o� The State of Massachusetts pM ., Town of Barnstable lE0 MA'S a � New and Renewal Certificate of Inspection Application Date 2/28/2019 Fee Required 25.00 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: 75 SCHOOL STREET, HYANNIS Name of Premises: Lyndon P.Lorusso Champ Home Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies- Certificate to be Issued to: Lyndon P. Lorusso Champ Home r Address: d 75 SCHOOL STREET, HYANNIS Telephone: (508)771-0885 Owner of Record of Building: Champ Homes Inc. Address: 82 School Street Hyannis, MA 02601 Name of Present Holder of Certificate: Adam Burnett Owner of Business: Adam Burnett E-Mail: a.burnett@champhomes.org 00 A SIGNATURE OF PERSON TO WHOM CERTIFICATE AW IS ISSUED OR AUTHORIZED AGENT - j 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-19-43 EXPIRATION DATE 3/3 2020 Town of Barnstable nDikti� Building Division , 200 Main Street wASS ` Hyannis, MA 02601 BARNSTABLE Mass. �' 1639' ,0 (508) 862-4038 tl\4 SA41 k A J xV•M dUS MAkFlttG RlS•S4iE E ff43+R STAotE 1630 20_4 M/Inspection Report Notice of Violation Business: Date of Inspection: r Contact: Info: Address: 1 Garlrll SIR ,�ptatNis Info: Phone: Info: Email: Info: 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 `) non. Section(s): Q_� Location: 0 Section(s):A Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s). Location: 0 Section(s): Location: 0 Section(s). Location: 0 Section(s): Location: Action required to abate the above violation(s)you must: 0 None:no violations were observed at the time of inspection [� Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$Wtis required and a re-inspection to be requested by business within 30 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: TXI,11 Telephone: (508)862-4038 Received By: Date: 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 102.6 And,if aggrieved by this notice and order;to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereofi with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§100. Certificate of Inspection Report Ust, Section 1.05. � Permit Suspension or evocat1 n Section 105.7 Placement ofPenrn1t n site,) Section n 1.07.6 Construction Control Section 1.103 Inspections Required 0 Section 1.1.0,7 Per,odic:Inspection (valid ertificat Section 111,0 :erfi11cate of Occupancy 0 Section 11 L5.3 11hace of Assembly Posting of Occupancy 0 Section '114,1 Occiqianey or Change of Use a Section 1.1.6 Unsafe Structure a Section 01.5 Testing f Alarms/Sprinkler System a Section 904.2.2 flood Systern 'tal tc a cc 0 Section 1001.3g:1. Ma1 teaa c :t`.Exterio Stai s1:11re a Section 1001_12 t" sting; ; €•t1 c tc Exterior Stairs/Fire Escape W Section 1.004, PO€ tingot,occul)alicyl.,ilrit, 0 Section 1.005 Nlea s of Egress Sizing Section 1.006 Mumber of Exits and Access Doors a Section 1008 Means ofEgress Illumination a Section 1_910J,91 Door Operation 0 Section 100<1,9A .Hardware (Locks and Latches Section 11111. Stahivays 0 Section 1012 Ramps a Section 1.01.E Exit Signs a Section 101-4 Handrails drall:s a Section 1015 Guards Section.. 1.0 0 E in ergency Escape ...xf' 1`Q-kl�. ,.µ,•..t.,>-r..�,�: ..�..N•�1�+"' .v`a....k:'..� !.!?r°'t,y�,."�,,,.,..�.�:,"�,./1t'-�y!�"._.,,4`.jr i ...kf'..t.:• "�.:.`r'"`�/"f7'�-S'��'1.`y!'i-''^�-'tit".tee'-�:s"t�+..y.•.,�..... - .. CHAMP HOMES C 03/05/2019 ..,Town&Barnstable f - ';f a �� `` � ? 1�2 T6, - Date `,Type ' Reference 3;� �" t "Original Amount, `Balance�Due�� � "`Payment hw �. t X s y �5 S 3Mkt ,r�� ti+ 02/28/201.9 BIII if is 19=43 a �,� = c 2500 25 00 >T fie MOUn y z p C ck A t���� � �` � ��,� �d -� � r� � �25.00 v' t •. V" y;+ r�4.{ " dI �y off. ! cr X�a, 'S' *' ` :: r^,y Y '�.� +i r y+F e` iC-i' .'°�``°, ,.A F '4 M1;}r• rs,',� � v„t". r` a a.M..'5S,t p ,',x a ,rei^. y^ :fP �S;e..'� . 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Ate. - � `�, Mckechnie, Robert From: Mckechnie, Robert Sent: Friday, November 02, 2018 9:05 AM To: 'a.burnett@champhomes.org' Subject: Items needed to satisfy the Annual Inspection Good Morning, This is a list of what is necessary to complete your Annual Building Inspections and issue the Certificate of Inspection for each property: 1.) #75 School Street, Hyannis,the Lyndon P. Lorusso Champ Home: A.) The 5 year Affi om an engineer or architect for the outside stair system.This is quire setts State Building Code 780 CMR Chapter 10 section 1001.3.2. B.) The fir testing report. 2.) #82 School Street, Hyannis,The C amp-Kq #- : A.) Walk thru inspection of facility is required. he 5 Year Affidavit for the new fir escape will be required i 3.) #83 School Street, Hyannis,the Jamie Ready Champ Youth Home: y0465PI A.) The 5 year Affidavit as explained under 1-A above is required. Please have the engineer or architect inspect#75 and#83 and forward the affidavits ASAP so that you will be in . /e , compliance.Also, please email so that we can schedule#82 at your convenience. Thank you. Robert McKechnie Local Inspector Building Department Town of Barnstable 200 Main.Street Hyannis, MA 02601 508-862-4033 r 1 The Commonwealth of Massachusetts �pQ ZHE 1p�y . : Town of Barnstable .,IMST"� 9� 039. 2019 AlfO MAC s Certificate of Inspection Lyndon P. Lorusso Champ Home Certificate No. Issued to Adam Burnett Type: Certificate of Inspection IC-18-44 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-258 3/31/2019 in the Town of Barnstable, 75 SCHOOL STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 12 Restrictions 12 Bed.Group Home 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 Date.of Inspection. 2/28/2019 Signature of Municipal Building Date of Issuance Commissioner 4/1/2018 `"E'°�°� The State of Massachusetts ,faM Town of Barnstable qW New and Renewal Certificate of Inspection Application Date 4/21/2017 Fee Required. 25.00 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: 75 SCHOOL STREET,HYANNIS Name of Premises: Lyndon P. Lorusso Champ Home Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: t �nAovl �;O(Us5o y � Address: 82 School Street Hyannis MA 02601 Telephone: (508)771-0885 Owner of Record of Building: Address: 82 School Street Hyannis MA 02601 8 V Name of Present Certificate Holder: Champ Homes Inc. ,? 0 Name of Agent, if any '� �� fV0'ef3 SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED i, OR AUTHORIZED AGENT PLEASE PRINT NAME Ti"1/ `f�- 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- EXPIRATION DATE so` �aFzMr°w� Town of Barnstable °4 BaUdmg Department t zaaxsrasrE F Brian Florence, CBO Building Commissioner . `rEo � 200 Main Street, Hyannis,MA 02601 www.sawn.b arnsta b l e.m a-us Office: 508-862-403 8 Fax: 508-790-6230 ao D ear Managen Attached please find an application foi the annual Certificate of.Inspection(COI)requited by 780 CMR the Massachusetts State Building Code,.Ninth Edition Chapter 1 -Section 110.7 which reads: 110,7PerdbcYc frzspactsons. The building q#icial rhall iVectperzodicail existing buildings and structures and parts tbereof in accordance with Table 110 entitled Schedule for Periodic Inspections of Exirting Buildings. Such buildings shall not be occupied or continue to be occupied without a valid certificate of inspection. Please complete the application and tetr,tn to the Building Cotntaissionet's Office with the requited fee(amount as set on the top right hand comet);the fee roust be paid before the Certificate of Inspection ma7 be issued. Genetallp periodic inspections ate u n a n n ouaced;howeve*70u map feel free to contact us foz inspection once the application fee is paid. Fot pout convenience,we will be testing etnetgency lights, emit signs to ensute that the batteties and lighting ate functional and malfing sate that the doors work and the emits ate cleat You wiIl need to have any fife.extinguishets, fire alattn`systems and/or Ansel Systems. (stove hood/egt7.nguishat)inspected and tagged and a copy of the technicians reports onsite fot the insp ection. If you would Ike to have pout COI application et ailed please provide an email on the Certificate of Iaspect'toa Application. Sincere , Bti2nFlotence, CBO Building Commissionet Inc The State of Massachusetts P Town of Barnstable w AlFO MA'S a ' New and Renewal Certificate of Inspection Application Date 2/28/2019 Fee Required 25.00 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: 75 SCHOOL STREET, HYANNIS Name of Premises: Lyndon P. Lorusso Champ Home Purpose for which premises is used: License(s)or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Lyndon P. Lorusso Champ Home Address: 75 SCHOOL STREET, HYANNIS Telephone: (508)771-0885 Owner of Record of Building: Champ Homes Inc. Address: 82 School Street Hyannis, MA 02601 Name of Present Holder of Certificate: Adam Burnett Owner of Business: Adam Burnett E-Mail: a.burnett@champhomes.org 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-19-43 EXPIRATION DATE 3/31/2020 �oF1Hery� The State of Massachusetts HAS& 1 Town of Barnstable a � %639• .`0m pTEO MP'�a New and Renewal Certificate of Inspection Application Date 2/28/2019 Fee;Required.25.00 In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,hereby apply fora Certificate of Inspection, for the below-named premises located at the following address: Street and Number: 75 SCHOOL STREET, HYANNIS Name of Premises: Lyndon P. Lorusso Champ Home Purpose for which premises is used: -Licenses)or Permit(s) required for the premises by other governmental agencies Certificate to be Issued to: Lyndon P. Lorusso Champ Home Address: 75 SCHOOL STREET,HYANNIS F Telephone: (508)771-0885 Owner of Record of Building: Champ Homes Inc. Address: 82 School Street Hyannis, MA 02601 Name of Present Holder of Certificate: Adam Burnett. Owner of Business: Adam Burnett - E-Mail: a.burnett@champhomes.org 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. F-OR OFFICE USE ONLY: -ERTIFICATE# TIC-19-43 EXPIRATION DATE 3/31/2020 MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane• Centerville, Massachusetts 02632-1979 • (508)737-8521•mcudilo@comcast.net December 18, 2018 Mr. Brian Florence, Building Commissioner Town of Barnstable 200 Main St. Hyannis, MA 02601 RE: EGRESS INSPECTION: CHAMP HOUSE 75&83 SCHOOL ST. HYANNIS,MA Dear Mr. Florence, Please be advised that the above captioned project has been inspected on various dates to review the egress components and new upper egress deck framing components,and then follow up construction review of the completed work. This office has inspected the rails,balconies,and stairs for structural integrity and safety,and finds them adequate. I trust that the above addresses your needs at the present time. Should you have any question on the above, please do not hesitate to call. d Q ncerel of MAS 0 iJ Sq Michele Cudilo, P.E. �GHE�E GsF,, /2018 95 GVCSURAL mIDA cis, :.. SS ao 1 :, ppTHETQ�,_O Town of Barnstable 200 Main Street Tel. 508 862-4038 s,�nxsr,�szg. ( ) p 163, - TEOMAYa INSPECTION REPORT Permit: Certificate of Inspection Use: Date: 3/9/2018 11:33 AM Inspector: lauzonj Permit Number : TIC-18-44 Name: Champ Homes Inc. Address: 75 SCHOOL STREET, HYANNIS Unit No. Inspection Type Inspection Item Status Comment Certificate of A- Inspection Results NIC FIVE YEAR AFFIDAVIT FROM STRUCTURAL ENGINEER Inspection NEEDED FOR EXTERIOR STAIRS, GUARDS NEEDED FOR UPSTAIRS EXIT, FIRE ALARM REPORT NEEDED Inspection Overall Comment: REINSPECTION REQUIRED Overall Inspection Status: FAILED Re-Inspection Date: 3/9/2018 r _ Inspdctor Signature Owner Signature Total Score: 100 : ._ . ., ., ,The Commonwealth o.f Massachusetts SHE ram,• O� `" .- Town of_ Barnstable 9 ncnss P 2018 TEo:Mx�" Certificate of Inspection .. Lyndon P..Lorusso Champ Home Certificate.No. >' Issued to Mark Adams Type: Certificate of Inspection IC-17-17 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-258 3I1/2018 in the Town of Barnstable 75 SCHOOL STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load ' q 1st= R-4: Residential care/assisted living (16 max) 12 Restrictions 12 Bed Group Home 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 4/20/2017 q Signature of Municipal Building i; Date of Issuance Commissioner 4/20/2017 p �j 0 y ` Ave I�V B�oRno�► 2 {dew �3 CEO - G;, The State of Massachusetts , V __ f6�A Town of Barnstable `O0. ro New and Renewal Certificate of Inspection Application Date 3/5/2018 Fee Required 25.00 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: 75 SCHOOL STREET, HYANNIS Name of Premises: Lyndon P. Lorusso Champ Home Purpose for which premises is used: Licenses) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Lyndon P. Lorusso Champ . y amp Home Address: 75 SCHOOL STREET, HYANNIS Telephone: (508)771-0885 Owner of Record of Building: Champ Homes Inc. Address: 82 School Street Hyannis, MA 02601 Name of Present Holder of Certificate: .AAafk-Adarns Owner of Business: MmtAdams uV�� E-Mail: Mjdaau@xbmphomes.com 0 SIGNATURE OF PERSON TO WHOM CERTIFICATE - 3 � 2 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-18-44 EXPIRATION DATE 3/5 19 The State of Massachusetts Town of Barnstable EDMf� New and Renewal Certificate of Inspection Application Date 2/25/20.16 Fee Required 25.00 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: 75 SCHOOL STREET,HYANNIS Name of Premises: Qyndon-P.-Lor-usso Champ-Home 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: 82 School Street Hyannis MA 02601 Telephone: z5b`B� --27 /— 0C�6$-15- 'rx 20 Owner of Record of Building: Ck?.wYl IP 4otKe.'s i.Q Address: 82 School Street Hyannis MA 02601 Name of Present Certificate Holder: Champ Homes Inc. Name of Agent, if any M A a 14-0 SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED , OR AUTHORIZED AGENT . l L� � rn 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, NIA 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- - $ EXPIRATION DATE /3/1/ 017 � T The Commonwealth of Massachusetts Town of Barnstable �TN� • j 2017 Certificate of Inspection Lyndon P. Lorusso Champ Home Certificate No. Issued to Mark Adams Type: Certificate of Inspection IC-16-38 Identify property address including street number, name, city or town and country,, Certificate Expiration Located at Map/Lot 327-268 3/1/2017 in the Town of Barnstable 75 SCHOOL STREET, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 12 Restrictions 112 Bed Group Home This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been 9 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' P 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 Thomas Perry Date of Inspection 1/1/0001. Signature of Municipal Building Date of Issuance Commissioner : 3/1/2016 i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date Fee Required ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Insp r ection for the below-named premises located at the following address! Street and Number: `? J �G�-�v �d t t Gj c s ✓1 A i Ct Name of Premises: r V 12sVYb rVl.�� 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 bo Issued to: 0,VkQ VY\ ,-Address: —Sch Co p 2- � Telephone: S-00 -- Owner of Record of Building: - A ilh Address: V-\V11 S 11"Cl o D 2 Cep? Name of Present Holder of Certificate: tt c?0 a f ✓1.�=1p� 0 or` Name of Agent, if any: M..AT45, A DAM SIGNATURE OF PERSON TO WHOM CERTIFICATE mau,,/ i 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,20.0 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# ^�C) EXPIRATION DATE: J020115c Town of Barnstable Regulatory Services MAW Richard V.Scali,Director •639` a 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 February 5. 2016 n HOUSING FOR ALL-CORPORATION LYNDON P. LORUSSO CHAMP HOME 75 SCHOOL 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 w Building Commissioner Enclosure TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose; CERTIFICATE NO: 201500688 CANCELLED: MAP: 327 DBA: ILYNDON P. LORUSSO CHAMP HOME PARCEL: F. 258 NAME/MANAGER: IHOUSING FOR ALL CORPORATION STREET: 175 SCHOOL STREET VILLAGE: IHYANNIS STATE: FVA ZIP: 02601- SEQ NO: fl BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: —� STORY1: CAPACITY: USE1: R4 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 12 BED GROUP HOME CAPS: LOC8: CAP2: LOC2: CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAP5: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: m Print This�Screen ' 02/ 2014 03/01/2015 03/01/2016 8ff- err•. Prinb6ertiffcate of.�spectio COMMENTS: The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to HOUSING FOR ALL CORPORATION Certify that I have inspected the premises known,as: LYNDON P.LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201500688 3/1/2015 3/1/2016 3 25 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: 02/10/15 TIME: 10:21 -----------------TOTALS-----'-------`---- PERMIT $ PAID 25.00 ' AMT TENDERED: 25.00.t ' AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 20150068B I PAYMENT METH: CHECK PAYMENT REF: 10398 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date �p f (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 Certif[cate Inspection for the below-named premises located at the following address:' - 2Z CZ) Street and Number: sc-h J ao / "r .1 1n /� Name of Premises: 1� L - s MP Purpose for which premises is used. ` 9-�O to License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency M-DA.?� Certificate to be Issued to: �VoO's1�1�► �y A-U_ COP_P()RATi ry3 Address: I S R � Telephone: 29 / 0 116 Owner of Record of Building: V - -60zi 02A [CA c Address: Z C��/1 f�CJ I S"� ,. 1't �1�1 n l.5 MA, Name of Present Holder of Certificate: . ,(n Pe'z_ cQ 2iO Name of Agent, if any: (Q 4DAVY SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT MARK 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 2)Application and fee must be received before the certificate will be issued. t 3),The building official shall be.notified within ten'(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE#o2O ������ EXPIRATION DATE: I �D J020115a h� Town of Barnstable Regulatory Services ' Richard V.Scali,Director 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 February 4, 2015 HOUSING FOR ALL CORPORATION LYNDON P. LORUSSO CHAMP HOME 75 SCHOOL 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 201401002 CANCELLED: MAP: 327 DBA: ILYNDON P. LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: IHOUSING FOR ALL CORPORATION STREET: 175 SCHOOL STREET VILLAGE: IHYANNIS I STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES I CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R4 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 12 BED GROUP HOME CAPS: LOC8: CAP2: LOC2: CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAPT. LOCI: CAP14: LOC14: INSPEg4ek DATE ISSUED: EXPIRATION: MUM Is tree 5/2013 03/01/2014 03/01/2015 j Rrint Cart fiGa oflns do COMMENTS: The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this M1 CERTIFICATE -OF INSPECTION is issued to HOUSING FOR ALL CORPORATION Certify that I have inspected the premises known as: LYNDON P. LORUSSO CHAMP HOME located at 75 SCHOOL STREET. in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number of persons: x Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map . Parcel 201401002 3/1/2014 3/1/2015 327 258 The building ofcial 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: 02/19/14 TIME: 14:57 , -----------------TOTALS------ - ------ PERMIT $ PAID 25.00 t AMT TENDERED: 25.00 k AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 201401002 PAYMENT METH: CHECK PAYMENT REF: 9989 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 04 ,13) O (X) Fee Required$S2S�a) 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: 7 N Street and Number: 1-7� V>� k)oa, n MA 0!✓&® 1 Name of Premises: 1�� d/1ljL�CJb�1 �, 1��(�-����� }'VV�fI� ttZ2 Purpose for.which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: 4 License or Permit Agency Certificate to be Issued to: Address: - lJ � �"��, . r 1�1/�[ ,l�Ll/0 MA c02-6e® Telephone: 1 00 , —7 5 i Owner of Record of Building: .® ALA M)-y, ca? ,. Address: Name of Present Holder of Certificate: Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE - IS ISSUED OR AUTHORIZED AGENT i to PLEASE PRINT NAME Na� cJ INSTRUCTIONS: 1)Make check payable to:,'TOWN OF_BA_ RNSTABLE. 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 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# l 1 V. EXPIRATION DATE: V J020115c Town of Barnstable Regulatory Services MAWA° Richard V.Scali,Interim Director Sol 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 February 6, 2014 HOUSING FOR ALL CORPORATION LYNDON P. LORUSSO CHAMP HOME, 75 SCHOOL 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. q 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 . ddose, CERTIFICATE NO: 201300973 CANCELLED: 0 MAP: 327 DBA: ILYNDON P. LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: I HOUSING FOR ALL CORPORATION STREET: 175 SCHOOL STREET VILLAGE: IHYANNIS STATE: FWA7 ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES 1 CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R4 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 12 BED GROUP HOME CAP8: LOC8: CAP2- LOC2: CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS:' L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPEC IC`N: DATE ISSUED: EXPIRATION: PrihtfThi��creen o ., 0 9/2012 03/01/2013 03/01/2014 �P.rinfCerti iicate.oflnspection r. COMMENTS: Ol The Commmoubjealtb of 41aq!5aCbU!9ett.5 U1 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5,this CERTIFICATE OF INSPECTION is issued to HOUSING FOR ALL CORPORATION Q�EL'tlfp that I have inspected the premises known as: LYNDON P. LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of. HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel" 201300973 3/1/2013 3/1/2014 32 258 The building official shall be notified within(10) days of any changes in the above information. Building Official .� ! \� PEN IT w . ,� IT PAYMENT RECEIPT ,g TOWN OF BARNSTABL . ( BUILDING DEPARTMENT • } 200 Um S++I \ ƒ\ H ANNIS, m 02601 Uƒ: 0d4]8 TIME: 14j5Nil ` \ PERMIT / 2.00 —-TOTALS- ----- - 5 , . ` ml +mmm: ' 25.00 AI APPLIED: 25.00 \ 4 \ CHANGE: .00 ( \ APPLICATION NUMBER: m]+mq f PAYMENT METH: CHECK ® PAYMENT REF: +3 \ » } COMMONWEAL OFSffUSETTS TO WN O B,k I�' APPLICATION FOR CERTIFICATE OF-INSPECTION - 21013 9, t 11 34 J. Date O a ) O/3 (X) Fee Required $0� No Fee Required In accordance with the provisions of the Massachusetts Statevil SI Ong ode, Section 106.5, I hereby apply for.`a Certificate of Inspection for the below-named premises located at the following address: Street and Number: S Name of Premises:. Purpose for which premises is used:_Th e r� c�.(rU w� •p Wq e 0 License(s) or.Permit(s)required for the premises by other governmental agencies: License or Permit -Aizenc - Certificate to be Issued to: Address: . Telephone: Owner of Record'-of Building: Address: • i ' Name of Present Holder of Certificate: .Name of ent, if any: , �elZ. -14&J SIGNATURE OF PERSON TO WHOM CERTIFICATE . IS ISSUED OR AUTHORIZED AGENT r PLEASE PRINT NAME INSTRUCTIONS: w 1)Make check payable to: .TO WN,OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS,MA 02601 PLEASE NOTE: 'I)Application form with accompanying fee must be submitted.for each building or'structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official.shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY; x CERTIFICATE# 0 ©� EXPIRATION DATE: 1 J ( 1020115a Town of Barnstable 4 Regulatory Services C e� t Thomas F Geiler,Director wd' 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 February 7, 2013 HOUSING FOR ALL CORPORATION h LYNDON P. LORUSSO CHAMP HOME 75 SCHOOL 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 maybe issued. , A copy of said Certificate shall be kept posted'as specified in Section 1.20.5 of the State Code. Sincere) h Y, Tom Perry Building Commissioner. Enclosure r , COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE , APPLICATION FOR CERTIFICATE OF INSPECTION Date. (X) Fee Required jo ( ) No.Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, Lhereby 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 Amy 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: 1020115a TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose CERTIFICATE NO: 201200834 CANCELLED: 0 MAP: 327 DBA: ILYNDON P. LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: IHOUSING FOR ALL-CORPORATION STREET: 75 SCHOOL STREET VILLAGE: JHYANNIS STATE:` . MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES r CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R4 Capacity Under 50: 0 STORY2` CAPACITY: USE2: El Outside Seating. STORY3: CAPACITY: USE3: BY PLACE OF'ASSEMBY OR STRUCTURE CAP1: LOC1; 12 BED,GROUP HOME CAPS: LOC8: CAP2: LOC2: CAPS: LOC9: CAP3: LOC3: CAPtO: LOC10'. CAP4: LOC4: CAP11: LOC11: CAP5: L005: CAP12: LOC12: CAPE: LOC6: CAP13; LOC13: CAP7: LOC7: t CAP14: - LOC14: INSPECTION: DATE ISSUED:. - EXPIRATION:' � ��Print h=5creen 0 03/01/2012 03/01/2013 Print Certificate 9f.IhLion COMMENTS: r. TbC QConMMOnWCa1tb Of j11a!5.gaCbU5ert.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to HOUSING FOR ALL CORPORATION QCerttfp that I have inspected the premises known as: LYNDON P.LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for.the following number of persons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate lssued: Date Certificate Expired: Map Parcel 201200834 3/1/2012 3/1/2013 3 258 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: 02/14/12 . TIME: 09:23 ' t -----------------TOTALS"-- ------------- S' PERMIT $ PAID 25.00 AMT TENDERED: 25.00 , :y AMT APPLIED: 25.00 ' CHANGE: .00 ; APPLICATION NUMBER: 201200834 PAYMENT METH: CHECK 4� PAYMENT REF: 9104 t # s 1 s COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 2 /2,0 / (X) Fee Required $ C25 w ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: _O d a . 1 S 1 v( - ��.(o O Name of Premises: �.©!� U S S- C'. /40 Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agenc P Certificate to be Issued to: " Fr6o 1� Address: � - SG GL.ki k1 1S Ma G / Telephone: �SO"$� / / / 0 ?es- Owner of Record of Building: k, / h r O i^,9-. I a kA Address: 6 / Name of Present Holder of Certificate: � _., t f 2,h �L O 14 Name of Agent, if an I SIGNATURE OF P SON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME 6 t 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: l)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 #CD I ao02:) EXPIRATION DATE: J020115a Town of'Barnstable .Regulatory Services UAW Thomas F Geiler,Director Building.Division - Tom Perry,CBO, Building Commissioner e 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.. Office: 508-862-4038 Fax: 508-790-6230 - February 8; 2012 HOUSING FOR ALL CORPORATION LYNDON P: LORUSSO CHAMP HOME 75 SCHOOL STREET HYANNIS MA 02601. i Attached you will find an application fora 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 08106/01, and must be paid before the Certificate of Inspection/Capacity.Card may be issued. A copy of said Certificate shall be kept posted as specified,in Section 120.5 of the State Code. Sincerely, Tom Perry. Building Commissioner Enclosure. ' r TOWN OF BARNSTABLE INSPECTION WORKSHEET �Glosee CERTIFICATE NO: 201100740 CANCELLED: 0 MAP: 327 DBA: �YNDON P. LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: HOUSING FOR ALL CORPORATION STREET: 175 SCHOOL STREET VILLAGE: HYANNIS STATE: F MA I ZIP: 02601 SEQ NO: BUSINESS TYPE: (GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: U113E1: R4 , � Capacity Under 50: ❑ STORY2: CAPACITY: USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: 9' BY PLACE OF ASSEMBY OR STRUCTURE CAP1: A_l LOC1: .1 BED GROUP HOME CAP8: LOC8: r CAP2 LOC2: f CAP9; ��- LOC9: � CAP3: ---I LOC3: CAP1.0: LOC10: —. CAP4: LOC4: CAP11; LOC1,1: j --, CAP6: ( L005: CAP12: LOC12: CAP6: I LOC6: CAP13: LOC13: I CAP7: H.LOC7: I CAP14: LOC14: f __ INSPECTION: DATE ISSUED: EXPIRATION: PrintThis'Screen 0 03/01/2011 03/01/2012 . P it nt''Certificate of inspection � �` COMMENTS: 1 z I Commoubjeartb- of A' ' ac.5.5ar jugettq TOWN OF BARNSTAB:LE In'accordance with the Massachusetts State Building bode, Section J06.5, this CERTIFICATE OF. INSPECTION is issued to HOUSING FOR ALL CORPORATION 31 QCertf f p that l have inspected the premises known as: LYNDON P. LORUSSO CHAMP HOME located at 75 SCHOOL STREET, in the Village'of HYANNIS County of Barnstable Commonwealth of Massachusetts: Construction Type: Use Group(s): R4 The means of egress are suff cient for the following number,of persons: Location Capacity Location Capacity 12 B.ED GROUP HOME, Certificate.Number:. Date Certificate Issued: Date Certificate Expired: Map Parcel 2.01100740 = 3/1/2011 3/1/20.12 8 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: 02/14/11 TIME: 15:10 ------------------TOTALS---- --- ----- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 201100740 PAYMENT METH: CHECK PAYMENT REF: 8590 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required $ ':s .�0 ( )' No:Fee Required In accordance with the provisions of the Massachusetts-State Building Code, Section 106.51 I hereby apply fora,Certificate of Inspection for the below-named premises located at the following address: Street and Number: Name of Premises: = J Purpose for which remises is used:�[ p 141" p p t_ ��:u-oCl � j �lY�u.�a�.R.� f���' License(s) or Permit(s) required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: 0'sm" 4(L Address: ycl�1Oro Telephone:. O Owner of Record of Building: v�( ✓`. �,/` Address: D2-�0 O Name of Present Holder of CertificateLitu(/14, f7-ro t grin iJ �4 Name of Agent, if any:V SIGNATURE OF PV&SON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINf NAME INSTRUCTIONS: 1)Make check payable to: "TOWN:OF BARNSTABLE = o 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, H ANNIS, 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 bereceived 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 Thomas F Geiler,Director:- 6}P Building Division . Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma. Office: 508-862-4038 Fax: 508-790-6230 February 10, 2011 HOUSING FOR ALL CORPORATION LYNDON P. LORUSSO.CHAMP HOME 75 SCHOOL 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 TOWN OF BARNSTABLE INSPECTION WORKSHEETc�os CERTIFICATE NO: F201000861 CANCELLED: —_� MAP: 327 _� DBA: LYNDON P. LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: HOUSING FOR ALL CORPORATION _— STREET: � SCHOOL STREET VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: Ill BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R4 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: I CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 12 BED GROUP HOME _ CAP5: �__� L005: CAP2: �J I LOC2: —-- ----_----- --- CAP6: �— --, LOC6: -- CAP3. LOC3: CAP7: LOC7: CAP4: LOC4: —_ _ CAPS: LOC8: ----— --_— INSPECTION: DATE ISSUED: EXPIRATION: Print,This,�3creer�4 0 03/01/2010 03/01/2011 P mt Certificate of Ins ection o3 1031r a COMMENTS: Commoubjeartb of Itla.5.5arbu.5ett TOWN OF BARNSTABLE In accordance with the Massachusetts State Building.Code, Section 106.5, this CERTIFICATE OF ,INSPECTION is issued to HOUSING FOR ALL CORPORATION, I QCerttfp that 1 have inspected the.premises known as: LYNDON P.LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means feSress are su�i cientfor thefollowing number of persons:ons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number:.' Date Certificate Issued: Date Certificate Expired: 'Map Parcel . 201000861 3/1/2010 3/172011 327 258 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: 03/01/10 TIME: 12:50 -----------------TOTALS----------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 201000861 PAYMENT METH: CHECK PAYMENT REF: 8173 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 1'7Z ,zo C(7 (X) Fee Required $.2,c.5'—O 6 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: ^/� n Street and Number: COC-600 ( ` ' 1/t,(/�. 5 , V"hl� o22(0 "1 Name of Premises: �Jo►� P, I.�OfUSSO ck4 M? Q✓w Purpose for which premises is used:—T�,e,(',fQji,t G17' sr�b�e-I �J�Q�a('��wle (7(10✓T ' e License(s)or Permit(s)required for the premises by other governmental agencies: r License or Permit AAgenc� a Certificate to be Issued to: 65rvo(-O. ton � G Address: 7C�00 *n 6�y1I� S MA 02b o l Telephone: �� (� �� ���•� hP Owner of Record of Building: ri,` aus- Al or& Aloe a � �o�P Address: hDm'� - G'+��14$ mA o L o f 11 r _ y i '\ l 1 Name of Present Holder of Certificate: Ovs1�q !' 1' Gr-{�0�0.�1,�� f�°�y' �e CTe���* ��Mid kc,4fo b Name of)ent, if any: A.cJ 1 l=-� rk f \ � �X2Cytwo- D,t,,�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# o� 0�g�� EXPIRATION DATE: J020115a Town of Barnstable Regulatory Services Thomas F Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 February 8, 2010 HOUSING FOR ALL CORPORATION LYNDON P. LORUSSO CHAMP HOME 75 SCHOOL 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 co of said Certificate shall b copy a kept posted as specified in Section 120.5 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure TOWN OF BARNSTABLE INSPECTION WORKSHEET ;CMos; CERTIFICATE NO: 1 200900627 CANCELLED: MAP: 327 DBA: ILYNDON P. LORUSSO CHAMP HOME I PARCEL: 258 NAME/MANAGER: IHOUSING FOR ALL CORPORATION STREET: 75 SCHOOL STREET VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: 0 BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R4 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 12 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: otThisScre 03/01/2009 03/01/2010 o aka`+la .�, Pnrit C iflCate of Inspecti n COMMENTS: eorr monWealtb of �.&55arbmatt!5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to HOUSING FOR ALL CORPORATION 31 QCertifp that 1 have inspected the premises known as: LYNDON P. LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200900627 3/l/2009 3/1/2010 327 258 The building official shall be notified within(10) days of any, changes in the above information. Building Official iN PERMIT PAYMENT RECEIPT V- TOWN OF BARNSTABLE - BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 02/18/09 TIME: 10:55 ------------------TOTALS------------------ . PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 ' APPLICATION NUMBER: 200900627 PAYMENT METH: CHECK PAYMENT REF: 7698 C� COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date2l 11 12ooq (X) Fee Required$ zS. o O ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: (� Street and Number: Scko0 S eA �iv1 S M A 2:60 Name of Premises: �AdoA P L.o ,,)5So 1't0.v(1D 1 0�1'12 Purpose for which premises is used �e(`o� License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agenc J� J Certificate to be Issued to: �00S\J1G �0r LrVOCOA1D/) Address: qZ ��Oc �-CeA r tt�(°`h�1\s 1"`V"1 o2�0 J Telephone: - J0 b " 1-- Owner of Record of Building: "0jS I+na ,,r AA C reo f,-J i o (c� n &mn'ts Q /Address:. Z72 �GkoDI c�"�"f2e�, i. MV I 0Zb(7Name of Present Holder of Certificate: Sl rk, �"oC� ':Ij(��r'{)y(ice� 1 D^ �Pck_UjQ�E4 A rn� A 1'5 t ':Jo f Name of Agent, if any:�cw '�, 2bQ• �25 I�'�'1-4- f C E O SIGNATURE OF PERSON TO W41OM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT ��1 •� tt��Qr� 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: J0201ISa Town of Barnstable $ Regulatory Services a "A W Thomas F Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba r n sta bl e.m a. Office: 508-862-4038 Fax: 508-790-6230 February 9, 2009 PAUL E. HEBERT, ADMINISTRATOR LYNDON P. LORUSSO CHAMP HOME 75 SCHOOL 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 dos CERTIFICATE NO: 200800900 CANCELLED: MAP: 327 DBA: ILYNDON P.LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: IPAUL E. HEBERT,ADMINISTRATOR STREET: 175 SCHOOL STREET VILLAGE: JHYANNIS _ STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R4 Capacity Under 50: Cl STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: rI. BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 12 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC6: CAPS: LOC3: CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: €'PrintT,tiis (INSPECTION: DATE ISSUED: EXPIRATION: "Sc reen l 03/01/2008 F03/01/2009 Certificate of,lnspection �'� COMMENTS: E �Yje �Con�n�or� e�Yt�j of Olas�.5arbwe;ett.5 TOWN OF,BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PAUL E.HEBERT, ADMINISTRATOR 3 Certifp that I have inspected the premises known as: .LYNDON P.LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel. 200800900 3/;1/2008 3/1/2009 327 258 The building official shall be notified within(10) days of any changes in the above information. Building Official 4 PERMIT PAYMENT RECE.[P[ TOWN OF BARNSTABLE , BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 02/19/08 TIME: 11 :38 -----------------TOTALS----- - PERMIT $ PAID 25.00 ' AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200800900 PAYMENT METH: CHECK PAYMENT REF: 7243 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE' APPLICATION FOR CERTIFICATE OF INSPECTION Date X) . , Fee Required$Zi5 • 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: O o fit' �, c0 Name of Premises: "1117 ! l/dl • n 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: /_/0Ui U (_ FO2 L 2 '00(Alt Address: fib' ava Telephone: 0 14� Owner of Record of Building / y /�� �`� �(��. /��C7 ALA"n.Q. Address: Name of Present Holder of Certificate: Name of Agent,if any: PCLJ SIGNATURE OF PER ON 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# 9� EXPIRATION DATE: 3 J020115a TOWN OF BARNSTABLE INSPECTION WORKSHEET �os� CERTIFICATE NO: 200700853 CANCELLED: MAP: 327 DBA: LYNDON P.LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: PAUL E. HEBERT,ADMINISTRATOR STREET: 175 SCHOOL STREET VILLAGE: JHYANNIS STATE: MA I ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R4 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: C I. BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 12 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: CAP7: LOCI: CAP4: LOC4: CAP8: LOC8: . INSPECTION: DATE ISSUED: EXPIRATION: :%'Print£ThiS;Screen_ - *22�?a 03/01/2007 03/01/2008 Print:Certificate of Inspection G VA�6 COMMENTS: The Commonweattb of Alam5acbm5ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to PAUL E. HEBERT, ADMINISTRATOR 31 Certifp that I have inspected the premises known as: LYNDON P.LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700853 3/1/2007 3/1/2008 327 258 The building official shall be notified within(10) days of any changes in the above information. Building Official `F� COMMONWEALTH OF MASSACHUSETTS c3t `` `'' ' c TOWN OF BARNSTABLE - APPLICATION FOR CERTIFICATE OF INSPECTION Date —b Vo 7 (X) Fee Required$ . 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: CjC�t ego 7 _7_ /lya �1 , S, �4 o d 6 O Name of Premises: /�.yN d e�1 1 • �O iQL I S $O �J� !�(� �0�l S '� -r Purpose for which premises is used: oZ t ED QI'c u p 1//V q u0—s. / License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc AJ�Tyel Alhryta 4- S M':'N le v- Svs l em S ,�y4AJAJ i S, I i2 k .OP.�rt: Certificate to be Issued to: y>V 00/V 4O R U S So 0 H 6me AP/07 Address: --�` Z5� SC h 00 1 S r, 4,�4 VA)i S, 61& Od 60 Telephone: C)f-Pce — 0 7 7 v 8 8 s - AXVr- S p,9_ 7 71-1 3,9 7 Owner of Record of Building: l/s i Aja Fog AL CIO 5 01`C~3 org Address: aZ Sc�oo� 1 NA)15 6o - , y Name of Present Holder of Certificate: 6'us I Aj L (03'" 6 C 3 or Name of ent, if any: 41 E, lie, �J er F 1 `4`' i m i S Tv /d/— SIGNATURE OF PERSON TO WHtiM CERTIFICATE IS PUED OR AUTHORIZED AGENT. u j E. Ile bert: A d n*n ) Tor- PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. . 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE#�i O O 7,212 EXPIRATION DATE: 7020115a TOWN OF BARNSTABLE INSPECTION WORKSHEET !i s CERTIFICATE NO: 74808 CANCELLED: MAP: F3Z77 DBA: ILYNDON P. LORUSSO CHAMP HOME I PARCEL: 258 NAME/MANAGER: PAUL E. HEBERT,ADMINISTRATOR STREET: 175 SCHOOL STREET VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1� BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R4 Capacity Under 50: r STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: r. BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 12 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Frnt Thi S peen 03/01/2006 03/01/2007 ,Print Certificate of Inspection 0��aa/a6 COMMENTS: The Commoubjealtb of Aa.5.qatbu.5ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PAUL E. HEBERT, ADMINISTRATOR 3 Ctrtifp that I have inspected the premises known as: LYNDON P.LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County ofBarnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 74808 3/1/2006 3/1/2007 327 258 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 (X) Fee Required$ ZS`. C9 -� ( ) 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: .J G'T10 d J �rC C� Al A/1-5 Name of Premises: DIV P o e U S o Purpose for which premises is used: f 6b-.O 6'la-ulp #OAfN License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency i�olJ� Certificate to be Issued to: R411 •G, f� Q CJ ERT' ro -s T/ /4�M i At t S��'�d.-D t Address: 0 o p eE • 5 '= Telephone: �0 0* - -77!- 00 d s t Owner of Record of Building: Ab4s;,iG -Fo— k L 1 ��" • M N ---Address: 0 A S 0O1 �/. 2AJA?(S aZb e �4r1 r , -- Name of Present Holder of Certificate: 4U) E► l/e d e rT h iO4 i A11 s !- Tr Name if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHO ED/ AGENT PA vl '. !�?r"r 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# 'O Q EXPIRATION DATE: �'///Q J020115a x TOWN OF BARNSTABLE INSPECTION WORKSHEET Clos_ CERTIFICATE NO: 74808 CANCELLED: MAP: 327 DBA: ILYNDON P. LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: PAUL E. HEBERT,ADMINISTRATOR STREET: 175 SCHOOL STREET VILLAGE: JHYANNIS STATE: MA I ZIP: 02601- SEQ NO: BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R4 Capacity Under 50: STORY2: CAPACITY: USE2: rl STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 12 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: I CAP4: LOC4: CAPS: LOC8: Prm Tt his`Screen, INSPECTION: DATE ISSUED: EXPIRATION: a6-2/- 1-2-©94-+ 03/01/2005 03/01/2006 P r.��^� Print Certificate of IInspectim COMM NTS: f, TO Commouweacftb of Aq.5.5arbuqettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PAUL E. HEBERT, ADMINISTRATOR 3 Certify that I have inspected the premises known as: LYNDON P.LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number of persons: Location Capacity Location . Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 74808 3/l/2005 3/l/2006 327 258 The building official shall be notified within(10)days of any changes in the above information. _ Building Official a� COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date Os _ (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: `� St 00L S Te t T, /JIVj�WAI i s Name of Premises: YN D, #flm"Cr Purpose for which premises is used: F License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency M N oar 1✓ /�ON1c Certificate to be Issued to: Pu/ �. 4 e� 4,DA,Aj15Tf_A1 o2, AQSIM4 - Address: -���1 OOL_ iS Telephone: 6�0 *" —7 7/- 3� P Owner of Record of Building: bus I N e Fo 12 4 4,L ���j�a J,one �0/ (0.)(3 e'eAgPr- Address: 00 L. 57 Nil, 1 S" /�� 0 ��0 s�I� I& Name of Present Holder of Certificate: u) j6:, y'Fa iy: 4 j9mo Al i sTra,- or Name of Agent,if any: 1347 S/Pi ,e — if)Jpf i'ye J0er3©jy 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# ' �g EXPIRATION DATE:_ J020115a TOWN OF BARNSTABLE INSPECTION WORKSHEET ci s CERTIFICATE NO: 74808 CANCELLED: MAP: 327 DBA: ILYNDON P. LORUSSO CHAMP HOME PARCEL: 258 NAME/MANAGER: IPAUL E. HEBERT,ADMINISTRATOR STREET: 175 SCHOOL STREET VILLAGE: JHYANNIS STATE: F MA ZIP: 02601- SEQ NO: 0 BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R4 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: . BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 12 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC& CAPS: LOC3: CAP7: LOCI. CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: ,Print This Screen t" 03/01/2004 03/01/2005 .print,Certificate of Inspection COMMENTS: i 3` The CommonWea ftb of j.ar.5.qa rbu.5ettz TOWN OF BARNSTABLE ' In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to _ PAUL E. HEBERT, ADMINISTRATOR QLertifp that I have inspected the premises known as: LYNDON P.LORUSSO CHAMP HOME located at 75 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R4 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity 12 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 74808 3/l/2004 3/l/2005 327 258 The building official shall be notified within(10) days of any changes in the above information. ti Building Official COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION `��/0 (X) Fee Required$d-J� C9 C7 Date / y ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: SG A e o S Tye e el- 0 4 f 3 s31 7 Pa-y-ee i . a7,,5 9 Name of Premises: /rya/dog 4)�'+�.� Purpose for which premises is used: /94 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A_gg ncyc Certificate to be Issued to: I4of ACC eefr 4`a is'77-&T✓' Address: `7.� Gi co e�e e r /`7 ',� N A19 S . /t'I Telephone: Yoe- 7 7`- 0 (d Mize) Owner of Record of Building: Address: 0 C� �� k c c+j Td2e e /���}N�lli$ M4 o 4 4 U/ Naq}e of Present Holder of Certificate: New Rf'/kc arou Name of Agent,if any: Vo f e k, l" Ke AJ ro 4 4!f 4 ';►-M ZAi (3v qrd SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT tuf 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# 7 `� `� EXPIRATION DATE: j/��� OFIKE� Town of Barnstable &MMSfABLE, Regulatory Services i6;9. 10� ArFo �s Thomas F. Geiler, Director Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 MEMORANDUM TO: File FROM: L. Barry DATE: 2/18/04 RE: Lyndon P. Lorusso Champ Home 75 School Street, Hyannis Received a.Certificate of Inspection application and $25 fee for a therapeutic group home at 75 School Street(new application) along with his application and fee for the Jamie Ready Champ Group Home at 83 School Street. Tom Perry reviewed the 75 School Street file and approved issuing a COI for a 12 bed therapeutic group home at 75 School Street, Use Group R4. Ib5` Z_ " F__ Z57 60' DIE:- Champ Homes of Cape Cod - �- _ --- -- - � 20c�v>✓ �. 1 New Housing for the Homeless located at 75 School Street, Hyannis, Massachusetts ( ----- . . z 51ol--y lPT.Pcf ni : I NG Map 327, Book 258 MS, Medical Services 1~�Slbr-rtTI.&L_ aL1�,G 1 117 Waterfront Historic District Building Program: 2 Person Sleeping rooms located on two floors: o C�(JS`u e>✓ Dtt�11NG �{�U. Zz-, 5�11 S � �; 1 floor for men, 1 floor for women. ----- Kitchenette: Counter, base/wall cabinetry, sink, refrigerator, microwave oven.;' -- Toilets pet- code N 550 zl , 361, W Z555. (51 ' Social Area - - -- -- Basement: Mechanical, Clothes Washer and Dryer, Meeting Room, Stcrage. -- ------- ------ ilding Code Analysis: — Use: Residential, R-2, Dormitory Construction Type VB: Height: 40' (+20' with sprinkler) i o Floor Area: 7,000 $F per floor (+200% with sprinkler) 2 Number of Stories: 2 (+1 story with sprinkler) Fire Separations (assume building wide automatic sprinkler system): Fire Separation between Sleeping Rooms: 1/2 hour - Fire Separation between Sleeping Rooms and Atrium: 1 hour Fire Separation at Stair: 112 hour Exterior Wall rating 10 ft to 30 ft: 0 hours Plumbing Fixture .Count: Toilets: 1 per 6 females, 1 per 8 males (urinals 33%) Lavatories: 1 per 8 persons ' Showers: 1 per 8 persons - - Service Sinks: 1 per floor Means of Egress: 2 Exits per floor --— J Stair clear width 48" 36" if less than 50 occupants) S ( Loads and Structure: - - - -— s Private Rooms and Corridors serving them: 40 psf live load - — ' T+uorz�N Public. Rooms anu Corridori serving them: -psf luve load 2- PGA �o` " � Ground Snow Load: 35 psf - Basic Wind Speed: 120 M — Surface Roughness Category: B ( oN °N ur_1 Q Exposure Category: B sTaiR Wind-borne Debris Region: Yes _ --_ — - - — — — — Flood Zone: NA — — I I ural Access Board Re 'rem nts: I G �- Architect qui e Building Category: Transient Lodging Facilities { U PPE tZ A`j. L J �a C,Ip.L iZ0©F I ! l_— CAVED Common Use and Public areas to be accessible 0 --ate -ra r3� ovv A��A_ _ _ � ,� Elevator not required: I 0 �. 0 t.� _ SUGiAL Aft I _�DY+G Less than 3 stories/accessible spaces on an accessible floor 0 A � 0 Sleeping Rooms: 5% accessible but not less than 1 to z 0 Group 2B Toilet Room requiredacc. 6�-r I 4� << Buildings with 5 to 25 Sleeping Rooms: 1 Sleeping Room with accommodations for the deaf/hard of hearing IN 'TyPl-�l- 1 i LL j I z L Chain Hones of Cape Cod e �, �� � c , � ��OT_t p 1 _ SCALE: �L -NOTE p APPROVED 8Y: DRAWN BY �7 New Housingfor the Homeless located at DATE: REVISED AKRO ASSOCIATES ARCHITECTS 75 School Street, Hyannis , Massachusetts VTel. Eastview Terrace, Marstons Mills, MA 02648 DRAWING NUMBER and Fax: 508-419-1217 I o� 1 15 07