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Champ Home #1-O'Neill - Certificates of Inspection
CHAMP HOME #1 Q'NEILL fit-. ba per � I I� �I II i J i °F VE.A - The Commonwealth of Massachusetts Town of Barnstable • ,u NSTAR a •' 9 16590 � 2020 Certificate of Inspection Champ Home #1-O'Neill Certificate No. Issued to Adam Burnett Type: Certificate of Inspection IC-18-39 Identify property address including street number, name, city or town and country Certificate Expiration Located at Ma ILot 327-239-002 3/31/2020, p in the Town of Barnstable 82 SCHOOL STREET, HYANNIS s Allowable Occupant Load Location Use Group Classification p 1st 1-1: Assisted living, group hom es, hal fway houses 17 2nd 1-1: Assisted living, group homes, halfway houses 20 Restrictions 17 First Floor 20 Second,Floor 37 Total 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 4/19/2019 Signature of Municipal Building Date of Issuance Commissioner 4/1 912 0 1 9 Ir The Commonwealth of Massachusetts Town of Barnstable 2020 D MAY Certificate of Inspection Champ Home #1-0'Neill Certificate No. Issued to Adam Burnett Type: Certificate of Inspection IC-19-93 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-239-002 3/31/2020 in the Town of Barnstable 82 SCHOOL STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st I-1: Assisted living, group homes, halfway houses 17 2nd 1-1: Assisted living, group homes, halfway houses 20 Restrictions 17 First floor 20 Second Floor 37 Total 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 4/22/2019. r o� The State-of 1 assach usettEs Town of Barnstable rED Mfg 6 New and Renewal .Certificate of Inspection Application 'Date 3)26/201 feOtequired 85.00 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: 82 SCHOOL STREET,HYANNIS Name,ofRremises: ,Chawp..,Hame.#1-O'Neal Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: 'Certrf cate-to be issued to: 0 amp Home�f1 t1`RTei`)f r , n - Address: 82 SCHOOL STREET,HYANNIS "s .. Telephone: (508)771-0885 Owner of Record of Building: Champ Homes Inc. Address: 82 School Street Hyannis, MA 02601 zaa iN n,e p P A4am:8�t M r owner af.Business: Adai&Burnett co E-Mail: a.burnett@champhomes.org dS 41SWE0 611 AUT44"TZ1bAQtkt lop ppOD PLEASE PRINT NAME 1 Make check payable to: T6V OF B4RfST _E I 2)Return this application with your check to: BCITLDING COMMISSIONER,200 MAW 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,,t1R_QFF.LGE 11SF�NVu: CERTIFICATE# TIC- -39 EXPIRATION DATE 2/26 119 `CHAMP HOMES INCH ' <- .N) _ ', ; ,` t'' * •� x `j Frkt»ram ,``s _. ,i t t §",'• •f x°VI,: - fil r? �= µ; •.r' 141M20i9: ,TOWnYOf I arnSfabf@ 01 � i Qti 121 PA 1�6# ri +.,5 t ,.y x "'y," '• .R 5� ,,.,• t '^r �t Date ;'Type :,� Reference ,. ` :s Y Original Amount Balance Due ' „Payment ,04/02/2019 Bill TIC-18-39 ', µ'me { $5 OO y � }85 00 Check Amount *{ > a' ' c Cyv#�x�f s. �, �` t +v �f�'.sa, �?.�?" 'C �.;N.�'� i {fir. 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'S; ;},�'a�.,� �:� 3�jt•a �.,. _ �§.�- :. �:Je-"t n s � i � � y �'s` b $4•-.§ 7 a �v1:r l .;>„x�''` q::� r* a.a .r.- z� i "v.ix....J � sh � �a,. rd'�"�'+;� � +. #i.�} .fit #y 't ,r .^rt• ��'i�`�t't d . � -,`tt� � �tat�T��� •�,. �" i � ' ��;j7 E +:' e .•µ: ya r.}:-$' tic}} -..rt -- It ;` ^ a `; yA°1':uy „y; '�' i.'+`" -4=".: q'+yt`';'' -u4 �y ,s :E : � - `3 a y� �.. � '�%Fi'- - �¢r�z n � ,�� }pn ,� y � ,� a` � b-M� '�`;*'fi�'w� rx'S,;`� � �.'�",f�" • r fir'*#i'j .`: �s c.{�s�+ �._"- r�.+,�t^".�. i �• � ,.++ -a ,t,�� 42°, �'"# a •.�� r,... ..fib `# a V ^ �aL�+ +i,�,v � � .t,e C x,3 e,�y' ? �• b r a' § h£� w �`* ;.y s ..$ a sk, .'.�{. "sir a�,tK�+ = r.. t k � f, �,' z �` �e �' .' � r•� `'� $� � �, Asa�s *°�'�, Y• �� dank opera oFtMe Town of Barnstable Building Division 200 Main Street BA "B Hyannis,MA 0260i BARNSTABI,E. 4> M .� (508) 862-4038 q ^ tta rs wee cet+trrc.c,arutr•xrxnrau MAFSTOYi.uRtS�05?E:i'.:lE!itES?tAkYSfAIXE ATFD MA'S a ,,� 16 201 4 dinspection Report Notice of Violation Business: Date of Inspection: Contact: f l r, Info: Address: S a` SC�0O\ S�Rze�.RL444 Info: Phone: Info: Email: Info: During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR, Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)were noted: 0 \ (Z� Section(s): q01. Location: 0 Section(s): Location: 0 Section(s): � Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: Action required to abate the above violation(s)you must: 0 None:no violations were observed at the time of inspection [� Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$W 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: j�� •� b'ckj � Telephone: 508 862-4038 Received By: 4�&MK7&zup/.� 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 thereoj)with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§100. a'il ,ertificate of Inspection Report List Section 1.115.E Permit Suspension or Revocation * Section 105.7 P'Me l a . ' n (Oil e) Section 107.6 Consta•"etion.. Control Section 11. g5 Inspections Required Section 110.7 Periodic inspection (valid Certificate) Section 11 LO Certificate of "Icee"Panc Section 1.1:1s53 111<ace of Assembly Posting of Occupancy 0 Section 1 M A Occupancy or Change of Ulse 0 Section I1.5m0 Step NN"o °k Order 0 Section 11.E (,;nS afv Structure 0 section 901a5 Testing ofAl s/Sprl akle ystern Section 901.9 Fire Protection Signage 0 Section Sty ,12 :nsuSystern Q Section 10 1 3.1. Nfiaintenance of Exterior Stairs/Fire 0 'Section 10, "13. Testing/ ;e °t fic to Exterior t irs/ 'ire 1~uscap Section *10,043 Posting of Occupancy Limit Section 1.005 N,1eaa s of Eoress Sizing • Section 1.00E Number of Exits and Access Doors • Section 1008 Me ais of Egress 111unlin ti as 0 Section 101,0,1,9. Door Operation • Section 1 1 .L9A Hardware (Locks and Utc es • Section 1.011 LV) Panic Hardware (A or E > 50 Section 1012 Ramps e Section 10.13 xit: Signs 0 Section 15 Guards Section .1030 Emerge aaek :sc a e �'..n.d:..�Jr._ ,� + �Z. 1,,. ,...e..�-4--.-ti'}J! .1'�•�'' +,�.fr;. '""ry�:}''""� ., 1C,_ �.�.�'4!`�`��"'.,�5't. .•-``t,,....�.; ..;.� ,."..,,�.,,_. .t�', f The State of Massachusetts i Town of,Barnstable 5 . 6 9. ED MAY New and Renewal Certificate of Inspection Application Date 6/8/2017 Fee Required 85.00� 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: 82 SCHOOL STREET,HYANNIS Name of Premises: Champ Home#1 Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: Certificate to be Issued to: Champ Home#1 Address: 82 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: Mark Adams Name of Agent,if any Mark Adams E-Mail: madams@champhomes.org SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT Lars kK ADkm 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-17-151 EXPIRATION DATE 7/27/2018 i 0 i �' The. Commonwealth of Massachusetts . - �� Town of Barnstable 2018 TfOMJI{s Certificate of Inspection Champ Home #1 " Certificate No. Issued to Mark Adams Type: Certificate of Inspection " IC-17-151 Identify property address including street number, name, city or town and country Certifica xpiration Located at Map/Lot 327-239-002 7/2712018 in the Town of Barnstable 82 SCHOOL STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st 1-1: Assisted living, group homes, halfway houses 17 2nd 1-1: Assisted living, group homes, halfway houses 20 Restrictions 17 First Floor 20 Second Floor 37 Total 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 6/2Q/2Q17. i Signature of Municipal Building , - Date of Issuance Commissioner 7/27/2017 A)Ol� ,mot s fP 7- 01 5l ti r" r The State of Massachusetts , p Town of Barnstable New and Renewal certifi:cate,.of Inspection: Application Date 2s" RSB 3 1 Fee Required 85.00 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: 82 SCHOOL STREET,HYANNIS - Name of Premises: Champ Home#1 Purpose for which premises is used: License(s)or'Permit(s)required for the,premises'by other govemmental agencies: Certificate to be Issued to: Champ Home#1 01 /y E t'A— Address: 82 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: Mark-AeFwm 16&ate Owner of Business: 1�5 I�r�av� g V r y\e_ ' - -Mail: r,1�+-� aw. hu vow 5. o O c:V SIGNATURE OF PERSON TO WHOM CERTIFICATE L- _ A IS ISSUED OR AUTHORIZED AGENT a - - - _ - 03 � T M PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNS�BLE 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 fe-e4nust be received:before the certificate wi i be issued. 3)The building official shall be notified.within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: - . CERTIFICATE 4 TIC-18-39 EXPIRATION DATE 2/26 19 �r - The' Commonwealtl of Massachusetts OF tHE lO, T Town of Barnstable "9 - 2017 Certificate of Inspection _ Champ Home #1 Certificate No. Issued to Mark Adams Type- Certificate of Inspection 1C-16-161 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-239-002 7/27/2017 in the Town of Barnstable 82 SCHOOL STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st n 1-1: Assisted living; group homes, halfway houses 17 2nd I-1: Assisted living, group homes, halfway houses 20 Restrictions 17 First Floor 20 Second Floor 37 Total 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 6/28/2016 Signature of Municipal Building Date of Issuance Commissioner 7/27/2016 f F a, 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 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 2- SC_'I Oc> -, Name of Premises: VA)6 Purpose for which premises is used: Vr eo OP . License(s)or Permit(s)required for the premises by other governmental agencies: r3W DING License or Permit rA "c018 tl STAR�� Certificate to be Issued to: P 40ates Address: ';2— JGhc>oj -)4 gCQ Cf.r-O ( 5 , 1 v�Q... 02-` 0 1 _ 4 ' Telephone: ? — C I$75- E X 20 Owner of Record of Building: 0.1wam E-+OAA�' _5 G• " Address: 6 Name of Present Holder of Certificate: �ko ost V r- Au, (fop, A Name of Agent,if any: PLEASE PROVIDE EMAIL: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT We are now able to email the certificate to you. PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE , 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must.be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE EXPIRATION DATE: J020115c The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 110.7, this CERTIFICATE OF INSPECTION is issued to . HOUSING FOR ALL CORP. Certify that I have inspected the premises known as: CHAMP HOME#1 located at 82 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type:" Use Group(s): The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity FIRST FLOOR 17 SECOND FLOOR 20 TOTAL 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201503708 7/27/2015 7/27/2016 327 239002 The building official shall be notified within(10) days of any changes in the above information. Building Official PERMIT. PAYMENT RECEIPT TOWN OF BARNSTABLE BUIVDING DEPARTMENT V00fMAIN STREET HYA NIS, MA 02601 DAT ;, 06/16/15 ' TIME: • 11 -08 apxl -----1`---------TOTALS----- -- -°---- PERMIT :$ PAID , 85.00'� AMT, TENDERED: 85.00 AMT APPLIED: 85.00 CHANGE:, .00 APPLICATION NUMBER: 201503708 PAYMENT METH: CHECK PAYMENT REF: 10534 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date _�p/g�/ _ (X) Fee Required$ 2 5 ( } No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: Z Sc-h OCR l 5 , Name of Premises: E S G11L1.)4- 6 Purpose for which premises is used: VKA-L;lp tA0a) License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc Certificate to be Issued to: (a (n - i/\)C�o -Address: CLAVIV) is i(Ylct , 02-60 f Telephone: Owner of Record of Building: C VkA VY\ P CtQ(Y)eS A) C 1 Address: 2-- 56100 1 5� (1AP 1 Y1 (S. OZCoo 1 Name of Present Holder of Certificate: �(3tDS(Y\- Ate— C P /if, In 2,m- P 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.. T3)The building official shall be notified within ten(10)days of any change in the above information: FOR OFFICE USE ONLY: CERTIFICATE# O hI EXPIRATION DATE: -67 J020115c TOWN OF BARNSTABLE INSPECTION WORKSHEET Close CERTIFICATE NO: 201503708 CANCELLED: MAP: 327 DBA: ICHAMP HOME#1 PARCEL: 239002 NAME/MANAGER: IHOUSING FOR ALL CORP. STREET: 182 SCHOOL STREET VILLAGE: JHYANNIS STATE:, MA ZIP: 02601 SEQ NO: 0 BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: 17 USE1: I 1 Capacity Under 50: ❑ STORY2: CAPACITY: 20 USE2: STORY3: CAPACITY: USE3: Outside Seating: El BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 17 LOC1: FIRST FLOOR CAPS: LOC8: CAP2: 20 LOC2: SECOND FLOOR CAP9: LOC9: CAP3: 37 LOC3: TOTAL CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAP7: LOCT. CAP14: LOC14: INSPEC ION: DATE ISSUED: EXPIRATION: t?rintltll$ re _ 06 /2014 07/27/2015 07/27/2016 17,D D j µ'P,r c rtifc a l s ct a' COMMENTS: F i 9 , f TOWN OF BARNSTABLE INSPECTION WORKSHEET Close CERTIFICATE NO: 1 201403885 CANCELLED: MAP: 327 DBA: ICHAMP HOME#1 1 PARCEL: 239002 NAME/MANAGER: IHOUSING FOR ALL CORP. STREET: 182 SCHOOL STREET VILLAGE: JHYANNIS I STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: 17 USE1: 11 Capacity Under 50: ❑ STORY2: CAPACITY: 20 USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 17 LOC1: FIRST FLOOR CAPS: LOC8: CAP2: 20 LOC2: SECOND FLOOR CAP9: LOC9: CAP3: 37 LOC3: TOTAL CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP 7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Print This Sgree_ 07/ 013 1 07/27/2014 07/27/2015 Print Certificate f Ins ecUan r- COMMENTS: F 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 CORP: Certify that I have inspected the premises known as: CHAMP HOME#1 . located at 82 SCHOOL STREET in the Village 6f HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): 1-1 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity FIRST FLOOR 17 SECOND FLOOR 20, TOTAL 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201403885 .7/27/2014 7/27/2015 32 , 239002. 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: 06/13/14 TIME: 10:46 __ g -----------------TOTALS---------- PERMIT $ PAID 85.00 AMT TENDERED: 85.00 AMT CHANGE: 85.0000 �4 APPLICATION NUMBER: 201403885 ; PAYMENT METH: CHECK PAYMENT REF: 10136 + t. y COMMONWEALTH OF.MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date . 1 (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: il)l 119— 61e"A ( 141/a j,6m.4-� 1 v 1A 024aO It I If Name of Premises: �L� ��[�; . 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: `^ 32 2"" d7 ._ Address: � L �/S Telephone: ��' '77l• OlJ�� .,,, %_ e� p Owner of Record of Building: r Address: Name of Present Holder of Certificate: AIA Name of Agent, if any: _7 SIGNA U N TO ICATE IS ISSUED OR AUTHORIZED AGENT I" jf s 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. 1 "CERTIFICATE# C�O 1 V� EXPIRATION DATE: �" J020115a TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 201304387 CANCELLED: MAP: 327 DBA: ICHAMP HOME#1 1 PARCEL: F 239002 NAME/MANAGER: HOUSING FOR ALL CORP. STREET: 82 SCHOOL STREET VILLAGE: JHYANNIS STATE: MA ZIP: 02601 SEQ NO: 1 0 ❑ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: 17 USE1: I-1 Capacity Under 50: ❑ STORY2: CAPACITY: 20 USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP': 17 LOC1: FIRST FLOOR CAP8: LOC8: CAP2: 20 LOC2: SECOND FLOOR CAP9: LOC9: CAP3: 37 LOC3: TOTAL - CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: P.cint;�hisSCrQen 06/ I2011 07/27/2013 07/27/2014 PrintCertifcate of In'spectiorr ' COMMENTS': V 1 �Yje �omcn�flb�eYtYj Hof � ��cc�ju�ett� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to HOUSING FOR ALL CORP. �( (Urtffp that 1 have inspected the premises known as: CHAMP HOME#1 located at 82 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-1 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity FIRST FLOOR 17 SECOND FLOOR 20 TOTAL 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201304387 7/27/2013 7/27/2014 327 239002 The building official shall be notified within(10) days of any changes in the above information. Building Official R; PERMIT PAYMENT RECEIPT TOWNJOF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE`: 07/02/13 TIME: 09:53 -----------------TOTALS----- �"-y`------ PERMIT $ PAID 85.00 AMT TENDERED: 85.00 AMT CHANGE: 85.0000 APPLICATION NUMBER: 201304387 PAYMENT METH: CHECK PAYMENT REF: 9725 c i t . Y e ,• - 'l 4 ' ! r.�•k � . I� �yE �� €' � C�p' 4 _ '"iv - .�,� .,: a r�.' � la l ,r'� W a,� ,"'^9 � 4 �_g,� � ;t lsa,1U.� ��•� ��4��� � k COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date CAVV_. o� -�0�3 (X) Fee Required$ J ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number. D 2- 3c koo 15 qan o is Q (PQ l Name of Premises:- VYI. by✓� I Purpose for which premises is used: '1716-e-r OL tPe-L c.- Licenses) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency L�v j4��2 C► 'f-i Oven rH oyt we-t?,M ®cc ma5i5; SAS Certificate to be Issued to: &70 /-17c• (e_ elojP_ /-g¢-Ion Address: V__ SOhcol 154. (a Gina/ 02--"'O Telephone: '5708 7 -09 Owner of Record of Building: �(Oy S f r�� �� �✓ �[�02�p�' eo/� Address: Name of Present Holder of Certificate: 400E V- O C� N ao Name of Agent, if any: (L S i e—ToR" �5 e_ " o-7q . n SIGNATURE OFPERSON 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 b-e issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY:2, CERTIFICATE# C�0 ✓D EXPIRATION DATE: V f J020115a The CommoubveaYtb of ftlm;oarbuatt.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 CORP. Q�EI'�[fp that 1 have inspected the premises known as: CHAMP HOME#1 located at 82 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: ` Use Group(s): I-1 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity FIRST FLOOR 17 SECOND FLOOR 20 TOTAL 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Ma Parcel 201103005 7/27/2011 7/27/2013 2 239 02 The building official shall be notified within(10) days of any A changes in the above information. Building Official I .. PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 06/08/11 TIME: 09:05 ------------------ TOTALS------------ PERMIT $ PAID 85.00 a : AMT TENDERED: 85.00 AMT CHANGEPLIED: 85.00 APPLICATION NUMBER: 201103005 PAYMENT METH: CHECK PAYMENT REF: 8734 f COMMONWEALTH OF MASSACHUSETTS til" TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION , Date X Fee Re p •�wired B ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply fora Certificate of' Inspection for the below-named premises located at the following address: Street and Number: Q o� JG S / tt r S 0' O Name of Premises: A4 f /V D (J d '/v2.� /� U Purpose for which premises is used: ' Q License(s) or Permit(s)required for the premises by other governmental agencies: O CO 03 License or Permit A enc in Certificate to be Issued to: we-lell C55—U Oa 51m . l d V_ , Address: SG�-rnJ ` t-1` . r d�-lo O Telephone: Owner of Record of Building: �/7iG[ f 0— C-0 I-AD 0 0-'be h Sa/ c 3 ax- X:� �e mt Address: JG J 0 tkl G Name of Present Holder of Certificate: 2_r Name of Agent, if any: SIGNATURE OF PtRSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT N ME 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# ,��20 ` EXPIRATION DATE: 0+� 1020115a �. 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CO E occupancy shall include buildings, structures or generally incapable of self-preservation due to parts thereof housing more than 16 persons,on a security measures not under the occupants' control. 24-hour basis, who because of age, mental This group shall include,but not be limited to,the disability or other reasons, live in a supervised following: residential environment thatprovidespersonal care (1) Prisons services. The occupants are capable of responding (2) .Tails to an emergency situation without physical (3) Reformatories assistance from staff, except as modified by the (4) Detention centers provisions of 780 CMR 4.00,Specialized Detailed (5) Correctional centers v Requirements Based on Use and Occupancy. This (6) Prerelease centers group shall include, but not be limited to, the uildings of Group I-3 shall be classified as one of following: the occupancy conditions indicated in 780 CMR (1) Residential board and care facilities 3 8.4.1 through 308.4.5(See 780 CMR 408.1). (2) Halfway houses 308.4.1 Condition 1. This occupancy condition (3) Group homes except as otherwise identified shall include buildings in which free movement is (4) Congregate care facilities allowed from sleeping areas, and other spaces (5) Social rehabilitation facilities where access or occupancy is permitted, to the (6) Alcohol and drug centers exterior via means of egress without restraint. A (7) Convalescent facilities Condition 1 facility is permitted to be constructed Except as modified by the provisions of 780 CMR as Group R. 4.00,Specialized Detailed Requirements Based on 308.4.2 Condition 2. This occupancy condition Use and Occupancy, a facility such as the above shall include buildings in which free movement is with five or fewer persons shall otherwise be classified as a Residential Use Group and allowed from sleeping areas and any other appropriately classified, in accordance with occupied smoke compartment to one or more other smoke compartments. Egress to the exterior impeded by locked exits. 308.3 Group 1-2. Except as modified by the 308.4.3 Condition 3. This occupancy condition provisions of 780 CMR Chapter 4, Specialized shall include buildings in which free movement is Detailed Requirements Based on Use and allowed within individual smoke compartments, Occupancy,this occupancy shall include buildings such as within a residential unit comprised of and structures used for medical, surgical, individual sleeping units and group activity psychiatric,nursing or custodial care on a 24-hour spaces, where egress is impeded by remote- basis of more than five persons who are not controlled release of means'of egress from such a capable of self-preservation. This group shall smoke compartment to another smoke include,but not be limited to,the following: compartment. (1) Hospitals 308.4.4 Condition 4. This occupancy condition (2) Nursing homes (both intermediate-care shall include buildings in which free movement is facilities and skilled nursing facilities) restricted from an occupied space. Remote- (4) Detoxification facilities(3) Mental hospitals controlled release is provided to permit movement from sleeping units, activity spaces and other Except as modified by the provisions of 780 CMR occupied areas within the smoke compartment to 4.00,Specialized Detailed Requirements Based on other smoke compartments. Use and Occupancy, a facility such as the above with five or fewerpersons shall be classified as a -308.4.5 Condition 5. This occupancy condition Residential Use Group and appropriately classified, shall include buildings in which free movement is in accordance with 780 CMR. restricted from an occupied space. Staff- controlled manual release is provided to permit 308.3.1 Child Care Facility. A child care facility movement from sleeping units,activity spaces and (not a Day Care Center)that provides care on a other occupied areas within the smoke 24-hour basis to more than five children two compartment to other smoke compartments. years and nine months of age or less shall be classified as Group 1-2. Note however,that the 308.5 Group 1-4, Day Care Center. This group express Special Use and Occupancy shall include buildings and structures occupied by requirements of 780 CMR 422.0,for Day Care persons of two years none months or younger who Center occupancies shall override the general receive custodial care for less than 24 hours by requirements.and limitations of E and I USE individuals other than parents or guardians, 308.4 Group I-3. This occupancy shall include relatives by blood, marriage or adoption, and in a place other than the home of the person cared for. buildings and structures that are inhabited by more places of worship during religious functions are not than five persons who are under restraint or security. included. Note, that the express Special Use and An I-3 facility is occupied by persons who are Occupancy requirements of 780 CMR 422.0,for 60 780 CMR-Seventh Edition 8/22/08 (Effective 9/1/08) TOWN OF BARNSTABLE INSPECTION WORKSHEET Close, CERTIFICATE NO: 201103005 CANCELLED: MAP: 327 DBA: ICHAMP HOME#1 PARCEL: F239002 NAME/MANAGER: IHOUSING FOR ALL CORP. STREET: 82 SCHOOL STREET VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: 17 USE1: 11 Capacity Under 50: STORY2: CAPACITY: 20 USE2: Outside Seating: El CAPACITY: USE3: g: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 17 LOC1: FIRST FLOOR CAP8: LOC8: CAP2: 20 LOC2: SECOND FL OR CAP9 - LOC9: CAP3: 37 LOC3: TOTAL CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: ' CAP-, F:1 LOC7: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Ptint'TW S reeM, z 07/27/2011 07/27/2013 �_ ��_ �1 PriPt�Certificate of,ir�spection �f COMMENTS: - . I TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 200902688 CANCELLED: 0 MAP: 327 DBA: ICHAMP HOME#1 1 PARCEL: 239002 NAME/MANAGER: IHOUSING FOR ALL CORP. STREET: 182 SCHOOL STREET VILLAGE: HYANNIS STATE: FMA I ZIP: 02601- SEQ NO: BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: 17 USE1: I-1 Capacity Under 50: r STORY2: CAPACITY: 20 USE2: STORY3: CAPACITY: USE3: Outside Seating: ti BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 17 LOCI: IFIRST FLOOR CAPS: I L005: CAP2: 20 LOC2: SECOND FLOOR CAP6: LOC6: CAP3: 37 LOC3: TOTAL CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Print This Screen" �. : 07/27/2009 07/27/2011s r Pint Qertificate of inspects n COMMENTS: TO Commonbiraltb of ,-ff1o.5.5arbu.5ett,5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to HOUSING FOR ALL CORP. 31 Cerfifp that I have inspected the premises known as: CHAMP HOME#1 located at 82 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-1 The means of egress are sufficient for the following number of persons: Location Capacity Location n Capacity FIRST FLOOR 17 SECOND FLOOR 20 TOTAL 37 Certificate Number:. Date Certificate Issued: Date Certificate Expired: Map Parcel 200902688 7/27/2009 7/27/2011 327 239002 The building official shall be notified within (10)days of any changes in the above information. v Building Official r 4 PERMIT PAYMENT RECEIPT -r�►.T°� `� TOWNIOF BARNSTABLE r, BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 06/15/09 TIME:. 13:07 -----------------TOTALS ..--------------- PERMIT $ PAID 85.00 w AMT TENDERED: 85.00 AMT APPLIED: 85.00 CHANGE: .00 APPLICATION NUMBER: 200902688 PAYMENT METH: CHECK PAYMENT REF: 7844 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ FS • 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: SC A 0.1 , J ✓P_e ) /7yg�✓N f��� /yf/� C3 i� �b� Name of Premises: 7� //doyF / Purpose for which premises is used: / `l el-2L re � �v�r' C3�o tit.. License(s)or Permit(s)required for the premises by other governmental agencies: T License or Permit AA ~eva5o_ b+c a-re --4 1rwAwoAj L-lj �ovl,�,lz��z�'7� �� iyli S�Sp��✓se1/'� Certificate io be Iss e to: -0 ,� �1 I Czi Flar47 I VAJ O {x. N Ad ems: SC, � f�U � Sr le-e AlA/1 oalol Telephone: 7 q/— O g g - Owner 66Reco-of Buil 'ng: ©U S��% , 4%'O�a 11 0&1 Address: G c o r'... � '���c T N i's Name of Present Holder of Certificate: 116 U',S"i G " f o Name of nt, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT uI �- J- ele-.,rT 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# v?-oZ�9 �o� ��� EXPIRATION DATE: J020115a TOWN OF BARNSTABLE INSPECTION WORKSHEET cros CERTIFICATE NO: 200703968 CANCELLED: MAP: 327 r DBA: ICHAMP HOME#1 1 PARCEL: 239002 NAME/MANAGER: HOUSING FOR ALL CORP. STREET: 182 SCHOOL STREET VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: 17 USE1: I-1 Capacity Under 50: {J STORY2: CAPACITY: 1 20 USE2: STORY3: CAPACITY: USE3: Outside Seating: r. BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 17 LOC1: FIRST FLOOR CAPS: L005: CA02: 20 LOC2: SECOND FLOOR CAPE: LOC6: CAP3: 37 LOC3: TOTAL CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: TScreen INSPECTION: DATE ISSUED:. EXPIRATION: Print, his �9s 07/27/2007 07/27/2009 �-7 :;Pnnt,Gedificate-of�lns101 pection COMMENTS: a�f The Commoubjealtb of j+1a,55arbU.5ett,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 CORP. 3 Certifp that I have inspected the premises known as: CHAMP HOME#1 located at 82 SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): I-1 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity FIRST FLOOR 17 SECOND FLOOR 20 TOTAL 37 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200703968 7/27/2007 7/27/2009 327 239002 The building official shall be notified within(10) days of any changes in the above information. Building Off cial i s a•,�,�Q to ,.. P r ,a ,y{^�t 'fr+, ri ri,.ir.° %• .:R:yr. ��:y1 '.Ott ry a PNh1 iA 7 ,�£ 85 00- Ai TEER ° `85 00 e C.H E 'AP LCATION'NUMBER: 200703968 PAYMENT METIA = CHECK PAYMENT'REF, {;,�, ;` 6923 �� ,: COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date O b Lo (X) Fee Required$ ( ) 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: `J ' . ' 1144O 2-(0 AO 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: 0_0 US 1 P(z v 2- C o r2 ACC o tJ Address: d L J C-N--e ,,A, J 11-,-x-J- i(/(4 02 (010 c � Telephone: a.7-7 1 — d $ Owner of Record of Building: _�AOU:S i u (_ FO f_ AU— Address: x Z .TI ` / Name of Present Holder of Certificate: Name of A if SIG ATURE OF PERSON TO WHOM CERTIFICATE N d IS ISSUED OR AUTHORIZED AGENT o '0 X Pa.Lji C. l-�e� erT �es:dw fE-Xc e�T:�c �D�r��T� PLEASE PRINT NAME r- co INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 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 07 3 7 4S EXPIRATION DATE: ]020115a TOWN OF BARNSTABLE INSPECTION WORKSHEETcios CERTIFICATE NO: 39856 CANCELLED: MAP: 327 DBA: ICHAMP HOME#1 PARCEL: NAME/MANAGER: IHOUSING FOR ALL CORP. STREET: 182 SCHOOL STREET VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: CAPACITY: 17 USE1: I-1 Capacity Under 50: STORY2: CAPACITY: 20 USE2: STORY3: CAPACITY: USE3: Outside Seating: + BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 17 LOC1: FIRST FLOOR CAPS: L005: CAP2: 20 LOC2: SECOND FLOOR CAP6: LOC6: CAP3: 37 LOC3: TOTAL CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Pint=This'Scree 07/27/2007 a a J/ w Print,Certificafe of Inspection � COMMENTS: TOWN OF BARNSTABLE INSPECTION WORKSHEET �� CERTIFICATE NO: 39856 CANCELLED:. MAP: F30 DBA: ICHAMP HOME#1 1 PARCEL: 240 NAME/MANAGER: IHOUSING FOR ALL CORP. STREET: 182 SCHOOL STREET VILLAGE: JHYANNIS � STATE: FWA ZIP: 02601- SEQ NO: 10 BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: 17 USE1: 1-1 Capacity Under 50: STORY2: CAPACITY: 20 USE2: STORY3: CAPACITY: USE3: Outside Seating: : BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 17 LOC1: FIRST FLOOR CAPS: L005: CAP2: 20 LOC2: SECOND FLOOR CAPE: LOC6: CAP3: 37 LOC3: TOTAL CAP7: LOCI: CAP4: LOC4: CAP& LOC8: INSPECTION: DATE ISSUED: EXPIRATION: El — , .This Screen 0 07/27/2003 07/27/2005 �, ... !? nth Gerifieat�oftnspectinn COMMENTS: Oj / oFtNKE Town of Barnstable STABLE, : Regulatory Services 039. ,•� � Thomas F. Geiler,Director ,eTEp��p 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: Champ House ATTN: OJ FAX NO: 508 778 6425 FROM: Lois Barry DATE: 8/19/03 " PAGE(S): _(including cover sheet) a _ Town of Barnstable Regulatory Services 9BAMMAM IE� Thomas F. Geiler,Director �A 1639. ♦0 rEc►��° Building Division Tom Perry Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 - Fax: 508-790-6230 August 19, 2003 Re: Certificate of Inspection SECOND REQUEST 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): s 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 120.5.2 of the State Code. 3 Sincerely, Tom Perry Building Commissioner r sure Enclo . v i a e jcoilet I COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ .9.r d G> ( ) 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 Apenc Certificate to be Issued to: Address: Telephone: Owner of Record of Building: 1 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. r 3)The building official shall be notified within ten(10)days of any change in the above information. CERTIFICATE# EXPIRATION DATE: J020115a T he 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 PAUL&CAROLYN HEBERT, CO-DIR. Certify that I have inspected the premises known as: CHAMP HOUSE located at 82 SCHOOL 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 I-1 FIRST FLOOR 17 SECOND FLOOR 20 TOTAL 37 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 39856 7/27/2001 7/27/2003 50icial 240 The building official shall be notified within(10)days of any changes in the above information Bui in of i ram, ` COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date Jung 2 7 - 9 n_p 1 (X) Fee Required$ 7 5-- o 0 ( ) No Fe Required quired 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: 82 School Street , Hyannis, MA 02601 Name of Premises: CHAMP HOUSE PROGRAMS/HOUSING FOR ALL CORP. Purpose for which premises is used: MULTIGENERATIONAL THERAPEUTIC COMMUNITY HOME License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate for use of elevator Comm. of Mass . , Dept. of Public Safety Inspection of Sprinkler & Alarm Systems Hyannis Fire Dept. Certificate to be Issued to: HOUSING FOR ALL CORP./CHAMP HOUSE Address: 82 School St . , Hyannis, MA 02601 Telephone: 508-771-0885 Owner of Record of Building: HOUSING FOR ALL CORPORATION Address: 82 School Street, Hyanni, MA Q2601 Name of Present Holder of Certificate: Paul & Carolyn Hebert, Co—Dir. Name of Agent,if any: Paul & Carolyn Hebert, Co—Dir . Cam-O S GNATURE OW PERSON TO'WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT Paul E. Hebert, Pres ./CEO 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# 0 7 EXPIRATION DATE: -7 SPR Agenda08/31/2000 Site Plan Review Meeting Will Be Held August 24, 2000 9:00 A M 2nd Floor Hearing Room A STAFF MEETING WILL BE HELD FROM 8:30- 9:00 A.M. AGENDA 9:00 AM SPR 131-00 Dr. Cormac Coyle, 421 W main St.,Hyannis (R269-119 & 221) Proposal: Applicant seeks approval to establish an office, lab, conference room and basement storage area at this location. Landscaping and drainage improvements are also proposed. SPR 130-00 Gateway Country Store, 132 Iyannough Rd., Hy (311-092) Proposal: Applicant seeks to establish a retail store in former Piece Goods facility. Small classes and training sessions are proposed. SPR 124-00 New Jerusalem Tabernacle of God's Disciples 210 Yarmouth Road, Hyannis (R328-148) Proposal: Continued from 8/17/00. Pastor Abraham seeks approval to establish a church at this location. (New Jerusalem has occupied this location for approximately 6 months.) INFORMAL I 6-00. Champ House, 82 School Street,Hyannis (R327-239-002) Paul Hebert, President & CEO of Champ House seeks advice on the proposed expansion of this non-profit entity that provides a family environment for homeless youths and adults. Proposal includes the acquisition of two properties across the street. q/building/wpfiles/siteplan/site2000sa000810 Barry Lois From: Giangregorio Robin To: Anderson Pat; Barry Lois; Bill, Doug; Burgmann Bob; Crossen Ralph; Cullinan Sheila; Dunning Jerry; Etsten Jackie; Gatewood Rob; Geiler Tom; Gillis Jack; Klimm, John; Mackey Patty; Maloney Kathy; Maples Beth; McKean Thomas; Mullen, Tom; Palmer Dave; Pisch Steven; Ritchie Carol-Ann; Saad Dale; Smith Robert; Traczyk Art; Urenas Gloria; Weil Ruth Subject: Informal hearing -Champ House Date: Monday, August 28, 2000 11:OOAM <<File Attachment: SA000831.DOC>> Please be advised that Paul Hebert of Champ House has not submitted a plan for review but would like to discuss the feasibility of an expansion proposal and obtain feed back from the panel members. I do have a 14 minute video explaining the origin and purpose of Champ House. Anyone interested in viewing this may contact me directly at X4027. I will also photocopy the section of the zoning map that pertains to this property for the convenience of the panel on Thursday. J + Page 1 The Commonbica ltb of '41aooa rbuoetto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to PAUL&CAROLYN HEBERT, CO-DIR. I (tertifp that I have inspected the premises known as: CHAMP HOUSE located at 82 SCHOOL 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 I-1 FIRST FLOOR 17 SECOND FLOOR 20 TOTAL 37 39856 7/27/99 7/27/01 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 r� 6�C ROCrrnS� � 1 s 7/7/99 'r Ralph, Re: Champ House, 82 School Street, Hyannis Paul & Carolyn Hebert,Directors '7 v 771-0885 Do we need a COI? What use group? I imagine it would be the same as Angel House. Multi-generational group home. Free-standing private,nonprofit organization. Not a shelter or transient housing. Average stay is 6 months. All survival capable. (Some in wheel chairs), 24 hour supervision, usually 2-3 staff over-night. Youngest is 17, no upper age limit, both male and female. Various problems, emotional,physical, medical, about 1/3 former drug and alcohol abuse. No family support. Residents have a program, are expected to work,volunteer, go to school, depending on the situation. 12 single rooms 2 three-bedroom units 7 two-bedroom units 1 prayer room There are two stories plus the basement(which contains office, kitchen, dining room, laundry, boiler room, storage room, but no sleeping rooms) They-would=likeleapacity for-z35ipeople-if possible He=has floor diagr=s he ean-givetto inspector I imagine you will want Ralph Jones to inspect for capacity before we send application and request fee, right? L) v Gu-p j990707b TFIE srns�,gn m . The Town of Barnstable snaiv 9� 1639. MAM �0 Department of Health, Safety and Environmental Services prEDNlo►'�� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner CERTIFICATE OF INSPECTION CAPACITY INSPECTION DBA LOCATION ✓/��' OWNER USE CAPACITY&FEE Z&, .Y ✓ r INSPECTOR DATE OF INSPECTION -141 �2!�q� J990125a Law+4E , 601L>EA LAVNOt Et!vrie! `" UNIUAWrEP - w,cwlwE , ..� too" ACTIVITY Li occicE; sTb2A4E - z A CARP! Sax Exit Plan - Basement J �Sewkl,t ( tom, mr WOM t� ROOM b ROOM 7 WO►n A Room , EXIT It ROOM S OOM ; 1 p'.zoom 3 Room 2 LOUN6f Waft Exit Plan - Fira, Floor -u_;g r `YJ MORN/StRU6E - Pvu- swnvt� 9 � q E xT%N 6.h er.Qc�.t ?4'qcc1A - 1 .�✓ t �� -- A��+113 L�tJ C�PiTURw 0 l �� MHGNE71C, c�n t4iL�t P "Roman �- � , _ UM 6 A. --- Cl ae, �✓4 , .r- sa room Z2 ruc*4FCLGVATO :S gp RtMH 2T. :►IT Xl T IF; 9 J' Zoom ob ROOwt �7L et�onl �L _ ROOM S ROOK ii -As CY. p • - _ d Floor rY fiy �a - Ht sr�:fir� j Exit Plan S e n r:. ap 1 49 - � - IItNN'vl�lClHi(`P� Ks /! s J+cwcts �Z µ T��6 s .i7s,N 3� 7 7- COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION JULY 16,1999 Date (X) Fee Required$ 7.Y- 0 � ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number. 82 SCHOOL STREET, HYANNI S,MA Name of Premises: qH"W ,}jOUSE '.PROGRAM..57HpU5 I'NG FOR, A-L ,CORP o Purpose.for which premises is used:' MIJLTTGFWPKATIONAL,, THERAPEUTIC .COMMUNITY .HOME License(s)or Permit(s)required for the premises by other govenimental agencies: License or Permit Agency c cQMm, 9 _SS i PEPTt PUBLIC SAFETY INSPECTi'QN, Q SPINN L'ER A ALARM• 'SY,STEMS 44WI S :E.M.F nFPT, Certificate to be Issued to: HQUS I'NG . R. ALL CORP ORAT I ON7CHAMP HOUSE Address: 82 .SCHOq�; ;STREET. , HYANNJS, MA ` 02601 Telephone: 508-.77-1,,0885 QR 778-6425. Owner of Record of Building: SOUSING FOR ALL ,CORPORATION, 82 SCHpO� sTREE�, HY(ANN,I$, MA 02601. Address: Name of Present Holder of Certificate: CONYALESCENfi. CENTER `RAM" A D �CAROL;YN I EPFRT,. ,CO _DIREcTQR Name ent,if any: EIGNATI.JRE OF PERSO.' Tv. Iv r 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 EXPIRATION DATE:— .. .. INE The Town of Barnstable sniwsrns�, �0�' Department of Health, Safety and Environmental Services 9.'OTED NIA' " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner July 14, 1999 Mr. & Mrs. Paul Hebert Directors Champ House 82 School Street Hyannis, MA 02601 Dear Mr and Mrs. Hebert: 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 in the amount of$75 (2-year certificate). The fee has been established by the State (Table 106) and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5.2 of the State Code. Sincerely, Ralph M. Crossen Building Commissioner RMC/lbn Enclosure 7/7/99 l Ralph, V( y Re: Champ House, 82 School Street, Hyannis Paul & Carolyn Hebert, Directors 771-0885 Do we need a COI? What use group? I imagine it would be the same as Angel House. Multi-generational group home. Free-standing private,nonprofit organization. Not a shelter or transient housing. Average stay is 6 months. All survival capable. (Some in wheel chairs), 24 hour supervision, usually 2-3 staff over-night. Youngest is 17, no upper age limit,both male and female. Various problems, emotional,physical, medical, about 1/3 former drug and alcohol abuse. No family support. Residents have a program, are expected to work, volunteer, go to school, depending on the situation. 12 single rooms 2 three-bedroom units 7 two-bedroom units 1 prayer room There are two stories plus the basement(which contains office, kitchen, dining room, laundry, boiler room, storage room, but no sleeping rooms) They would like capacity for 35 people if possible He has floor diagrams he can give to inspector. I imagine you will want Ralph Jones to inspect for capacity before we send application and request fee, right? j990707b Champ House David Gaylord, Manager 771-0885 Will be permanent at 82 School Street at the end of July. Theraputic Community Home, multigenerational, ages 17-70, male and female. Former nursing home. Some rooms-two to a room, some three to a room, some singles. They plan to have a maximum of 30. He said the nursing home had maximum of 44. Do we need a COI? What use group? j970716b 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE.MASSACHUSETTS STATE BUILDING CODE Radioactive materials fire separation assemblies. Sensitizers 9. Cleaning establishments which utilize a ! Toxic materials liquid solvent having a flash point at or above 200°F(93-C). 307.7 .Multiple hazards: All buildings and 10. Liquor stores and distributors without bulk structures containing a material or materials storage. representing hazards that are classified in one or 11. Refrigeration systems. more of Use Groups H-1,H-2,H-3 and H-4, shall 12. The storage or utilization of materials for conform to the code requiremems for each of the use agricultural purposes on the premises. groups so classified. 13. Stationary batteries utilized for facility emergency power, uninterrupted power 307.8 Exceptions: The following shall not be supply or telecommunication facilities classified in Use Group H,but shall be classified in provided that the batteries are provided with the use group which they most nearly resemble. safety venting caps and ventilation is High-hazard materials of any quantity shall conform provided in accordance with the mechanical to the requirements of 780 CMR, including code listed in Appendix A. 780 CMR 417.0,and the fire prevention code listed 14. Corrosives: irritants and sensitizers shall not in Appendix A. include personal or household products in 1. All buildings and structures which contain their original packaging used in retail display not more than the exempt quantities of high- or commonly used building materials. hazard materials as shown in Tables 307.8(1) 1S. Buildings and structures occupied for aerosol and 307.8(2)provided that such buildings are manufacturing or storage shall be classified maintained in accordance with the fire as Use Group F-1 or S-1,provided that such prevention code listed in Appendix A. buildings conform to the requirements of 2. Buildings utilizing control areas in NFi?A 30 and the fire prevention code listed accordance with 780 CMR 417.2 which in Appendix A. contain not more than the exempt quantities of high-hazard materials as shown in Tables 780 CMR 30RO 1NS1TT[TIIONAL USE 307.8 1 and 307.8(2). OGROUPS 3. Buildings and structures occupied for the 308.1 General: All structures in which people storage of 10,000 or more vehicle tires suffering from physical limitations because of health weighing approximately 25 pounds (I I kg) or age are harbored for medical or other care or each, provided that such buildings are treatment,or in which people are detained for penal equipped throughout with an automatic or correction purposes,or in which the liberty of the sprinkler system in accordance with inmates is restricted, shall be classified as Use 780 CMR 906.2.1. Group I-1,I-2 or W.The term"Use Group I"shall 4. Buildings and structures occupied for the include Use Groups 1-1,I-2 and I-3. application of flammable finishes, provided that such buildings or areas conform to the 308.2 Use Grou 1-1: ept as modified by the requirements of 780 CMR 419.0 and NfiPA provisions of 78 4, Special Use and 33, NFLPA 34 and the fire prevention code Occupancy, this use group shall include buildings /listed in Appendix A. and structures which house six or more individuals 5. Rooms containing flammable liquids in who, because of age, mental disability or other tightly closed containers of 1-gallon capacity reasons. must live in a mpervised environment but (0.0038 m) or less for retail sale or private who are physically capable of responding to an utilization on the premises and in quantities emergency situation without personal assistance. not exceeding two gallons per square foot wept as specified othuwise by the regairenuws (0.082 m'/m2)of room area. of 780 C1 R 4,Special Use and Occupancy, where 6. Retail paint salesrooms with quantities of accommodating persons of the above description, Paint not exceeding two-gallons per square the following types of facilities shall be classified as foot(0.082 m'/m)of room area I-1 facilities, board and care facilities, half-way 7. Closed systems housing flammable or houses,group homes,social rehabilitation facilities, combustible liquids or gases utilized for the alcohol and drug centers and convalescent facilities. operation of machinery or equipment. A facility such as the above with five or less S. Cleaning establishments which utilize occupants shall be classified as a residential use combustible liquid solvents having a flash group. point of 140°F (60°C) or higher in closed systems employing equipment listed by an 3083 Use Group 1-2:This use group shall include approved testing agency, provided that this buildings and structures used for medical, surgical, occupancy is separated from all other areas of psychiatric, nursing or custodial care on a 24-hour the building by one-hour fireresistance rated basis of six or more persons who are not capable of 54 780 CMR-Sixth Edition 217197 (Effective 2128/97) i n+e rq The Town of Barnstable EMANUMM � Department of Health Safety and Environmental Services riro " Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner May 2, 1997 Paul Hebert,President/Director Champ House 82 School Street Hyannis,MA 02601 Re: 82 School Street,Hynnis Dear Mr.Hebert: Purchasing 82 School Street for a permanent location of your facility works just fine. We will need to do a yearly inspection after you pass papers. Call me to arrange all this after your closing. Best of luck. Sincerely, Ralph M.Crossen Building Commissioner RMC/km a CHAMP HOUSE 14 MAIN STREET I HYANNIS,MA 02601-3132 c11,�M1• 1 II IIOI1S13 (508) 771-0885 - Champ House 82 School Street, Hyannis, MA 02601 Mr. Ralph Crossen Building Commissioner Town of Barnstable Hyannis , MA Dear Mr. Crossen, Things are going well at 82 School Street and it appears that it would be less expensive to purchase 82 School Street than to rebuild at 14 Main Street. The purchase and sale agreement is ready but we need your approval for us to remain here permanently before signing the agreement . I have attached your temporary approval letter. We continue to have therapy as our primary emphasis as attached. Thank you for your assistance. At your convenience I look forward to discussing some improvements to the mechanical systems and your advice for rehabilitation of the facility. Respectfully, 1 Hebert A Multi Generational Group Home Non-Profit Tax Exempt 501(c)3) Printed on Recycled Paper CHAMP HOUSE r Nf*P+STREET ---' -- ` HYANNIS,MA 02601-3132 CRAMP II Paul&Carolyn Hebert Office 508-771-0885 III►IISF, Co-Directors Home 508-778-0568 Fax 508-771.1278 N1 r. 362 za n ' (�L'1.�,✓� �✓`ill' /�J�t � .W Ilii«// `. r y A Multi Generational Group Home Non-Profit Tax Exempt 501(c)3) Printed on Recycled Paper l CHAMP THERAPEUTIC APPROACH Champ House Adolescent Program and Adult Program, are designed to address physical , emotional or mental health issues, learning and educational concerns, A We firmly believe that any assistance given an individual will be truly beneficial , long lasting and effective if offered in a supportive and inclusive environment. Champ House Programs are lived out in the family model which allows each member of the Program to feel equal within the family unit. Major components of daily life at Champ House are feeling wanted , respected, nurtured and loved. Unlike programs that give status for longevity or capabilities, the Champ Program attempts to provide a sense of security and belonging equally to all Program Residents. Since many residents were deprived of basic family care and support it is imperative that a sense of family ties and nurturing be recreated. The family environment created at Champ House is further supported by a wide range of outside agencies and organizations that offer specialized treatments for physical , mental , emotional , educational and career needs . In conjunction with the assistance and support given by Champ House the resident has every possible chance to enhance the benefits received from outside treatments , therapies and assistance. Ultimately, Champ House's Therapeutic Approach is to sustain the individual in a healthy environment of family living with responsibilities and to benefit from the support to become happy, productive and fully human. JQev�cuJad J 99G TOWN OF BARNSTABLE T E 'xM:-P ,O R -A R Y h In accordance with the Massachusetts State Building Code,Section 120.0, this,,: n "CERTIFICATE.OF USEAND OCCUPANCY is issued to ' Paul Hebert (gerl'f�that l haveinspected the -,Bu11 ing, known as C•H.A.M P. , located at 14 East 'Main St. Lin ,Vi1l'age.of Barnstable County of Barnstable" , ComtnFonwealth of Massachusetts. The building is hereby certified toxbe m compliance . Kith the Basic Code and for the purpose'stated below. .,, US CROUP Group`Res;idence ; s. a 19.. FIRE GRADING" 1 Hr• f "OCCUPANCY LOAD December 1,8, 199a. ji Date Certificate Issued, s. Building Ojf era! .The building official shall be notified of any changes in the above information. COMMONWEALTH OF MASSACHUSETTS _ CI-TY/TOWN OF AAKAU7,4131-e APPLICATION FOR CERTIFICATE OF INSPECTION ` .Date ( ) Fee Required (Amount ) No. Fee Required In accordance -with the provisions of the Massachusetts .State Building Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for the below-named premises located at the following address : Street and Number �.¢s7� /;*.w E7 0dl60 Name of Premises ovSiN For All �' ,064 �• rL1.� D . P u 6 � Purpose for Which remises is Used �,�-o✓ e r oAfS s.. License( s ) or Permit ( s ) Required for the Premises by Other Governmental Agencies : License ..or Permit C_4;/dQ Agency / Certificate to be Issued to _ Dv ;cur Address /y �• �/'/�iN ST ba G u1�, h(d,�.�: Owner of Record _.f Building'- b 5;� lI r Address C- /ylltlA/ 57- tS oAzn Y . Name of Present Holder of Certifi to �V Nam Agent ; if any /✓c SIGNATURE OF PERSON TO WHOM TITLE _ CERTIFICATE IS ISSUED OR HIS / 9 AUTHORIZED AGENT F / DATE INSTRUCTIONS : 1) . Make check payable to : 2) Return this application with your check to : PLEASE NOTE: 1) Application form with accompanying fee must be submitted for each build- ing or structure or part thereof to be certified. 2) Application and fee must be received before the certificate will be issued 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: FORM SBCC-3-74 i i COMMONWEALTH OF MASSACHUSETTS OFFICE FOR CHILDREN SUBSTITUTE CARE LICENSINIG PROGRAM FIRE INSPECTION REPORT This is to certify that COMMUNITY HOMES FOR ADOLESCENT MENTOR PROGRAM (CHAMP) Name of Facility located at 14 Main Street, Hyannis, MA 02601 Address ` ` was inspected on I�ZA �� �� by e', '��� t-�ua\xg.- Date Name of Inspector I certify that the above group care facility complies with the rules and requlations of the Board of Fire Prevention. QYESNO Violations ( if any) : Recommendations ( if any) : Name and Title Please return this report to: HYANNIS FIRE, DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 Case # Paul David Chisholm Smahe 10etectou Save gives BUSINESS: 775-1300 CHIEF EMERGENCY: 775-2323 FIRE PREVENTION INSPECTION REPORT PROPERTY OCCUPIED B C� �'"� � t wA PHONE: LOCATION BUSINESS OWNER PHONE: j BUILDING OWNER PHONE: I ! TYPE OF BUILDING CONSTRUCTION HEATING SYSTEM \ SPRINKLER SYSTEM YES C0 TYPE: PSI: / F.D. CONNECTION LOCATION / SHUT—OFF. SERVICE CO PHONE FIRE ALARM SYSTEM ES) NO PANEL LOCATION: SERVICE CO Q>f�kfm 1:� (�.c..I�` C. PHONE : ! AUTO/SUPPRESSION SYSTEM YES (00) LAST INSP. : SERVICE CO `' PHONE : FLAMABLE STORAGE YES KEY BOX YES 1ZT0 LOCATION: POWER HYDRANTS (1) (2) (3) SPECIAL HAZARDS i VIOLATIONS ' CORRECTION DATE 2. i i i jE !I . f i i FIRE DEPT. INS TOR �Yz� \���- DATE: i OCCUPANT l t. PHONE: i EMERGENCY PHONE NUMBERS ]. PHONE 2 PHONE: 3 PHONE: WHITE:FIRE DEPT.; CANARY:RE-INSPECT; PINK:PROPERTY T<<1 9 COM MONWEALTH OF MASSACHUSETTS OFFICE FOR CHILDREN HEALTH INSPECTION REPORT This is to certify that Ccxnnunity limes for Adolescent Mentor Program ({H 11) (Name of Facility) located at 14 K-iin Street, llyanni.s, MA 02601. (Address ) ( City) ( Zip) was inspected on / �- `l� by (Date ) (Name of Inspector ) A P I ( Inspecting Board, Agency or Dep tment ) The above facility complies with Chapter II of the State Sanitary Code and other regulations pertinent to the following areas : Kitchen Facilities Yes t, No Food Storage , Preparation,_and Storage Yes �'' No Water Supply Yes ! No Hot Water Te:aperatures Yes No Bathroom Areas Yes No Sewage System ��Gr�R/ Yes t"' No Lighting and Electrical Operations Yes No Heat aoo - t" fJ Ll� Yes 1." No Ventilation Yes i ' No Smoke Detectors Yes ! No Exits Yes If No Asbestos _Yes No Garbage and Rubbish Disposal & Storage Yes � " No _ Control of Insects , Rodents & Skunks Yes f No t{'"L .y .-e 4.j V j� E� (2 e,� Approved: Yes_t/ No Conditionally* (OVER ) i j Recommendations : Signed( inspector or represen ative of inspecting authority *Conditional approval may be given only when, in the opinion of the inspecting authority, children' s health would not be endangered in the facility prior to the correction of noted non-compliance items . Conditional approval will satisfy provisional licensing requirements, but certification must be obtained before a regular license can be issued. Please send a copy of this report to: "7 T N OF BARNSTABLE BOARD OF HEALTH 4,'*-;K---"12t,;".,/ Vd, ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION 77- Date Ilk'Z'e -Z Owner --------------------- - ,,,.�Tenant Address - ----------- — Address Compliance i —7—gemarks or Regulation es No-'� I! Recommendations 2. Kitchen Facilities —--------- -3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities i 7. Lighting and Electrial Facilities L Z/ 8. Ventilation 9. Installation and Maintenance of Facilities, X 10. Curtailment of Service 11. Space and Use Y71 12. Exitsti 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal IL 17, Temporary Housing 41- 7, Al PART 11 ze,-ev 37. Plocarding of donderVned Dwelling; Removal of Occupants; Demolition it ------------------------------- Person(s) Interviewed 6o, -t-- Inspector If Public Building such as Store or Hotel/Motel specify here --- -------------------------- ---- ------- --- -- ti ('on fit tr p i t y 7/nrn�c f�,r it r(o(rsrrn t T l rn t or 9'rnr(rnrrts irl Main Sttcct,IIyannis,PIA 02001. TcIcphone,508.7T1 0885 Joseph Rosa,Fro�rmn Dircoor w 7 7/ ��� f 1/21/97 R. CROSSEN RE: CHAMP HOUSE Champ House burned. They have moved to 82 School Street for 6 months while they decide if they will rebuild. COI is not necessary for the 6 months at 82 School Street. 82 School Street was previously occupied by Hyannis Convalescent Center, which is closed. : . The.Town of Barnstable 1MAW 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 December 17, 1996 TO WHOM IT MAY CONCERN: The CHAMP house is being given approval to occupy the building at 82 School Street. This occupancy is based on the agreement that there will be a primary emphasis on therapy,as I understand,is now the case. The P.R.D. DISTRICT allows therapeutic uses as a matter of right. Since the above address is in the P.R.D.DISTRICT it is lawful. Sincerely, .s% L , zc Ralph Crossen Building Commissioner RC:lb g961217a sxaminer YJ� P �IIIYiIlZ1t3Z�t2PMlh IIf M$$�iC LIPS Office of the Secretary of State One Ashburton Place, Boston, MA 02108 Michael Joseph Connolly, Secretary .ARTICLES OF ORGANIZATION (Under G.L. Ch. 180) Incorporators NAME r. RESIDENCE Include given name in full in case of natural persons; in case of a corporation, give state of incorporation. Paul E. Hebert 142 Strawberry Hill Road ;�jN Centerville, MA 02632 Michael Webb o 61 Powderhorn Way Centerville, MA 02632 Lewis F. Shannon 94 Lillian Drive Hyannis, MA 02601 The above-named incorporator(s) do hereby associate(themselves) with the intention of forming a corporation under the provisions of General Laws, Chapter 180 and hereby state(s): ame 1. The name by which the corporation shall be known is: F ` d Housing For All Corporation 2. The purposes for which the corporation is formed is as follows: See Article 2 attached hereto C ❑ P ❑ M ❑ R.A. ❑ Note: If the space provided under any article or item on this form is insufficient.additions shall be set forth on separate 8 1/2 x 1 1 sheets of paper leaving a left hand margin of at least I inch for binding. Additions to more than one article may be continued on a single sheet so long as each article requiring each such addition is clearls indicated. t, x ors IGLU 2 • ,r 1 r f nor d exclusive=� -e ' ar_d Operate tD S Grgani Zed r-^� _-�C�3t1On 3 : S irs 'j-%7 --•ja`S tlfi �� CJ?� PLrGjC7 6yj- c=-ram` _- e de, • _ �re- g as am n - rn` C+:at' ;SG1etlOri • ` y t>'• ^S, DLL--.i '•,A u y in arj JUi °`- ! S am0 n`. ea. m -6 squire without s one eof by purchas pO eeo b! sale , r =D a the law and co dispose rropert.; V to r :hoc, , rscra1 CDnf OrMa✓.L }-h6 �iC * T Ln.7 Pe _ r or by ary ° by any other method. .,rr^er�' rne� e ease mortgage or cr- '-ic- and r all --1C c ve-ante °r o d des -Pt _e ar ars GP. a na' ur an _� v and Qe _s� '� dOwM and very name r t'" G��' --0 wear e or L�r_-r,:prc.%e this end 'to build• e=two - _z�s or oti:e` tO _ � and " 7 mu��i-fa1:y oT 1nLG an t' ' or e and -e- - bo upon proaer over se ur s , ''° �` nd.. to e sc-ucr S . t issue v and all Otri tic rem,; seS , t0 d n c anc _-5es and aacts necessary in t e �reperties , buil - advarc- aid a, ; coat h aboVe-ram_ bonds - ana t° r O f t °f s a;.. s F and a-- ra dis,,ose V Ot .,er pr0`Je c c�u,es as se ' - ` bones ; ssuea t.v_ pun -- ;` rchase ar_d se�l struct anc e r :� monley or' ?Ll ' a-n L,Ui i d. C • �- ' a_ _- Cam' ,versol-- t�. ..r. cS . r— ••S V 4 r. iso land a: - manage _ otne - . and man-g- ' �� �5 •�1. hold. lillPrOvo , Is-- t°�t.c ` v,:C- D1�ldyn�c and^'t0 Ow �O er ' Or Cat!Sc G r .a ems- .`' ,. OTto ]-mt a °n and to the %GT"O-all_ cY�rs.te_ . ed by :T1 ilaEF' ..c nr_ 0-t���' gtV-1ct'-1— OWn e encumber or dispose of same at any y rherw- - an lease, manufactule r the equipment , 441 .r. o urc!zaCe ' ,- or use- acgL-re by P necessary management- of any --operty deemed n ment or manage led :erson2l P- develop held Gr occup- improvement , at ar- time owned, K. furnishing, , or personal, property , real by tale corporation- 1)y •` � *' 3 2 cont. cl 1 rg For all Corporation ,or_ow money and otherwise contract indebtedness nor she �cse of the Corporation; to make, accept , endorse , execute or Y .U�• p cnuS , ae�entL'res , n,Ctrs , b111s of :Change , drafts or _ e obli^ations , to z:�tend or.='�ssue cred; `s , and to mortgage , = i` �leQ�o and otherwise hypothecate any securities or evidence of ebtedness or any other property held by it . } ' T do any and all acts and things whatsoever necessary, proper, � • 0 convenient , desirable or incidental to the carrying out of the business above mentioned. # -. .a� %�1 an'i e�TP.-�ihl.� necPssar�. siiltalble And prnze- -5:- t i� accomplishment of any cf the purposes , or the attainment of any of the objects , or the furtherance of any of the powers here and 4 be=o set for}'. e===er alone or _n association with other cr)taoratiors , firms or individuals . and to do every other act or acts things incidental or appurtenant to , or growing out of or Connected with, the aforesaid business or powers or any part or parts thereof, provided the same be not inconsistent with the laws under which this Cor=cration is organ=cad. t CHAMP HOUSE a �r 14 MAIN STREET HYANNIS,MA 02601-3132 rll�rrn 1 II ._ IIOl1S11 (508) 771-0885 �e ,Gc,cc•�. zz cr�l 61.1_� w.�. c, a %J 71�7 000`� A Multi Generational Group Home Non-Profit Tax Exempt 501(c)3) Printed on Recycled Paper • 9 � r C�ummani��tt�# uf tt$��c use##� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Ede, Section 120.0, this CERTIFICATE OF USE AND OCCUPANCY is issued to Paul Hebert (gerfif .thatIhaveinspectedthe Building known as C.H.A.M.P. located at 14 East Main St. ' in the Village of Barnstable CountyBarnstable o f Commonwealth of Massachusetts. The building is hereby certified to be in compliance with the Basic Code and for,the purpose stated below. USE GROUP Group ReSid6nce FIRE GRADING 1 Hr• ` OCCUPANCY LOAD 9 Septeinber 16; `1992. Date Certificate Issued uilding Official The building official shall be notified of any changes in the above information. ti Y 7- 1 j A' j! a n E " F I R E D R I L L CHAMP HOUSE AND O"NEILL BUILDING ALARM SOUNDED: STAFF # IN MAIN HOUSE: 3 HOUSE MEMBERS IN MAIN HOUSE: STAFF MEMBERS IN O'NEILL BUILDING: / HOUSE MEMBERS IN O"NEILL HOUSE: DID ALL ALARMS FUNCTION? O ARE ALL HEAT AND SMOKE DETECTORS WORKING? .� ARE ALL EMERGENCY EXIT LIGHTS OPERATIONAL? ARE ALL FIRE EXTINGUISHERS IN PLACE? TIME DRILL BEGAN AND DATE: TIME ELAPSED TO CLEAR BUILDINGS AND HEAD COUNT COMPLETE: �/rIi/V 3C�s(�CarUcC� COMMENTS: STAFF: P. ELLIS, N. ELLIS, P. HEBERT, HOUSE MEMBERS: S. ELLIS, L. ELLIS, DAN, JOE, JAMIE,PET DRILL CONDUCTED BY: �I `-'�'��, DATE.: 0 t/e /7 -e_ 117'i L'41*6/e- 'a 4 Se ff* GREER ELECTRICAL SERVICE INC. Master Electrician aA 9492 - 10 Salt Meadow Lane a " W. BARNSTABLE, MASSACHUSETTS 02668 (508) 362-9240 <{ ' AMOUNT ENCLOSED $ DATE TERMS - - A finance charge of 1%% per month (18% per year) will be charged on t 12/15/91 past due accounts over 30 days. 6hamps Youth Home 14 East Main St. Hyannis,Ma 02601 , r - - PAY LAST BALANCE PLEASE DETACH AND RETURN WITH YOUR REMITTANCE IN THIS COLUMN DATE AND DESCRIPTION CHARGES CREDITS 1 PREVIOUS BALANCE .T I Furnish and install a new fire alarm system at the above address. 1,650.00 Paid 825.00 Heat detector in attic 100.00 925.00 ®IM FIRE AND EMERGENCY EQUIPMENT • SALES AND SERVICE fir// Perry, Inc. SALES OFFICE AND PLANT SALES AND SERVICE W30 88 Falmouth Road(Route 28) Beach Point £otctFLidked 1950 Box 339 Hyannis,Mass.02601 Fite.6A,Truro,Mass. S Tel.775-FIRE Tel.487-3510 O NAME SPECIAL INSTRUCTIONS L D � STREET ,T 0 CITY STATE ZIP 7 TRE YH NUM INSP.DATE SOY CASH CHARGE C.O.D. EI,IV RY DATE INSPECT[ DU !r„r� CUST.ORDER N0. ❑ ❑ /� OFFICE USE CODE OTY. DESCRIPTION UNIT PRICE AMOUNT s „ 5 I I r I � I I I I I n consideration of receipt of the above items.wifhour payment in full.it is acknowledged.title to samere ains with vendor,constituting a Conditional Sales Agreement.It any balance is not paid within thirty I re - ays or on demand,permission is ranted the vendor,the right to remove any or all of the items invoiced SALES'TAX bove,wherever located,wilhoul pr or notice and without liability of any kind on the part of the vendor or its ants. itness my hand and seal this date NAME I 1 TITLE ERMS:30 DAYS NET.A FINANCE CHARGE COMPUTED AT A"PERIODIC RATE"OF 11/:°/p PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18°/p AFAR HE PURCHASER AGREES TO PAY ALL COSTS OF COLLECTIONS INCLUDING REASONABLE ATTORNEY FEES. 30 DAYS. 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