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HomeMy WebLinkAboutBayside Cottage Champ Home - Certificates of Inspection BAYS I DE COTTAGEv ZHE The Commonwealth of Massachusetts `pF Tp�y , Town of Barnstable 6ARNSCAB(.E.PJASa t , 039. 2020 T 0. 1, f O A M F Certificate of Inspection. Bayside Cottage Champ Home Certificate No. Issued to Mark Adams Type: Certificate of Inspection IC-19-20 Identify property address including street number, name,.city or town and country Certificate Expiration Located at Map/Lot 3/31/2020 . . in the_Town'of garnstable HOOL`STREET,`HYANNIS 83B SC Location Use Group Classification(s) . Allowable Occupant Load 1st R-4t Residential care/assisted living (16 max) 1° 2nd R-4:.Residential care/assisted living (16 max) 2 r Basement R-4`. Residential care/assisted living (16 max) 1 Restrictions,. 4 Bed Group Home This Certificate of insP ection is herebY issued by the undersigned to certify that the premise, structure or portion thereof as herein-specified has been in for general fire and Fife safetyfeatures. This certificate.shall be framed behind clear glass and\or laminated and posted in a conspiclous place inspected . .p within the space as directed b the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. t p Y 9 P , Name of Municipal Building Commissioner Brian Florence Date of'Inspection 4/19/2019 Signature of Municipal Building Date of Issuance Commissioner 3/1/201 9 } 4 The State of Massachusetts AMST 1639. Town of Barnstable New and Renewal Certificate of Inspection Application Date 3/12/2018 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: 83 SCHOOL STREET, HYANNIS Name of Premises: Bayside Cottage 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: j1/�� Address: 82 School Street Hyannis MA 02601 Telephone: — ?7 1 Owner of Record of Building: C"_Me Address: 82 School Street Hyannis MA 02601 c? 'et Name of Present Certificate Holder: Champ Homes Inc. ` Name of Agent, if any SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED '14D� OR AUTHORIZED AGENT &OWL k A 10 PLEASE PRINT NAME �Iag 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-18- 0� EXPIRATION DATE 2/28 19 CHAMP HOMES, INC` wf r r a {, - ;, :, ,;s�� i •t � : ,� .r k`k '# t� rat� j ' tt •ix rt :� y c r` t T""own�#o Bar�`,`:,table042209 t r„ i 12 63 4 t Date Type ,$'' References `°� # �`s=' OeiginalSAmount^•� Balance Due,0 ` Payment, .A k``, . 01/96/2019 Bill k IC 18-30 t e gg� 25 00 fi �25 00� .25 00 ., :'# r r�. „ P ,Ga ,..; ■ # ,F af;+•'>t t.,` * -c �. , "rxr` f �: ,. F ,Check Aroount 25 00 S•- y '� F+.. �. a C�� '4"G f. '�"i=} t .,+ `:9',+ ra �. � 2 +: s•s # h 4 " a�. .r � s +.. 'r�,. at 2. x "4 s. r' -.a• Ta- . y,' �" r�.•� 4#�y; :t+E e'T r��t�� � "to ��f_`> 'j� �$f� iie'.� J.���.�;�a� ',^.'�'�t�� -�^ �.,` , �. �� .���}�.t,-3.�+ i...t -y as �'".w,� '+r t� `..i.. +,� � ,p �� faa "�'P'` �+i^'; l{ `C,'S9 d�.t aQ "�' r .+aw 4#y?` �,:�*E'; rr y ✓�,�# .,;,sx' tat S: •19�'. _' .:, t a"s?y'' 4` si '; �� t"� �r, _ $hi-�'i"l�' "� y. .�,` �„i.;�� tR,a,•.. t �.__� d , s�+. 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Phone: Info: Email: Info: During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR, Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)were noted: Section(s): I J Location: Q \ e Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Action required to abate the above violation(s)you must: Q None:no violations were observed at the time of inspection [� Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$ R IK is required and a re-inspection to be requested by business within days. Q Make corrections prior to your next annual or semi-annual inspection. Q Property/business owner or owners approved agent contact inspector for consultation i Official/Inspector: Telephones �(508)862-4038 Received By: / Date: ��i� 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. NA Certilfil.cate of Inspectilon Report List 0 Section :.li ma. Permit Required 0 Section 1.05.6 Permit Suspension or•:Revocation % Section 105.7 Placeincrat of Perwait: n site,) Q Section 11,03 Inspections Required sired a Section 11.0.7 Periodic Inspection (valid Certificate) 0 Section :.1.1.m0 Certificate of Occupancy 0 Section 111,53 Place of Assembly Posting of Occupancy M 6 Section � ,1 Occupancy w ;iaaaar e of 1.'se W Section 11. .0 Stop 'err k Or^de Section 1.1. i Unsafe Structure Section 90t5 Testing of Alarnis/Sprinkler System Section, 90,1,9 Fre Protection Si naa e Section 904.12 Ansui System Section 904.2.2 Hood System Maintenance Section 906 Fire Extinguishers Section 1€101, gi Maintenance rrf xte °ior St i s/1 i e Section 1001,12 Testing/ ert f caate Exterior Staairsf `ir~e .Escaape Section .1.0043 Posting oi'Oecaataaancy Li aait Section 1.005 Means of Egress Sizing Section 1.006 Number of Exits and Access Doors Section 1.008 Means of Egress Illumination Section 1010,1 bit Door Operation 0 Section ,ilaard e Locks and Latches) m Section :1.01.Oa:1. i 0 Panic Hardware or E > 50 Section :1.011. Staaialvaays a Section 1.012 Ramps ea Section 1.013 °: it:Signs 1,01 Handrails Section Section 101-5 Guards Section Emergency Escape d� ,;}'+hia�`3.�i+.:.�w'L.S.A...S..�/`�.,7l.+•aA,:.. .s..,...�"`-:3�....L'.ec^a.�S"-`�;T`.,4. + 'd;�,�.'•l`a'.x.:""'�-""}:.f`*�.�:-+�"'_. ''S^t"``�...+.��"'"t""'"..,..�,�.:t„"tI'"�..!v„ .`1r �' The .Commonwealth of Massachusetts L Town of Barnstable 2019 Certificate of Inspection Bayside Cottage Champ Home Certificate No. Issued to Mark Adams Type: Certificate of Inspection IC-18-30 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 1327-249 2/28/2019 in the Town of Barnstable 83 SCHOOL STREET, HYANNIS Location _ Use Group Classifications) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 7 Restrictions 7 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 3/9/2018 Signature of Municipal Building �- Date of Issuance Commissioner 3/1/2018 t I 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. cerel i 3 OF MAS c tiG Michele Cudilo, P.E. +1CN aF� Izois-9s Cv�,tURPL �' S�R� 'f7A F � i �.tHE 1p�y The State of Massachusetts - a ,' .��a -Town of Barnstable New and Renewal Certificate of Inspection Application Date 2/25/2016• 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: 83 SCHOOL STREET,HYANNIS 83 B Name of Premises: Bayside Cottage Champ Home Purpose for which premises is used: -ticerrse(s}vr Permits)required-for-th-e-pr Tr�ntaf agenc' , Certificate to be Issued to: Champ Homes Inc. , Address: 82 School Street Hyannis MA 02601 : Telephone: 508-771-0885 Ex. 20 Owner of Record of Building: Champ Homes Inc. Address: 82 School Street Hyannis MA 02601 Name of Present Certificate Holder: Champ Homes Inc. Name of Agent,if any Mark Adams/ Facilities Director 144_ SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT "11 ' ® , m Mark Adams madams@champhomes.org 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# -39 EXPIRATION DATE 2125/2 aka 5 � S V r 4. ��0��.A��1����L� 1 �� !t i. ,j 4 - 1 The-Commonwealth of:Massachusetts Town of Barnstable .uwsr,►s�.e. r e� - 2018,, a Certificate of Inspection Bayside Cottage Champ Home Certificate No. Issued to Mark Adams Type: Certificate of Inspection IC-17-15 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-249 2/25/2018 in the Town of Barnstable 83 SCHOOL STREET, HYANNIS 6 - Location Use Group Classification(s) Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 7 Restrictions 17 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 Signature of Municipal Building - Date of Issuance Commissioner j 4/20/2017 I The State of Massachusetts E . Town of Barnstable 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: 83 SCHOOL STREET,HYANNIS Name of Premises: Bayside Cottage Champ Home Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: —� _ Co Certificate to be Issued to: &LA Es w co IBC Address: 82 School Street Hyannis MA 02601 --i Telephone: � 29�--7-71^aSBS X m v Owner of Record of Building: C 4A-OAP 6S I W. Address: 82 School Street Hyannis MA 02601 Name of Present Certificate Holder: Champ Homes Inc. Name of Agent, if any �-EC k j _ kkbC-7 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# I -15 EXPIRATION DATE 2/25/ 8 �h �o�z�D I �3 V��� i L iy��� p�.r� - 3 � � - ��� � Page 2 of 4 lunt I Insp Date lComments Purpose CALL BACK Sale Review In Office Review Cyclical Inspection Meas/Listed-Interior Access Meas/Listed-Interior Access Book/Page Sale Price IE L 14959/244 $230,000 EA 10745/247 $1 10724/273 $95,000 F 5887/143 $140,000 1441/533 $0 OB Value Land Value Total Parcel Value $0 $166,900 $262,700 $0 $168,200 $264,000 $0 $162,800 $256,700 $0 $162,800 $256,700 __ Cn 0.1149-800 $230.5( Op THETph, The State of Massachusetts ,_ --- --, _ s,Rwa,ABLF, _ gyp `639, a,00p Town of Barnstable TEO MP'� 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 fora Certificate of Inspection for the below-named premises located at the following address:. Street and Number: 83 SCHOOL STREET, HYANNIS Ct3� Name of Premises: Bayside Cottage 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: 'n� Owner of Record of Building: 2z. Address: 82 School Street Hyannis MA 02601 Name of Present Certificate Holder: Champ Homes Inc. ° Name of Agent, if any SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED '� t OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS:"1).Make.check.payable-to,-TOWN OF BARNSTABLE-2)-Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601 PLEASE.NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten (10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# IC- -15 EXPIRATION DATE 2/2 018 �C ��� ��� I" i TOWN OF BARNSTABLE INSPECTION WORKSHEET C!ose; CERTIFICATE NO: 1 201500689 1 CANCELLED: 0 MAP: 327 DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL: 249 NAME/MANAGER: IHOUSING FOR ALL CORPORATION STREET: 183B SCHOOL STREET VILLAGE: HYANNIS STATE: MA I ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R5 Capacity Under 50::❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAPI: LOC1: 7 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: CAP7: LOC7: CAP14: LOC14: INSPECT N: DATE ISSUED: EXPIRATION: W Prin T bis Screen =n 031262014 03/03/2015 03/03/2016 �� ,I Pr n1:Certifcate oftns ec ion '' COMMENTS: 2/14/07 T. PERRY: LIMITED GROUP RESIDENCE oFZNE The Commonwealth of Massachusetts a . . Town of Barnstable ARLMMO s 2017 Certificate of Inspection Bayside Cottage Champ Home Certificate No. Issued to Mark Adams Type: Certificate of Inspection IC-16-39 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 327-249 2/25/2017 in the Town of.Barnstable 83 SCHOOL STREET,.HYANNIS Location Use Group Classifications) -Allowable Occupant Load 1st R-4: Residential care/assisted living (16 max) 7 } Restrictions 7 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 Thomas Perry Date of Inspection 1/1/0001 Signature of Municipal Building Date of Issuance Commissioner I' - 2/25/2016 COMMONWEALTH OF MASSACHUSETTS �;� TOWN OF BARNSTABLE ` APPLICATION FOR CERTIFICATE OF INSPECTION Date oC I I�P I 1 (X) Fee Required ( ) No Fee Required In accordance with the provisions of the Massachusetts State Buildng 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: C �� ( �T e t-t�Gt Y11n t'S iYNet. a O 2—Go Name of Premises:- '_�' Q_q_j k'D C 6 �-f/yl,. k d3I E 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,V�A VYx P R O Cn E j 1/)C_ . -Address: ? GSch C>0 Telephone: S-00 -- 7.? Owner of Record of Building: e tk RM Address: 2- �'1C�� ^� �-��A-a i/�V11 S l!�'1 :D - F '3 Name of Present Holder of Certificate: t c20 1 VL.G , n r 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# — Cp EXPIRATION DATE: j J020115c TOWN OF BARNSTABLE INSPECTION WORKSHEET Coos"e CERTIFICATE NO: 1 20140100� CANCELLED: MAP: 327 DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL: 249 NAME/MANAGER: I HOUSING FOR ALL CORPORATION STREET: 183B SCHOOL STREET VILLAGE: IHYANNIS I STATE: FNFA I ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R5 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 7 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: CAP7: LOCI: CAP14: LOC14: INSPECT DATE ISSUED: EXPIRATION: MEtjnt is cr /2013 03/03/2014 03/03/2015 a,a O_ Pint Gerti c to o ns ecti COMMENTS: 2/14/07fr.PERRY: LIMITED GROUP RESIDENCE Town of Barnstable Regulatory Services MAWRichard V.Scali,Director. +b3v+ ' 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 HOUSING FOR ALL CORPORATION BAYSIDE COTTAGE CHAMP HOME 83B 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. r A copy of said Certificate shall be kept posted as specified in Section 120.5 of'the State Code. Sincerely, . J Tom Perry Building Commissioner Enclosure TOWN OF BARNSTABLE INSPECTION.WORKSHEET Chose CERTIFICATE NO: 201500687 CANCELLED: .0 MAP: 327 DBA: IJAMIE READY CHAMP YOUTH HOME PARCEL: 249 NAME/MANAGER: HOUSING FOR ALL CORPORATION STREET: 183 SCHOOL STREET VILLAGE: IHYANNIS STATE: MA ZIP.. 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R4 Capacity Under 50: El 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: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Print This Screen 02/ 14 03/03/2015 03/03/2016 Print'c 9rt j f i M9773f Inspection 06 I COMMENTS: 83A The Commonwealth of Massachusetts TOWN OF BARNSTABLE lug In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to HOUSING FOR ALL CORPORATION t I Certify that I have inspected the premises known as: JAMIE READY CHAMP YOUTH HOME located at 83 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 201500687 3/3/2015 3/3/2016 327 249 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 s HYANNIS, MA 02601 DATE: 02/10/15 TIME: 10:24 -----------------TOTALS-:—:---------------- PERMIT $ PAID25.00 AMT TENDERED: 25.00 CHANGEPLIED: 25.00 APPLICATION NUMBER: 201500689 PAYMENT METH: CHECK PAYMENT REF: 10398 f 4 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date / l��/ (X) Fee Required$ � 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: h Street and Number: 51( 1 .5"I- /y « -� Name of Premises: Purpose for which premises is used: G40 t)10 4C_>-11%6 51 r- License(s)or Permit(s)required for the premises by other governmental agencies: rn License or Permit Agency Certificate to be Issued to: _KOOS t A.)& F,0F,_ PtL Coe Address: 12— cdc7 ./�t�'1 I�l[S• ��� _ 0 2--(�0 l Telephone: 2771— 0 T$j Owner of Record of Building: oost r Irtj f' P"uL CQ %15� - 6F 69/2-L .� © q ' / Address: D Z 561hoo "�• f� i9�nh l S MA. aZ46® 1 Name of Present Holder of Certificate: 400si.n!! -Poyz- A-"— co p.PDra4for) Name of Agent, if any: k ADA-MS SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT �►�-�� �4-r�,�-ems �' 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# (::)go v9 EXPIRATION DATE: J020115c 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 BAYSIDE COTTAGE CHAMP HOME 83B 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, r Tom Perry Building Commissioner Enclosure ' 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: BAYSIDE COTTAGE CHAMP HOME located at 83B SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): RS The means of egress are sufficient for the following number of persons: Location - - Capacity `Location Capacity . 7 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201401003 3/3/2014 3/3/2015 327 249 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: 02/19/14 TIME: 15:05 -----------------TOTALS- -----------�. PERMIT $ PAID 25.00 AMT TENDERED: 25.00 , AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 201401003 PAYMENT METH: CHECK PAYMENT REF: 9989 } COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date �� �® (X) Fee Required$�J O No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,-I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: Name of Premises: t o VV`1( Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit AA 1tOYV_� Certificate to be Issued to: ffi21 2!Sf'f" kkY (� Address: gg Telephoner L � � Owner of Record of Building: Address: y. Name of Present Holder of Certificate: Name of Agent,if any: 41, � t • ��4r��%�i'1 a F y�i� °tis �a SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENTr NO 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 Town of Barnstable Regulatory Services MAW Richard V.Scali,Interim Director ryq. Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 February 6, 2014 HOUSING FOR ALL CORPORATION BAYSIDE COTTAGE CHAMP HOME 83B 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, n Tom Perry Building Commissioner Enclosure i TOWN OF BARNSTABLE INSPECTION WORKSHEETciose CERTIFICATE NO: 201300975 CANCELLED: MAP: 327 DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL: 249 NAME/MANAGER: I HOUSING FOR ALL CORPORATION STREET: 183B SCHOOL STREET VILLAGE: IHYANNIS STATE: FNIA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: —� STORYI: CAPACITY: USE1: R5 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 7 BED GROUP HOME CAPS: LOC8: CAP2: LOC2: CAP9: LOC9: CAP3: LOC3: CAP10: LOCI 0: CAP4: LOC4: CAP11: LOCI 1: CAP5: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION;. x ri t',,h qs S gee 02/ 2012 03/03/2013 I 03/03/2014 IS �0�� "" "`PntltCerEificate`ofl`�spection �' COMMENTS: r14,/07T.PERRY: LIMITED GROUP RESIDENCE V The CommonWeacttb of Ifia mmcbmattz 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�EI't[fp that I have inspected the premises known as: BAYSIDE COTTAGE CHAMP HOME located at 83B SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R5 The means of egress.are sufficient for the following number of persons: Location Capacity Location Capacity 7 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201300975 3/3/2013 3/3/2014 249 The building official shall be notified within(10)days of any changes in the above information. Building Official � i PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE till .{ BUILDING DEPARTMENT t 200 MAIN STREET HYANNIS, MA 02601 DATE: 02/14/13 ` TIME: 14:33 -------------------TOTALS--- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 ' AMT CHANGEPLIED: 25.00 i k, APPLICATION NUMBER: 201300975 <. PAYMENT METH: CHECK PAYMENT REF: 9585 r ;� COMMONWEALTH I s �o TOWN OF BA A a APPLICATION FOR CERTf'fC�4 '$ F ig EJVION ''\\ Date 0 G' i ! (X) Fee Required No Fee Required DIVJSJ0 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 of the following address: m � Street and Number: � G O St l Q. s ., Name of.Premises: Purpose for which premises is used: JAl e,ra-i4 T-;C 11JWe N v C.`►%Jke47 Licenses)or Permits)required for the premises by other governmental agencies: License or Permit A enc Certificate to be Issued to: Address: Telephone: �.� Owner.of Record of Building: '' Address: Name of Present Holder of Certificate: Name of Agent, if any: Q" . �. 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: I 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#2LQ EXPIRATION DAT E'3 J0201I5a r Town of Barnstable Regulatory Services Thomas F Geiler,Director tell 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 BAYSIDE COTTAGE CHAMP.HOME 83B 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 WORKSHEETS �CFose CERTIFICATE NO: 201200837 CANCELLED:- MAP: 327 DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL:` 249 NAME/MANAGER: IHOUSING FOR ALL CORPORATION STREET: 83B SCHOOL STREET VILLAGE: JHYANNIS STATE: MA ZIP:' 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES "CONSTRUCTION TYPE: STORY1: CAPACITY: + < USE1: R5 Capacity Under:50:: STORY2: CAPACITY: USE2: Outside S@8t111 ElSTORY3: CAPACITY: USE3: g' BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 7 BED GROUP HOME CAPS: LOC8: CAP2: LOC2: CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: ' CAP4: LOC4: CAP11: LOC11: CAPS: L005: _ CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14:, LOC14: rKl INSPECTION: DATE ISSUED: EXPIRATION:' �. t?rintThisScree m� 03/03/2012 03/03/2013 Print'Certiflcate ofanspectiotr COMMENTS: 2/14/07 T.PERRY: LIMITED GROUP RESIDENCE I The QCommconweattb .of 41a5.q;arbUgett 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 QLEL'ttfp that 1 have inspected the premises known as: BAYSIDE COTTAGE CHAMP HOME located at 83B SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): RS The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 7 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map A Parcel r 201200837 3/3/2012 3/3/2013 24 . 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: 09:28 -----------------TOTALS------ --- - -- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 ` AMT APPLIED: 25.00 ; CHANGE: .00 APPLICATION NUMBER: 201200837 PAYMENT METH: CHECK PAYMENT REF: 9104 ;r. i f 7 COMMONWEALTH OF MASSACHUSETTS "-TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date Z/� (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 followi`ng address: Street and Number: 3 a-yi ri t S lvd l�� 6 0 / Name of Premises: /J i c ',� e �(/j p-- Purpose for which premises is used: License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit AAA Poll/ CEO Certificate to be Issued to: S Q JCL. Address: Telephone: �I Owner of Record of Building: Zt S I,K el 0 Y' l 6r"po rz / 5 l (C 3'. Address: Name of Present Holder of Certificate: Name of Agent, if any: V c ci� , Ala, Cij Q 0- , St GNATURE OF P SON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT M � ` w Pe—t t i^ H Q. �, t Q. --4 PLEASE PRINT 114AME ' e-- INSTRUCTIONS: rn 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten (10)days of any change in the above information. FOR OFFICE USE ONLY: Q CERTIFICATE.#CXU 00 O EXPIRATION DATE: ✓ D J020115a il . r t Town of Barnstable Regulatory Services � aeroarr�s, Thomas F Geiler,Director . ` Building Division Tom Perry,CBO, Building Commissioner 200 Main Street; Hyannis, MA 02601 www.town.barnstame:ma. Office: 508-862-4038 Fax: 508-790-6230 February 8, 2012 - HOUSING FOR ALL CORPORATION BAYSIDE COTTAGE CHAMP HOME 83B 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 WORKSHEET Chose CERTIFICATE N0: 201100 9 CANCELLED: L � MAP: 327 _� DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL: 49 NAME/MANAGER: IHOUSING FOR ALL CORPORATION STREET: 183B SCHOOL STREET VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R5 Capacity Under 50: El STORY2: CAPACITY: USE2: Outside Seating: STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: , LOC1: 17 BED GROUP HOME CAPS: LOC8: CAP2: LOC2: CAPS: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAP5: L005: CAP12: LOC12: — CAP6: LOC6: CAP13: LOC13: i CAP7: �uj LOCI. �_ CAP14: L0C14: INSPECTION: DATE ISSUED: EXPIRATION: tPnnt This ScreenLai � 99f4'69 03/03/2Q011 03/03/2012 _ „ � ; Pnnt Certificate of I pection} COMMENTS: 2/14/07 T. PERRY: LIMITED GROUP RESIDENCE . 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 Certtfp that 1 have inspected the premises known as: - BAYSIDE COTTAGRCHAMP"HOME located at 8313 SCHOOL STREET in the Village of -HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type U.se,Group(s): RS The means of egress are,sufficient for the following number of persons: Location Capacity Location Capacity. 7 BED GROUP HOME. Certificate Number: Date Certificate Issued: Date Certificate Expired: . Map Parcel 201100739 3/3/2011 3/3/2012 3 249 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: 15:08 ------------------TOTALS----- ----------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 201100739 PAYMENT METH: CHECK PAYMENT REF: 8590 i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date ? (X) Fee Required$ S , U ( ) 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/t�h�e following address: Street and Number: IA440 _ a Name of Premises:T Dj �6- -/ /�-%�� frt'C� `� 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:/ G bQy ,tM/ /J/ o� l/J/h I Dl �✓' Address: 2 '—k7'6 Telephoner Owner of Record of Building: n c ��/h �dv- - oro�j'o Address: 2- Name of Present Holder of Certificate L- f /•n,,/ f (ffE'�/�.,. Name of Agent, if any SIGNATURE OF FIKRSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: r, 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 # Z-1 (60­7 3 EXPIRATION DATE: TOWN -OF BARNSTABLE INSPECTION WORKSHEET coos CERTIFICATE NO: r 201000859� CANCELLED: MAP: 327 DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL: 249 NAME/MANAGER: HOUSING FOR ALL CORPORATION STREET: OL STREET VILLAGE: HYANNIS_ STATE: LMA J ZIP: 02601=- SEQ NO: LJ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R5 Capacity Under 50: 1 STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 7 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: _ — CAPT LOCI. — --� CAP4: LOC4: CAPS: LOC8: -- INSPECTION: DATE ISSUED: EXPIRATION: . ant Thhis 5. C " J [ 03/03/2010 � 03/03/2011 L-- �_� Print Certif�ca'te of inspection' COMMENTS: 2/14/07 T. PERRY: LIMITED GROUP RESIDENCE i .F f Town of Barnstable- Regulatory Services Thomas F Geiler,Director A o�ua'163 Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis,,MA 02601 www.tow n.ba rnsta ble.ma. Office: 508-862-4038 Fax: 508-790-6230 February 10, 2011 . HOUSING FOR ALL CORPORATION BAYSIDE COTTAGE CHAMP HOME 83B 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 Coder ` Sincerely, Tom.Perry Building Commissioner Enclosure Commonbieoltb of Ala.5,5arbuoett.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 I &rtifp that 1 have inspected the premises known as: BAYSIDE COTTAGE CHAMP HOME located at 83B SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): RS The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 7 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201000859 3/3/2010 3/3/2011- 327 249 The building official shall be notified within (10) days of any changes in the above information. Building Official j� ` PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 03/O1/10 TIME: 12 41 ------=-�-------TOTALS----------------- 'r PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 201000859 PAYMENT METH: CHECK PAYMENT REF: 8173 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date Z 22 `zQ� l U (X) Fee Required $,,Zc5 . 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: 7 lJ ✓G'`y0 Name of Premises: Apt, C 1"l l Purpose for which premises is used: 16j,ptv�t(r l It S�JQQo.��b�J� 64 f' I�aw►e " - License(s)or Permit(s) required for the premises by other governmental agencies:' License or Permit Agency ll nA/r_ Certificate to be Issued to: US1 'ror N nP f-CA0n .Address: �j L��001 Telephone: ,50g-.71 V 0949 Owner of Record of Building: For AP Address: c�G O l b't( &.AA US M 09LO I � t Q 1 1 r Name of Present Holder of Certificate: ' 1 I"Of `� E Ek c' n ?+w ( E: �C f r, Name of Agent, if any:?�tl 1 � �1 OAS\�2��f l C2Iltcu \v(_.. \rQ�- � IGNATURE 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#- ;-70/ADO 9- EXPIRATION DATE: J020115a Town of Barnstable Regulatory Services 2 SMA NWT Thomas F Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barn stable.ma. Office: 508-862-403 8 Fax: 508-790-6230 February 8, 2010 HOUSING FOR ALL CORPORATION BAYSIDE COTTAGE CHAMP HOME 83B 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 WORKSHEET CERTIFICATE NO: I 200900626 CANCELLED: Q MAP: 327 DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL: 249 NAME/MANAGER: HOUSING FOR ALL CORPORATION STREET: 183B SCHOOL STREET VILLAGE: HYANNIS STATE: MA I ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: GROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R5 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: 1 BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 7 BED GROUP HOME CAPS: L005: 1 CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: i CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: � PnntTh�s'Screen 03/03/20091 03/03/2010 vs.Ja y I09 � � Print Certificate of}Inspection COMMENTS: 2/14/07 T. PERRY: LIMITED GROUP RESIDENCE Erie eommonweattb of 4.a5,qarbUgett.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 3 Certifp that 1 have inspected the premises known as: BAYSIDE COTTAGE CHAMP HOME located at 83B SCHOOL STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): . R5 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 7 BED GROUP HOME Y Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200900626 3/3/2009 3/3/2010 327 249 The building official shall be notified within(10) days of any changes in the above information. --- - ----- - — Building Official s r f 1, qs PERMIT PAYMENT RECEIPT ti ,7 TOWN OF BARNSTABLE - BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 02/18/09 TIME: 10:52 -----------------TOTALS------------------ 1 PERMIT $ PAID 25.00 AMT TENDERED: 25.00 3 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200900626 PAYMENT METH: CHECK PAYMENT REF: 7698 t rr COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION �i Date Doi l D 9 (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: Qp S7-LT Name of Premises: �64Ys1DF Purpose for which premises is used: Liei''a`O�vL� °T�Toj'e,�c� l� xJcL cSv��Ur" ✓e �� � License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency /U nJ C x!d,U G � 1) Certificate to be Issued to: C"fju( /e(�E'Y� Acl yYI�Ni S��a�v- D�/S;°�l� " ;✓ 1J/( ��p Address: 02 Telephone: 668 / 71—a89 Owner of Record of Building: A4151AJF f ter- A// Gi-P��rG2.�o,�tl .. r : 5 DI- (G)�3��Excs�p7"' Address: 5c hoUer �1��"o i'S a6o Name of Present Holder of Certificate: A y C'W/—r A doi,`,,)i ST/4�Y 1 ous"-fir ,7/ Name of Agent, if any: 4-61T I►`,-5;, ,-,7— /�,!� ' �I SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PL ASE PRINT NAME INSTRUCTIONS: 1) Make check payable to: TOWN OF BARNSTABLE 2) Return this application with your check to: BUILDING CQMMISSIONER,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)Ap; .lication and fee must be received before tke certificate will be issued. 3�The building official shall be_no.tified within ten(10) days of airy; change in,the above information: FOR OFFICE USE ONLY: op CERTIFICATE# 200. �D�G6 EXPIRATION DATE: J020115a . . 'TOWN OF BARNSTABLE INSPECTION WORKSHEETc�os CERTIFICATE NO: 200800898 CANCELLED: 0 MAP: 327 DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL: 249 NAME/MANAGER: IPAUL E. HEBERT/HOUSING FOR ALL CORP. STREET: 183B SCHOOL STREET VILLAGE: JHYANNIS STATE: FVA ZIP: 02601- SEQ NO: BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: R5 Capacity Under 50: C STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: . BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 7 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: ntTFiisScrQen_ .B 'z9A 03/03/2008 03/03/2009 �PrinfCertificate,of Inspecfion ° COMMENTS: 2/14/07 T. PERRY: LIMITED GROUP RESIDENCE Commonbicaltb of -q1a5!6ar Ugett!5., TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 1065, this CERTIFICATE OF INSPECTION is issued to PAUL E. HEBERTMOUSING FOR ALL CORP. 3 Certifp that 1 have inspected the premises known as: BAYSIDE COTTAGE CHAMP HOME loeated at 83B SCHOOL STREET in the Village of HYANNIS County of Barnstable, Commonwealth of Massachusetts: Construction•Type: ' Use Group(s): RS r The means of egress are sufficient for the following number ofpersons: Location Capacity' Location Capacity 7 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200800898 3/3/2008 3/3/2009 327 249 The building official shall be notified within(10) days of any changes in the above information. Building Official r ;l. PL.RMl 1 PAYMEN I TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 02/19/08 TIME: 11 :31 PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 200800898 PAYMENT METH: CHECK PAYMENT REF: 7243 i f .,4. ti p COMMONWEALTH OF MASSACHUSETTS TOWN OFBARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 12—o 0 (X) Fee Required V­0 ( ) 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: 4 Street and Number: Name of Premises:. ^ '�s"t�= lie (�V Purpose for which premises is used: License(s).or Permit(s)required for the premises by other governmental agencies: License or Permit Agency NA N6 job ;. 3 �r � r ram^ � � t Certificate to be Issued to: 69, �'�e'6 P,�j , �7 0,-i 11/�s / -d—r hoL, J q Fz> 4)/ Address: D :J o y y GLr �Z (o W �...- Telephone: Owner of Record of Building: 11DU 5 w a FD 2 A 4-4- 0,,,,T a .J,`o y S U I,6 0 ,6 x Xe�r7 Address: Sf oo S77. Nva.tutu.lr's Name of Present Holder of Certificate: GJ' 4-1- Name of A ent, if an SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT P_vl E- bel-F . 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©�(>J® EXPIRATION DATE: J020115a TOWN OF BARNSTABLE INSPECTION WORKSHEET c CERTIFICATE NO: 20070085i CANCELLED: MAP: 327 DBA: IBAYSIDE COTTAGE CHAMP HOME PARCEL: 249 NAME/MANAGER: IPAUL E.HEBERT/HOUSING FOR ALL CORP. STREET: 183B SCHOOL STREET VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IGROUP RES CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: R4 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: I i, BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 7 BED GROUP HOME CAPS: L005: CAP2: LOC2: CAPE: LOC6: CAP3: LOC3: CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: p Pint ThisScreen 03/03/2007 03/03/2008 Print'Certificate.of�lnspec�tion, COMMENTS: 2/14/07 T. PERRY: LIMITED GROUP RESIDENCE t i Commonbjealtb of '41a55 rbU5ett5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to PAUL E. HEBERT/HOUSING FOR ALL CORP. Certifp that I have inspected the premises known as: BAYSIDE COTTAGE CHAMP HOME located at 83B 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 7 BED GROUP HOME Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700857 3/3/2007 3/3/2008 327 240 The building official shall be notified within(10) days of any changes in the above information., Ah Building Official r� �1 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE - APPLICATION FOR CERTIFICATE OF INSPECTION 7001 FEB Pij 1: 48 Date O "©O (X) Tee Required$2 Jr. p e9 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code;Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the followingaddress: Jam" Street and Number: F 3 C'`�0� c�T, yxa rzo l o j Name of Premises: � f�ys f �'e ` e lM m p //Dm 4F Purpose for which premises is used: �� L7 ®u� r"l�Iyl F (,>lj'I'C/►� �/:. Ser N; d t5 a b fed Y9JLjL75 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc ej rwr - 'y',;u k / Y.9,vA.�iS F-Ilulr De P 1 � 0M IF Certificate to be Issued to: ��V-$i d 02 /T/7p /7 Address: p u S 4 von.. s T7-;-11 9YA N N i _5 444 ® °R 60 Telephone: 04,ce - 7 71--0885 .5So 8— 7 7/.— Owner of Record of Building: 1405JA,J� Z>K 411 a rjr. J`- D d" ".3 b.,"j > Address: O A 5e- h 60L S r, #Y&v 01 S , AN 4 R6 0 Name of Present Holder of Certificate: #-0415j'AleV lLC3I'� Name of Agent, if any: pAul fieter-T, �/'�Sid er?��/9d�/'�'rL��$ /'r2 ✓� SIGNATURE OF PERSON TO WHO CERTIFICATE IS IS(Aut UED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,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# .,0 O 7© � ��7 EXPIRATION DATE: J0201ISa ., f r k i -��h�- i � �—�`N-�� �� l � �p c�CJ— C i ,�