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„�•TM”. TOWN OF BARNSTABLE
yam. u Permit No. ------------------------
1 »�T� Building Inspector
Cash
�p f079•
OCCUPANCY PERMIT Bond --____-
"No building nor structure shall be erected, and no land, building or structure shall be
used for a new, different, changed, or enlarged use without a Building Permit therefor
first having been obtained from the Building Inspector. No building shall be occupied until a
certificate of occupancy has been issued by the Building Inspector."
Issued to Address
Wiring Inspector Inspection date
Plumbing Inspector Inspection date
Gas Inspector Inspection date
Engineering Department Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS.
...................................................... 19...... ............................................................................................................._._
Building Inspector
I
Asssor". ap and lot number . .....���r.�..�9�K. SEPTIC S M(JS'r
v
o% �- INSTALLED IN COM Er?o``+
G
Se age Permit number ................ .. ......!..�........:............
, ... VI TITLE 5 fO
ENVIRONMENTAL CO LE. :
Housenumber ...............................................0 :..................... - .., .,,-.•A ir nTi�y.. .39
TOWN' OF BARNSTABLE .
BUILD G INSPECTOR I ",X,,.
q n
APPLICATION:FOR PERMIT TO ........ .........: ..... . ..... . .... .. .. .. . . ............... ..
TYPE OF CONSTRUCTION .......... ........................ .... .. .... . ......... .......... ............ :.:..�
.... q..............19.G1l.
•+9V ....._.-_.- .. _. _ - - --___Y :.emc. M'..'+.s•.s�.Y. .,F•:�-Tm.*a»
TO THE INSPECTOR OF BUILDINGS: *
The undersigned hereby applies for a permit according to the following information:
Location .....5..4:../Y�f�:/.i�/....;.!:.......G�N,T�',YI.-7k .......:..........................................:............
Proposed Use ..l..9.4...4!?......
.....yamE...:..:.......................
Zoning District C-..Z.............................................Fire District .0 NTt7WVt L1:L - D S?t-7PV1 LLE
Name of Owner ..�R�P E.IV....T.......4...C... �lC C��C'P.„Address ,l•330,,, ,p1�Ls?�N.sT ..C!`t° !`!v7 N{c��.!?7!`}
�' .
Name of Builder .f� vD> uT... CCEjoT'r4rVC COWP- Address P...............1 .i
Name of Architect JM T .. ...J-(- �Vh1Li4Y� /#SSOC..�wLAddress ..���D ME111o121fFL p (�/E� fA/1pf3,i'� E 131r�
. ............................... .
Number of Rooms ..... � .����5 Foundation ...p4.L�tD 60NC .8-7E
....................................
Exterior /h/�SvrVipY �iPE=FIAIS�,/E� �/ /�( 5.......Roofing ..3Ll LD -v .............................................................
Floors P.?�4�.-Cil5 T - C¢NC, lE_.. Interior .t/l/VYt. A/A/7;
Heating ........................................................Plumbing ..:.........r........................ ...........:............................... +
Firepp /YI.A ..................Approximate Cost ....1��r d D a...............................
lace ..:.. ... .................................................
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area 5'� .'4.....................
....:.... ..
Diagram of Lot and Building with Dimensions i°L.4/VS . ..Fee F
SUBJECT TO APPROVAL OF BOARD OF HEALTH
V-1 % -2ov
1
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. n1-17
Name .......5Y..tf
. .. ........
... ram....
4.
/�
PRUDENT ACCEPTANCE CORP.
BUILD 120 Bed
23055. ... Permit for .............................
....... ..... ........
NURSING HOME......................................
Location 1...........South20 ...............Main..............S t.r.e e.t.........
lCenterville
..............:!................................................................
Owner .Prudent AcceptanceCorp.
.Prudent............................................ ...........
Type of Construction MasonrX & Frame
PlotPlot .................. Lot ................................
Permit Granted April 30
. ?........ . .....,....... . 19
81
. -4
Date of Inspection .....................................19
Date Completed ...... ........... ..................19
to L
PERMIT REFUSED
19............................................... 7,
..........................................................
...........................................................
...............6...........................................
.............................................. ..........
4*1vede.,............................................... 19 4
M0
. ........................................ ..........
' ;Engineering Dept.(3rd floor) Map, 20 -'Parcel ffe—rmit#
House# -lam _f Date Issued
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) p°-� O
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) sr_LW 'eaS'
Planning Dept.(1st floor/School Admin. Bldg.)
Definitive Plan Approved by Planning Board 19
1639.
TOWN OF BARNSTABLE
Building Permit ApplicatioIn
Project Street Address 1. 8 5t
Village eyx g
Owner T`7 `lecf�r �i�l�R<Z Ad-0 Me 4Z Address GA MP
Telephone °--
Permit Request 72
` v c b, _ UJA 4 R
First Floor . square feet Second Floor square feet
Construction Type
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ❑Yes ❑No
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units)
Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New Half: Existing New
No.of Bedrooms: Existing New
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other
Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No -
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Zoning Board;�e
p eals Authorization ❑ Appeal# Recorded❑
Commercial s ❑No If yes, site plan review# 40 -
-z
Current Use Proposed Use �� Q
John o_n c_
V T�l.e_r- Z Builder Information
Name. eae-/, 4, ���p�`� Telephone Number 7;U_eC7lo,
r
Address 4Z i 1 f u,�� Dai n l),e License# C' 9
Home Improvement Contractor#
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJE WILL BE TAKEN TO
SIGNATUR DATE g�l 7
BUILDING e MIT DENIED FO 4HE FOLLOWING REASON(S)
_ Cr
.a
FOR OFFICIAL USE ONLY
PERMIT NO. 4 r
DATE ISSUED '
MAP/PARCEL NO.
ADDRESS i :VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION '
'FRAME '
INSULATION
FIREPLACE
ELECTRICIAN: ,ROUGH FINAL
PLUMBINd- --,ROUGH , FINAL
GAS: ROUGH FINAL
R pA y
FINAL BUILDING,
n�
` n
DATE CLOSED OUT ar
ASSOCIATION PLAN NO. a
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The Commonwealth of!lfassachusetty
Department nt ojLtrhrstria!Accidents
` 1 office 511HIMSU9211ORS
• \_.'•, ' :r `' 600 Washington Street
Bunton.Mau. 02111
Workers' Compensation Insurance Affidavit
Llpplirtnt information: __._ JPlcstse PRINT( .-N
m • E?
locition-
city nhonc#
1 am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
• ...+.. .ew..,.Z7-.s.....-..........-....,,�,..prow+.._s..sflAa+�+�Nr+yy/'!rr".ry,q!e�..�.....+.R..p...•.e,w� ,+.�...�...,. +w�f........ -r....M._r.....-.. ...........•.,�w�.�. �3.
an employer providin� ers work ' compensation for my emplovees working on this job.
coat tan• name: ` d`/i/t! go z /1 Tl
� / ' p c t
address: �I�l
city: nhnn #: y jA�W
a r�
insurance en. al a ` ° Clio # 1l / aU,7- VM 9 to
['j 1 am a sole proprietor b era contracto or homeowner(circle one) and have hired the contractors listed below who have
the followin_workers' compensation polices:
comnanv name: � 3 d✓�
address-
city. phone#:
insurance co nnlic%-#
comnanv nine*
address-
city: phnne#-
insurance co nolicv#
Attach additional sheet if n[CCSSaf7 .•.� =..r.. + •%'•"`:. �'T^ %�''•' '�':�'""r�`'3��.r" ``_ '`.y`= .,.` '.
_«.. ...�_—_......- .:a... -' =r.-r�rw:�..Sl.�'�r►1� Atli w�v 'i.'lit•••-• .1Nc'w�:rL
Failure to secure coverate as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 andior
unc cars'imprisonment as-well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a
copy of this statement mac be forwarded to the omcc of investigations of the DIA for coverage verification.
l do hereby certift•tinder the pains and penalties of perjure•that the information provided above is true and correct.
Si=nature Date / — 9- 7 q
Print nam �
e 0All CC Phone,* 41 ? /' 3 ab�
official use only do not write in this area to be completed by city or town official
city or town: permit/license# nBuilding Department
Licensing Hoard
I]check if immediate response is require) (]Seleclmen's UffIce .
l]1lc21th Department
contact person: —___ phone#: rJUther
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information and Instructions
Massachusetts General Laws chapter 152.section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the "la\y", an emploree is defined as every person in the service of another under any
contract of hire, express or implied. oral or written.
An emplorer is defined as an individual, partnership, association, corporation or other legal entity. or•any-two or more
the foregoing en-aged in a•joint enterprise, and including the legal representatives of a deceased emplover. or the
receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the
owner of a dwelling_ house haying not more than three apartments and who resides therein, or the occupant of the
dwcllim-, house of another who employs persons to do maintenance , construction or repair work on such dwelling hous
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buiidings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with tile 1ifsurance coverage required.
Additionally. neither the•commonwealth Dior any of its political subdivisions shall enter into any contractTor the
performance of public work until acceptable evidence of compliance with the insurance,requirements of this chapter ha
been presented to the contracting authority.
..._,..�_.r�.._...-.........�_ ...._-..-._.w�.���..
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Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and
supplying_ company names, address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The
affidavit should be returned to the city or town that the application for the permit or license is being requested.
not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are required
to obtain a workers' compensation policy, please call the Department at the number listed below. .
Clf\' Or,r0\yn5
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas .
be sure to fill in the permit/license number which will be used as a reference number. The affidavits maybe returned to
the Department by mail or FAX unless other arrangements have been made.
Tile Office of Investigations would like to thank you in advance for you cooperation and should you have any questions.
please do not hesitate to give us a call. -
77
The Department's address. telephone and fax number:
The Commonwealth Of Massachusetts
Department of Industrial Accidents
} Office of Investigations
' 600 «'ashington Street
Boston,Ma. 02111
fax #: (617) 727-7749
phone #: (617) 727-4900 ext. 406, 409 or 375 t
TOWN OF BARNSTABLE
SIGN PERMIT
I
PARCEL ID 208- 089 001 GEOBASE ID 12729
ADDRESS 120 SOUTH MAIN STREET PHONE
Centerville ZIP -
I
LOT , BLOCK LOT SIZE
DBA S DEVELOPMENT DISTRICT CO
PERMIT 12078 DESCRIPTION CAPE REGENCY NURSING HOME
PERMIT TYPE BSIGN TITLE SIGN PERMIT
CONTRACTORS: Department of Health, Safety i
ARCHITECTS: and Environmental Services
TOTAL FEES: $50.00 THE
BOND $.00
CONSTRUCTIONS $.00
753 MISC_ NOT CODED ELSEWHERE *+
* 1AEIV3TABLE, +
MASS.
OWNER OAKWOOD, LIVING CNTRS MF�
ADDRESS C/O VANGUARD HEALTH SERVICE
220 FORBES ROAD BUILDING DIVISIOQ
BRAINTREE MA
DATE ISSUED 12/05/1995 EXPIRATION DATE ,
°RTM` The Town of Barnstable � no.
Department of Health, Safety and Environmental Services ,
Building Division on
$ dS'
367 Main Stttet,Hyannis MA 02601
fee 60—
Application for Sign Permit
Applicant: OA'l(WOU-1) a✓d rU< C:r / S Assessor's no..,7cF-G V f.00
Doing Business As: 01WC- I2—F6L C Z �v/eS/,,UCH Ang, Telephone
Sign Location
street/road: Id-lb 5'0,
Zoning District Old King's Highway District? yes no
Property Owner
Name: DA-1(--tAl wo G( U/dU G r =,6L�--- Telephone
Address: O� ()w
6Zr S�
Sign Contractor
Name: Telephone WlJ 3/-5
Address: �r' -/tS -n.�T �'� Village -�
Description
Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new
to be drawn on the reverse side of this application.
Is the sign to be electrified? yes no (Note: if yes, a wiring permit is required
I hereby certify that I am the owner or that I have the authority of the owner to make application, that the
information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the
Town of Barnstable Zoning Ordinances.
Date Signature Owner/Authorized Agent,
Size (sq. ft.) Permit Fee
Sign Permit was approved: 1'� disapproved:
Date Signature of B ' g Official
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uPERTY ADDRESS I I ZONING I DISTRICT CODE SP-DISTS.I DATE PRINTED I STATE CLASS PCs I NBHD PARCEL KEY NO.
0120 SOUTH MAIN. STREET 10 RC-2 300 loco 07/09/95 3041 JU 5.3AC R2Jb 089.001 127295
LAND/OTHER FEATURES DESCRIPTION I ADJUSTMENT FACTORS TY UNIT ADJ'D.UNIT
I--BY/Date sze Dmenson ACRES/UNITS VALUE Descripl'o O A K.W D O D LIVING C N T R S MA I N C M A P—
LOC./YR.SPEC.CLASS ADJ. COND. P PRICE PRICE # L D G(S)—LARD—1 3 4.7 7 3.6 0 D
/ ce. FF.De ml.ncres E CARDS IN ACCOUNT —
30 3SITE 1 x 121 =10C 74 125I 49999.99 46249.99 12.00 555000 ILA140 3 561,000 01 OF 01
16 1WETLAND 1 - x 1.54 =1 DO 79 1000.00 790.00I 7.54 aJO.') PL 120 SOUTH .MAIN ST OST 3482U U
ti .02/81 14 $00145000 I MARKET
COMM BLDG U x 1 ci= 100 * 1.0 1.001 41250.004' 4136JO 3 !RR 1507 -0930 INCOME 5334600
PV1 PAVING S x = 100 .4 .45i 25000 l 11330 F 4UP FY96 USE
I
A i (APPRA-ISED VALUE'
D jC 5..334.600
ARCEL SUMMARY
u
AND 561000
Sj �LDGS 2909700
T I r IMPS 11300
MI I ,TOTAL 3482000
E I I ( N; C N S
' DEED REFERENC Tye DATE Rec«e«1 R I O R YEAR VALUE
Book Page Inst. MO. Yr.Di Style!P'a` �A N D 56100101
D6/94 6734550 0LDGS 4. 73600
S j 9�31 /24b� Ia �
5574/246: lb2/87 5460000 TOTAL 5334600
5492/060: 02/36 49400D0
BUILDING PERMIT LAND ADJUST F 0 P.
Number Dale Type Amount l S E........-.
LAND LAND—ADJ INCOME SE I SP-8LDS FEATURES BLD—ADJS UNITS RI;HT SIDE AREA
561000 I I 11300 4041300 331755 3/38 AC 80000 OF BUILDING /1SB
Const. Total r B -It Norm. Obsv. WAS R E M O D. IN 88
Class Units Units Base Rate Atli,Rate A f Ago Depr. Conn. CND I Loc %R.G I r.,I Cost New Ad,Repl Value Stones' Helghl Rooms Rms earns •I'm I Pa y..11 Fac.
248 001 000 001 82 82 12 �9y2 80 72 4041300 29J9700 3.J 1 1 150.0
Da_Ption Rate Square Feet Rapt.Cost MKT.INDEX: 1�O D IMP.BY/DATE: / SCALE. 1100.18 ELEMENTS CODE CONSTRUCTION DETAIL
B.AS 100 .00 13130 Z
1SB 100 .00 4261 *-26—*-24*-26—*--35—*-28—*-24—*-26*-25* STYLE 35 OMMERC.IAL 0.0
CAN 25 .00 416 *—* ! 1SB ! ESTGR-A-tJMT- -00 --------------------J-0
830 120 .00 13130 30 ! ! =XTcR:dAlCS-- -DZdRTCK-------------U=O
FSM .00 80 ! 53 53 EAT/AC-TYPE- -T0 D TC=fl-V-10NYU---U..-O
*—* ! INTtR.FZTTISH- -05 tASTEY----------U.-O
23 ! ! NTER:LAY007- -TO TCELLENT--------U.-O
*-26—*-24*-26—* *-24—*=26*-25* INTYR:3UACTY- _0T B_UVE-EXTER----U.-0
25 25 1CAN16 -LDUR 3TrTUCT- -Q5 _OWC7T4ET--DE-CK--U.-O
W ! BASE ! *-26* E LDJR-COVE R - -07 TN-YL-FL00RTNG---O_.-0
E Total Areaa A..a 416 Baee_ 17471 10DF-T Y tTF____ -TO t7ST-TA_i/GRAY___IT.
BUILDING DIMENSIONS 24 24 LFCTRI-Ct`C--- -OZ HIfV E-AVERA TE----Jr -O
T B A S W.30 N10 W25 N26 E04 N24 W04 F O'XNfDATZUU- - -J1 WRED--CONL------U.O
A N25 SAS W26 N04 W24 SO4 W26 N23 * * ------- ----- --- ----------------------
I4 W10.N30 SAS E10 N08 E26 SO4 E24 26 26 -----VEZG*3OR JD -53AC-HYANNTS-------
L N04 E26 SO4 BAS E35 N04 E23 1SB ! ! LAND TOTAL MARKET
E24 N07 E26 S07 E25 S53 W25 SO4 *-25* * PARCEL 561000 348200D
CAN S1'6 W26 N16 E26 _ 1SB W26 *--30—X* AREA 37400
4104. WA N53 .. SAS S61 W02 S25 VARIANCE +0 +9210
SEE APR FOR CONTINUATION STANDARD 25
OF 7,00
.4
,: _ � •you t w c o�. ,•.: :.;�; ., ..
6' ':the Town of Barnstable
I '"""""_ ' Inspection Department
1670 367 Main Street, Hyannis, MA 02601
F;
+' 508-790-6227
' Joseph D. DaLW:
Building Commissidneru:• _
Y•
June 10 1993
Y'
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F"•
r-; Hinckley, Allen & Snyder
One Financial Center
Boston, MA 02111
RE: Cape Regency Nursing Home
A=208 089 001 120 South Main St. , Centerville a
s:
To Whom It May Concern:
Please be advised that the Cape Regency Nursing Home located
at 120 South Main Street, Centerville, Massachusetts (the
"Premises" ) is a legal structure and the use of said
property as a nursing home is a permitted use (see Appeal
#1980-91) . In addition, the Building Department records
indicate that:
1 . No outstanding zoning violations exist with respect
to the Premises;
2 . The only permits issued for the Premises by the
Building Department were Building Permit #23055
dated April 30, 1981, an Occupancy Permit dated
July, 1982, and annual Certificates of Inspection
issued to the Premises as required by law (the most
recent having been issued June 4, 1993) .
Please be further advised the undersigned was authorized to
issue the permits referenced in numbered paragraph 2 above.
Peace,
os ph D. DaL
Building Commissioner
JDD/gr
Hincklev Allen
.
Attorneys at Laiv UN
1� E TRANSh'1I�'�'AL' SHEET
FRC ]L
S
BosTo?`, AssncliUsErrs 02 l I T
(617) 34;-9000 �; {617) 345-9420 CONFIDENTIALITY ti4TICE
FROM.
This facsimile transmission and the accompanYine docu•
DATE: merits contain legally pri,.-ileged confidential information.
^tSMITTED T-ne information is in oniv for the use the recipient
J IBCR OF PAGES TRA:
(LtiCLUUlNG COVER SHEET) named below• U you are not an >mended recipient. y ou are
hereby notified that any disclosure. copying, diStributlon or
exploitation of,or the taking of any action in reliance an.the
if You did not receive the indicated numbdr of pages, or if contents of this facsimile is strictly prohibited. If voa ha,e
any pages are illegible. please call us'immediately at: received this facsimile in ert'or,please notify'us itnmediatei�
(617) 345-9006 by telephone to arrange for return of the original documents
CLIENT: MATTER. ! to u5 at our expense,
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lam:
BUS,n:
FAX
URGENT MESSAGE For your inforrnatton
please call sender to discuss
Please See below
y As rNuested
L Per our discussion
MESSAGE:
1 _
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14
fill
g
[TOWN OF, BARNSTABLE BUILDING INSPECTOR LETTERHEAD] . :
June _, , 1993
Hinckley., Allen & Snyder
One Financial Center
Boston, Massachusetts 02111
Re: Cape Regency Nursing Home
To Whom It May Concern:
Please be advised that the Cape Regency Nursing Home
located at 120 South Main"Street, "Centerville, �.Massachusette
(the "Premises".) :is a legal structure and the use of. said
property as a nursing home is a permitted use (see Appeal � +w
#1980-91) . In addition, the building department records " #
indicate that:
1 . No outstanding zoning violations exist with respect to
the Premises;
2 The only permits issued for the Premises by the
bu ding department were Building Permit No. 23055
da ed pril . 30, 1981, an Occupancy Permit dated
, 1982, and annual. Certificates of
In ec ion issued to the Premises as req, fired by law
(te
e ost recent having been issued in ,
1993 ) .
Please be further advised the undersigned was authorized to
issue the permits referenced in numbered paragraph 2 above..
Very truly yours,
Joseph D. DaLuz
Building Commissioner
WN SM OL 040558.5494 7.A 85
r
pP1NE pop, Town of Barnstable
Regulatory Services
Y M
B"RNSTABM
ASS.Mnss. Thomas F.Geiler,Director
y �
4iArFo;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:
TO: TOM LAVALEE
ATTN:
FAX NO: 508 790-4188
FROM: Angela Whelan
DATE: January 7, 2005
PAGE(S): _2_ (EXCLUDING COVER SHEET)
" t t
• .�►RAiBirAHiSr .
The Town of Barnstable
Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 _ Ralph Crosser
Fax: 508-790-6230 Building Commissioner
July 11, 1995 ';
Bill McMahon
Cape Regency Nursing Home
.,120 South Main Street p
Centerville, MAP 02632 '
Dear Bill:
A search of The Mass State Building Code reveals that self door'closers are not required
for your facility. As such, you are free to remove them as you requested. While I am
hesitant to write this sort of letter, it is what you requested and I hope itserves your
purposes. `
z ,
Sincerely
Ralph Crosser
t
Building Commissioner41
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`DATE(MWOONY)
11/06/96
su
i PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
INSURANCE AGENCY OF CAPE COD ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
480 ROUTE 6A HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
EAST SANDWICH,MA 02537 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A Hartford Fire Insurance,Company
INSURED COMPANY
JOHN P.CLANCY DBA JOHN CLANCY MASON B Hartford Underwriters Insurance ce Company
CONTRACTING COMPANY
8 JASPER LANE = Twin Ci Fire Insurance Company
FORESTDALE,MA 02644 COMPANY
D Hartford Accident and Indemni Company
7777
CtkVIRAdEB
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED,NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDIT;ON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDII1019S OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS.
CO TYPE Of INSURANCE POLICY NUMBER POLICY mecrIVE POLICY EXPIRATION LIMITS
LTR DATE DATE(Mmem
GENERAL LIABILITY GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY PRODUCTS•COMPIOP AGG j
CLAIMS MADE OCCUR PERSONAL&ADN INJURY $
OWNER'S 3 CONTRACTOR'S PROT EACH OCCURRENCE III
( FIRE DAMAGE(Any one We) $
MED EXP(Any one Psrsm) _
AUTOMOBILE LIABILITY
ANY AUTO , r COMBINED SINGLE LIMIT =
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (P-Pe—) S
HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (PW soobem) _
PROPERTY DAMAGE j
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT
ANY AUTO I OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE _
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM _
g WORKERS COMPENSATION AND X1 WC STATU- OTH
EMPLOYERS'LIABILITY 77W7 VM19 16/06196 10/06,97 1 TORY LIMITS ER J
THE PROPRIETOR! EL EACH ACCIDENT _ loom
PARTNERSIEXECUTIVE INCL EL DISEASE.POLICY LIMIT $500 000
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $100 000
OTHER
DESCRIPTION OF OPEMTIONSILOCAT10N&VEHiCLESISPECIIL ITEMS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
IS DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT PAIL'iJRR TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLJOATION OR LIABK.IT'
OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNEs.
ALITHORJZED REPRESENTATIVE
MAR
...
1
ATE(MM/DDr"l
AIDIIIs11. CERTIFICATE OF INSURANCE c�c 1 D01/17/97
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
of Cape Cod, Inc. HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
480 Route 6A, P 0 Box 838 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
8. Sandwich MA 02537 _ __ _ COMPANIES AFFORDING COVERAGE
The Insurance Agency COMPANY
A Trust Assurance Company
Q 8-8 8 8-2 7 6 6 ------- ------ --- — -- --- - ---------- --
WSURED COMPANY
B i
V/ John P Clancy d/b/a r.oMPAVY
ClancyMason ContractingC -
8 Jasper Lane I COMPANY
Forestdale MA 02644 D '
I
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOIJIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. T14E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
_-- POLICY EFFECTIVE (POLICY EXPIRATION j
CO TYPE OF INSURANCE I POLICY NUMBER DATE(MMIDDNY) i DATE(MMIDONY) ` LIMITS
LTR
GENERAL LIA/ILrr•' j GENERAL AGGREGATE 1 600000
A X COMMERCIAL GENERAL LIABILITY Binder 01/01/97 01/01/98 !PRODucTs-cOMaroFA,G�° 600000
CLAIMS MADE C�OCCUR i i I PERSONAL a ADV INJURY I 000000
OWNER'S&CONTRACTOR'SPROT i -EACH
—OCCURRENCE s300000
fIR' E DAMAGE(Any one fire! j $ S000O
I I 'MEO EXP(Any one person) I ° 5000
AUTOMOsru c,wVarTY
I COM BIN9C SINGLE LIMIT
ANY AUTO I
All OWNED AUTOS I I BODILY INJURY
Per person) ( °
SCHEDULED AUTOS
HIRED AUTOS (� I BODILY INJURY
NON-OWNED AUTOS - I (Per accident) °
I I PROPERTY DAMAGE I °
GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT A _----_
ANY AUTO I OTHER THAN AUTO ONLY:
EACH ACCIDENT ' 0
AGGREGATE 4
� I —
EXCESS LIABILITY v �v I v� ^— EACH OCCURRENCE °
UMBRELLA FORM I AGGREGATE °
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND I STATUTORY LIMITS
EMPLOYERS'LIABILITY
EACH ACCIDENT
THE PROPRIE70RI r—� INC! DISEASE-PO: -Y/E L!!,!tT L
PARTNERSXECUTIVE F i _—.
OFFICERS ARE: 1— f EX —_ _ i_ DISEASE-EACH EMPLOYEE I °
OTHER — I 4
A Comm Application TBA 01/O1/97 ; 01101198 ;
I f
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS '..
Stone Mason
CERTIFICATE HOLDER {{`CANCELLATION
. TH$HOV1 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
i 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
i r
OF KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATNES.
The
Insurance Agency
ACORD 28-S (3/93) OACORD CORPORATION 1993
t
4'yei 1Nc ro``
,A, .Z The Town of Barnstable
Inspection Department
�Y i6'9.
0 Y 367 Main Street, Hyannis, MA 02601
� ►'
508-790-6227 Joseph D. DaLuz
Building Commissioner
January 14, 1994
Hinckley, Allen & Snyder
One Financial Center
Boston, MA 02111
RE: Cape Regency Nursing Home
A=208 089 001 120 South Main St. , Centerville
To Whom It May Concern:
Please be advised that the Cape Regency Nursing Home located .
at 120 South Main Street, Centerville, Massachusetts (the
"Premises" ) is a legal structure and the use of said
property as a nursing home is a permitted use (see Appeal
#1980-91) . In addition, the Building Department records
indicate that:
1. No outstanding zoning violations exist with respect
to the Premises;
2. The only permits issued for the Premises by the
Building Department were Building Permit #23055
dated April 30, 1981, an Occupancy Permit dated
July, 1982, and annual Certificates of Inspection
issued to the Premises as required by law (the most
recent having been June 4, 1993) .
Please be further advised the undersigned was authorized to
issue the permits referenced in numbered paragraph 2 above.
Peace,
lc a
seph D. DaLuz ,
Building Commissioner
JDD/gr
f
-Aan. 11. 1994 3:40PM HINCKLEY, ALIEN&SNYDER No, 6567 P. 1
HincW- m Allen &r Snvder
rlttatne��s at j,.a►�� •
ONE FiwwCL/.' CrMx FACSIMILE TRANSMITTAL SHEET
Bo=,4, MASSACNusrm 031 I
(617) 345.9000 FAx (617) 345-9020
FROM: j(. . coNMENTIALITY Noncz
DATE: AkIUA414 IJ q This facsimile traasn*sion and the accompanying do v.
menu contain legally privileged rorLidrntia) information,
Nul+fa>rR of Pntene ony or the case of the re:i p�iL-„(1Nt:Lt1nXNC COVEOVZ YTED
R SHEET) The information is idd ) fh
�
named below, if you are not an intended rccipiau,you are
hereby notified that any diselosurc, copying, diaribu6on or
;f you did not rccchoe the indicated number of paces, or if exploitation 4 or the taking ofany action in reliance on,the
any pages arc illegible,please=I] us immrdialely at: contcnu-of this facaimiila is svietly pralvbit:d. If you hS��:
(617)345-9000 r - received this facsimile in error,please Notify us j=ntdiatcly
CLIENT: by WhPhonc w armat for rcwm of the original dozum:au
' to us at our expense.
TO: .,.
twl—
le- lmd -e
Rz: 4114 �
BUS.":'
�'`'� URG>rAT hitE55AGE ❑ For your intonnation
t,..J
—' ?)ease call sender to discuss �,�. - Mrasa sce lraow
LJ ptr our discussion ❑ As requested
Mi L/'A av-4 nh ft4 �e HU4 rAy—
/ h
JA
prvluk" .
Jan., R No.
The Town of Barnstable
s } Inspection Department
367 Main Street,Hyannis,MA 02601
508-790-6227 Joseph D, DaLuz
Building Commissioner
June 10, 1993
Hinckley, Allen & Snyder
One Financial Center
Boston, MA 02111
RE: Cape Regency Nursing Some
A-208 089 001 120 South Main St. , Centerville .
To Whom It May Concerns
Please be advised that the Cape Regency Nursing Home located
at 120 South Main Street, Centerville, Massachusetts (the
"Premises" ), is a legal structure and the use of said
property as a nursing home is a permitted use (see Appeal
#1980-91) . In addition, the Building Department records
indicate that:
1. No outstanding zoning violations exist with respect
to the Premises;
2. The only permits issued for the Premises by the
Building Department were Building Permit #23055
dated April 30, 1981, an Occupancy Permit dated
July, 1982,. and annual Certificates of Inspection
issued to the Premises as required by law (the most
recent having been issued June 4, 1993) .
Please be further advised the undersigned was authorized to
issue the permits referenced in numbered paragraph 2 above.
Peace,
os ph' D. D 1,
Building Commissioner
JDD/gr
f
LATIMER/LAWSON ASSOCIATES ARCHITECTS/PLANNERS
54 LONGMEADOW ROAD P.O. BOX 1160 TAUNTON, MASSACHUSETTS 02780
(508) 822.7183
October 24, 1988
Building Inspector, Town of Barnstable
Barnstable Administrative Center
230 South Street
Hyannis, Massachusetts 02601
J .
Re: Building Permit No. 31756
Renovations to Cape Regency Nursing Home
120 South Main Street
Centreville, Massachusetts
Gentlemen:
With respect to the above referenced building permit issued by
your office on March 30 , 1988 , please be advised that I as the
Architect of Record listed on said permit, have inspected the
completed work and find that the project complies fully with the
plans submitted originally and is in compliance with Building Code
Regulations.
Sincerely yos,
Thomas G. Lawson AIA
LATIMER/LAWSON. ASSOCIATES
cc: Ms. Jackle' Carrera, Oakwood Living Center
Mr. Lloyd E. Roose, Contractor
<14' o.S G• Cq �j.
V
S n N
No. r 2�18
T,%ITON
e.'nA ss.
, llN got 1A.
r---- __----_ ---------�.
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Assessor's office (1st floor THE
): �_ t
Assessor's map and lot number ........... t GEPM ®� u� o C
Board of Health .(3rd floor): 114PTALLED IN COMPLIP.NCE
. number'
Sewage Permit_ number :.3� 3..aP$�. , .... ......... ;'&3' ii TITLE 5 ' i B8Sd9TSDLE.
Engineering Department (3rd floor) E� �:^" kPEi�Y ►L.`CODE ADD moo Mb 9• \ei'
f� b 7n�
'- House number' ...... ...:. ': ......` ...... .. .... YP�d•
Definitive Plan Approved by Planning .Bocird _ ___________ TO i�id REG,tJ6I-�YIGNS,
-- -
APPLICATIONS PROCESSED 8:30' 9:30 A.M.. and 1:00-2:00 P.M. only'
TOWN . OY : BARNSTABLE.
BUILDING -: INSPECTOR �� �
APPLICATION FOR PERMIT TO do„interor..remodeling„at.,CaPe;:Regency Nursing Home
TYPE OF CONSTRUCTION Ion.—.structural...iatexior..remodeling...with..new.-gypsum..dxywall.... `
walls and 'ceiling, 2 new counter sinks and a new roof
mounted AC unit for remodeled,r6oms only. .......
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby.applies• for a permit according to the following information:
Location Cade Regency,.Nursing• Hare„120 South„Main St,,,,,,Centreville,R;. Iasachusetts'
...... .......................
Remodel existing storage area and chapel,into_new dining room,and. serving area
for nursin home anent use.
Proposed Use ........................g.:...........P............................................,........::..::...,::......::......::........,.....:............
Zoning District ............!:1. `- ... ...2..... . ................... .....Fire District /
.. . ....... 1.. f.
Name of 'Owner'.:Oakwood.,Liying..Centers,•,.Inc.,,.,;.Address 35.9..Thww...CFQJ. Qx...7.57.1.:Newport,,, RI„02840
Nome�'of Builder Lloyd, g.., Roose•and:,Assoc•*...Inc,,.'Address PQ:.BQN. �7.8.,...NA.....EaS.1=_.Qn ..a"A:.Q2.3.J6:..... ..
Name of Architect' Latimer/Lawson,.Associates..........Address �O..�Q ..7 6.0.,...Tawnts�n;..MA..Q27.$.0...................
Number of Rooms ..3;'.rooms........................... ....................Fou'ndation ,EXj.$.tiT1g..QQ>1C 0 4.->1Q:.11�W..T^7Or�4..............
Exterior .sting•masonry-no,new,work.,...'..............Roofi.ng'Exist.ing..Built=up..x0.0f..::1::.11Qw..mQf...opQning
for new AC unit. -'
Floors ]misting cone, slab„with;new.carP•eting•Interior Interior..gypqum..00c l..wajjs..�V.jd..GQ.ilangs
Heating misting..eiectrc..het.:...:...:.. .......::....:..:......Plumbing .2..new..Gouzater.: anks..kin ..an. a'.e7 a kalig
water supply' and drain ,lines'.
Fireplace NQt...applicable................................................ :Approximate Cost ............
Area prox..1.,.650..sg....ft..
Diagram of Lot and- Building with Dimensions " Fee
See attached set of plans entitled . .
"Cape Regency Centerville, MA '
Dining Room Renovations"
Sheets A-1, A-2, A-2a, A=3, A-4., A-5,, 'and A-6.
TAU:`;T0iJ �
p:.ASS.
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � `(gT�
�,p4
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. :...."1..:.....................................................
—" Massachusetts Architectural Registration 2518
Construction, Supervisor's License ..................:..................
I
OAKWOOD, LIVING CENTERS, INC.
: 3"1756 5 Remodel Portion of Interior
vNo `
.................`:Permit for ....................................
Nu.rsng_' Home
. r ... .,.......y... •J................................................. {
Location ... `120 South Main *Street
'• � Centerville . ..x , . - � � •J _ _ •
t..._..r .. NOakwood Living .Centers, Inc'
Owner .... ............... .........
Type oft Construction '`°Frame ....r3 ... ...... _. -
.. r
.. ...................... .. .... .. ..• .....
Plot } . r� 'L'ot .. ....... .................`.. t r f _ti.
E Perrriit Granted ......March•'3 0 , ' .19 8 8
Date of Inspection .......... ...............19 a
• J.
' Da .' Completed 107....19
i'
fM,
MM01%
xir
00
CJ
'x'd Y.�y"."'-.•,''�^..'' • _ ,� ` a' _ -..Y ' y�'� , - fir. � , .•
7 .
j
-Assessor's office (1st floor):
Assessor's map and lot number ... ....... OFTNero
Board of Health (3rd floor):
Sewage Permit number ......
Engineering Department (3rd floor): oos,0 39. 0�
House number ............................ ....�............ ..� •EO YAy a\
s
Definitive Plan Approved by Planning Board ---------------------_----------19__------ .
APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO do--interior",remodeling"at "Cave" Rectencv Nursing"Hone""...." ""
TYPE OF CONSTRUCTION ....nt4? i R ,'..* LrwAl,i nw^r ? ao,,,Tn,c�mq,c? �t•:a11
walls and ceiling, 2 new counter sinks and a new roof_
mounted AC unit for remodeled roans only. t 9-.-..---
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location Cape Regency Nursing•-I ane-"120--South•Main•-St..,,-Centrev lle-,.. s*achusetts
Remodel existing storage area and chapel into new dining roan and serving area
Proposed Use for nursin. g.home. ..patient..use. . ............................................................................................................
.. ....... .... .... ................. .. .
Zoning District ............ ................................................... District
l C
# Name of Owner .. ooa..L'i '.1C� Cetlters, 111C. Address 359.. ...� .. ."757) h RI 02840
Name of Builder L1o?dPP �7.. �,,- A .. �AQ2 aCRoose•. .. .�... ..Address .. .. . .. . .. .. - ..............
Name of Architect Lat]trL.awson••Associates..........Address Q .. ..................i .
• Number of Rooms ... ..rp.gps................................................Foundation F�c st nc(„concrete-nC�--1;��in1•-work... ..
Exte for nq ma.,onxv-no new work- Roofing E?sistirl.................u - .. .... ..new,• oA --A► ing
for new A unit.
Floors Exist nq.conc.,...sl-ab with ne.w caMetiin-ct.Interior ?toX Qx..atlt�aumn-1 .walls--a�ad..o inks
Heating fpc tigq.i ric:heak . ' . Plumbin ......... .. ..... ......... ... .. gea k .. a fa
water supply and drain -• s a ig
lines.
Fireplace W-7�if-able..................................................Approximate Cost Aq.. �00. ��
w y ...........................................
Area .�.z�X...1,-;.650...a(.1 ... t..
Diagram of Lot and Building with Dimensions Fee
See attached set of plans entitled
"Cape Regency Centerville, MA
Diriing •-Room Renovations"
Sheets A-1, A-2, A-2a, A-3, A-4, A-5, and A-6.
-'rev ,i
E�•-L��.�. ASS.
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 't<_`'.;�
OF
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name ..................... ....................................................
Massachusetts Architectural Registration 2518
Construction Supervisor's License ....................................
OAKWOOD LIVING CENTERS, INC. A=208'-089-001 "
0 h" f1�-'f' r 0 v
No .,31756 Permit for ..Remodel Portion Of Interior
. .....................
Nursing Home
. ......... ......................................
Location .....12.O...South. ...Main...Street....
. ... .. ..... .
Centerville
...............................................................................
Owner .........Oakwood Living Centers , Inc.
Type of Construction ...Frame
..................................
...............................................................................
Plot ............................ Lot ................................
Permit Granted .,, March 30, 19 88
Date of Inspection ....................................19
Date Completed ......................................19
F
Assessor's map and lot numberTHE
► �
Sewage Permit number
...........................................
;a 42 0 t BARNSTABLE, i
House number :o MABL
p 1639. \00
p MPY a'
TOWN OF BARNSTABLE
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO .....................................
TYPE OF CONSTRUCTION ....................... .�� �...---
,711
..................... ...............19.:. '!
•y•
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit according to the following information:
Location -� .., ..........^....................................
ProposedUse ..�. .......:t 3€. ................` ::..: ........v �...........................................................................................................
Zoning District ....... . .............................Fire District .(' .�7A . 1. C C�y7..k V1< f..C.......
............ ........................ ......................................................
Name of Owner ..1,� IDe t.t r Ai'Ct t�TA10f C CIS P...Address 1%�h...�ra;it ST�� ;T � syr�7/,!b.'r'/rzl./?J,4
...................... ................ ................. ... .....................................................
-... ..
Name of Builder A (c et't,,WC& '-�j` ...d Address............................................... ............... ...............................................
Name of Architect ! .!!.!. + ; t�U i.l C.*�rt A-; y-: ��• /x'�Address .. t .... r. L ihat 'f* fir trr` hrn .
....................................................... ............................................... . ...... ..
Number of Rooms �1-� x`r '�. 5...................................Foundation.........:............... ..............................................................................
Exierior fr1I2 �a,V,r 'r f,�C..,c,.�,s!, t?) ..L{vE [ S ......Roofing .:...r'. ..............................................................
1
Floors r "� T .-` /f,t' .TF Ifs..•k[ /�•4rn�.1
............:....................................Interior ....................................................................................
.................................... 1
Heating '`.r...........................................................................Plumbing .......... ....... ...'.:....... ...........................` ' ...777. ..
Fireplace ..... ....................................................................Approximate Cost ....f:.g:. ..°c.:''.J..........................................
Definitive Plan Approved by Planning Board -------------------_-----------19________. Area
Diagram of Lot and Building with Dimensions -!A- Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
r y
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction. ze (Gr f-1
Name ..... �� .�........... .......... .:........• f.. ... .:
•
PRUDENT ACCEPTANCE CORP .
A-�20`:-89 --1
No 2.3055 Permit for ...Build 1.2 Bed
Nursing Home
........................................................ ........ .............
Location 120 South Main S r et
Centerville
...............................................................................
Owner ..Prudent Acceptance. Corp.
........... ............
Type of Construction ... Masonry & Frame
................................................................................
Plot ............................ Lot ................................
Permit Granted .., ri 1 3 0 , 19 81
Date of Inspectpn ....................................19
Date Comple ed ......................................19
PERMIT REFLED
.......................................... .................. 19
..................................................... .........................
................................................... ............................
........................... ............ ...............................
.................................. ..
nn
Approved
-------------
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