HomeMy WebLinkAboutCHRISTIAN CAMP MEETING - Certificates of Inspection (3)k
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The Commonwealth of Massachusetts
Town of Barnstable
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b39 2020
Certificate of Inspection
Issued to Tabernacle/christian Camp Meeting r L Certificate No.
Association Type: Building Certificate of Inspection
DBA IC-19-175Tabernacle/christian Camp Meeting
Association
Identify property address including street number, 'name, city or town and country Certificate Expiration
Located at Map/Lot 227-609 8/31/2020
in the:Town of Barnstable
251 LAKE ELIZABETH DRIVE, CENTERVILLE
Location Use Group Classifications) Allowable Occupant Load .
1st A-4: Arenas, swimming.pools, tennis courts, etc. 300:
Restrictions 306 Maximum Capacity
This Certificate of inspection is hereby issued by the undersigned to'certify that the premise, structur6or.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 ina 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 9/12/2019
Signature of Municipal Building Date of Issuance
Commissioner 9/1/2019
a Town of Barnstablei639 `ero
New and Renewal Certificate of Inspection Application
Date 6/28/2019 Fee Required 50.00
i accordance with the provisions of the Massachusetts State Building Code,Section 110.7,hereby apply for a Certificate of Inspection
r the below-named premises located at the following address:
Street and Number: 251 LAKE ELIZABETH DRIVE,CENTERVILLE
Name of Premises: Tabernacle/christian Camp Meeting Association
DBA: Tabernacle/christian Camp Meeting Association
Purpose for which premises is used: G'/UV il 1
m-IvY
License(s)or Permit(s)required for the premises by other governmental agencies:
Certificate to be Issued to: Tabernacle/christian Camp Meeting Association
Corp, LLC,or name of Business)
Address: 251 LAKE ELIZABETH DRIVE,CENTERVILLE
Telephone:
Owner of Record of Business or Christian Camp Meeting Assoc.CCMA
Establishment:
Address: 39 Prospect Avenue Centerville, MA 02632
Manager or Persons responsible for James A.Lane
daily operation:
E-Mail: jarthurlane@hotmail.com
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT CQ
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V1-. GtUlz°
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PLEASE PRINT NAME
fV
INSTRUCTIONS: glqqjoo1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information:
FOR OFFICE USE ONLY:
CERTIFICATE# TIC-19-175 EXPIRATION DATE 8/31/2019
oF,HEr
y
The Commonwealth of Massachusetts
Town of Barnstable
0 2019
rED MP s
Certificate of Inspection
4.
Craigville Retreat Center Certificate No.
Issued to Cynthia Diggs Type: Certificate of Inspection IC-18-179
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 7/31/2019
in the Town of Barnstable
39 PROSPECT AVE, CENTERVILLE
Location Use Group Classification(s) Allowable Occupant Load
1st R-1: Boarding houses (transient), hotels, motels s0
Restrictions The Lodge
39A Prospect
47 Lodgers (12) Rooms 1 Dwelling Unit
No Beds on 1st Floor
Lodge-Cottage
39 B Prospect 131/132 and B3
3 Minimum Lodgers (3) Rooms 2 Floors (3)Studio Aparts,
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 1/1/0001
Signature of Municipal Building Date of Issuance
Commissioner 2/18/2018
F HE°,, The Commonwealth of Massachusetts
ST"
Town of Barnstable
a, ' 2019
rEO.MPS
Certificate of Inspection
Craigville Retreat Center . Certificate No.
Issued to Cynthia Diggs Type: Certificate of Inspection IC-18-179
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 7/31/2019
in the Town of Barnstable
39 PROSPECT AVE, CENTERVILLE
Location Use Group Classifications) Allowable Occupant Load
1st R-1: Boarding houses (transient), hotels, motels s0
Restrictions The Lodge
39A Prospect
47 Lodgers (12) Rooms 1 Dwelling Unit
No Beds on 1st Floor
Lodge-Cottage
39 B Prospect 131/132 and B3
3 Minimum Lodgers(3) Rooms 2 Floors (3) Studio Aparts,
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 1/1/0001
Signature of Municipal Building Date of Issuance
Commissioner 2/18/2018
Florence, Brian
From: NoReply@viewpointcloud.com
Sent: Monday,August 6, 2018 8:55 AM
To: craigville@uccr.org
Subject:Town of Barnstable - Regarding your permit: IC-18-179 at 39 PROSPECT AVE,
CENTERVILLE for Certificate of Inspection
Attachments: ViewPermit_Document_636691416223819824.PDF
Dear Mrs. Diggs,
Enclosed find copy of your current Certificate of Inspection(Lodge). Pls. provide copy of the fire alarm
certification. Certificate is contingent upon an architects review of the apartment prior to the next annual
inspection.
Regards,
Brian Florence
Building Commissioner
N
1
SHE T The Commonwealth of Massachusetts
Town of Barnstable
is: uwsr sr e .
2018
Tf0 MAC s
Certificate of Inspection
Crai9 ville Retreat Center Certificate No.
Issued to Cynthia Diggs Type: Certificate of Inspection IC-17-35
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 2/17/2018
in the Town of Barnstable
39 PROSPECT AVE, CENTERVILLE
Location Use Group Classification(s) Allowable Occupant Load
1st R-1: Boarding houses (transient), hotels, motels 50
Restrictions The Lodge
39A Prospect
47 Lodgers (12) Rooms 1 Dwelling Unit
No Beds on 1st Floor
Lodge-Cottage
39 B Prospect 131/132 and B3
3 Minimum Lodgers(3) Rooms 2 Floors (3) Studio Aparts,
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 6/1/2017
r Signature of Municipal Building Date of Issuance
Commissioner 1/9/2017
S
Florence, Brian
From: NoReply@viewpointcloud.com
Sent: Tuesday,July 31, 2018 12:46 PM
To: craigville@uccr.org
Subject: Town of Barnstable - Regarding your permit: IC-.17-35 at 39 PROSPECT AVE,
CENTERVILLE for Certificate of Inspection
Attachments: ViewPermit_Document_636686378829873271.PDF
Dear Craigville Retreat Center,
Certificate of Inspection issued contingent upon an evaluation by an architect and'any permitting necessary to
create an apartment within the existing facility.
Regards,
Brian Florence n
Building Commissioner
y
f,
Florence, Brian
From: David Sauro <cccs.david@gmail.com>
Sent: Tuesday,July 31, 2018 11:17 AM
To: Florence, Brian;Jim Lane
Subject: 39 Prospect Ave. Centerville
Brian,
As a follow-up to your email of Monday July 30th; appreciate your follow-up along with willingness to
issue a use certificate contingent upon an IEBC review prior to the next annual inspection.
We are in the process of hiring an architect to have a review done.
Thank you for your time and understanding.
David Sauro
Cape Cod Construction Services, Inc.
cell 774.487.2206
office 508.778.0897
fax 508.778.0897
www.capecodconstructionservices.com
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The State of Massachusetts
a,Lnvsrie[r,Town of Barnstable
elFO-Mp<A
New and Renewal Certificate of Inspection Application
o .4
Date 2/17/2017 Fee Required 48;w
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: 39 PROSPECT AVE,CENTERVILLE
Name of Premises: Craigville Retreat Center
Purpose for which premises is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
BUILDING DEFT
18
Certificate to be Issued to: Craigville Retreat Center
MAY 2016
Address: 39 PROSPECT AVE,CENTERVILLE vo L'AH S ABLE
Telephone: 508)775-1265
Owner of Record of Building: United Camps Conference&Retreats
Address: Christian Camp Meeting Association Centerville, MA 02632
Name of Present Holder of Certificate: Cynthia Diggs
Name of Agent,if any Cynthia Diggs
E-Mail:craigville@uccr.org
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS:
1) Make check payable to: TOWN OF BARNSTABLE
2) Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten (10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# TIC- - 5 EXPIRATION DATE 2/17/2 8
I
OFTHE'tp Town of Barnstable
200 Main Street Tel: 508 862-4038sAnrrs•rws,
MASS. a
ATEOMAYA`
0
INSPECTION REPORT
Permit: Certificate of Inspection
Use: '
Date: 6/1/2017 1:37 PM Inspector:' Iauzon" Permit Number TIC-17-35
Name: United Camps Conference& Retreats
Address: 39 PROSPECT AVE, CENTERVILLE Unit No.
Inspection Type Inspection Item Status Comment
Certificate of A Inspection Results NIC UNPERMITTED APARTMENT IN BUILDING.
Inspection
Inspection Overall Comment:
Overall Inspection Status: FAILED Re-Inspection Date: .4/21/2017
e'-
Inspector Signature Owner Signature Total Score: 100
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F,HE, The Commonwealth of Massachusetts
ti
Town of Barnstable
UMSTAB
0m 2019
TEO MPt
Certificate of Inspection
Craigville Retreat Center Certificate No.
Issued to Cynthia Diggs Type: Certificate of Inspection. IC-18-33
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot T 2/28/2019
in the Town of Barnstable
208 LAKE DRIVE, CENTERVILLE
Location Use Group Classification(s) Allowable Occupant Load
1st R-1: Boarding houses (transient), hotels, motels 55
Restrictions The Inn
d208
Lake Elizabeth Drive
55 Lodgers (41) Rooms
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 1/1/0001
Signature of Municipal Building Date of Issuance
Commissioner 2/28/2018
F.HE, The Commonwealth of Massachusetts
Town of Barnstable
APNST"E.&
2019
MABS a
IdJ9. \0
Tf0 MPS s
Certificate of Inspection
Craigville Retreat Center Certificate No.
Issued to Cynthia Diggs Type: Certificate of Inspection IC-18-33
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/---T—Lot 2/28/2019
in the Town of Barnstable
208 LAKE DRIVE, CENTERVILLE
Location Use Group Classifications) Allowable Occupant Load
1st R-1: Boarding houses(transient), hotels, motels 55
Restrictions The Inn
208 Lake Elizabeth Drive
55 Lodgers (41) Rooms
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 1/1/0001
Signature of Municipal Building Date of Issuance
Commissioner 2/28/2018
Florence, Brian
From: NoReply@viewpointcloud.com
Sent: Monday,August 6, 2018 8:38 AM
To: craigville@uccr.org
Subject: Town of Barnstable - Regarding your permit: IC-18-33 at 208 LAKE DRIVE, CENTERVILLE
for Certificate of Inspection
Attachments: ViewPermit Document 636691414262660519.PDF
Dear Craigville Retreat Center,
Enclosed please find a copy of your current Certificate if Inspection for the inn. Kindly send a copy of the most
recent fire alarm certification.
Regards,
Brian Florence
Building Commissioner
i
o The State of Massachusetts
aARNSTA
f' Town of Barnstable
New and Renewal Certificate. of Inspection Application
D .
Date 6/2/2017 Fee Required
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: 208 LAKE DRIVE,CENTERVILLE
Name of Premises:Craigville Retreat Center
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:39 Prospecct Avenue Centerville MA 02632
Telephone:
Owner of Record of Building:
Address: 39 Prospecct Avenue Centerville MA 02632
Name of Present Certificate Holder: Christian Camp Meeting Association
a
Name of Agent, if anyco-- rn
SIGNATURE OF PERSON TOW OM CERTIFICATE IS ISSUED
f
OR AUTHORIZED AGENT
Rin VLLGi 1 lr l 1
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- -36 EXPIRATION DATE 2/17 18
l
The State of MassachusettsURNSTARM
MAE&
OMA'k
0r Town.of Barnstable(
New and Renewal Certificate of Inspection Application -- .
Date. 6/2/2017' , , Fee Required
In accordance with the provisions of the Massachusetts State-Building Code, Section 110.7, hereby apply
kk for a Certificate of Inspection for the below-named premises located at the.following.acldress '
Street and Number: 208 LAKE DRIVE,CENTERVILLE
Name of Premises:Craigville Retreat Center.
Purpose'for which premises is used
G.License(s) or Permit(s) required for the premises by other governmental agencies: MW
pile
Certificate to be Issued to:
Address:39 Prospecct.Avenue Centerville MA 02632
r
Telephone:
V
Owner of Record of Building:'
Address: 39 Prospecct Avenue Centerville MA 02632..:
Name of Present Certificate Holder: Christian Camp Meeting Association r
Name of Agent, if any
SIGNATURE OF PERSON TO W OM CERTIFICATE IS ISSUED w
OR AUTHORIZED AGENT
k
PLEASE PRINT NAME
w
s
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 a -
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- 36" EXPIRATION DATE 2/1 2018
The Commonwealth of MassachusettsOfSHETOt,_
i - E
L:
y Town of Barnstable
ST"EX .
2019
Certificate of Inspection
Tabernacle/christian Camp Meeting Association Certificate No.
Issued to James A. Lane Type: Building -Certificate of Inspection IC-18-177
Identify property address including street number, name, city or town and country Certificate Expiration
Located at
Map/Lot 227-009 8/31/2019
in the Town of Barnstable
251 LAKE ELIZABETH DRIVE, CENTERVILLE
Location Use Group Classification(s) Allowable Occupant Load
1st A-4: Arenas, swimming pools, tennis courts, etc. 300
Restrictions 300 Maximum Capacity
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 1/1/0001
Signature of Municipal Building Date of Issuance
Commissioner 7/31/2018
The Commonwealth of Massachusetts C\
may°: Town of Barnstable
2019
Certificate of Inspection
Tabernacle/christian Camp Meeting Association Certificate No.
Issued to James A. Lane Type: Building -Certificate of Inspection IC-18-177
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot ii27-009 8/31/2019
in the Town of Barnstable
251 LAKE ELIZABETH DRIVE, CENTERVILLE
Location Use Group Classification(s) Allowable Occupant Load
1st A-4: Arenas, swimming pools, tennis courts, etc. 300
Restrictions 300 Maximum Capacity
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 1/1/0001
Signature of Municipal Building Date of Issuance
Commissioner 7/31/2018
Florence, Brian
From: NoReply@viewpointcloud.com
Sent: Monday,August 6, 2018 8:35 AM
To: jarthurlane@hotmail.com
Subject: Town of Barnstable - Regarding your permit: IC-18-177 at 251 LAKE ELIZABETH DRIVE,
CENTERVILLE for Building - Certificate of Inspection
Attachments: ViewPermit_Document_636691412381920041.PDF
Dear Tabernacle/christian Camp Meeting Association,
Enclosed please find a copy of your current Certificate if Inspection for the Tabernacle. Kindly send a copy of
the most recent fire alarm certification.
Regards,
Brian Florence
Building Commissioner
i
OF INE!p The State of Massachusetts
f Town of Barnstable
New and Renewal Certificate of Inspection Application
Date 9/25/2017 Fee Required 50.00
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, hereby apply
for a Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 251 LAKE ELIZABETH DRIVE,CENTERVILLE
Name of Premises:Tabernacle/christian Camp Meeting Association
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: 39 Prospect Avenue Centerville MA 02632
Telephone:5A g `Z l 5
Owner of Record of Building:
Address: 39 Prospect Avenue Centerville MA 02632
Name of Present Certificate Holder: Christian Camp Meeting Assoc.CCMA
Name of Agent, if any
SIGNATURE F PERSON TO WHOM CER FI((KTE IS ISSUED
OR AUTHORIZED AGENT
ValEmail: o,
PLEASE PR T 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- -178 EXPIRATION DATE 8/26 18
r.
1
J ._
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THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM- POOR
QUALITY ORIGINALS)
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DATA,.
ETA"
p The State of Massachusetts
E,
rFp
p
Town of Barnstable
X£
New and Renewal Certificate of Inspection Application
tea'
Date 6/2/2017 Fee Required
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: 25 PROSPECT AVE,CENTERVILLE
Name of Premises:Craigville Retreat Center
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:39 Prospect Avenue Centerville MA 02632
Telephone:
C3
Owner of Record of Building:
QQ 0
mn
Address: 39 Prospect Avenue Centerville MA 02632 n
a ,
Name of Present Certificate Holder: Christian Camp Meeting Association
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Name of Agent, if any
r r
M
SIGNAT RE OF PERSON TO WH CERTIFICATE IS ISSUED
OR AUTHORIZED AGENT
PLEASE PRINT NAME
INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your check to:
BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601
PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part
thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building
official shall be notified within ten (10) days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# IC- -34 EXPIRATION DATE 2 2018
i1 C
a
The State of Massachusetts
aNwsresa.t
Town of Barnstable
0
New and Renewal Certificate of Inspection Application
Date 6/2/2017 Fee Required,.
In accordance with the provisions of the Massachbsetts State Building Code, Section 110.7, hereby apply i
for a Certificate of Inspection for the below-named premises located at the following address: , -
11
t
Street and Number: 25 RROSPECTAVE,CENTERVILLE
Name of Premises:Craigville Retreat Center
Purpose for which premises is used:
A
License(s) or Permit(s) required for the premises byother governmental agencies: [3UI I NG OEP
MAI°_I 8 2010
Certificate to be Issued to: Tnlni t.,-
111VS7Address:39 Prospect Avenue Centerville MA 02632 Lt
Telephone:
Owner of Record of Building:
Address: 39 Prospect Avenue Centerville MA 02632
Name of Present Certificate Holder: Christian Camp Meeting Association'
Name of Agent, if any
G
i
SIGNAT11RE OF PERSON TO WH6hffCtRTIFICATE IS ISSUED A
OR AUTHORIZED AGENT
PLEASE PRINT NAME
r
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
t l 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-1 - EXPIRATION DATE 2/1 018
The State of Massachusetts
UMSTABLx _
Town of Barnstablei6jq.- 0
lF0 MPt p
New and Renewal Certificate of Inspection Application a
Date 6/2/2017 Fee Required 2
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: 125 OCEAN AVENUE,CENTERVILLE
Name of Premises:Craigville Retreat Center
Purpose for which premises is used:
License(s) or Permit(s) required for the premises by other governmental agencies: BUILDING I)Ep—
MAY 2010
Certificate to be Issued to: OWN O
ABLE_
Address:39 Prospect Avenue Centerville MA 02632
Telephone:
Owner of Record of Building:
Address: 39 Prospect Avenue Centerville MA 02632
Name of Present Certificate Holder: Christian Camp Meeting Association ,
Name of Agent, if any
SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED
OR AUTHORIZED AGENT Email .
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
y
PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part
thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building
official shall be notified within ten (10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# IC-17- EXPIRATION DATE 1/ ois
I 70
pp%HE TO(
yry,. The State of Massachusetts
MAM
1 .•
0 Town of Barnstable P
New and Renewal Certificate of Inspection Application
Date 9/25/2017 Fee Required 50.00
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, hereby apply
for a Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 251 LAKE ELIZABETH DRIVE,CENTERVILLE
Name of Premises:Tabernacle/christian Camp Meeting Association
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: 39 Prospect Avenue Centerville MA 02632
Telephone:
Owner of Record of Building:
Address: 39 Prospect Avenue Centerville MA 02632
Name of Present Certificate Holder: Christian Camp Meeting Assoc.CCMA
Name of Agent, if any
SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED
OR AUTHORIZED AGENT
Emak,
PLEASE PRINT NAME
INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your check to:
BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601
PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part
thereof to be certified. 2) Application and fee must be received before the certificate will be issued. 3)The building
official shall be notified within ten (10) days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# IC-17-178 EXPIRATION DATE 8/26/2018
M S 'A .,v mmonwealth,'of assachusett
f','-',,Ba:-r- ble-
ii, 2018
efe l " spec onY .
Tabernacle/christian Camp Meeting Association Certificate No.
Issued to James A. Lanei Type. Building -Certificate of lnspection IC-17-178
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 227-009 8126/2018
in the Town of Barnstable
251 LAKE ELIZABETH DRIVE, CENTERVILLE
Location Use Group.Classification(s) Allowable Occupant Load
A-4: Arenas,swimming pools, tennis courts, etc. 300
Restrictions 300 Maximum Capacity
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 9/25/2017
Signature of Municipal Building Date of Issuance
Commissioner 8/27/2017
The State of Massachusettscy
a sria s
0$ Town of BarnstablePlFOMA'S
New and Renewal Certificate of Inspection Application
Date 7/14/2017 Fee Required 50.00
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7, hereby apply
for a Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 251 LAKE ELIZABETH DRIVE,CENTERVILLE
Name of Premises:Tabernacle/christian Camp Meeting Association
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: 39 Prospect Avenue Centerville MA 02632
Telephone:
Owner of Record of Building:. .
Address: 39 Prospect Avenue Centerville MA 02632
Name of Present Certificate Holder: Christian Camp Meeting Assoc.CCMA
Nam of Agent,if any j P
SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED
OR AUTHORIZED AGENT
cla' $f es zwe
PLEASE PRINT NAME
INSTRUCTIONS:1)Make check payable to:TOWN OF BARNSTABLE 2)Return this application with your check to:
BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS, MA 02601
PLEASE NOTE:1)Application form with accompanying fee must be submitted for each building or structure or part
thereof to be certified.2)Application and fee must be received before the certificate will be issued.3)The building
official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# TIC-17-178 EXPIRATION DATE a( /cgo
Y1Qi leaf
v
E'°
The State of Massachusetts
Town of BarnstablerEb:MP'
New and Renewal Certificate of Inspection Application
Date 7/14/2017 Fee Required 50.00
4
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: 251 LAKE ELIZABETH DRIVE,CENTERVILLE
Name of Premises:Tabernacle/christian Camp Meeting Association
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:39 Prospect Avenue Centerville MA 02632
Telephone:
Owner,of Record of Building:
Address: 39 Prospect Avenue Centerville MA 02632
Name of Present Certificate Holder: Christian Camp Meeting Assoc.CCMA
Name of Agent,if any
SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED
OR AUTHORIZED AGENT
PLEASE PRINT NAME.
INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2)Return this application with your check to:
BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS, MA 02601
PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part
thereof to be certified.2)Application and fee must be received before the certificate will be issued.3)The building
official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# TIC-17-178 EXPIRATION DATE
s r The Commonwealth of. Massachusetts
rTownofBainstable
2017
Certificate of Inspection
Tabernacle/christian Camp Meeting Association Certificate No.
Issued to James A. Lane Type: Building -Certificate of Inspection IC-16-189
Identify property address including street number, name, city or town and country. Certificate Expiration
Located at Map/Lot 227-009 8/26/2017
in the Town of Barnstable
251 LAKE ELIZABETH DRIVE, CENTERVILLE
Location Use Group Classifications) Allowable Occupant Load
1st A-4: Arenas, swimming pools, tennis courts, etc. 300
Restrictions 300 Maximum Capacity
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 611/2017
Signature of Municipal Building Date of Issuance
Commissioner 6/1/2017
17,
eye re bli cd a Cho rc corporaAoo -
see fahedCOMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date JU ZO' ZO l
M
X) Fee Required$ 50.00
No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,I hereby apply for a Certificate of
Inspection for the below--named
premisesiril
located tat the following address:
Street and Number: ®C S) la a iza Dc 1'VI bntu-e
f II
Name of Premises: GG Y S t[U(l1 Co M W1 aG
Pumose for which premises is used: C C VY
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Ag cy
zol b COM m s
Certificate to be Issued to:C G Y) TA 6 6 2 J 4 w
Address: 2 a ko 1110 e NO oe
Telephone: _ W)7 J- 12 ca
r-
Owner of Record of Building:
14I
Address: 39 Pw7; 2QC f Ave t t.C(11 QV/11 4 fVl
Name of Present Holder of Certificate:
Name of Agent,if any:
C PLEASE PROVIDE EMAIL:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT We are now able to email the certificate to you.
PLEASE PRINT NAME
INSTRUCTIONS:
1.)Make check payable to: TOWN OF BARNSTABLE, "
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. `
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
n.
CERTIFICATE " EXPIRATION DATE:
J020115c
i The Commonwealth of Massachusetts
TOWN OF BARNSTABLElug
In accordance with the Massachusetts State Building Code, Section 110.7, this
CERTIFICATE OF INSPECTION
is issued to CHRISTIAN CAMP MEETING ASSOCIATION
Certify that I have inspected the premises known as:
TABERNACLE/CMUSTIAN CAMP MEETING ASSOCIATION
located at 251 LAKE ELIZABETH DRIVE in the Village of CENTERVILLE
County ofBarnstable Commonwealth of Massachusetts..
Construction Type:
Use Group(s):A4
The means of egress are suffcientfor the following number ofpersons:
Location.Capacity Location Capacity
MAXWUM CAPACITY 300
Certificate Number: Date Certificate Issued:Date Certificate Expired: Map Parcel.
201504526 8/26/2015 8/26/2016 227 009
The building official shall be notified within(10) days of any
changes in the above information.
Building Official
Y
pERM11 PAYMEIN'T RELEIP T
TOWN OF'BARNSTABLE
BUILDING DEPARTMENT
200 MAIN STREET
L_ HYANNIS, MA,,02601
DATE: 07/20/15
TIME: 08:47
TOTALS---------. ,
PERMIT $ PAID 50.00
AMT TENDERED: 50.00
AMT APPLIED: 50.00
CHANGE:,00
APPLICATION NUMBER: 201504526
PAYMENT METH: CHECK
PAYMENT'REF: 1589
i
I ,
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date -7 l 13) X) Fee Required$ 50.00
No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used: I
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Ayenc
Certificate to be Issued to:
Address: Q l-CSC ,. . f ( / l G /v7—UoL
Telephone:
Owner of Record of Building: ng<
OSAddress: l
Name of Present Holder of Certificate: C h r),S
e
Name of Agent,if any:
10/
1
1
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`' V/ EXPIRATION DATE: 8
7020115c
f
y 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 CHRISTIAN CAMP MEETING ASSOCIATION
Certify that I have inspected the premises known as:
TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION
located at 251 LAKE ELIZABETH DRIVE in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s):A4
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
MAXIMUM CAPACITY 300
Certificate Number: Date Certificate Issued:Date Certificate Expired: Map Parcel
201404755 8/26/2014 8/26/2015 227 009
The building official shall be notified within(10) days of any
changes in the above information.
Building Official
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
r r
Date X) Fee Required$ 50.00
No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,1 hereby applya1 for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number:
Name of Premises:
Purpose for which premises is used:
License(s)or Permits)required for the premises by other-governmental agencies:
License or Permit Agency
Certificate to be Issued to: G'C(/l 1 s
Address:
Telephoner o ?S
Owner of Record of Building: C[Ifi 5-na"Y\ C _a_ 5S z)e4a_4
Address: 3q
Name of Present Holder of Certificate:S6)'"CC
Name of Agent, if any:
0
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZ D AGENT
PLEASE PRINT NAME G
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.
e
3)The building.official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# Q 7 EXPIRATION DATE:
J081210
a
The Commouwealtb of Alao.5arbuatto
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to CHRISTIAN CAMP MEETING ASSOCIATION
QCertifp that I have inspected the premises known as:
TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION
located at 251 LAKE ELIZABETH DRIVE in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use.Group(s):A4
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
MAXIMUM CAPACITY 300
Certificate Number: Date Certificate Issued:Date Certificate Expired: Map Parcel
201304696 8/26/2013 8/26/2014 0
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: 07/16/13
TIME: 10:26
TOTALS--------------°--
PERMIT $ PAID 50.00
AMT TENDERED: 50.00
CHANGEPLIED: 50.00
APPLICATION NUMBER: 201304696
PAYMENT METH: CHECK
PAYMENT REF: 9485
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
TOWN OF BARNSTABI E
Date X) eeieduired .A 5 009
No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,1 her-eby-appI -fa aaG ificate of
Inspection for the below-named premises located at the following address:DIV1S 10f4
Street and Number: o7S: k2 l iZ t/3 f i
Name of Premises:
Purpose for which premises is used: Z IBGGS
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Apenc
Certificate to be Issued to: 7?'lS
Address: 3%j PROS p l. !-1 C°l. Ji 12 t 6- 3 -2-
Telephone:
Owner of Record of Building: i S 'C r r 11`fS SUu10,.
Address:R Ga 7.-f t^Fi,,c ems'l 2.tv 3 v"L
Name of Present Holder of Certificate: (inn S4 a, ctv_ (J r SSOGcrZt i p>L
Name of Agent,if any:
SIGNATURE OF PERSON TO WHOM CERTIFICATE r
IS ISSUED OR AUTHORIZED AGENT E
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: V`
J081210,
The eoinmonwealtb of j+1a0! rbu.5ett!6
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.S, this
CERTIFICATE OF INSPECTION
is issued to CHRISTIAN CAMP MEETING ASSOCIATION
31 Certifp that I have inspected the premises known as.
TABERNACLE/CIMSTIAN CAMP MEETING ASSOCIATION
located at 251 LAKE ELIZABETH DRIVE in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s):A4
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
MAXIMUM CAPACITY 300
Certificate Number: Date Certificate Issued:Date Certificate Expired: Map Parcel
201204476 8/26/2012 8/26/2013 22 _009
The building official shall be notified within(10)days of any
changes in the above information.
Building Official
t
t
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE _
jBUILDING DEPARTMENT
200 MAIN STREET
HYANNIS, MA 02601
DATE: 07/25/12
TIME: 11 :06
TOTALS----- --------,
PERMIT $ PAID 50.00
r
AMT TENDERED: 50.00
AMT APPLIED: 50.00
CHANGE: 00
APPLICATION NUMBER: 201204476
PAYMENT METH: CHECK
PAYMENT REF: 9165
I
COMMONWEALTH OF MASSACHUSETTS
TOWN,OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date I Z X) . .-Fee Required$ ,50.00"
No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,-I hereby apply for'a'Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: a SI .R1{C 0 Z.+C3 eT V IQ L_6;V7V2v1 LL G— ;'Pl- D Z&3 2-
Name.of Premises: —Ih'e 10-6,pel'"ac Ie
Purpose for which premises is used: 2e i l0 us .Se r vi c-z-"s
License(s)or Permit(s)required for the.premises by other governmental agencies:
F
License or Permit Agency
Certificate to be Issued to: Ll—k(151 G4,4
Address: 34 tar s -U c lqll 4.3 .
Telephone: ` 77s I G-koJ
Owner of Record of Building: h/
P(
f
Address: 3 b yiL
Name of Present.Holder of Certificate: Chri51{4,ki 6t:t
Name of Agent, if any:
eta
SIGNATURE OF KSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHOR ZESD AGENT
b r;
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The.building official shall be notified within ten(10) days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE#l T 7 EXPIRATION DATE: O tc;b f J
J081210
TO eommontucaltb of Aazzarbuotto
Ulf TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to CHRISTIAN CAMP MEETING ASSOCIATION
QCBrtlfp that have inspected the premises known as:
TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION
located at 251 LAKE ELIZABETH DRIVE in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s):A4
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
MAXIMUM CAPACITY 300
Certificate Number: Date Certificate Issued:Date Certificate Expired: Map Parcel
201103730 8/26/2011 8/26/2012 7 009
The buildingofficial shall be noti red within 10 days o anyaY .f
changes in the above information. Building Official
PERMIT PAYMENT RECEIPT
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 HiAIN STREET
HYANNIS, MA 02601
DATE: 07/15/11
TIME: 08:53
TOTALS-- -- --- ----
PERMIT $ PAID 50.00
AMT TENDERED: 50.00
AMT
CHANGE:
50.000
APPLICATION NUMBER: 201103730
PAYMENT METH: CHECK
PAYMENT REF: 8811
i
COMMONWEALTH OF MASSACHUSETTS
TOWN.OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date I
X) Fee Required$ 50.00
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: Sl .le— 24-
Name of Premises: 7 bel'
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to:
Address: ,]'l
Telephone: 6b$--)1S—/oo2li,'
Owner of Record of Building: C i
Address:
Name of Present Holder of Certificate: Gar.t C., CEO Okt
r'
Name of Agent, if any:
I
b
1trp J
SIGNATURE OF PE N TO WHOM CERTIFICATE O cap
IS ISSUED OR AUTHORIZED AGENT
U JU J^ 1
PLEASE PRINT NAME
INSTRUCTIONS:
I)Make check payable to: TOWN OF BARNSTABLE
2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10) days of any change in the above information.
FOR OFFICE USE ONLY:
Q
CERTIFICATE#C) EXPIRATION DATE: o bo II
J081210
M
v
Zbe Commo weattb of '41aggAr juzert
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to CHRISTIAN CAMP MEETING ASSOCIATION r
QLErtifp that I have inspected the premises known as:
TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION
located at 251 LAKE ELIZABETH DRIVE in the Village of CENTERVILLE
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): A4
The means of egress are sufficient for the following number ofpersons:
Location Capacity ' Location Capacity
MAXIMUM CAPACITY 300
Certificate Number: Date Certificate Issued:Date Certificate Expired: Map Parcel
201003777 8/26/2010 8/26/2011 227 009
The building official shall be notified within (10) days of any
changes in the above information.
Building Official
N
PERMIT'PAYMENT RECEIPT
TOWN OF BARNSTABLE i
BUILDING DEPARTMENT
200 MAIN STREET E1`
HYANNIS, MA 02601
DATE:t•07/26/10
TIME:'
TOTALS----------------
PERMIT $ PAID 50.00
AMT TENDERED: 50.00
AMT APPLIED: 50.00
CHANGE: 00
APPLICATION NUMBER: 201003777
PAYMENT METH: CHECK
PAYMENT REF: 8499
I
COMMONWEALTH OF MASSACHUSETTS
TOWN.OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF.INSPECTION
Date f X) Fee Required $ 50.00
No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of
Inspection for the below-named premises located at the following address:
Street and Number: J` 1/
U.
Name of Premises:oI CL(1Q.n y
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to: C .AS Sg 44Q
Address:
tj
Telephone:
Owner of Record of Building:
Address:
a
Name of Present Holder of Certificate: 1. ..5aA;_.t A abzrAf
Name of Agent, if any:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT 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 o.r,part thereof to be certified._
2)Application and,fee must be received before the certificate will be issued:
3)The building official shall be notified within ten(10) days of any change in.the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# c 01a& 5 7 7 EXPIRATION;DATE: p i 1/
J081210 ..
Ebe eommofteattb, of jtlassoar oettg
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to jCHRISTIAN CAMP MEETING ASSOCIATION
31 QLertf P . that I have inspected the premises known as:
TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION
located at' 251 LAKE ELIZABETH DRIVE in the Village of CENTERVILLE
County'of Barnstable Commonwealth of Massachusetts.
Construction,Type:
Use Group(s):A4
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
MAXIMUM CAPACITY 300
Certificate Number: Date Certificate Issued:Date Certificate Expired:. Map Parcel
200903963 8/26/2009 8/26/2010 227 009
The building official shall be notified within (10)days of any
changes in the above information.
Building Official
PERMIT PAYMENT RECEIPT
4
TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 MAIN STREET
HYANNIS, MA 02601
DATE: 08/26/09
TIME: 11 :35
TOTALS-------- ----- --
PERMIT $ PAID 50.00
AMT TENDERED: 50.00
AMT APPLIED: 50.00
CHANGE: 00
APPLICATION NUMBER: 200903963
PAYMENT METH: CHECK
PAYMENT REF: 8213
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date l L n X) Fee Required $ 50.00
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: L
Name of Premises: --J-0'be-r
Purpose for which premises is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to:? ihSQ1CZ•'1 ==
F,-
r ' AYUC
Address: 3 19
Telephone:
r.
Owner of Record of Building: Cal ma's` P.1(\
Address: 3 pr3 Caiz'!Rv i 7le Vz1+
Name of Present Holder of Certificate:
Name of Agent, if any:
SIGNATURE OF PERSON TO WHOM CERTIFICATE
IS ISSUED OR AUTHORIZED AGENT
PLEASE PRINT NAME
E;
INSTRUCTIONS:I'
1)Make check payable to: TOWN OF BARNSTABLE
2) Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS, MA92601.
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# 2,079 10 EXPIRATION DATE:
J081210
TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose
CERTIFICATE NO: 201404755 CANCELLED: MAP: 227
DBA: TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION PARCEL: 009
NAME/MANAGER: ICHRISTIAN CAMP MEETING ASSOCIATION
STREET: 1251 LAKE ELIZABETH DRIVE
VILLAGE: CENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 1
BUSINESS TYPE: ICHURCH
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: A4 Capacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USES:Outside Seating:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 300 LOCI: MAXIMUM CAPACITY 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:
INSPE ON: DATE ISSUED: EXPIRATION:ftt This SCr e
0 7/2013 08/26/2014 08/26/2015
rint Certificate of ins tlo7a
COMMENTS:
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TOWN OF BARNSTABLE INSPECTION WORKSHEET c,losea
CERTIFICATE NO: 201304696 CANCELLED: MAP: 227
DBA: TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION PARCEL: 009
NAME/MANAGER: CHRISTIAN CAMP MEETING ASSOCIATION
STREET: 1251 LAKE ELIZABETH DRIVE
VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632- SEQ NO: 1
BUSINESS TYPE: CHURCH
CONSTRUCTION TYPE:
STORYI:CAPACITY: USEI: A4 Capacity Under 50:
STORY2:CAPACITY: USE2:
STORY3:CAPACITY: USE3:Outside Seating:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 300 LOCI: MAXIMUM CAPACITY CAP8: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP11: LOCI 1:
CAPS: L005: CAP12: LOC12:
CAP6: LOC6: CAP13: LOC13:
CAP7: LOC7: CAP14: LOC14:
INSPECT N: DATE ISSUED: EXPIRATION: P1In ;Thcreen -o
07/ 012 08/26/2013 08/26/2014
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COMMENTS:
TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose'`'
CERTIFICATE NO: 201204476--] CANCELLED: MAP: 227
DBA: TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION PARCEL: 009
NAME/MANAGER: CHRISTIAN CAMP MEETING ASSOCIATION
STREET: 1251 LAKE ELIZABETH DRIVE
VILLAGE: ICENTERVILLE I STATE: F MA ZIP: 02632- SEQ NO: 1
BUSINESS TYPE: ICHURCH
CONSTRUCTION TYPE:
STORY1:CAPACITY: USE1: A4 Capacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3:Outside Seating:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 300 LOC1: MAXIMUM CAPACITY CAP8: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP11: LOC11:
CAPS: L005: CAP12: LOC12:
CAP6: LOC6: CAP13: LOC13:
CAP7: LOCI: CAP14: LOC14:
INSPECT ON: DATE ISSUED: EXPIRATION: 4PHO T„is Scre. n Qc
0 /2011 08/26/2012 1 08/26/2013
0lPrin-eCertificate of Inspection MJ
COMMENTS:
TOWN OF BARNSTABLE INSPECTION WORKSHEET Close'
CERTIFICATE NO: 1 201103730 CANCELLED: 0 MAP: 227
DBA: TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION PARCEL: 009
NAME/MANAGER: ICHRISTIAN CAMP MEETING ASSOCIATION 71
STREET: 1251 LAKE ELIZABETH DRIVE
VILLAGE: ICENTERVILLE - STATE: MA ZIP: 02632- SEQ NO: a
BUSINESS TYPE: CHURCH
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: A4 Capacity Under 50:
STORY2: CAPACITY: USE2:.
STORY3: CAPACITY: USE3:Outside.Seating:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1 300 LOC1: MAXIMUM CAPACITY CAPS: LOCB:
CAP2: LOC2: CAPS: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP11: LOC11:
CAP5: L005: CAP12: LOC12:
CAP6: LOC6: CAP13: LOC13:
CAPT. LOCI: CAP14: LOC14:
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08/26/2011 OS/26/2012
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COMMENTS:
C TOWN OF BARNSTABLE INSPECTION WORKSHEET- Close'
CERTIFICATE NO: 201003777 I CANCELLED: MAP: ,227
DBA: TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION PARCEL: 009
NAME/MANAGER: ICHRISTIAN CAMP MEETING ASSOCIATION
STREET: 251 LAKE ELIZABETH DRIVE
VILLAGE: ICENTERVILLE STATE:: MA ZIP: 02632- SEQ NO: .
BUSINESS TYPE: CHURCH
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE'1 A4 Capacity Under 50: '
STORY2: CAPACITY: USE2:
Outside SeStInQ STORY3: CAPACITY: USES:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 300 LOC1: MAXIMUM CAPACITY CAP8: LOC8
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CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:.
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CAP7: LOCI:CAP14' LOC14:
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INSPECTION: DATE ISSUED: ` EXPIRATION: P nthisScreen '
08/26/2010 08/26/2011
P y t,Certyic to of Inspectou _ a.M.
COMMENTS:
TOWN OF BARNSTABLE INSPECTION WORKSHEET Coos
CERTIFICATE NO: 200903963 CANCELLED: MAP: 227
DBA: TABERNACLE/CHRISTIAN CAMP MEETING ASSOCIATION PARCEL: F 0-09
NAME/MANAGER: ICHRISTIAN CAMP MEETING ASSOCIATION
STREET: 1251 LAKE ELIZABETH DRIVE
VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632- SEQ NO:
BUSINESS TYPE: CHURCH
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: A4 Capacity Under 50: r
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USES:Outside Seating: !
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 300 LOC1: MAXIMUM CAPACITY CAPS: L005:
CAP2: LOC2:CAP6: LOC6:
CAP3: LOC3:CAP7: LOCI:
CAP4: LOC4:CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: PrntThis 3creenj
0 08/26/2009 i` :; PrintrCertificate of lnspectio
COMMENTS:
f
TOWN OF BARNSTABLE INSPECTION WORKSHEET
CERTIFICATE NO: CANCELLED: 0 MAP: 227
DBA: THE CRAIGVILLE TABERNACLE PARCEL: 009
NAME/MANAGER: ICHRISTIAN CAMP MEETING ASSOCIATION
STREET: 251 LAKE ELIZABETH DRIVE
VILLAGE: CENTERVILLE STATE: MA ZIP: 02632- SEQ NO: l
BUSINESS TYPE: CHURCH
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: A4 Capacity Under 50: 17
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3:Outside Seating: .
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: LOC1: 300 CAP5: L005:
CAP2: LOC2:CAPE: LOC6:
CAP3: LOC3:CAP7: LOC7:
CAP4: LOCO:CAPS: LOC8:
nt%isSe
INSPECTION: DATE ISSUED: EXPIRATION:
G 1Q 0 Print Cert fic'ate of Inspections
COMMENTS: 7/6/09 WROTE FOR FEE
i
TOWN OF BARNSTABLE INSPECTION WORKSHEET Cios''
CERTIFICATE NO: CANCELLED: MAP: 227
DBA: ITHE CRAIGVILLE TABERNACLE PARCEL: 009
NAME/MANAGER: ICHRISTIAN CAMP MEETING ASSOCIATION
STREET: 251 LAKE ELIZABETH DRIVE
VILLAGE: ICENTERVILLE STATE: MA ZIP: 02632- SEQ NO:
BUSINESS TYPE: ICHURCH
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: A4 Capacity Under 50: E
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3:Outside Seating: F`
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: LOC1:CAPS: L005:
CAP2: LOC2:CAP6: LOC6:
CAP3: LOC3:CAP7: LOCI:
CAP4: LOC 4:CAP8: LOCB:
INSPECTION: DATE ISSUED: EXPIRATION:PgFi s'Screen
0 0 0 Print Certificate'oaf Inspectin
COMMENTS: 7/6/09 WROTE FOR FEE
i
Town of Barnstable
Building Department
t MMSTAsLE. : Brian Florence, CBO
y MASS.
Ar
e59•
a• Building CommissionerFDMA'S
200 Main Street, Hyannis,MA 02601
www.town.barnstable.maxs
Office: 508-862-4038 Fax: 508-790-6230
Lj"6
D
Dear Manager:
Attached please find an application for the annual Certificate of Inspection (COI) required by
780 CMR the Massachusetts State Building Code,Ninth Edition Chapter 1 - Section 110.7
which reads:
110.7Pen'odic Inspections. The building official shall inspectperiodically existing buildings and
structures and parts thereof in accordance with Table 110 entitled Schedule for Periodic Inspections of Existing
Buildings. Such buildings shall not be occupied or continue to be occupied without a valid certificate of
inspection.
Please complete the application and return to the Building Commissioner's Office with the
required fee (amount as set on the top right-hand comer);the fee must be paid before the
Certificate of Inspection may be issued.
Generally periodic inspections are unannounced;however you may feel free to contact us for
inspection once the application fee is paid.
For your convenience,we will be testing emergency lights, exit signs to ensure that the'
batteries and lighting are functional and making sure that the doors work and the emits are
clear.You will need to have any fire extinguishers, fire alarm systems and/or Ansel systems
stove hood/extinguisher) inspected and tagged and a copy of the technicians reports onsite
for the inspection.
If you would like to have your COI application',emailed please provide an email on the '
Certificate of Inspection Application.
Sincere
Brian Florence, CBO
Building Commissioner
k
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ild
a: .
Craigville Conference Center A Ministry of the Christian Camp Meeting Association
Distinguished Preachers & Music
The Rev. Dr. Gabriel Fackre June 28th
The Rev. Anne Robertson July 5th
The Rev. Dr. William McKinney July 12th
The Rev. Charles Wildman July 19th
f
Thomas Goux
i rrHP The Rev. Robert Naylor July 26th
t `Z , Adult Music Camp 4 pm concert
August 2ndf-
V'
The Rev. Joshua Crowell 9
f Thomas Goux
The Rev. Dayan E.M. Johnson August 9th
ORSHI
i
The Rev. Cynthia Maybeck August 16th
WORSHIPWORSHIP !
9:45 AM
flrtl/rlcame
Elton Kam, violinist
August 23rdTheRev. Bob Whitnum g
Thomas Goux
x };ac''ANG 'Dr. Efrain Augusto, PhD August 30th60BExclnkauliook
4
Catholic Mass July 18th and August 8th @ 5 pm
Organists:
Ginny Henderson
y
4
Janna Breune
774 212-0520 Worship and Music Director, The Rev. Dr. Dianne Carpenter
I