HomeMy WebLinkAboutWALDORF SCHOOL OF CAPE COD - CERTIFICATES OF INSPECTION WALDORF SCHOOL
�a�9 OF CAPE COD,
`aFtIH*ET The Commonwealth of Massachusetts
Town of Barnstable
. BARNSUEU.&
2019
Certificate of Inspection
Waldorf School Of Cape Cod Certificate No.
Issued to Gary Cannon Type: Certificate of Inspection IC-18-220
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 021-008 8/31/2019
in the Town of Barnstable
140 OLD OYSTER ROAD, COTUIT
Location Use Group Classification(s) Allowable Occupant Load
1st E: Educational 180
Restrictions 8 Total Classrooms
Caf/Aud/Gym 180
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 9/7/2018
Signature of Municipal Building Date of Issuance
Commissioner ( 9/1/2018
The State of Massachusetts
1ABLIL � Town of Barnstable
k VP
New and Renewal Certificate of Inspection Application
Date 10/3/2017 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: 140 OLD OYSTER ROAD,COTUIT
Name of Premises: Waldorf School Of Cape Cod
Purpose for which premises is used:
License(s)or Permit(s) required for the premises by other governmental agencies:
Certificate to be Issued to: Waldorf School Of Cape Cod
Address: 140 OLD OYSTER ROAD,COTUIT
Telephone: 9VS- —
Owner of Record of Building: Town of Barnstable
Address: - --367-Main Street_Hyannis, MA.02601
Name of Present Holder of Certificate: Gary Cannon --f - -
Owner of Business: Gary Cannon
E-Mail: administrator@waIdorfcapecod.org ai
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ten. i4't�/i✓4fTAif`� �?
SIGNATURE O PERSON TO WHOM CERTIFICATE M
IS ISSUED OR AUTHORIZED AGENT
c*1Lr ChWA -d,✓
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# TI 7-345 EXPIRATION DATE 8/31/ 8
F
SHE The Commonwealth, of Massachusetts. .
Town of Barnstable
�0m 2018
fD MA'S
Certificate of Inspection
Waldorf School Of Cape Cod Certificate No.
Issued to Gary Cannon Type: Certificate of Inspection IC-17-345
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 021-008 8/31/2018
in the Town of Barnstable
140 OLD OYSTER ROAD, COTUIT
Location Use Group Classification(s) Allowable Occupant Load
1st E: Educational 180
Restrictions 8 Total Classrooms
Caf/Aud/Gym 180
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 8/29/2018
Signature of Municipal Building `- Date of Issuance
Commissioner ( 8/31/2017
. -yY
_Th:e Commonwealth of Massachusetts
�:
:Town, of .Barns.tablAB LIL
. n
L
J:. 2019 ,
.'v
Certificate of Inspection
Waldorf School Of Cape Cod Certificate No.
Issued to Gary Cannon Type: Certificate of Inspection IC-16-352
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 021-008 2/22/2018
in the Town of Barnstable
140 OLD OYSTER ROAD, COTUIT
Location Use Group Classifications) Allowable Occupant Load
1st E: Educational 180
Restrictions 8 Total Classrooms
Caf/Aud/Gym 180
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 8/31/2017
Signature of Municipal Building . Date of Issuance
Commissioners.. 2/22/2017
I
I
The State of MassachusettsEMAB
-- - R
Town of Barnstable
New and Renewal Certificate of Inspection Application
Date 2/18/2016 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: 140 OLD OYSTER ROAD,COTUIT
Name of Premises: Waldorf School Of Cape Cod
Purpose for which premises is used:V
Licenses or Permits required for the premises by other governmental agencies:
Certificate to be Issued to:
Address: 01 d tv y S I-rz Ed b Z(p 3 t)
Telephone: LSD $- Ov 5
Owner of Record of Building:
Address:
Name of Present Certificate Holder:
Name of Agent, if any .
C-7--6 K CU. " A�M,n;s�•11� o r w
w i
SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED
OR AUTHORIZED AGENT NO
rEmail :
V,
PLEASE PRINT hAME C.Z rn in
iNSTRUC"i IONS: 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- -22 I EXPIRATION DATE 2/2 017
��HEr The Commonwealth of Massachusetts
Town of Barnstable
2017 z
11. >E'D MA'S a
Certificate of Inspection
Waldorf School Of Cape Cod Certificate No.
Issued to Gary Cannon Type: Certificate of Inspection IC-16-22
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 021-008 2/22/2017
in the Town of Barnstable
140 OLD OYSTER ROAD, COTUIT
Location Use Group Classification(s) Allowable Occupant Load
1st E: Educational 240
Restrictions 8. Total Classrooms
2 Portable Classrooms
Caf/Aud/Gym
Kindergarten Room 20
Parent-Child Room 20
Nursery 20
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
p 9 Y
within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Building Commissioner Thomas Perry Date of Inspection 2/18/2016
Signature of Municipal Building l Date of Issuance
Commissioner ��� . �� 2/22/2016
COMMONWEALTH OF MASSACHUSETTS
y 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-namedpremises located at-the following/address:
1 _)
Street and Number: I -D (Old ®y E 4-r r K
Name of Premises:�G�/� . r St-�0� j Z� p
Purpose for which premises is used: p( , i/(,v 5 Lh (J 0 L_
Licenses)or Permuit(s)required for the premises by ether governmental agencies:
a�PZ
License or Permit JAN Agen�cy
U► IN,reI
Certificate to be Issued to: 4)*44 IL X'&MOVI, CT, C4006 C cb
Address: /y D OL.p CYJY&'W - /LA. 60 IV/ r
Telephone: ,rb VL p
Owner of Record of Building: (-OVA; e7-' d#*WjT1t'B L t
Address: 140 j*y*sVW?.f &* 02.4 0
Name of Present Holder of Certificate: (,�JALDD'X� �OL 01=- �,rioE D
Name of A t,if any:
SIG PERSON TO WHOM CERTIFICATE
IS;Ss, AUTHORIZED AGENT
GA'Ky C.4�iya�•J T
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 ieceived before the certificate will be issued.
3)The buildi #._official shall be,notified.within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# . '
EXPIRATION DATE: /
3020115c
i 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 WALDORF SCHOOL OF CAPE COD
Cel tlf/ that 1 have inspected the premises known as:
WALDORF SCHOOL OF CAPE COD
located at 140 OLD OYSTER ROAD in the Village of COTUIT
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): E
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
8 TOTAL CLASSROOMS
2 PORTABLE CLASSROOMS
CAF/AUD/GYM 180
KINDERGARTEN ROOM 20
PARENT-CHILD ROOM 20
NURSERY 20
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201500509 2/22/2015 2/22/2016 0 8
The building official shall be notified within(10) days of any
changes in the above information. Building Offrcia!
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date (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: D 0), O Y S--t.-e-<
Name of Premises: w�� I Gi° / S Lh o D( C, F G o
q
Purpose for which,premises is used: I`n�(. P��,�4 e�.t �r ;UCH f e_ S L�,�,ni--� ne�;,^
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to: Whkbp&F
Address: A/0 . 0Yl7Z-7- . AZ ) !01V!T f'/# OLGUS
Telephoner
Owner of Record of Building: / � OG dj WWMi IR Z&
Address: P� /�D X . p` � /fY�MIW/I 02 4W
Name of Present Holder of Certificate:. W�"L�4�P. JfG/fvDz,.; O e—W 4
Name of Agent, if any:
SIG OF ERSON�)VH CERTIFICATE
IS ISSUED OR THORIZED AGENT
mw
PLEASE PRINT NAME
INSTRUCTIONS:
1)Make check payable to: TOWN OF BARNSTABLE1 co
2)Return this application with your check to: 'BUILDING COMMISSIONER,200 MAIN STREET,H NNIS,Iv A 02(V
PLEASE NOTE: cv
1)Application form with accompanying fee must.be submitted for each building or structure or part thereof to be ceftlfied�"
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:
J081210
- t _
r l�
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 WALDORF SCHOOL OF CAPE COD
Certify that I have inspected the premises known as:
WALDORF SCHOOL OF CAPE COD
located at 140 OLD OYSTER ROAD in the Village of COTUIT
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): E
The means of egress are sufficient for the following number ofpersons:
Location Capacity Location Capacity
8 TOTAL CLASSROOMS
2 PORTABLE CLASSROOMS
CAF/AUD/GYM 180
KINDERGARTEN ROOM 20
PARENT-CHILD ROOM 20
NURSERY 20
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201400335 2/22/2014 2/22/2015 0 008
The building official shall be notified within(10) days of any
changes in the above information. Building Official
Jan. 13, 2014 12: 24PM No, 9205 P. 3
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date + (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: b 014 (7 $+ef-
Name of Premises: I JLJ 41 t7 01 C7— (ZLpe 0
Purpose for which premises is used: rl On—pr� `�. .nG(ePn n sly Of�
Liconse(s)or Permit(s)required for the premises by other governmental agencies:
License ore or hermit A enc
Certificate to be Issued to: /,f i,qr _C[(4-00( &-11—
Address; _l. 7 o of"( 0 y S'ke, l`4 (-r
Telephone: _! 0A —
l ,.�/
Owner of Record of Building: (�{,),, '-T &&.'-n S+-1 e�
Address; D ✓��
Name of Present Holder of Certificate: L ')r-L A6 001 1)/
e'er
Name of t,if
SI A 0 PERSON TO WHOM CERTIFICATE
IS YSSUED O LgTRI ORTZED AGENT '
PLEASE PRINT NAME
INS TRU TXONS:
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 O..NJJLy; 1
CERTIFICATE O D�O I'C ® EXPIRATION"DATE; cq,�-
1081210 ~
1
q
A
_4
L
The CommconWealtb of fiftoo rbuoetto
TOWN OF BARNSTABLE
In accordance with the Massachusetts State B ding Code, Section 106.5,,this
CERTIFICATE OF INSPECTION
is issued to WALDORF SCHOOL OF CAPE COD
3 QCertffP that I have inspected the premises known as:
WALDORF SCHOOL OF CAPE COD
located at 140 OLD OYSTER ROAD in the Village of COTUIT
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): E
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
8 TOTAL CLASSROOMS
2 PORTABLE CLASSROOMS
CAF/AUD/GYM 180
KINDERGARTEN ROOM 20
PARENT-CHILD ROOM 20
NURSERY 20
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201300282 . 2/22/2013 2/22/2014 8
The building official shall be notified within(10) days of any
changes in the above information. uilding Official
r
e•
COMMONWEALTH OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date 3 (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 yt') 19I-J rax d P Co ryl T,
Name of Premises: se/ 0V-2- aF GA'106' GD�
Purpose for which premises is used: 07, _?r4 f /4a/�e4t,4 �
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit _ Agency
Certificate to be Issued to: A)+k>0 2F Y44(1OL OF
Address: YD Lpiyl r /yF� DZL3.J
Telephone:
Owner of Record of Building /47,tlN dF /�iLNdTA'8
Address: A0 15Ox �S J �y/t�✓N/jam �A O Z4 b 1
�"" r I
Name of Present Holder of Certificate: w''4'Ld a&,c �l�L ��OF � Gd� w
Name of Agent, if any: y; CDP
S' N t URE ERSON TO WHOM CERTIFICATE � _ _
IS ISSUED AUTHORIZED AGENT LM
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#C5?t) EXPIRATION DATE:
J081210
I
�f
The CommconWeaftb of 41azzar juzett.5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to WALDORF SCHOOL OF CAPE COD
QLEI't[fp that I have inspected the premises known as:
WALDORF SCHOOL OF CAPE COD
located at 140 OLD OYSTER ROAD in the Village of COTUIT
County of Barnstable Commonwealth of Massachusetts:
Construction Type:
Use Group(s): E
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
8 TOTAL CLASSROOMS
2 PORTABLE CLASSROOMS
CAF/AUD/GYM 180
KINDERGARTEN ROOM 20
PARENT-CHILD ROOM 20
NURSERY 20
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201202489 2/22/2012 2/22/2013 021 008
The building official shall be notified within(10) days of any
changes in the above information.. Building Official
Apr. 24. 2012 10: 11AM No. 7553 P. 3
COMMONWEALTII OF M
TOWN.a �eA�Ns�r y r AU4,S E
APPLICATION FOR CERTIFICATE OF xNspEcnON
Z012 APR. 3 pi 12: 00
Date jq yl I 0 (X) Fee Required$ 50A0
Fee Required
DII .I
In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,1 hereby apply for a Certificate of
Inspection for the below-n'aymed premises located at the following address:
StreetandNumber: ' 7 �I�� (7N,S�-Ct le�, ( a`fZt fi /(46i
Name of Premises: A., .fit✓t7/- J h O o( Ot
Purpose for which premises is used: P J on — Pro rtil' i f►G(r�PL'>,�Cn 1F' SGh ¢(�
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to: W G..�t A ar il: S ro oD/
Address: I 0 f71-d 0 y 5+cP— v >L. /lil.Gc n�—&2
Telephone: y d D ( O 0
Owner of Record of Building: TOW n o� QA-a-Ck4,G,�f�
Address: G' c b >,, rl nr,r S i,
Name of Present Bolder of Certificate: fN Z--1 Or` SLh or, ( yF .�e. LO
Nam f Agent,if any
SIGNATU , OVPERSON TOWEOM CERTIFICATE
IS ISSUE OR AUTHORIZED AGENT
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
)'LEASE 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 DACE: agi
3
J081210
Commonbicaltb of Ifla'55sar jussett!9
TOWN OF BAPNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to WALDORF SCHOOL OF CAPE COD
T Certifp that 1 have inspected the premises known as:
WALDORF SCHOOL OF CAPE COD
located at 140 OLD OYSTER ROAD in the Village of COTUIT
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): E
The means of egress are sufficient for the following number of persons:
Location Capacity Location Capacity
8 TOTAL CLASSROOMS
2 PORTABLE CLASSROOMS
CAF/AUD/GYM 180
KINDERGARTEN ROOM 20
PARENT-CHILD ROOM 20
NURSERY 20
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
201101261 2/22/2011 2/22/2012 02 008
The building official shall be notified within (10) days of any
changes in the above information. Building Official
Mar. 11. 2011 1 :07PM No. 4841 P. 1
COMMONWEALTH OF MASSACHUSETTS 3�
l
OWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date /r (X) Fee Required 12-Q-0
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section I o6.5, I hereby apply for a Certificate of '
Inspection for the below-named premises located at the following address;
Street and Number: YO 6a aarox v) z omI r .A �u`34
Name o Premises:
Purpose for which premises is used: j Acjlloe4veo� "Cloy
License(s)or Permits)required for the premises by other govcmmental agencies:
License r Permit A enc
Certificate to"be Issued ta:
Address: /yo (3L �Y-Cam- /I D <�7 A="?i743J
Telephone:
Opp
Owner of Record of Building:
Address: �� �� QS y ✓��S —r�
Name of Present Holder of Certificate: �tfJFL F �eff�aL �' . /7
Name f Agent,if awn
{ a
rr
:.
I AT OF PERSON TO WHOM CERTIFICATE t `'
IS ISSU11D OR AUTHORIZED AGENT �
PLEASR(PRINT NAME
INST CTIONS: a` I
1)Make check payable to: TOWN OF BARNSTABLE j
2)Return this application with your•check to:_BUILDING COMMISSIONER;200 MAIN STREET, HYANNIS,MA 02601
PLEA E NOTE; w - j
1)Application.form with accompanying fee,must be.submitted for each building or structure or part thereof to be certified.
2 Application ad fee must be received before the certificate will be issued.
Pp n ,
of an change in the above information.
official shall be notified within ten(10}days y g �
3)The building offic ,
FOR OFFICF,USE ON Y:
CERTIFICATE# 70 ( t �� EXP(RAT10N DATE:
TO Commonweattb of A1a5.5arbu,5Ptt5
TOWN OF BARNSTABLE
In accordance with the Massachusetts State Building Code, Section 106.5, this
CERTIFICATE OF INSPECTION
is issued to WALDORF SCHOOL OF CAPE COD
QLErtl�p that 1 have inspected the premises known as:
WALDORF SCHOOL OF CAPE COD
located at 140 OLD OYSTER ROAD in the Village of COTUIT
County of Barnstable Commonwealth of Massachusetts.
Construction Type:
Use Group(s): E
The means of egress are sufficient for the following number of persons: "
Location Capacity Location Capacity
8 TOTAL CLASSROOMS PARENT-CHILD ROOM 20
2 PORTABLE CLASSROOMS NURSERY 20
CAF/AUD/GYM 180
KINDERGARTEN ROOM 20
Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel
200906276 2/22/2010 . 2/22/2011 021 008
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
Date L L3 p (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: DYS-lex /10/rD GD Ul r //j$
Name of Premises: W L. D&F 4/ -t-04L OF CM
Purpose for which premises is used: /Ids -P/o�t G°'edct�4/✓/Uxa�' /nd��e�Qx/! ��tv�
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be Issued to: k)*- ao2F sayOG !if- 'we Cl�'h
(Cvadevr2
Address:
Telephone:
Owner of Record of Building: f r/f'134%r-, ?1;W/✓ OF C.re PERMIT PAYMENT RECEIPT
Address: D. 13c w qS f�y/t'NN/t, TOWN OF BARNSTABLE
BUILDING DEPARTMENT
200 MAIN
Name of Present Holder of Certificate: �tT/f8« HYANNIS, MAREET 02601-
Name o Agent, if any: DATE: 12/23/09
TIME: 13:03
-----------------TOTALS-----------------
S4GNATYAE OF PERSON TO WHOM CERTIFICATE PERMIT $ PAID 50.00
IS ISSUM OR AUTHORIZED AGENT AMT TENDERED: 50.00
APPG/rzY 1 -Alw- / �y�.Nfs rn�ra�-
ANANAEPLIED: 50.00
.00
PLEASE PRINT NAME APPLICATION NUMBER: 200906276
PAYMENT METH: CHECK
INSTRUCTIONS: PAYMENT REF: 117
1)Make check payable to: TOWN OF BARNSTABLE
2).Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS,MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten(10)days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE 9�G'v� �� EXPIRATION DATE:
Jos1210
f
n q� p�
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TOWN OF BARNSTABLE INSPECTION WORKSHEET cios
'CERTIFICATE NO: 200803332 CANCELLED: MAP: 021
DBA: COTUIT ELEMENTARY SCHOOL PARCEL: 008
NAME/MANAGER: TOWN OF BARNSTABLE SCHOOLS
STREET: 140 OLD OYSTER ROAD
VILLAGE: COTUIT STATE: MA ZIP: 02635 SEQ NO: 1
BUSINESS TYPE: SCHOOL j
CONSTRUCTION TYPE: 2C
STORY.1: CAPACITY: USE1: E Capacity Under 50:
STORY2: CAPACITY: USE2: A3
STORY3: CAPACITY: USE3:
-- - Outside Seating: r
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1:/0--6— LOC1: TOTAL CLASSROOMS i CAPS: L005 -
CAP2: 2 LOC2: PORTABLE CLASSRM CAPE: LOC6:
CAP3: 160 LOC3: CAF/AUD/GYM CAP7: I LOC7:
CAP4: LOC4: CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: Pnnthis,Screen
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08/26/2008 09/01/2008 09/01/2009
- uPnnt;Cert�ficate of Inspection;
COMMENTS:
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COMMONWEALTH.OF MASSACHUSETTS
TOWN OF BARNSTABLE
APPLICATION FOR CERTIFICATE OF INSPECTION
Date Z L3 D ( 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: /yy 01-b 0 ys;en /201"D , co%U/r 11A
Name of Premises: WAGDOI F Sa, VQL OF C*P
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: 1.)*T'P0AF 54ROVG or- 4clf?e CO D
(6✓arks:) �,f C P/-y/T /16!'i�
Address: � /,30y"61OZ.�3Z-
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Lc vTelephone: 7.s T
Owner of Record of Building: (�j/�-1lIVt%/ �, ?1;Wi✓ OF Cf�0V
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Address: 60W q ffY^IAI/t, /r7¢ DLL D/
Name of Present Holder of Certificate: W1bf f I f
Name Agent, if any:
SIGNATVAE OF PERSON TO WHOM CERTIFICATE
IS ISSUM OR AUTHORIZED AGENT
G/�2Y G�-�/�✓y�c/ , ����Nls
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# 7� EXPIRATION DATE:
3081210
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