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HomeMy WebLinkAbout900 REALTY TRUST 961 PITCHERS WAY - Certificates of Inspection 900 REALTY TRUST 961 PITCHERS WAY 5�7� Lo DG�G �oor�s A ) a�' o'w o QSDawm h'QT: E ftw s xi 5 y. a�y� .3 # ,ti zi a s VL Arty f rt tlb �h' i �laA��r lisp 447ey ., ,�j t S '�.4s e .'s`x �� �'�`� "&;•' � t�h tAi;�e kri�'c � Ft� 'r` i�f*i�»5-. ' ����}r. . its,z i 1 S - rA�t, of {t x qx A% y i`4 low ,z ��i M�� #19t oil lip !a � ��4�A z� x r� � � r.�s kr r° ,het# 2t - ' ,r s:`� � %F�_a•. ",� , U. 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The Commonwealth of Massachusetts ILtAM- Town of Barnstable BARKSTARM It 2019 tED MAMAk Certificate of Inspection Lodging House Certificate No. Issued to William Nardone Trustee Type: Building -Certificate of Inspection IC-18-258 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 272-144 10/31/2019 in the Town of Barnstable 961 PITCHER'S WAY, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st R-1: Boarding houses (transient), hotels, motels 6 Restrictions 6 Lodging Rooms Maximum Lodgers (6) 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 11/6/2018 Signature of Municipal Building Date of Issuance Commissioner ( 10/22/2018 f The State of 1059. Town of Barnstable New and Renewal Certificate of Inspection Application Date 11/8/2017 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: 961 PITCHER'S WAY, HYANNIS Name of Premises: Lodging House 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: P.O.Box 335 Barnstable M 637 Telephone: (508)737-7432 Owner of Record of Building: Address: P.O. Box 335 Barnstable A 02637 Name of Present Certificate Holder: 900 Realty Trust Name of Agent, if any a raS � ram. A G SI ERSON TO WHOM CERTIFICATE IS ISSUED � �� D� `Q OR AUTHORIZED AGENT u LJU 2 /01z�a00/g 0 �c9 PLEASE PRINT NAME 0 �, t. INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your check t'o: 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 4 EXPIRATION DATE 10/ 18 i r W �YHe Town of Barnstable Building Division , 200 Main Street . SZABLE• Muss. * Hyannis,MA 02601 BARNSTABI,E v� 039. (508) 862-4038 M:fSso'fu1u•as�v;:;er u�r raeusxa;� p� A -!Ep 1639 2Uid MA'S spection Report ❑ Notice of Violation Business: Date of Inspection: // Contact: d` Info: Address: ',p<TG Info: Phone: Info: Email: Info: During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR, Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)were noted: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s). Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: Action required to abate the above violation(s)you must: None:no violations were observed at the time of inspection 0 Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$ is required and a re-inspection to be requested by business within days. 0 Make corrections prior to your next annual or semi-annual inspection. 0 Property/business owner or owners a roved ent contact inspector for consultation Official/Inspector: C Telephone: (508)862-4038 Received By: Date: Print Name: Section 102.6 existing structures-The owner as defined in 780 CMR 2,shall be responsible for compliance with provisions of 780 CMR 102.6 And,if aggrieved by this notice and order,to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereoj)with the State Building Code it Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§100. TK h A er cage of Inspection Report Est Section 1,05A Permit Required Section I O5o6 Permit Suspension or:Revocation Section "i .t Placement or Permit site) Secticon ,07.6 .'o strA ct .ontr i Section 11,03 Inspections Required a Section l i.t"tg Periodic Inspection (valid :erti is to Section 1 1 1 mli Certificate of Occupancy Section 1,53 Place ofAssembly 1. of Occupancy rrcy Section '14 1 Occupancy - Change of Use Section l l m i Stop ork Order der Section i.1.6 Unsafe tructur e Section 901.5 Testing of Alari s/Sprinkler Sys tem Section 900-9 Fire Protection ig e Section 904J2 Ans l System Section 904.2.2 flood System Maintenance Section 1001, 1. 'lainte €ance of Exterior Stairsll"ire Section 1001,12 .fasting/Certil'ic to Exterior St irsl. ire Escape Section 1.004,3 Posting of Occupancy Limit Section 1.005 lee s of Egress Sizing Section 1006 Number of Exits and Access Doors Section 1.008 Mealls rrl'i< ress Illumination Section 101.0.1, oor°Operation • Section . g . mf Hardware (Locks n ketches) • Section :ltt .{i.A-1.11 Parris Hardware (A or E > It • Section 1.01.1. Staim,,ays • Section 1.012 Ramps • Section 10.1.3 Exit Signs a Section 1014 Handrails 0 Section 1015 Guards - !,ketioul-030 Emergency Escape J ,. - _- ti�...y..,�-".�. _r.I^- -:.- y.. «. __.� __..„a•^.: �tea•-a,.�,r.�..,�-:-.� '..}., _ The Commonwealth of Massachusetts Town of Barnstable �ST,BLE. ;q 2018 TFD MPS a Certificate of Inspection Lodging House Certificate No. Issued to William Nardone Trustee Type: Building - Certificate of Inspection IC-17-334 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 272-144 10/28/2018 in the Town of Barnstable 961 PITCHER'S WAY, HYANNIS Location Use.Group Classification(s) Allowable Occupant Load 1st R-1: Boarding houses (transient), hotels, motels 6 Restrictions 6 Lodging Rooms Maximum Lodgers (6) 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 11/7/2017 Signature of Municipal Building Date of Issuance Commissioner 10/29/2017 l _ _ pp THE l �, The State of Massachusetts Town of Barnstable . a �A::��6Ty.� ,fro jRD MAC A New and Renewal Certificate of Inspection Application Date 9/12/2017 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: 961 PITCHER'S WAY,HYANNIS Name of Premises: Lodging House 0 Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: Certificate to be Issued to: Lodging House Address: 961 PITCHER'S WAY,HYANNIS Telephone: (508)737-7432 Owner of Record of Building: 900 Realty Trust Address: P.O. Box 3.35 Barnstable, MA 02637 Name of Present Holder of Certificate: William Nardone Trustee Name of Agent,if any William Nardone Trustee E-Mail: SIGNATURE OF PERSON TO WHOM CERTIFICATE j IS ISSUED OR AUTHORIZED AGENT oc" %0, 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-17-334 EXPIRATION DATE 9/12/2018 �oF1HET The Commonwealth of Massachusetts Town of Barnstable BARNW2017 TfOMI�a Certificate of Inspection Lodging House Certificate No. Issued to William Nardone Trustee Type: Building -Certificate of Inspection IC-16-283 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 272-144 10/28/2017 in the Town of Barnstable 961 PITCHER'S WAY, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st R-1: Boarding houses (transient), hotels, motels 6 Restrictions 6 Lodging Rooms Maximum Lodgers (6) 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 1/4/2017 i Signature of Municipal Building ;. Date of Issuance Commissioner F',._ 4.<<__.._ 1/4/2017 .y_:..; 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 110.7,I(dit,,'kKapp4y�for a,Certificate of Inspection for the below-named premises located at the following address: `� v1=PT Street and Number: A5 N ®C Name of Premises: TOWN OF eAR,IQ-rA Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency 40� vs S Certificate to be Issued to: Address: 1042� 4-Z sgrvro�®�.7 /� ��Ve Telephone: /'/� Alf Owner of Record of Building: Address: �� J� �sr�r,�..,�►O�i� . d�//.�► ��.� Name of Present Holder of Certificate:-� A75 ly o Name of Agent,if any: LEASE PROVIDE EMAIL: SIGNATURE OF PERSON TO WHOM CERTIFICATE AP IS-ISSUED OR AUTHORIZED AAGENT We are now able to email the certificate to you. PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# � � ' EXPIRATION DATE: J020115c The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 110.7, this CERTIFICATE OF INSPECTION is issued to 900 REALTY TRUST Certify that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 5B Use Group(s): RI The means of egress are suff cient for the following number ofpersons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201506895 10/28/2015 10/28/2016 272 144 The building official shall be notified within(10) days of any changes in the above information. Building Official i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date l )€-�(� Qf 4 (X) Fee Required$ 50.00 n� ( ) 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: S (� Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: I License or Permit A enc I C e-YlS (1 G o lu l o'r Certificate to be Issued to: qCp Q'a y Address: L 6 v\ S Q Q Telephone: Owner of Record of Building: oo 1 eQ' C Address: (3 0 u A' i Name of Present Holder of Certificate: : Name of Agent,if any: SIGNATURE OF PERSON TO WHOM CIERTIFICATE = , IS ISSUED OR AUTHORIZED AGENT IJiI�iCA04� , 1 101.((�y►� See n c PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# _ EXPIRATION DATE: J020115c 1` 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 900 REALTY TRUST Certify that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 513 Use Group(s): Rl The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map part 201406800 10/28/2014 10/28/2015 29 44 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 (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: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Lodessue. c;4✓r► c (� i�,C Eve c,'1na f �/ Certificate to be Issued to: ' Address: �L(", o (oo Telephone: Owner of Record of Building: q (�� R Q:a 1 vl A A� 1n Address: ��m cc Name of Present Holder of Certificate: Ci Name of Agent, if any: .t 1 SIGNATURE OF PERSON TO WHOM CERTIFICATE �. , 0% IS ISSUED OR AUTHORIZED AGENT ' ' 1r PLEASE PRINT NAME C3+ - INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE#<=20 40&RDo EXPIRATION DATE: 0 JO81210 l The Comm onbic ltb of lflao rbuattz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,Section 106.S, this CERTIFICATE OF INSPECTION is issued to 900 REALTY TRUST 3 Ctrfifp that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 513 Use Group(s): RI The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201307427 10/28/2013 10/28/2014 272 144 The building official shall be notified within(10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS Y 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 foll owing address:Street and Number: tD � + ;`S Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: q no rkFC,'Jr-'a a-,-y Address: r G4y C1 i, Telephone: W b - 13; ° 3L4 C) Owner of Record of Building: 11nn t�\ Address: a �D�0 3 a s- W VIA 10 rc� Name of Present Holder of Certificate: QV QG' y 1 US l— � o-aro 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: �y f CERTIFICATE# �0 13®-74c EXPIRATION DATE: I b F, �d I J081210 - commoubjealtb of ����rcYju ett� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to 900 REALTY TRUST 3 certify that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 513 Use Group(s): RI The means of egress are sufficient for the following number of persons: Location 'Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201206065 10/28/2012 10/28/2013. 72 14 The building official shall be notified within(10)days of any r changes in the above information. Building Official 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, 1 hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: tL Q.f Q _Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: �' License or Permit A enc �Tn A HO USQ L t CC•' "`- _ ce- ivy r. �e Certificate to be Issued to: a Oy R 2Cw t'ril Q rdo vk ef ee. Address: �� C�X 335� l' t I m Ana Q CI( i i'Gd Telephone: S(j g 34-, _143:�— Owner of Record of Building: 900 Rer I+ y 1 Q Address: ;:>0 1�OX 3 � �.� a � 'M rT O'Ztoa Name of Present Holder of Certificate: SG V^12. ()LS C.A00\/ Name of Agent, if any: " g.. SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT ,x.w PLEASE PRINT NAME r-M 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: l� J081210 11 i ,V t�....!:..�....'....�`� -' TOWN OF BARNSTABLE Date: ..... ...... ...... ❑ w Application LICENSE APPLICATION /, snxrtsrMLF, iKenewal Mass 200 Main Street .03.9. �� ❑ Transfer A Hyannis, MA 02601 Other (508) 862-4674 NO. BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREAUSES f— Name of applicanVcorporation/LLC:-._— qoq` ! v Home phone#:_..__�L _ �' 14 f� Address of applicant/corporation/LLC: Ju -�'-''''—'�« -fit c=-Y - usiness phone#: ................. D/B/A _ S U vk� _ -- --- - ----.._.._..--- -- ...----------- -- - - _..--.---._....—_ _ ... Business location:. -..__-_ - __._ 1- .. I :_._.._ ...__._.._.._._ ....._ .L ._.t..._ �._�....!---u-�. -0-1.----------------...------- Business mailing address..(if_different_from above.):_.__.._ ._ .......3......�.-`.�..-,-......_tom :fit.._:._,_, "��.. �:.._ ..�' ..0.f...__.�'1._ ..._.... ----- License Type: ........................... ......................................................................................... ......... Annual u Seasonal Hours of Operation: ------- Federal ID#: Hours of Entertainment: 4-!0� Hours of Alcohol Service: V-\ A Name of Manager: - i r 9 n�� - e1 _r"_�P.f� , � (_!�� email: Manager's permanent mailing address: t _1.._��'� .<�`� .:._`_ ._� �Q` -,.--- ��C_�� '".._� �...._ �.j l- u'z(�C!------ -- -- - Manager's home phone# _ _ Z . 7 _i Business phone#: -.±_<<G-L, Nameof property owner: .....--.--..._-. ., .....__� .� ..._ ____....___._..._._.._....__......-......_......._...._.__._....----.--._..................._..... ASSESSOR'S MAP/PARCEL#: MAP....:......::. ... ............:...... PARCEL ......a... !..tir............................:.. List any flammable substance or hazardous waste used in business(specify): Applicants must .ONLY contact the Building Commissioner's office, (508) 862- 403,8, the*Board. of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS . HOURS (8:30 - 4:30. daily) Signature of applicant - . ...... ........ ........................................................................ .... . ..... ....... F. or ot_n-�use only REAL ESTATE TAXES PAID IN FULL `— PAYMENT AGREEMENT IN EFFECT ON IS THIS USE.PERMITTED WITHIN THIS ZO G DISTRIC ? YES E:j NO ED 7X� 111-) INSPECTORS APPROVAL Capacity setby Building Division_—_l2_rtLl? Building/Zoning_—_—..--_...._ __.___.._ Date .L %� (._. ...__ Board of Health..._..__..._......._._..._:_...—_..___—._: _ Date Fire District —.—_—.�_— �_ Date _..—__ Comments_._.__.. White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division -TOWN OF BARNSTABLE INSPECTION WORKSHEET �C�ose CERTIFICATE NO: 201307427 CANCELLED: MAP: 272 DBA: ILODGING HOUSE PARCEL: 144 NAME/MANAGER: 1900 REALTY TRUST STREET: 961 PITCHERS WAY VILLAGE: 1HYANNIS STATE: FVA7 ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: ILODGING HSE CONSTRUCTION TYPE: 15B STORYI: CAPACITY: USE1: R1 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOC1: 6 LODGING ROOMS CAPS: LOC8: CAP2: 6 LOC2: MAXIMUM LODGERS CAP9: LOC9: CAP3: LOC3: CAP10: LOCIO: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAPT. LOCI: CAP14: LOC14: INSPEC N: DATE ISSUED: EXPIRATION: P int ThiScre n 7/2013 10/28/2013 10/28/2014 �Pnnt Ce t irate olf nsp ff ;k COMMENTS: FORMER OWNER JEAN F.CLARK eommonwea ttb of Aassssarbuqetto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to 900 REALTY TRUST Certifpremises known as: inspected the p that I have insp LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 513 Use Group(s): RI The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201105589 10/28/2011 10/28/2012 27 144 The building official shall be notified within(10) days of any changes in the above information. Building Official % i ds 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, or a Certificate of Inspection for the below-named premises located at the following address: Street and Number: Ci(p` Name of Premises: 1r Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: tw-' License or Permit AA en� �A 1`&O� %NQ U L \ C.P h C71�.�v� TES' Certificate to be Issued to: l t tJ:S J Address: �O k 33S C ��M�M Gt.Q Uy C ►-1 0`3 � � r Telephone: �3 Owner of Record of Building: J 0 Address: Name of Present Holder of Certificate: t Name of Agent, if any: SIGNATURE OF PERSON T . OM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT W '' W(Ck M A- , NL rao Vk- �77 d_s�lq_ 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#C C (/ID,55&q EXPIRATION DATE: J020115b TOWN OF BARNSTABLE Date: ❑ New Application ,I LICENSE APPLICATION 13AARMAIlMo ®fRenewal ` Maea 200 Main Street % `. i639, ' ❑ Transfer , � Hyannis,MA 02601 ❑ (508) 862-4674 Oilierr ` 4 o NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES Name of a licant/cor oration: , r _ Home phone#: _ _" - � _� _ pP P V Y_: _. ..,_......._...... _...-- Address of applicant/corporation:__�a_ax ._-..:�_��....._� _�._e�,._�:4��..G�..f....1�.__..._._�..��,__�_�� Business phone#: ....................._! C. : ....._.......... .............._......_.............--.........._..............................................................................................__.........._. Business phoneM .....: Ct__XI-42........._.....-......__......_........__...... Business location: r / / r (-(...� 6y ........—--.- ...... .........--.-...._.--- - ----- - f ----� � Business mailing address: h } Local business address: Local mailing address: ......_..._..............--.._......._:._-.._.......-........._..:-........._.........._._....._..._......._...............-......................._._.__.........-......_...................................................._................_...................................__.._......._........-............. --.._._:_..._._..._._-...._...--...... LICENSE TYPE: r r�C, i �� , Annual Seasonal HOURS OF OPERATION: ......................�%._............. ................ FID# _Z ._...`._ _ ..:. ��._ Name of manager. ` d !._.._........._....._ entail: ...- . ... ..._._ � ....._ _. ......_ _ _ ......_._.......... L. Local mailingaddress: ..... .... .....:.............. /.( r�4: .! a... .......o. ...... ..4............................. ......... : .. _: , Manager's permanent mailing address: _......_....._.....................................................`.............................._....---.............-....-........_.....:....-...............:::.,..._.......:....__............_-._................_...................__.........._..........__.__...__.._................._.._..........__......._..............__... Manager's home phone#: 4 .: a:� _c� Business phone#: ___....... t - Name of property owner: __...._..._._�._(�.� c� (. ti_. - U ........=-...__ _' II ASSESSOR'S MAP/PARCEL#: MAP.............. ............. PARCEL ....... `f......... ............ List any flammable substance or hazardous waste used in business (specify): i Applicants must ONLY contact the Building Commissioner' s office, (508) 862- 1 4038, the Board of Health office, ', .(508) , 862-4644, and the appropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8 :30 - 4:30 daily) . Signature of applicant _ � - 1 .........:................................... ........................................ ............. .......................................................................................................... } For Town use only f REAL ESTATE TAXES PAID IN FULL j PAYMENT AGREEMENT IN EFFECT ON I IS THIS USE PERMITTED WITHIN THIS ZONING DIST ? YES O NO i 1 I INSPECTORS APPROVAL Capacity set by Building Division.._/ �...._.. j Building/Zoning �l� Date <J I .....f Board of Health..._. ... .. -....._.....__.._.................. Date'_._:... ......._ _ ......... .._........_..............d_:.._. ....._..........-- : ., i Fire District __._._ _........... .......::- ---- ...-- Date ....._ . Comments:-..........._............... —... -- - i White-Licensing Authority Gold.Building commissioner Fink-Fin;Department. Canary-Health Division . I The CommonineaYtb of Olaz5arbussettq; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST I QCECtifp that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth.of Massachusetts. Construction Type: 513 Use Group(s): R1 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201000775 3/4/2010 3/4/2011 272 144 The building official shall be notified within(10)days of any changes in the above information. Building Official;,, e _ 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: 9�l p/2!f UJA- 1-tyw',(im M4 Ljd6 Name of Premises: �� Purpose for which premises is used: �QyJ(s�IJls f'/6(JSC License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit AjZency Certificate to be Issued to: (N CIA 2 K -7-1 V f-r Address: ,UO. MA-1 JT- 7 Jrj&/n Q 1zT9/' , O d 5Y6 Telephone: Lam,b?) !W--372,2, Owner of Record of Building: Q ` Address: c'AM Name of Present Holder of Certificate:/f, C&A RK, -7-kdJ31— G / I Name of Agent, if any: /,U' 0, _� �L �Ld i?>✓'� �$1 URE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT J 11'LEASE 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# OC�I7 7 EXPIRATION DATE: -5z yf// J081210 Commouweattb of Alazzarbu,5ett!*5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to 900 REALTY TRUST 3 QLertifp that 1 have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 513 'Use Group(s): RI The means of egress are sufficient for the folioiaing number of persons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201005842 10/28/2010 10/28/2011 2 144 The building official shall be notified within (10) days of any changes in the above information. -_ -- ------ - -- - Building Official 4 t( 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, 1 hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: / Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: icense or Permit Agency Certificate to be Issued to: '+ y Address: � � � � Telephone: � � � ��, Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENTS C3 C 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, M r,,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: r� / CERTIFICATE# ajy�©� / EXPIRATION DATE: `� 25 J081210 r Ox� TOWN OF BARNSTABLE Date: ....[0...... ...`....(.I LICENSE APPLICATION El New Application • � . • [✓Renewal `� 200 Main Street El Transfer �6 Hyannis,MA 02601 `(508) 862-4674 ❑ Other NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES 4 Name of applicant/corporation: Home hone#: Address of applicant/corporation:..73 . _ f C wa..M._ _�.__.1'ti 1.t'f._...0.1�-�,v3_. Business phone#: ............. - ...................... Business phone#: -- Business location: ...--- --- -!_�_ e _.��......._ .`......j.... -tom.. C�r1:..1_�_ ...f.......__ _ :...._.....Q_ b. ._.........._....--.--.__._..._......_.............._.._._._..._.... Business mailing address: ..___...__ _ � 3. _�_....._ _ /ram� _�...C{_' .s._...__t �-�_ . _____- Local business address: .Local mailing address: __..._.__..._........__.._`..._........_...:..---....__.___......---.__._....._-.........__............_..........:.........._._............._.............._.__..._._.........____....._....._................-...__....__._....__.._-..._._......:.__........._..:..._..._...._............. _....._-- LICENSETYPE: ...............................�:...> .. ..i.� ........................................................................................................ Annual � Seasonal HOURS OF OPERATION: .:_"_.._.._..__o.__ _..._.____....____.. FID#:--._ _��S Name of manager: ......._.._. .Ot._ .......0: .:..........._.................._......._...._._..... _._..._.- eMail: Local mailing address: .............q..(2...1.......... `...R.a .5.......( ..n.1.............. ....... ...!a..!�.yls.. .. �"� 4�.. -: ®..±....................:.............. Manager's per mailing address: _.... 4.CA--An._ ___..___.__._..._.__..._._...__..____...__........_________.—._—.___._ Manager's home phone#: J LaQO_-J�t_ Business phone#: _...___...._�U._n _2,,._..._._.,:.___.. Name of property owner: - ASSESSOR'S MAP/PARCEL#: MAP ........... PARCEL List any flammable substance or hazardous waste used in business (specify): Applicants must ONLY contact the Building Commissioner' s office, (508) 862- 4038, the Board of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8:30 - 4 :30 daily) = Signature of applicant ; E�l> B iIQ.GYt ............................................................................................. ....... .......................................................................................................... ..................... 1For Torun use only REAL ESTATE TAXES PAID IN FULL '✓�-C PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONIN ISTRICT? YES O NO O INSPECTORS APPROVAL 1 Capacity set by Building Division................_-_ ......... Building/Zoning---------........------.__...------ Date _._......_...--._..._. ..._... ._:.. Board of Health...........---...__.._._....._...---.-...---- Date . --....__._... _..... _ -... I Fire District Date Comments: _.................._......._............_._........._........------.._._...- ...----...---....__..._..__.._..._._.. - ._..._._........_.......-----...--------...._._.....--...----.. __._._...--...._._._..--._.._....---- White-licensing Authority. Gold-Building Commissioner Pirk-Fire Department Canary-Health Division Town of Barnstable °ft rati Regulatory Services Thomas F. Geiler, Director tsTAs . : Building Division y MASS. 16S9. a�0 Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 22, 2010 900 Realty Trust William Nardone, Trustee P{O Box 335 Cummaquid, MA 02637 Re: Certificates of Inspection 961 Pitchers Way 975 Pitchers Way 989 Pitchers Way Dear Mr. Nardone: Attached you will find an application for the Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure jcoilet TOWN OF BARNSTABLE Date: l7. ........ao a� New pplication „�,,�,,B, LICENSE APPLICATION ❑ Renewal MAS& 200 Main Street o ►,� Hyannis,MA 02601 ❑ Transfer El Other (508) 862-4674 — ► NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES .4 Name of applicant/corporation: /.0- _.. .L....�._.y............ .i....t......./..J......eVf�.+�..e►.c..rJ Home phone#: � .�.. ._..:T..�..'7 3: ......... Address of applicant!corporation:......... .. -.....do_. ....._... 3.-...._._.-........_....._..._.................... . Business phone k—41 M ............................................ .......... rry► _A. v.r ........: _ ......e? ..... 3.: ....._............. . ...................... ............_... .................._.._ ..............__ ......................................................................._._.._..-..................................... D/B/A i,let9./Y1.1 ...............................-.._......... ...................................._...._..................._._..............._..._..................._...................._........................................................... Business phone#: ..c 1 �11..+ .......................................................................................... Businesslocation: C1 ..1.._.__.�%fCN .S.._..fed..A1.i ...Y:_M.?......._L C.a..-......_..................................................................._........._.._...._................................................._--........._..............._.... Businessmailing address: ._.....3.�.. `......�U....���_ v.l.. ..`....LYtI............d._ .G.. ._7.............................._................._.........._..._........_..................._.......:..._............_.............-............................._............................... Local business address: ............................................................._............................................................................_..........--......................................................................................................................._..........................................................._......................................_.........__................................_............................................._._.. Localmailing address: .......... ........................................ . . . . . ..............._ __........._......_....................._........................................_..............._._...................................................................................................:...................-........_........_.............:...................................._........................._..._._..................................._..._................._... LICENSE TYPE: ..�.d!��. '/.. /:........'......�....,�.f,0�...�. .................................................................... Annual � Seasonal HOURS OF OPERATION: ..._....r(Y. A...._._............._...............__........................ FID#:._®./ .".._Y. .. _.._aff Name of manager: '. �� eMail: �a. ......s.J.................... ./)_+?.��.................................................._............._._......_....__................................................... Local mailing address: +..>>... t.:l.:.is "4'�5......(��4:.�..,....��.....'�.�...t'1.`�A.�t Q �...�ZL..�al.................................................................... Manager's permanent mailing address: �fi9/t9- ............ ................................... Manager's home phone#: � ....3 _i/.-../_ q....... Business phone#: fit. ........................ Nameof property owner: ✓ ._....����3. 7 �.... 'L° '. ..�.........Ll .t.._t.-f./3.rj'J......_u .. 1J.?..4 . _ ...5 ._..........._........................................_........_......._............................................._. ASSESSOR'S MAP/PARCEL#: MAP PARCEL I...p7..�j f. ..'�... List any flammable substance or hazardous waste used in business (specify): Applicants must ONLY contact the Building Commissioner' s office, (508) 862- 4038, the Board of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8:30 - 4 :30 daily) . Signature of applicant ................................................................................................................................................................................................................................................... For Town use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT.ON IS THIS USE PERMITTED WITHIN THIS ZO DISTRI ? YES ❑ NO INSPECTORS APPROVAL saw ............._.................... _.__......._ .._._...._. .........._......... Capacity set by Building Division................._...._ ..... ... .. C _ J Building/Zoning.._.................._...._.........._....:................. ... ._........ Board of Health.._.........._................._.:.................._............_._........................................ Date ........._....._...._................._._. _. Date .......................�......._. .. .. ........ FireDistrict .......................... ............................... .....Comments.._..............................................._.....................................................---............_................................................................................................... White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division NUMBER 14 THE COMMONWEALTH OF MASSACHUSETTS FEE TOWN OF BARNSTABLE $50.00 This is to Certify that....,900 Realty Trust ... ........................................................ d/b/a 961 961 Pitchers Way , ............................................: . ............................................................ .....................................................................................Y , Hyannis , MA ..................................... IS HEREBY GRANTED A LODGING HOUSE LICENSE in said..................:.. .........................Hyannis , MA .......... "" and at that place only and expires December 31, 2010 unless sooner suspended or revoked for violation of the laws of the Commonwealth the licensing of common victuallers. Thismonwealth respecting lice nse e is issue d in con formity with the authority granted to the licensing - authorities by General Laws,Chapter 140, and amendments thereto. 6 rooms/6 lodgers,max In Testimony Whereof, the undersigned have hereunto affixed their official signatures. ..................... ................. Licensing Authorities September 20,2010 THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE UPON THE PREMISES. The eommonwealtb of Aamsarbu!6ettq; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST QLertifp that 1 have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 513 Use Group(s): R1 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200900619 3/4/2009 3/4/2010 272 144 The building official shall be notified within(10) days of any changes in the above information. -- Building Official f COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date a (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: �0,961'A)& AOL)56�_ License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agenc Certificate to be Issued to: Address: C3—jriq Y&14 6"I e 0,1601 Telephone: 7o?oZ Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent, if any: 41A10A ry SIP TU E OF PERSON TO WHOM CERTIFICATE —� ISISSUED OR AUTHORIZED AGENT 4 r cc PLEASE PRINT NAME C a" INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE co 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HY NNIS,WA 02691 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 45;1 9 EXPIRATION DATE: J020115b o eorr monweaYtb of 01aqqarbUqeft.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST r - 3 QLertO that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 513 Use Group(s): R1 The means of egress are suff cient for the following number ofpersons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 r Certificate Number: Date Certificate Issued:. Date Certificate Expired: Map Parcel 200800999 3/4/2008 3/4/2009 272 144 . The building official shall be notified within(10) days of any changes in the above information. Building Official n 1 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date Q��,���� (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: �1n Street and Number: 7(/1 &H6'41 WAY , NYt9AJ t1j5 /n/[,4 Qd(,01 Name of Premises: Purpose for which premises is used: 10,961IJ& 11dw i License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit AgencX Certificate to be Issued to: Address: AM. IVPJ�J e�'TLE�'7� fAG/YlOU''Y/ I'Y1 fI D,SYO Telephone: A� Owner of Record of Building: Address Name of Present Holder of Certificate: , 1444 T(JfII Name of Agent, if any: rr S GN O PERSON TO WHOM CERTIFICATE I SU D R AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE N) r" 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANN S, MA 0 601 PLEASE NOTE: -1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# Z O©9'DO 9 Q9- EXPIRATION DATE: J020115b eo o■ •� • �• VV. Cla 7 k J -- ' 35A NORTH MAIN STREET FALMOUTH, MA 02540 TELEPHONE (508)548-3722 FAX(508) 540-5597 October 29, 2008 Town of Barnstable Regulatory Services Thomas Perry, Building Commissioner 200 Main St. Hyannis, MA 02601 RE: Violations 961. 975, &989 Pitchers Way Dear Mr. Perry, Please be advised that the violations noted in your letter dated 10/21/08 (copy attached) have been corrected. If you should have any questions or concerns, please do not hesitate to call me at the number listed above. Regards, Linda Clark W. Clark Trust C-> xD o 2 cn c-- � rn Town of Barnstable Regulatory Services BARNSTABM Thomas F. Geiler, Director bs p,4 BuildingDivision ArE p� Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 October 21, 2008 Jean Clark 35A North Main Street Falmouth, MA 02540 Re: 961, 975, and 989 Pitchers Way, Hyannis Annual Lodging, License Inspection Violations Dear Ms. Clark: On our annual lodging, license inspection, the Building Inspector found the following violations: 961 Pitchers Way, Hyannis, M/P 272144 �1. First floor, front door, exit light is out ,-2. First floor, rear door, exit light is out °'There are no house numbers posted by the front door. 975 Pitchers Way, Hyannis, M/P 272145 rl. First floor, front door, emergency light unit is inoperative -2. First floor, rear door, exit light is out 989 Pitchers Way, Hyannis, M/P-272146 It. First floor, front door, exit light is out -2. First floor, rear door, exit light is out Please bring these violations into compliance by November 13, 2008, and when complete, call Ralph Jones, 508-862-4029, for reinspection. Sincerely, Thomas Perry Building Commissioner PitchersWay The CommonbicaYtb of A1aq,5arbUqettE; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST I QCertifp that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 5B Use Group(s): RI The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700968 3/4/2007 3/4/2008 272 144 The building official shall be notified within(10) days of any changes in the above information. Building Official eC 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. r' ja y Name of Premises: Purpose for which premises is used: LoQ�s�,�Cr bfDUS� Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: �. ��-�►2l� %(� l Address: c3Jr ,Ut. /Y]AI LJ 01W Telephone: 4-S09) Y - J leu Owner of Record of Building: Address: VJ93'FI L� Name of Present Holder of Certificate: Name of Agent,if any: � II F � CD IG F PERSON TO WHOM CERTIFICATE IS ISS AUTHORIZED AGENT _t . PLEASE PRINT NAME INSTRUCTIONS: CI; 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYA .- S,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# V D 7 O® �/ EXPIRATION DATE: J020115b Town of Barnstable Regulatory Services Thomas F. Geiler,Director BAMSTAB9 MA$$.... ,. 1639. a�� Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601_ www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 October 21, 2008 Jean Clark 35A North Main Street Falmouth, MA 02540 Re: 961, 975, and 989 Pitchers Way, Hyannis Annual Lodging, License Inspection Violations Dear Ms. Clark: On our annual lodging, license inspection, the Building Inspector found the following violations: 961 Pitchers Way,Hyannis, M/P 272144 1. First floor, front door, exit light is out 2. First floor, rear door, exit light is out There are no house numbers posted by the front door. 975 Pitchers Way, Hyannis, M/P 272145 1. First floor, front door, emergency light unit is inoperative 2. First floor,rear door, exit light is out 989 Pitchers Way, Hyannis, M/P 272146 1. First floor, front door, exit light is_out 2. First floor,rear door, exit light is out Please bring these violations into compliance by November 13, 2008, and when complete, call Ralph Jones, 508-862-4029, for reinspection. Sincerely, Thomas Perry Building Commissioner PitchersWay ` 3 1 - • i l x TOII WOF BARNSTABLE NOTICE INSPECTION OF YOUR FRO`PERTY,.REQUIRES NOTICE y THAT`THE'NUMBER ASSIGNED M `TO YOUR BUILDING ' i ft -h I FORrTHE;STREET I .. i 'MUST-BE`POSTED IN ACCORDANCE WITHr THE TOWN ORDINANCE'ARTICLE V ' "NUMBERING of BUILDINGS" j QUESTIONS REGARDING THIS NOTICE SHOULD..BE.DIRECTED TO THE ENG{INEE.RING DIVISION t AT (508) 862 .4088 I MONDAY. sFRIDAY 00 AM to 4 30 PM. w r, a SAMSTAH N ,: TEo Mo+e The Com monbjealtb of AaqqarbUg;et,t.5 TOWN,OF BARNSTABLE - In accordance with the Massachusetts State Building Code, Section 106.5, this - -- CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST X Ctrtffp that 1 have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 513 Use Group(s): RI The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issue,,d: Date Certificate Expired: Map Parcel 26861 3/4/2006 3/4/2007 272 144 The building official shall be notified within(10) days of any changes in the above information. uilding Ofcial r Ck 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 Name of Premises: A&A Purpose for which premises is used: Z006/,U& IOU-O Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit Agena Certificate to be Issued to: Address: Telephone: Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent,if any: 0# SIG&kt OF PERSON TO WHOM CERTIFICATE IS ISSUE 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# EXPIRATION DATE: ;�!zz�z0 J020115b oF1HE Town of Barnstable Regulatory Services B"MASS. ` Thomas F. Geiler, Director ArF1639%. 0. Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 November 27, 2006 Jean Clark 35A North Main Street Falmouth, MA 02540 Re: 961 and 989 Pitchers Way, Hyannis Dear Ms. Clark: On November 21, 2006,this department inspected the above-referenced property for the annual license. The following violations of the Mass. Building Code 780 CMR, 1023.0 (Exit Signs & Lights), 1023.4 (Power Source), and CMR 1024.0 (Means of Egress—Lighting)were found. 961 Pitchers Way Exit light at front door is out. Emergency lights on first and second floors are inoperative. 989 Pitchers Way Exit light at front door is out. Please have these violations brought into compliance by December 12, 2006. Please call Ralph Jones (508-862-4029)for a re-inspection when violations are in compliance, and we will issue the Certificate of Inspection. Sincerely, Tom Perry Building Commissioner gWain35a Commoubicaltb of 1+1m;.5arbuotto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST I Cert[fp that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 5B Use Group(s): RI The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 26861 3/4/2005 3/4/2006 272 144 The building official shall be notified within(10) days of any changes in the above information. Building Official 01/103/1995 02:33 915087906230 PAGE ,r02 COMMONWEALTH OF MASSACHUSETTS TOWN OF BAR?ISTABLE APPLICATION FOR CERTIFICATE OF INSI'ECTIdN Date l 37 � (X) Fee Required S 50.00 ( ) No Fee Required Tn accordance with the provisions of the Massachusetts State Building!''ode,Section 106.5, 1 hereby apply for a Certificate of Inspection for the below-named premises located at the follo/wing address: Street and Number: Name of Premises: Purpose for which premises is used: Z60 6-1 A)& AIOL16 " UcOzse(s)or Permits)required for the premises by other governmenta I agencies: License or Permit - Agency Certificate to be Issued to: tU- eGAnK Address: (Y!5-tq /Vt Telephone: Owner of Record of Building; Address: c�J /9 �4, fn/�),(J f�'(/Y O /n Name of Present Holder of Certificate; L . C'C a-S� Name of Agent,if any: 1 �d cy-ReK S O)F N TO WHOM CERTIFICATE S OR AUraORi7: D AUNT Ginn PLEASE PRINT NAME INT$UCTIOAI S: 1)Make check payable to: TOWN OF)3ARNSTABLE 2)Return this application with your check to: BU-MDING COMMISSI(INER,200 MAIN STREET,HXANNIS,MA 02601 PLEASE om 1)Application form with accompanying fee must be submitted for each tuiiding or structure or part thereof to be.certifed. 2)Application and fee must be received before the certificate wJ11 be issued. 3)The building official shall be notified within ten(10)days of any chan;e in the above information. R CERTIIICATI?# EXPIRATION DATE. ,toz0115b ��je �tCon�n�ou�e�rrt�j of ��r���rc�ju�ett� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST �! certifp that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 5B Use Group(s): RI The means of egress are sufficient for the following number ofpersons: Location Capacity Location': Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate'Expired: Map Parcel 26861 3/4/2004 3/4/2005 272 144 The building official shall be notified within(10) days of any changes in the above information. Building Official er II COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ 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: U MV �NAJAII. r told d040/ Name of Premises: N)L/I Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc Certificate to be Issued to: Address: 35" R /V6. /YI A7 U 41 "dUvw 6"✓s zlo Telephone: Owner of Record of Building: Address: Name of Present Holder of Certificate:_ Name of Agent,if any: S N E 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. CERTIFICATE# oZ EXPIRATION DATE: /�/vl __ Commcouinealtb of 4a.5.5 rbugett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST 3S (fJCrtlfp that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 5B Use Group(s): R1 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 26861 3/4/2003 3/4/2004 272 144 The building official shall be notified within(10)days of any changes in the above information. Building Official �4 J 04/22/2003 03: 18 915087906230 PAGE 03 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLIE APPLICATION FOR CERTIFICATE OF INSPECTION Date 2 (X) Fee Required $ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,1 hereby apply for a Certificate of Inspection for the below-named premises located at the following address; Street and Number: Name of Premises: Purpose for which premises is used: License(&)or Permit(s)required for the premises by other governmental agencies: Licoz 4t Permit Agencv Certificate to be Issued to: Address: ,. �JUI/lbl _�1? Da yQ - - Telephone: Owner of Record of Building: C t✓� Address: Name of Present Holder of Certificate: Name of Agent,if any:_ it)oiq `SdS OF ON TO WHOM CERTIFICATE IS ISSUIDA OR AUTHORIZED AGENT Zz'a 1/, c/ PL ,ASE PRINT NAME INS R ~TIONS: ))Make check payable to: TO'VVN OF BA.RNSTABLE 2)Return this application with your cheek to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PI.,EASE NOTE,; 1)Application form with accompanying fee.must be submitted for each building or structu:c or part thereof to to certified. 2)Application,and fee must be received before the certificate will'be issued. 3)The building official shall be notified within ten.(10)days of any change in the above information. CERTIFICATE# v4 / EXPIRATION DATB:3%0 � J0201ISb The eommonwealtb of 41azz rbuzettz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST I Certifp that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R1 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 26861 3/4/2002 3/4/2003 272 144 The building official shall be notified within(10)days of any changes in the above information. Building fficz 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: n� Street and Number: �(D ✓'1�C�1��5 ��� f� ��11,(�/J� /! Name of Premises: O Xq Purpose for which premises is used: a�/��- NU U'� License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit AA Certificate to be Issued to: Address. '' } Uri :IYO Telephone: Owner of Record of Building: Address: (� — Name of Present Holder of Certificate: Name of Agent,if any: rl J��_Azlll -sidjOATWE OF ON 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. CERTIFICATE# off EXPIRATION DATE: J020115b The Commonwealth of M assachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to .W. CLARK TRUST Certify that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number ofpersons; Use Group Construction Type Location Capacity R1 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 26861 3/4/2001 3/4/2002 272 144 The building official shall be notified within (10) days of any changes in Z the above information ; Building Official ir, { ;L COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required S 4 0. 0 0 ( ) No Fee Required In accordance�with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address:: Street and Number. 96 1 �/�C�I�IPS UAV A V AfU;Is Name of Premises: Purpose for which premises is used: 10 0(-1,U6- U 545-7" License(c)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: ��• l'L/��� �U�l� Address: 33 /00 M 41 k) MA a;,J y0 Telephone: ( o g Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent,if any: Ji,UO e SI (A PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return d1s;application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(I0)days of any change in the above information.. CERTIFICATE# 6 EXPIRATION DATE: i T he c om m on, w ealth of m ass achus etts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST Certify that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity R1 6 LODGING ROOMS MAXIMUM LODGERS 6 26861 3/4/00 3/4/01 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within (10)days of any changes in the above information -- - - - Building O fic. i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ 4 0. 0 0 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address:Street and Number: 9Ci �%i C,�f��5 ��y M/4 oy J,S Name of Premises: LV//4 Purpose for which premises is used: 01)6-1,(f�T�U,�� License(s)or Perinit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: K -11?v3 I-- Address: InAl N fni7 UV 5'yo -r Telephone: Owner of Record of Building: _��/►'/� Address: Name of Present Holder of Certificate: W, L°L.q,ee 3 Name of Agent,if any: A/A h 9 all IG OF ON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. CERTIFICATE# vZ 16 6' EXPIRATION DATE:—,- ` �� The CommonWealtb of 41a zoarbuatto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST 31 Certifp that I have inspected the premises known as: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number ofpersons: Use Group Construction Type Location Capacity R1 6 LODGING ROOMS MAXIMUM LODGERS 6 26861 3/4/99 3/4/00 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in the above information Building Official �:s COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE - APPLICATION FOR CERTIFICATE OF INSPECTION Date-&/6/ (X) Fee Required S 4 0. 0 0 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number. Name of Premises: Purpose for which premises is used: R d L L' License(s)or Permits)required for the premises by other governmental agencies: License or Permit Aeencv Certificate to be Issued to: Add_ r Yap rn� 0,3� Telephone ) 7 s Owner of R ecord of°Building Address: Name of Present Holder of Certificate: 9)1 Uj A/r C .e Name of Agent,if any: / d lie IG A RE PERSON TO WHOM CERTIFICATE IS ISSUED O*AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMVIISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified , 2)Application and fee must be received before the certificate will be issued 3)The building official shall be notified within ten(10)days ofany change in the above information. CERTIFICATE# 6 F 6 EXPIRATION DATE: The Com monWealtb of jilamotbuatt. TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,Section 108.S, this CERTIFICATE OF INSPECTION is issued to WILLIAM H. CLARK I Cerfifp that have inspected the pmm4as-kmo;4w-aa: LODGING HOUSE located at 961 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachuetts. The means of egress are sufficient for the following number ofpersons: Use Group Construction Type Location Capacity RI 6 LODGING ROOMS MAXIMUM LODGERS 6 26861 3/4/98 3/4/99 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in the above information Building Official :t 1 .. �: The Town of Barnstable • sesrrsrnEM • .� Department of Health, Safety and Environmental Services 1639. Building Division 367 Main Street,Hyannis MA-02601 Office: 508-790-6227 - Ralph Crossen Fax: 508-790-6230 Building Commissioner CERTIFICATE OF INSPECTION CAPACITY INSPECTION HOTEL, MOTEL, INN, LODGING HOUSE DBA a e LOCATION �, E USE /./V vs ROOMS/FEE 6 La o RE S G ROOMS (50+ CAPACITY)? R AME CAPACITY INSPECTORCI)hj j X4� DATE OF INSPECTION J970806A G �� l LICENSE NO 14 NAME: William H. Clark DBA: Clark, William H. ROOM CAPACITY: MANAGER Ken Silva MAIL ADDRESS: LOC: 961 Pitchers Way PO Box 677 Hyannis Ma 02601 Noth Falmouth MA 02556 KIND: Lodging House FID NO �y A y SS NUMB 028-24-7093 U jT .�—✓T.57 7 7 MAP PARCEL 272/144 OTHER LIC 7 7 1 _ 51497 rj-j o raj RESTRICT: 'z 7a COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE 961 Pitchers way ' APPLICATION FOR CERTIFICATE OF INSPECTION t a , Date "Fee Required$ 40. 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 locatedat the following address: L n Street and Number: �Y d ij/16 /Y) T/" /L Name of Premises: �rT Purpose for which premises is used: i0 Q&j 1Jt-1- H10,1L License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agencv Certificate to be Issued to: W ^L U�M Address: '30 X G 7*7 N J e-2 f H' Lmouzel i 1)1)9 0;5-jZa Telephone: �So E> IT- 3 7a2 Owner of Record of Building: In Address: Name of Present Holder of Certificate: Name of Agent,if any: SRE PERSON TO WHOM CERTIFICATE I=ISD OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1 Application form with accompanyingfee must be submitted for each building or structure or art thereof to be certified. PP g P 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 to the above information. CERTIFICATE# °z' ��G� EXPIRATION DATE: /� 1 New Application TOWN OF BA STAB E Renewal °'" - Transfer FDlMr� Other.................... LICENSE APPL TION Date: a'A �'�. .:';;;...Print or type only (Please bear down hard) Name of Applicant.::. :3...E ..... #r}.:.. , DB/A... Corp.Name if Different...........:.............................................:..::............................................... FID#.......................... ............ . Permanent Address of Applicant. .] ... .L` ... . etc:. t di... F}:t�. .:i t: .�..t f.� 7 ..... ................... ..... .......... Local/Mailing Address....:7�t.1...t"AA�`.C, :�...!�£��rIYV*.. *R14 ..................................................... ` .............................Place of Birth...... .............................. . .. Property Owner ... i.nL ...................................Business Location..7 4�' .. ....... ... Type License... �#. l ° t:� Seasonal.. ............ ... ...... Status:Annual.. d^a � Permanent Address.` ... '`<. *if�l..+...i, .4:£. ..jl..l........'J.... j ... : l........................................................................ LocalMailing Address...J&, ...................................................................................................................................................... ...............................................Place of Birth.........................................,..................................................................................... Telephone#of Applicant: Home(... .........).. . '.. :. . .............................Bus(..Vf :......r�... ............ • Telephone#of Manager: Home(...: .# i .........).. �.'.....'l�sf ':. ................................Bus( ). ` Assessor's Map#(s)... �` Ps $ Zoning District . ......•••• .4r'. ....r de #(s) , : . ...:�. ........ .... Any flammable substance or hazardous waste use in business(specify) r- .................... .. ... ........ NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES Applicants must contact the Building Commissioner's Office, 7ANIM,the Board of Health Office, and the appropriate Fire District Office to scheduleei ins pections. Signatureof Applicant....... I� .... '1...... „+.......................................................................................... ............................................................................................................................................................................................................... For Town use only IS THIS USE PERMITED WITHIN THIS ZONING DISTRICT?...................................................................................................... Comments.. .............................. ...... .t : :.� �. .., : ,rF • p ORS APP VA .................................................................. ............................................................................................. oning. .. ..... . Date...�1..�. ... ......................Board of Health.....................................Date...................... .........................Date.................Plumbing.............................Date.......................Gas.................................Date............. FireDist................................................Date........................................... TAX OFFICE USE ONLY TAXES PAID IN FULL ..PAYMENT AGREEMENT IN:EFFECT ON TAX COLLECTOR White-Licensing Authority Green-Tax Office i unary-Health Department Gold-Building Commissioner Pink-Fire Department