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900 REALTY TRUST 975 PITCHERS WAY - Certificates of Inspection
900 REALTY TRUST 975 PITCHERS WAY s 2 Oor l ptN 0 �O N � QED�.00M /APT'• P?�_ ,+ram: ` dyjIa'�3'� 'jfii'av`y t ~ L4 kxk� Y � a+ a - �^ a _ sriXJl l�`§' ,t°� RI ±� a ii+t i'�( y i• {t ��j 3 � '$A �`,�'§i�t3 SJ•'3�k�k+" 3 a ��� L a.0 x S 'z:�.' �$.a +r,p•��-�-�a�t � 1,t��,ty�F���a L�riy�l�1 b`A f fi 'E�� k �� '� �g �r{�.'^ r �'�� � F,�• a `yS% ��� �7.sa}�� ... y �d�.af� zV"7 , � nay.. , }a afr-f�S �•a� i P P ,c- tv'. � g �0.1 '.A ' t i�tp A [♦ k { ... 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WE. 1HE.r The Commonwealth of Massachusetts j Town of Barnstable fD MA'S s 2019 �' Certificate of Inspection Lodging House Certificate No. Issued to William Nardone Trustee Type: Building -Certificate of Inspection IC-18-257 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 272-146 10/31/2019 in the Town of Barnstable 975 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 (1,vim, 10/22/2018 `"E'° � The State of Massachusetts fe�0� 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: 975 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 02637 Telephone: (508)737-7432 Owner of Record of Building: Address: P.O.Box 335 Barnstabl A 02637 Name of Present Certificate Holder: 900 Realty Trust Name of Agent, if any A G SIGNATURE-OF PERSON TO WHOM CERTIFICATE IS ISSUED �Z ® <� OR AUTHORIZED AGENT 2 PLEASE PRINT NAME 1. --- -- r INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your'check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten (10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# IC-17- EXPIRATION DATE 10/28 Town of Barnstable Building Division 200 Main Street BARNSTABLE, # Hyannis,MA 02601 BARNSTABI.E AS.9. 9� M A 1639. ,m (508) 862-4038 AASfOn4N,ILLS'•0.c(EMIIi1E12'.T."viR455XPAE Inspection Report ❑ Notice of Violation Business: Date of Inspection: << D /15> Contact: P Info: Address: 9 7t#E1?S 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: XNone: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 Propertylbusiness owner or owners approved a t copn inspector for consultation Official/Inspector: 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 thereofi with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§100. q� sCs Q+ 5. Ce�rtjficate of Inspection Report List Section 10-5.1 Permit Required cc 1c :10 g °mSuspension vocation Section 1076 Construction Control Section 11.0.E Inspections Required. Section 110.7 Peri is Inspection (valid Certificate) Section. HLO Certificate of Occupancy Section111 . Place o1'Assembly Posting of Occupancy Section 114.1 Occupancy i°Change or use Section I Stop Work Order a Section 116 Unsafe Structure Section 901.5 ':Sfi g of Alarins/Sprinkler System a Section 904,12 C.ommc. c1 1.: : s 1 Systern Section 1001,11 Maintenance of Exterior Stairs/Fire Section 1001,12 1 estin /Cerfificate Exterior t irs/FireEscape Section, .1.004.3 Posting of, Occupancy Limit Section 1.006 , Number of Exits and Access Doors Section 1.00 e 'as OfEgress Illumination sSection 1.010.1.9 Door Operation ection 1010.1.9.1 11aardware (Locks and Latches) Section ION.i.lo Panic Hardware (A or E > 50) Section .1011. staillvays Section 1.0 12 Ramps Section 1.013 Exit: Signs Section 10.1.4 H d raffl Section 1015 Grupa ds Section 10 0 ErnergencyEscape r• �H.t "`+�. •. ._.a...,.-' .... .r .r�-......w- -.-.. �.+. ..r...�-.n - �."^"'^r"" "`rt�:P'''t`..�`,r-:_�'tica+'.I�. 1V'''t.J°*,...;r, .. �-"�'�.^.�_ _ Ji:,_. �-.. AKE The-Commonwealth of Massachusetts Town of Barnstable �SrABLE. t67q.. 2018 �0 ArfO MA'S a Certificate of Inspection Lodging House Certificate No. Issued to William Nardone Trustee Type: Building - Certificate of Inspection IC-17-335 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 272-145 10/28/2018 in the Town of Barnstable 975 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 THE T � The State of Massachusetts Town of Barnstable ArE MA'S b' �-... New and Renewal Certificate of Inspection Application f i Date 9/12/2017 ,_i Fee Required 50.00 In accordance with the p'rovisions 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: �975 PITCHER'S WAY,HYANNIS Name of Premises: Lodging House Purpose for which premises is!used: License(s)or Permit(s) require'd for the premises by other governmental agencies: Certificate to be Issued to: Lodging House Address: 975 PITCHER'S WAY,HYANNIS Telephone: (508)737-7432 e Owner of Record of Building: 900 Realty Trust Address: P.O. Box 335 Barnstable, MA 02637 Name of Present Holder of Certificate: William Nardone Trustee Name of Agent,if any William Nardone Trustee E-Mail: Wawxid4u SIGNATURTOF PERSON TO WHOM CERTIFICATE 8u ILJ)ING ERTIFI TEu'LJ)'NG DEPI IS ISSUED OR AUTHORIZED AGENT OCT 18 TOWN 8AhNSIAi3Li 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(11)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# TIC-17-335 EXPIRATION DATE 9/12/2018 SHE The Commonwealth of Massachusetts .7p � � a Town of Barnstable 2017 ' i639' �0 - TED MA'S a Certificate of Inspection Lodging House Certificate No. Issued to William Nardone Trustee Type: Building -Certificate of Inspection IC-16-284 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 272-145 10/28/2017 in the Town of Barnstable 975 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 Signature of Municipal Building - Date of Issuance Commissioner - '.. ¢a. ..�_:.._ 1/4/2017 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 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 ermit Agency 5e_ Certificate to be Issued to: �+ Address: low Telephone: Owner of Record of Building: ryte— ro-s � ,) Address: Name of Present Holder of Certificate: Name of Agent,if any: BUILDING DEPT. 00T 0 3 2016 PLEASE PROVIDE1�EMAIL: GN SIATURE OF PERSON TO WHOM CERTIFICATE N OF BARNSTA13LE IS ISSUED OR AUTHORIZED AGENT We are now able to email the certificate to you. PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# ��✓ � EXPIRATION DATE: V Z 1 4" J020115c �` J R 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 have inspected the premises known as: LODGING HOUSE located at 975 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 Parcel 201506896 10/28/2015 10/28/2016 27 14 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 Qr'������� (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 Perniit(s)required for the premises by other governmental agencies: License or Permit II A enc �(� Q---ASWn%c ems. i��G 'I—\u1U� �Y Certificate to be Issued to: goo ''ReQ Address: Telephone: G Owner of Record of Building: q V Address: �`Q W of Q (p 3 Name of Present Holder of Certificate: Name of Agent,if any: f-D SIGNATURE OF PERSON TO OM CERTIFICATE y. s 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: / CERTIFICATES (�((J (p EXPIRATION DATE: J020115c 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 900 REALTY TRUST Certify that 1 have inspected the premises known as: LODGING HOUSE located at 975 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 201406804 10/28/2014 10/28/2015 2 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 (�C�Cj 6Q r (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: CA N4 Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: 1 License or Permit AA -,c2 O r Certificate to be Issued to: qoo 1 f't,1A� Address: a fs ICA V1 aV—f O (oU Telephone: �`�Yj 3 Owner of Record of Building: Address: S®X 33S v� n,, ,� Y O��' Name of Present Holder of Certificate: V �e 1 f A Name of Agent,if any: ,~e;U�M 1 C/�rayL cm SIGNATURE OF PERSON TO WHOM CERTIFICATE t IS ISSUED OR AUTHORIZED AGENT ' 1 PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: ,TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be.received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# 04 EXPIRATION DATE: o D J081210 F! eommconweaftb of ftlaozarbuzettz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to 900 REALTY TRUST QLEl'tifp that 1 have inspected the premises known as: LODGING HOUSE located at 975 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 201307428 10/28/2013 10/28/2014 2 145 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 C.)�r �'--O N3 (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 { 1 odG '(F,as� ;�,G Certificate to be Issued to: G0� � � ` cusp I s Y " ►` \ i �a Address: ��.S '1 ��C.I�Q fS �,.�Cav . �4 y\✓l Ills., V`t- C� Telephone: -9C) 3LA Owner of Record of Building: goo ,,nn i4 Address: � X 3�S. tJ,v►�Yln aCl' r`t � (03 da Name of Present Holder of Certificate: \0-a �-V t` 5k C Name of Agent,if any:. W ; 1� i q G,(�U\:�. ! aS ee SIGNATURE O PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT W t w iCxm. �(�1 . ( l0.caC)►L2 ; 1 ( t�S�L4� 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: 2 CERTIFICATE# C>(—U ( 30542 9, EXPIRATION DATE: J081210 I . c Common.wearrtb of 01a.5.5acbmatt.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 X Ctrrifp that I have inspected the premises known as: LODGING HOUSE located at 975 PITCHERS WAY in the Village of 14YANNIS 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 201206066 10/28/2012 10/28/2013 2 2 145 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: q �i'�C f SCk _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 Q Agenc d G i A C. i C2vtS ��C��nS��A.A �eOGd �n� Certificate to'be Issued to: q Q 1 i1 ` M AUAyV_Q_ Address: ( VV\V xCACB Telephone: �- r..a Owner of Record of Building: G q S G bo J r Address: S U -Le_ ws e— k'S _— ..a . .+,•.,� Name of Present.Holder of Certificate: GS QA 0'/2 ..,.. ;;.� Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT I \ I Wo��iGu►� NCcfAo►_C fLks � 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: >� J081210 Date: ........�........ =� TOWN OF BARNSTABLE LI ❑ New Application , ,,fS1,,B CENSE APPLICATION ['Renewal less 200 My Street El Tr' Ep Hyannis, MA 02601 (508) 862.4674 ❑ Other NO BUSINESS ,MAY:: OPERATE WITHOUT A.VALID LICENSE ON THE:PRENIISES; -4-- uName of a hcant/cor oration/LLC—_ �C� { ^� ' — - -- - _� t r Ca , an/corAddress oa i 0Business phone#: ...........................................71. Business location 7�B 'i o. Business marlin 3 address tf dtffrentrnm above a _ - -- g f )< ---- - --- - - -- i f License Type k� ..... ..... ...... Annual �,!'. Seasonal Hours of 0 eration Federal ID#: P - Hoursof Ente1ammeni, Hours of;Alcohol-Seance: 1/G 717 Name of Mana er 9 L�� �—' Q J C, _ — email: Manager's permanent mailing address Manager's home phone,# Business phone#: sLt --o ._.. _..... ......._ Narne of property owner: u�� - -- ...-- ..............._ -- ------ ASSESSOR'&MAP/PARCEL# MAP =':.�1.�- PARCEL,..:..:,. .�....... S Llst any flammable:substance or hazardous waste used in business(specify): 'Applicants must ONLY contact the' Building. Commissioner's office, (508) 862- od 181. the Board'.:of 'Health ;office, (508) :8.62=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 ---s : rF r T use only wit REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON = IS THIS USE PERMITTED WITHIN THIS ZONIN DISTRICTS YES . ❑ NO El ,001 ORS—APPROVAL -j ( J)� _ Capacity set by Building Division_____._ •.. f, Buildtng/Zonmg= Date2-.! Board of Health _ _ ___ Date Fire Distract — -- Date_...- .____ __._._Comments....._.._. - While licensing Authority Gold Building Commissioner Pink-Fire Department Canary-Health Division I -T'OWN OF BARNSTABLE INSPECTION WORKSHEETC�o�ek CERTIFICATE NO: 201307428 CANCELLED: MAP: 272 DBA: LODGING HOUSE PARCEL: 145 NAME/MANAGER: 1900 REALTY TRUST STREET: 975 PITCHERS WAY VILLAGE: 1HYANNIS STATE: ® 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: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: P INSPECTION: DATE ISSUED: EXPIRATION: ��i tTh s Scr n 10/17/2013 10/28/2013 10/28/2014 ;Pn't rt fi to of l ctr n COMMENTS: FORMER OWNER JEAN CLARK The eommonwealtb of Olamwbuopttq 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 Ctrtifp that 1 have inspected the premises known as: LODGING HOUSE located at 975 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 201105587 10/28/2011 10/28/2012 2 145 The building official shall be notified within(10) days of any changes in the above information. Building Official r Ilk �5S 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: /t Street and Number: " Name of Premises: " = S v .'.y a'-.... Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc l iss V Chi 9 1�.cam �•c Q.ytS� C�l�J V\ J J CD e"- Certificate to be Issued to: Address: ® COX L1'.'n yxnCw V.A,Ck Y ` c)-2-(o Telephone: 3- } . 74 43 :�_ Owner of Record of Building: Q 0 0 '4V ( l Address: C7X .-.j U Yvi+'ti►QQ I � d 3 YI Name of Present Holder of Certificate: ' 0 ) --R 1 Name of Agent, if any: SIGNATURE OF PERSON TO'WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 1 W �. C l�,avh 1A . Y1 r� vim, a 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: la J020115b Commonbicattb of Ala' !5.5acbm5ett.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 31 Certifp that 1 have inspected the premises known as: LODGING HOUSE located at 975 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 5B Use Group(s): R 1 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 201005844 10/28/2010 10/28/201 1 272 145 The building official shall be notified within (10) days of any changes in the above information. - — Building Off cial 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: � o Street and Number: i 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: Address: / r Telephone: Ae Owner of Record of Building: Address: Name of Present Holder of Certificate: y Name of Agent, if any: N ca � d SIGNATURE OF PERSON TO WHOM CERTIFICATE C IS ISSUED OR AUTHORIZED AGENTGo w-n PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601 PLEASE NOTE: I)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: I_ej J081210 i T11E TOWN OF BARNS'TABLE Date: LICENSE APPLICATION N New pplication • BAtu MBLK • ❑ Renewal i 200 Main Street ❑639. Transfer per► Hyannis, MA 02601 (508) 862-4674 ❑ Other NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES .r Name of applicant/corporation: :/._ ._.... _�-..t._...`/......._..✓_P_ .��....t......../../.........1✓1�.+�..¢��. ...�.tr.�,�'i: Home phone#: (.I�.�)_�1.....:T.'.�1�1.3A..._..... Address of applicant/corporation:........ ,.._Q.::.._... .1 _x......_._.. ..._._....._......_....---._._......._......._._.............................................-................._.......... Business phone#: .<J. l ........................................... .........._...._.._........_.................................._.................__.............. Cl�! M_44.1.1...1.Q.....,_�hl..a'�......�_�1.�3.:�................................................................................................. _..._ D/B/A19lr1'_. ��u .. ......................._._._..._..._............._...............__._......_..._.._...._...._................_.._._........................_......_._............. Business phone#: ..r1 '1.. ............_.........................................................._....... ....... Busines on: .......' ._:/�l`T ICR. .......f. d..Lei.�.....p......ffi�hi_��,t.'a°�...,:._m.. ......._6�tG-a..d..._:__...._.............................._. fr, Business mailing address: ..._ .......: ....... _: .... ...... U....�9'►/Ml.001-0..`....41A.........".4--)._7-........._......................................................_......................._...__..._.._:..........._..._........................_........_........_..._......_............_... Local business address: ................._................. ............ ......... .._................................_................................_......_............................... ........................ ...... ........ ........ ......... ..................... .............. ............... .......... ...... ..... ....... .............. ........ ...._.._.......... .......... _... ............ _............ .... .......... ........ ....... .............. .... ....... ...... ...... _.... __.. Localmailing address: ..........._..................................................................___________________________..........._...._____........_..._________________________................___________________________...................._................................_....................................................................._....._........_......................_....._................-._......_......._............................_...._..._........._....._._ LICENSE TYPE: Jd .................. . 4(0Q .. - ' Annual ® Seasonal HOURS OF OPERATION: :............j _..................................__............._...__ ... ./ .'"._y. .'_.._a .......... Name of manager: I ... ................................................. eMail: Local mailing address: �a.>(... t.:f t '.... ..... ay..,....4ni .....'�.�...tit.`�A.�t.?c�J�.��_..ij'1t9...���..t<��...................................................................... Manager's permanent mailing address: L.........3itl. Manager's home phone M < .... . .�/..-._L_ .9....... Business phone#: �R;>mt.G ....._.................................................. Name of property owner: �� ...... ��.L.Td ......_`.a �j.........LLf.1_ 13. ......_ /fi..glJ.t3..&�c _ ' 9 ........... ASSESSOR'S MAP/PARCEL M MAP j. ( - y PARCEL .I �7..J, 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) 8.62-4644, 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 O NO n No cow r INSPECTORS APPROVAL (' Capacity set by Building Division,__,,,.,,.,_, _........_ �j . � J Building/Zoning...._............... _.............................._..........__....._..__........................... Date .................. .._.......... ..._ ...._......... Board of Health......:.............................:................................................._..._............._...... Date .............._._....................................._. FireDistrict . . ......_......................_Date...._........................................................... _...._...._C......ts;:................_...._..._....._..........................._..._......._........_._................_..._.__....................................._........... ..................................................................................................... White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division NUMBER FEE 15 THE COMMONWEALTH OF MASSACHUSETTS $50.00 TOWN OF BARNSTABLE 900 Realty Trust d/b/a 975 Thisis to Certify that.................................................................................................................................................................................... 975 Pitchers Way , Hyannis , MA .................................................................................................................................••......................................................................................... IS HEREBY GRANTED A LODGING HOUSE LICENSE Hyannis , MA ...•....•....and at that place only and expires in said.................................................................................................................... December 31, 2010 unless sooner suspended or revoked for violation of the laws of the Commonwealth respecting the licensing of common victuallers. This license is issued in conformity 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. 7; .. . ................... ............. Licensing .................... . �.a. Authorities ................................................................ September 20,2010 THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE UPON THE PREMISES. 4 Town of Barnstable Ft rq,t, Regulatory Services ti Thomas F. Geiler, Director BARNSTABLE, Building Division y MASS. Thomas Perry, CBO, Building Commissioner Fp MA'S 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 eommonweattb of j+1a.5!6ar U5SCtt!5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,-Section 1065, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST I CltrtifP that 1 have inspected the premises known as: LODGING HOUSE located at 975 PITCHERS WAY in the Village of HYANNIS r 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 201000776 3/4/2010 3/4/2011 272 145 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/16 (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. 971' HLIHU,UIS ln/" 0)601 Name of Premises: j� Purpose for which premises is used: L0,06I k1 Cr 1 6UJ6 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: �,(�, n-A/Z,r i(/J7 VIA, Address: A A O MAC I) JI— L✓+7O[�N rYl A Od 5`I0 Telephone: Owner of Record of Building: Address: c,- q In i Name of Present Holder of Certificate:—a) Name of gent, if any: N TURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# ;Z r,,, G EXPIRATION DATE: J081210 f ' tNE . TOWN OF BARNSTABLE Date: ........`.................`.... ® New Application „ ,,�, LICENSE APPLICATION ff Renewal Mies. 200 Main Street 6�►�� Hyannis,MA 02601 El Transfer (508) 862-4674 ❑ Other NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES ♦-- Name of a licant/co oration: PP rP ------ 00 ..._ Ca!tr '��L5 ......__......._.._......_...._.........__....--.._.. Home phone#: C.>. .. ..._ �:.t..�.� Address of applicant/corporation:_._ �_�2. .._��_ 5--;-._ ���^- . _tW-� t . v.Zb Business phone#: - — i"`-C.............--......-- D/B/A --...----._.._. L ? _ __...--------- - Business phone k -...... �aS _sue.�,_.-:-- -..._.._.._.....__....-- Businesslocation: --------......_._._ 5_ ►' ._.. ........ Q� _.. ._i_..._....__ ._ vt_' s�..._.. .._H.._..._U ._ ._ ._.................._...._......__....................._....._._..----------- CLAVBusiness mailing address: _..._......__....._._.....- --._...._... _......_<.....--...._-._n _.cA._U C1!..7....._......._'�._r.....__..__Q 2 rr -- --- ---- ---------- Local business address: -_-_ Localmailing address: --...__._...-t-........-..._.....----...._._._..._..._._......._............__..__..................................._...._..._._._...._...._.....__....__.._........._.........._..........._._..... ------ LICENSE TYPE: ..................................."CZ C.... :.�............................. . Annual ® Seasonal HOURS OF OPERATION: ...... FID Name of manager: , �� eMail: ....�.... ........ .........:':....... .. .....` U� to4t Local mailing address: t .... . . �� 2,r s f `. .................................. Manager's permanent mailing address: _._..._...._......__.__.___....._._...__.._.........._. ---.........--- __................__..........._....................__.............__..................._......_._...__._...--- Manager's home phone#: C� 33..�6._ Business phone#: _..... e+ Name of property owner: t1v �� - j -. ._..._........_._._....._._..._ ._..._._. _._.. _.__. .. --....f---......._...._�_u...S_�............_...._............._......_......_...r................_........._._...__ ------...—._.._----------- 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 ................................................................................................ ...........Z.................................................................................................. ........_ ......... . %.li.. /For Town use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON j IS THIS USE PERMITTED WITHIN THIS ZONIN STRICT? - YES NO I �I INSPECTORS APPROVAL ,_ Capacity set by Building Division-_..-....-_.__-_-_ — ........ .._- ............. ..:.. _...._a .. ............_..._...... Building/Zoning-._...----... ....-----._...-- --.:.__.._.. Date ..__........................_�-.....--=_:.... Board of Health....._.............._....._.__....._.__......_.._._..._...._...._.......__....._.._. Date _...._.__..........----.._........_. FireDistrict ._........._._.. ---- - - - - -- ...._...Date ....__..._...----... --.._._....---.............._Comments:............... -..........._..._ _. White-Licensing Authority Gold-Building Commissioner P'nk-Fire Department Canary-Health Division . i TOWN OF BARNSTABLE INSPECTION WORKSHEET OSo CERTIFICATE NO: 1 201105587 CANCELLED:, MAP: 272 f DBA: ILODGING HOUSE PARCEL:. NAME/MANAGER: 1900 REALTY TRUST STREET: 1975 PITCHERS WAY VILLAGE: JHYANNIS STATE: FMA7 ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: ILODGING HSE CONSTRUCTION TYPE: 15B STORY1: CAPACITY: USE1: R1 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: Outside Seating: STORY3: CAPACITY: USE3: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: LOCI: 6 LODGING ROOMS CAPS: LOC8: CAP2: 6 LOC2: MAXIMUM LODGERS CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP11: LOCI 1: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAPT. LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: F� PrintThis`Screen 1 2010 10/28/2011 10/28/2012 I DO-( ze t t J_ Print Certificate of Inspection COMMENTS: FORMER OWNER JEAN CLARK i i Ebe Commonbicaltb of A1aq.5arbUqCtt.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 3 Certifp that 1 have inspected the premises known as: LODGING HOUSE located at 975 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 200900620 3/4/2009 3/4/2010 272 145 The building official shall be notified within (10) days of any changes in the above information. Building Official tt 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: -fZ/'f 6-ZS U)`J' r/I d Q,�U6) Name of Premises: dMe Purpose for which premises is used: 1 U✓J G 6 U �dUJG License's)or Permit(s) required for the premises by other governmental agencies: License or Permit Agency i Certificate to be Issued to: &J1 Address: ' ,4- M&A) >%A'L1n6 oi—N M 6 4a(,o l Telephone: A-QP,) Owner of Record of Building: Address: Name of Present Holder of Certificate: . Name of Agent, if any: 'Z lIyA '-1—' C&9 6<or Sit, A R OF PERSON TO WHOM CERTIFICATE I ISSUED OR AUTHORIZED AGENT tom'+ PLEASE PRINT NAME , INSTRUCTIONS: LO 1)Make check payable to: TOWN OF BARNSTABLE -- 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYA IS, M!026(W PLEASE NOTE: Q' 1)Application form with accompanying fee must be submitted for each building or structure or part thereof o 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# '�JD Z d O EXPIRATION DATE: J081210 - eommouwealtb of Aaooarbuattz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this . CERTIFICATE: OF INSPECTION is issued to W. CLARK TRUST QCel'ttfp that have inspected the premises known as: LODGING HOUSE located at 975 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 200800995 3/4/2008 3/4/2009 27'2 145 The building official shall be notified within(10) days of any /_ changes in the above information. (/ Bui ding Official e COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date_Q)/.7.2/10 8 (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: A /A Purpose for which premises is used: ,lQQ���f(r 1110 it License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Aizenc Certificate to be Issued to: G!f CLARK - CU9T Address: A 06. mm Ill )*l moww MA Telephone: Owner of Record of Building: (1�IryJ Address: Name of Present Holder of Certificate: L'GRLlC ?�iCU� Name of Agent, if any: Avol , eut,< t r PIEDRE OF PERSON TO WHOM CERTIFICATE `'OR AUTHORIZED AGENT ' .�iNaA tl�- CLAR K � �.y PLEASE PRINT NAME N v0 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. j 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: !� CERTIFICATE# O�O� r �c5� EXPIRATION DATE: J020115b The CommonWeattb of 1+1a.5.5ar ju,5ettg; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST I QLertifp that 1 have inspected the premises known as: LODGING HOUSE located at 975 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 ofpersons: Location Capacity Location Capacity 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200700967 3/4/2007 3/4/2008 72 45 The building official shall be notified within(10) days of any changes in the above information. ICY '44n Building Official r M i T" COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date O? b 9 (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` mipremisees located at the`fo`lllowing address: Street.and Number: �7J ;l l�C. a6 OJA y I-lcle o /;5 rM4 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: C'L. e Address: ( �� ,CJ�_�'fA'1� rS�t, �' �A'!m0 / MA Da.S'Y6 Telephone: C�Lb J L 7o?a Owner of Record of Building: C- Address: ti c1LJ � y�' rJ Name of Present Holder of Certificate:l Name of Agent,if any: G IU4 OF PERSON TO WHOM CERTIFICATE S UED R 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,HYAN> S,MA:02601 ,: PLEASE NOTE: cc, rp- 1)Application form with accompanying fee must be submitted for each building or structure or part thereof t be cert f ed. r"i 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# O f7 7�f/ Cj,�� EXPIRATION DATE:_ -�/ //- D1�1 J020115b r Town of Barnstable Regulatory Services Thomas F. Geiler,Director • BARNSTABLE.. 7 9 MASS.....,. 1639. Building ]Division �A DN10�p Thomws�Per CBO Building.Commissioner rY7 7 200 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 r 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 The Corr moubjea ltb of Aa5S.5arbU.5Pttq 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 QCertifp that I have inspected the premises known as: LODGING HOUSE located at 975 PITCHERS WAY in the Village of HYANNIS County of Barnstable` Commonwealth of Massachusetts. Construction Type: 5B Use Group(s): Rl 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 26862 3/4/2006 3/4/2007 272 145 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 & (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: d Purpose for which premises is used: Lic6nse(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: Address: 3 vo. FYI k-L-j' Telephone: ����� J � J-72- 2 Owner of Record of Building: /V1 Address; Name of Present Holder of Certificate: Name of Agent,if any: SIG Uy&OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT �zolg -I-, 0-h a' 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# 1 EXPIRATION DATE:_ J020115b The eommonwealtb of Aa-q!6arbuqettq TOWN OiBARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST X Certifp that I have inspected the premises known as: LODGING HOUSE located at 975 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 26862 3/4/2005 3/4/2006 272 145 The building official shall be notified within(10)days of any changes in the above information. Building Official 01/03/1995 02:33 915087906230 PAGE 03 COMMOWEA]LTH OF MASSACHUSETTS TOWN OF EARN STABLE APPLICATION FOR CERTIFICATE OF INSPECTION Data �� U�? (X) Fee Required$_12,,0(L ( ) 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 Aiumber: 7!� 2�C ,S UJ,4 �ye��,v 1 �����6?� ol_ , Name of Premises: Purpose for which premises is used: Licenses)or Permit(s)required for the premisesby other governmental agencies: License or Permit Agency Certificate to be Issued to: Address; �/U�. [,G�,l� L 3 � U�j a Telephone: SU L9 Owner of Record of Building: n L Address:, — Name of Present Holder of Certificate; 0&r/kc t j Name of Agent,if any:_ -SIGN T F PB O TQ WROM CEAT111z'IC; TT IS ISSUED OR AUTSORIZED AGENT 6 PLEASE PREYT NAME ` INS2.UCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PFL, ASE NOTE, 1)Application form with accompanying fee must be submitted for each t uilding or structure or part thereof to be certified. 2)Application and fee moat be received before the certificate will be isst.ed. 3)The building official shalt be notified within ten(10)days of any change in the above information. RO CERTIFICATE# 2 G LM ;7-. EXPIRATION DATE: & 1020115b TO Corr monbicattko f aggarbUqrtt.5 TOWN OF BARNS.TABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST QLErtifp that I have inspected the premises known as: LODGING HOUSE located at 975 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 26862 3/4/2004 . 3/4/2005 272 145 The building official shall be notified within(10) days of any changes in the above information. Building Official I •F , COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 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:: Q Street and Number: `7 7� ';2 � ��5 (�C/g l.0/•10 rnT/ oad a Name of Premises: /V-ir/ Purpose for which premises is used: )d,061A)6- License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Aizenc Certificate to be.Issued to: LU: C.4xt ' Gc./S?' ` Address: 15-d Telephone: OS) .SyB'�37�z Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent,if any: JV AJ,04 14- IKOF PERSON TO WHOM CERTIFICATE IS SSUED 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# __�' 6 �� '_._.... EXPIRATION DATE: �FtHE Town of Barnstable �O Regulatory Services BMMSTnBLE, 9 MASS. Thomas F. Geiler, Director 039. 6.,� 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 March 24, 2005 W. Clark Trust By fax: 508 540 5597 Re: Certificate of Inspection 975 Pitchers Way, 989 Pitchers Way, 961 Pitchers Way Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Sixth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the 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 120.5.2 of the State Code. Sincerely, Thomas Perry O� Building Commissioner Enclosure jcoilct a Z The COMMOnwealtb Of 4Ra5,5arbU.5ett.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 I (UrtifV that I have inspected the premises known as: LODGING HOUSE located at 975 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 26862 3/4/2003 3/4/2004 272 145 The building official shall be notified within(10)days of any changes in the above information. Building Official r 04/22/2003 03: 10 915087906230 PAGE 04 COMMONWEALTH OF MASSACHUSE'TTS TOWN OF BARNSTAELE APPLICATION FOR CERT)FICATE OF INSPECTION (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: q7-1j" Name of Premises: Purpose for which premises is used: .18,0G/,U&- t . , Licenses)or Pernzit(s)required for the premises by other governmental agencies: �iF�'ie or Pernsit AMU Certificate to be Issued to: �I��C Address: Telepbont;: _ 7 2. (wrier,of Record o#Hutldin"g Address: Name of Present Holder of Certificate: ,� �X1 j Name of Agent,if any; /,U/�{9 _ _4A,QL �SCa E OF P ONTO WHOM CERTIFICATE IS SS OR.AUTHORIZED AGENT -- ��/ C' ._ .PLEASE PRII1'T NAME 1)Make check payable to: TOWN OF BARNSTABLE 2).return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 SASE-`i. , 1)Application form with accompanying fee must be submitte(#for each building or structure or part thereof to be certified. 3).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 Worrmtirn. CERTIFICATE## EXPIRATION DATE: ID201I5b S TO Commoubjea ltb of Aa.55arbu5ett.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 Certifp that 1 have inspected the:premises known as: LODGING HOUSE located at 975 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): R1 The means of egress oxe..sufcient_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 26862 3/4/2002 3/4/2003 2 145 The building official shall be notified within(10)days of any changes in the above information. Buildinj Official rA LL— COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPEC TION Date ©,2 ( q X) Fee Re uired$ 50.00 �2 a � ( ) 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 f/ollowing/address: Street and Number: 9 �TCHai l,�JmY Name of Premises: N Purpose for which premises is used: Lov&l d6- Akw'g- License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Aizenc Certificate to be Issued to: �N ���'PK 1'go-1 Address: ��3 ,�1 a /J�!A J`T2E � `14-e-/14 Uu-nq SyO Telephone: g/ J_Y9— Z7a a' Owner of Record of Building: C�''9n2�'_ Address: Name of Present Holder of Certificate: Name of Agent,if any: / 11M J� C_1A1_r 614 OF RSON TO WHOM CERTIFICATE IS ISSUED OR THORIZED 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# �' 6 8, 6 EXPIRATION DATE: J020115b I The c o m m o n w ealth of M as s achu s e tts 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 975 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are suff cient for the following number of persons:. Use Group Construction Type Location Capacity R1 6 LODGING ROOMS MAXIMUM LODGERS 6 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 26862 3/4/2001 3/4/2002 272 145 The building official shall be notified within (10)days of any changes in the above information Building Official ice' u COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date e)�2 2 0 0/ (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: r I Street and Number. 6 Name of Premises: Purpose for which premises is used: V(,— 1 60 Sv License(s) or Pern:it(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: / K'1 G}e1L —.7ku JT Address: 133 /UD. M/,'�,U J�E� 1 04 D 0-rd 1 } d)SHO Telephone: �J�U� ) J�yC�—j zZL Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent, if any: 111J_44. CGF�K w ISIGN F P ON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1) Make check payable to: TOWN OF BARNSTABLE 2)Return d,is 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 of any change in the above information. CERTIFICATE# I EXPIRATION DATE: ✓�/��O The C om m on ealth of m ass achus etts 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 975 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 26862 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 Mlding�ffci��� �A COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (/ 08�(� (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:/,(l Street and Number: / `7J �l'TC�I�,Q f Wl 1-14,/tf/.11 In Name of Premises: Purpose for which premises is used: 10b6-1u6r flD 0.3 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: Address: 32 m#/k/ Telephone: , Owner of Record of Building: j fi/YJe Address: Name of Present Holder of Certificate: C LA2K Name of Agent,if any: SI E O ERSON TO WHOM CERTIFICATE � ���� IS ISSUED OR AUTHORIZED AGENT AID 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# B�,Z. EXPIRATION DATE: The Commoftea ltb of 111a.0.5acbmatto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to W. CLARK TRUST T Cerfifp that 1 have inspected the premises known as: LODGING HOUSE located at 975 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 RI 6 LODGING ROOMS MAXIMUM LODGERS 6 26862 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 � �I COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE - APPLICATION FOR CERTIFICATE OF INSPECTION Date 3 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: ,l Street and Number. G7.S 'P'/TG#E'e.S WAV f7 `��1 NUJ s �� m,4 Name of Premises: N�� Purpose for which premises is used: '40 License(s)or Permit(s) required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: W, eLA'eK j Address: 23 Pilo. 149-IIJ JlZeCi- 1W 6a5'yd Telephone: Owner of Record of Building: Q Mln6Y1 Address: Name of Present Holder of Certificate: WI LL/41n Name of Agent, if any: J—101m L,&,4�� SIONWA O�� ERSON 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 COMIVIISSIONER, 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# 6 g�o2 EXPIRATION DATE: �/y/O-e 'L PAMM ❑ New Application • ��� • TOWN OF BARNSTABLE ❑ Renewal ❑ Transfer ❑ Other.................... LICENSE APPLICATION Date... ............Print or type only (Please bear down hard) Name of Applicant... rL�.... . ........................................................................ .... Corp.Name if Different.................................::......................................:......................................FID#.............:......................:......... Permanent Address of Applicant. ''Jl it I r 7 " '��r r tw .=..rf�..` .�.'�!....................... Local/Mailing Address... .°.?. 4.. w . ......................... �.!................................Place of Birth.........." .............."...... ....................................._... Property Owner .. �� '` r�.� �............................. .Business Location.... .. .. /. .... .... :�,.:-.. p..... .., Type of License.......s� r� t. .. .._.. ...... ......... ......... ........:Status:"%� ual '' ..,::.:.. �..::'Seasorfaf.......... ....: Name of ManagerrJ ela 'r r ,t�1t�� ... "} .................................... ............`................................. ....... ........................ ....... ......... Permanent Address ......................................................................................... .................................. .................................................. ,• ..,- Local Mailing Address..'°' ''ie ...............................................Place of Birth............................................................................................................................... +? a '".. .. "wt! .r... 3' i N' ,"�l.l .4.......... �. Telephone#of Applicant: Home(....:......4�.........)......:......�.:............................................Bus( ).........:........ '�k ........ 0 °. } ......... .: . ...... Bus Telephone#of Manager:Home( .....................) ....,.. ( :.. ) ................................. Assessor's Ma # s ' P ( )..:�....: ( ) .. ..Zoning District...... ......... • - ....:......��............Parcel# s �,�I�1." f�'`.� ....... ............................... Any flammable substance or hazardous waste use in business(specify)....... ............................................................................... NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES r••� r`d •'Va.1-6 F4,1 4046 V Applicants must contact the Building Commissioner's Office, VAOMIWthe Board of Health Office, 74UH910and the appropriate Fire District Office to schedule inspections. Signature of Applicant........... ' ,zat e ..::.. ...... ................. ............................................................................................................................................................................................................... For Town use only IS THIS USE PERMITED WITHIN THIS ZONING I)ISTRICT� ... .... ... �r.�.i.': Ate'.%')CJ.• � i.:. .�.: 4 ..--,. .. . . .. N�$�:+��-s �. _, °a-, r�:.aeer, �._ �4, �, .. Y�.".`'Bu+.F't-•...r'.' �,.,�..ar:y`g.".vwti-'RF... s. ..va...'.wr�m�.e'+e,,.::Comments:.......................................:..................................................:...................................................:......................:...................... RSAPP V L.. .. ............................................................................................................................................................ nn ouildinglZning... .. . .........Date...... . .� /. .................BoardofHealth.....................................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 Canary-Health Department Gold-Building Commissioner Pink-Fire Department e ctCon�n�ou�e YtYj of l.azzarbuzetto 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 Certifp that I have inspected the p . LODGING HOUSE located at 975 PITCHERS WAY in the Village of HYANNIS County of Barnstable Commonwealth of Massachuetts. 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 26862 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 wilding Official r The Town of Barnstable . • >�rsrnstE. • Department of Health, Safety and Environmental Services " 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 1,v;ZLJar pj c L�., LOCATION 7.5- USE ROOMS/FEE v �� ✓ ,�z �.�; S OTHER G ROOMS (50+ CAPACITY)? RA9AVE CAPACITY INSPECTOR 1 DATE OF INSPECTION J970806A ��- LICENSE NO 15 NAME: William H. Clark DBA: Clark, William H. ROOM CAPACITY: MANAGER Donald Harding MAIL ADDRESS: LOC: 975 Pitchers Way PO Boa 677 Hvannis MA 02601 North Falmouth MA 02556 KIND: Lodging House FID NO SS NUMB 028-24-7093 MAP PARCEL 272/145 � � OTHER LIC RESTRICT: COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION 975 Pitchers way Date v (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: ��� '�%TGN�� ��/�y �A[J,UI�`J ►/(�T Name of Premises: Purpose for which premises is used: LQ'0&1 6- lwou3e5' Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit Agengy Certificate to be Issaed to: C��/LL/ /� !q, Address:; e—FOK G -7-7 N�� %�l Ll /�9T 6a55-(,�' Telephone: / b 9 5 8 172A Owner of Record of BuiIiding: Adeiress: Narrn of Present Hol:derof Certificate: In r Namc of Agent, i;f any: SIC ' 9f PERSON TO WHOM CERTIFICATE -j D OR AUTHORIZED AGENT IN.,TRUCTIONS: 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: II 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 # a 6 GP EXPIRATION DATE: �/f