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HomeMy WebLinkAboutBLDCI-16-006839-01 tot 't The Commonwealth of Massachusetts _ •it= � City\Town of _+l (= YARMOUTH UPS New and Renewal Certificate of Inspection In accordance with the Massachusetts State Building Code,Section 110.7 • Identify Name of Establishment Certificate No. Issued to Business Name:THE BELVEDERE BED&BREAKFAST BLDCI-16-006839-01 Trade Name:THE BELVEDERE BED&BREAKFAST Identify property address including street number,name,city or town and county Certificate Expiration Located at 167 OLD MAIN ST 05/18/2019 SOUTH YARMOUTH,MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) • R-1 01st Floor 2 R-1 Hotel/Motel/Boarding House/Transient 1 BEDROOM,1 BATH, OWNERS'UNIT Allowable 02nd Floor 3 R-1 Hotel/Motel/Boarding House/Transient 3 BEDROOMS,2 BATHS Occupant Load Other 1 R-1 Hotel/Motel/Boarding House/Transient BARN-1 BEDROOM,1 BATH 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 glass and/or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to pose or tampering with the contents of the certificate is strictly prohibited Name of Municipal Name of Municipal Mark Gryll Date of 77 Q Building Commissioner tion —// V Signature of Municipal Signature of Municipal / r' %ate of Building Commissioner Alt 'I Issuance // "le Fee:$100.00 BLD_Certofl nspection.rpt yA (ett TOWN OF YARMOUTH i . ` BUILDING DEPARTMENT .. ,e t„� , 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION April 1,2018 PAYABLE UPON RECEIPT (X) Fee Required 100.00 ( ) 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: ¶{•0 F ©\A (\Won Name of Premises: 932\1/Pj2« 1.A V\ Tel: Purpose for which permit is used: is g d \C fe.t,SR- cejne0-4 License(s)or Permit(s) required for the premises by other governmental agencies: RECEIVED License or Permit OCT_ Agency OCT Q 5 2018 Cte Y T 0 5 2018 v BUILDING GcPARTtdcNT By BUILDING DEPARTMENT ©Y -- Certificate to be issued to Sp•Co1/41.,\`i' t"(S'k ty w.eve 3 Tel: c215 -(cl q-742 q Address: \lo T” O\K '(WcA1r S} Owner of Record of Building rami. ‘O‘w ci tc rnw.csv�� Address Ute 3- pU ,n Sir Present Holder of Certificate Soso.% F,kt nv vy.e Signature of perso Ø ' horn Title Certificate is issued or his agent /Q/�,/f;' 1 Date Email Address: tom,\CESS SSP 9 O`Nuei4` • (' tsnA Instructions: Make check payable to: Town of Yarmouth 1146 Route 28, South Yarmouth, MA 02664 Return this application to: Building Inspector's Office Please note: Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. Application must be received before the certificate will be issued. The building official shall be notified within ten (10) days of any change in the above information. PLEASE SEND US A COPY OF YOUR WORKER'S COMPENSATION INSURANCE FORM WITH THIS APPLICATION OR WE CANNOT ISSUE YOUR CERTIFICATE OF INSPECTION. Certificate of Inspection# BC71^_7 - A- a ,e 3g- O/ 5/18/2018-5/18/2019 £I/8/ZpaslnaX ki///// 921.E nyl�j-�/ �gpant?aag ...Zit/errwigf,'/xTf° ut oF°1 •uonaadsul do-mopo;a Jo;aaujo slgr peluoa pue aria _yrnlcygm suonaauoa my; 0 - •uonaadsui lenuue ixau inoh of solid suonaaaroa;Am o vogaadsul dn-mo(lo;e so;aagTo rug neluoa pue Euluado 01 zopd suonaauoa arleyt( o •uonaadsul dn-mo11o;a ro;aawo sup raeruna pue dplelpaunul suolraarroa xleyy o .onw nod(s)uolieloln anoga aq;alage 01 aapao 4 •aaueUarulew iadord m;alglsuodsas aq Itegs IIWO 08L uonaaS Ul paugap se aaumo ay;;mg sapinord'aaueuaruleW-£•TOOT UonaaS'apoD Bugling ants au uonsao-i Mira voneao•I nuanpLrpsayio10 ❑ uonxmT S.IO0 WOW U0 samsoproopaneurO1nd❑ Dogma/ funA uograO-I wooyragogura8erorg❑ tiopeon nyuopsngwaJ❑ fuvgaal'p u09a'9 gg,4,,9,,,�0' In mixer' IrPlmsr❑ ° Uoueao-I suit in Wr{0 _- -• ' - IIOlre')9 YIarlx enD❑ �_ _ Ar 22/ WO'; pD;O]7[IleyAl❑ /01t4:::::c IIOASJdI �UR(�1(657r�a�aEUxiUIIa�,iaw'�UOR aruipssaiSaletrAttua :panrasgo aram(s)uogeloln Bulmollo;ayr'salnr yrleiH;o pnog ay;ro/pue'uawlaalas;o',nog aglr'(apoO Smpling awls sgasnyaesseyAl)Imp o8L)o L•oI I uonaaS;o suolslnord ally Tim aaUepsoaae ul pauuo;aad'saslwazd rnoi;o uopaadsul lenuuy ayl2upna auogd amp Flag awewssaulsng 1S j'iflia G,D Z,'/ s"P ' ?/—/—// xicQ $406g asuaarj puv uowadsuj .LNBIA11. 11Vd3CI , DNIaTIRB SNOTS xe - ix auo da a F I9£80-865 (805) 3— T9Z[' a`I£ZZ 86£(BOS) q 1 L q5 DNTHWRTd I5,J119Z0 S.LIzS/IHOVSSVW H.LIIOWBVl H.LIIOS - St amOa 9YII '•a3# SVD i% s O•F Dbucning g