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HomeMy WebLinkAboutCI-17-820-01 • • • The Commonwealth of Massachusetts el City\Town of )lar I , YARMOUTH New and Renewal Certificate of Inspection In accordance with the Massachusetts State Building Code,Section 110:7 • Identify Name of Establishment Certificate No. Issu'. to Business Name:LIBERTY HILL INN BLDCI-17-000820-01 / Trade Name: BED&BREAKFAST Identify property address including street number,name,city or town and coun Located at h• Certificate Expiration 77 ROUTE 6A 09/09/2019 YARMOUTH PORT,MA 02675 Use Group Floor Occupancy Use Group Classifications(s) Other R-1 01st Floor 3 R-1 Hotel/Motel/Boarding House/Transient NORMANDY Allowable 02nd Floor 8 R-1 Hotel/Motel/Boarding House/Transient 4-CRANBERRY Occupant Load 2-ROSCOMM Other 2 2-KILLARNEY R-1 Hotel/Moteyeoarding House/Transient TOP STORY-2- WATERFORD 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 G Its N Date of n Building Commissioner Inspection ,ip2 1,- Signature of Municipal Signature of Municipal 7 Date of Building Commissioner 'C ssuance /Z ye tar • Fee:$100.00 • BLD Certoflnspection.rpt of tik TOWN OF YARMOUTH k yr % 0 t -° BUILDING DEPARTMENT V:,a,„=s' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION August 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: Liberty Hill Inn 77 Main Street Rte 6A Name of Premises: Yarmouth Port MA 02675 Tel: ) 2,moi 76 Purpose for which permit is used: i' = a , 4,_.-nr L s,. License(s) or Permit(s)required for the premises by other governmental agencies: E C E / o 'P1-9--1-477111) License or Permit Agency OV 29 2018 etworse/ V/;Zit ; etnixitid-bi,;kiiiindr Siv/ /!arst. Liberty Hill Inn Certificate to be issued to 77 Main Street Tel: Address: Rte 6A Owner of Record of Building Yarmouth Port, MA 02675 Address ,.5;,.� Present Holder of Certificate 0 , l litigr , ,, „ i. • i an, 0G(/n/'-v(Si pers.n to whom Title C, ficate is issued or his agent /(/p5'//7” Date Email Address: L/bar 4etys al wa f' , 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# i c-/7-typ©no -D/ 9/9/2018-9/9/2019