HomeMy WebLinkAboutCertifiate of Inspection •
The Commonwealth of Massachusetts
it= ert City\Town of
-LIB= YARMOUTH
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: OCEAN MIST CONDOMINIUM BLDCI-17-000200-03
Trade Name: OCEAN MIST BEACH HOTEL&SUITES
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
97 SOUTH SHORE DR 05/01/2020
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 01st Floor 63 R-1 Hotel/Motel/Boarding House/Transient EAST WING-34 UNITS
WEST WING-29
Allowable
UNITS,MANAGER'S
Occupant Load APARTMENT
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 Its
Date of
Building Commissioner / i�Inspection
Signature of Municipal Signature of Municipal ! Date of
Building Commissioner Issuance 7 fy
Fee:$259.00
BLD_Certoflnspection.rpt
RECEIVED
o1 Y R
TOWN OF YARMOUTH APR 1 2019
• ° �, - '� BUILDING DEPARTMEN
• �` urr BUILDING DEPARTMENT
`:-.:set 1146 Route 28, South Yarmouth,MA 02664 508-398-2 31 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
April !,2019 PAYABLE UPON RECEIPT
(X) Fee Required 259.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: '1 Sa h hors 7)r, t
Name of Premises:0ceotn rY L Z. ,cis
• w Tel: YO E —,3 ?g _.1G 3 3
Purpose for which permit is used: h40-Tom.L..
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to 0 Ce dtr, M iS 4- 44-C._. Tel: /O f-Viz' 4D0
Address: 2$' rq co w a,� A-(1S4d Lt-kl ion? far Owner of Record of Building Ck•ea„ AI,C I 4
Address 2d ?aLesr►) WA.) /'1 dd wr1 , f?j• ds$4��.
Present Holder of Certificate
ro 44 M 6c-Aaj F A
� t
� ` � 'ti !�, �lLC
rt//.��� eon Ile
ire of per o.to w Title
'ertificate is issued or his agent `r/`f' /1
Date
Email Address: 071.S(P(& n n, 4-Azyleij C)rn
Instructions: Make check payable to: Town of Yarmouth
Return this application to: 1146 Route 28, South Yarmouth,MA 02664
Building Inspectors 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# BG
5/1/20]9-5/1/2020 "CPU o�