HomeMy WebLinkAboutBarnstable01_JobWeatherCard_v2_20190926_131045.pdf The Commonwealth of Massachusetts
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RMOUTH
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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:SOUTH SHORE EARLY EDUCATION&CHILDCARE BLDCI-17-000544-04
Trade Name:.SOUTH SHORE EALRY EDUCATION&CHILDCARE
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
367 ROUTE 28 10/02/2020
WEST YARMOUTH,MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
1-4 01 st Floor 100 1-4 Institutional Day Care(More than 5) CLASS 1-15
CLASS 2-16
CLASS 3-16
Allowable CLASS 4-50
Occupant Load 3 PERSON OFFICE,
KITCHEN
NOTE:NO CHILD
UNDER THE AGE OF 2
YEARS 9 MOS.
NOTE:CELLAR DOOR
SHALL REMAIN
LOCKED AT ALL TIMES
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 Gryl Date of
Building Commissioner Inspection /0.43 •/9
Signature of Municipal Signature of Municipal ate of
Building Commissioner064a
Issuance /0 • ti•/9
BLD Certoflnspection.rpt
�` Ga. TOWN OF YARMOUTH
0 . r_ y BUILDING DEPARTMENT
%" , 6 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
October 2, 2019 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: 367 Route 28
Name of Premises: South Shore Early Education & Childcare Tel: f-370 t - 6, '0
Purpose for which permit is used: Preschool programs
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
KT o 2019
•
Certificate to be issued to So. Shore Early Education &Childcare Tel:
Address: 367 Route 28, West Yarmouth, MA 02673
Owner of Record of Building Cape Cod Child Development, Inc.
Address 83 Pearl Street, Hyannis, MA 02601
Present Holder of Certificate
,t,r e-e-C
ignature of person to whom Title
Certificate is issued or his agent /dh
Date
Email Address. _ f CO C,i b S (.4 C t(),,Cy
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# 5/-0 y
10/02/2019- 10/02/2020