HomeMy WebLinkAboutCeftifate of Inspection The Commonwealth of Massachusetts
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YARMOUTH
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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: FIRST CONGREGATIONAL CHURCH BLDCI-17-000811-02
Trade Name: PARISH HALL/THRIFT STORE
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
329 ROUTE 6A 09/01/2020
YARMOUTH PORT, MA 02675
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-3 Basement/Lower 415 A-3 Amusement/Church/Gym/Library/Museum 415 PERSONS
Allowable Basement/Lower 193 A-3 Amusement/Church/Gym/Library/Museum 193 PERSONS
Occupant Load
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 F/0-77
Signature of Municipal Signature of Municipal / Date of
Building Commissioner jp Issuance 4/ ./y
Fee:$100.00
BLD_Certofl nspection.rpt
°F YaRo TOWN OF YARMOUTH
a .(yy BUILDING DEPARTMENT
•
MATTA M SE,I'
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
August 1, 2019 PAYABLE UPON RECEIPT
(X) Fee Required 100.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: ✓)..q kpu (f) C( WA:40 S Cie
Name of Premises: ]2$T Cc?I)&- l' - uec Tel: 57.3"-3(,).—6,90
Purpose for which permit is used: C I(Z T61(A-1—C erP Id 'p 4 cy,o Ca 4 -CL e'Ia 0
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit � � 7 Agency
Certificate to be issued to 2>> Ca0(.3-eC OPT'00ALr014A,./tctj Tel: ja$-3(0a-L,RD
Address: S me AS 14boVti
Owner of Record of Building
Address
Present Holder of Certificate
Q4ato---C aimLvezve__
Signature of person to whom Title
Certificate is issued or his agent
Date
Email Address: IZ. 30 iSg CoMC/�►i7: 1JET
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#&lea- — /]— 000 FlJ -O9,
,/1/2019-9/1/2020