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HomeMy WebLinkAboutSt. Pius church The Commonwealth of Massachusetts w _ City\Town of ,_ 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: ST.PIUS X CHURCH BLDCI-16-001564-03 Trade Name: ST. PIUS X CHURCH Identify property address including street number,name,city or town and county Certificate Expiration I Located at .98 STATION AVE 09/01/2020 SOUTH YARMOUTH, MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-3 01stFloor 1184 A-3 Amusement/Church/Gym/Library/Museum Allowable 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 Grylls Date of Building Commissioner Inspection t/0—A6._// Signature of Municipal Signature of Municipal Date of Building Commissioner - f Issuance Fee:$66.00 • BLD_Certofl nspection.rpt . - , _ o TOWN OF YARMOUTH a .. -H BUILDING DEPARTMENT M iA M ESE " ,' ••,',, : 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION August 1, 2019 PAYABLE UPON RECEIPT (X) Fee Required 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: (::\ S 5\-c,"\-)'0(• . (I %. G3arc ss S ,c thce-A ) Name of Premises: 34 Pius `X CA-Nu rc IN Tel: 50k acik 224 e ' Purpose for which permit is used: �e\i qq;o aS :Se C v rc..e t •• ` _ 0 r License(s) or Permit(s)required for the preri'iises by other governmental agencies: 1 , License or Permit Agency n Certificate to be issued to 0;1/4A )( C.-VW Z h Tel: So 3c k 2 2.4 Address: ,5 ejat`oar-c. ��. S `larnne.r‘rk O Z,&`-i Owner of Record of Building R,c,r,-,„ Cc k-1-Np\;` Q``rs., P O.c ...\1 R;v eE Address '- Sc F1:c h\cfNe. ue, P© 6C. x ZS—)7, ct.11 R.uer. rf, o 212 Z Present Holder of Cer'tfficate gev Pau\ A. Cam.,,, LI a-Ceam., Pasvb C Signature of person to whom Title Certificate is issued or his agent aho1il � Date S Email Address: \ us)( Q4'cce. ec6MG4S}. — -- Instructions: Make check payable to: Town of Yarmouth 1146 Route 28, South Yarmouth, MA 02664 Return this application to: Building Inspector's Office Please note: Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. Application must be received before the certificate will be issued. The building official shall be notified within ten(10) days of any change in the above information. PLEASE SEND US A COPY OF YOUR WORKER'S COMPENSATION INSURANCE FORM WITH THIS APPLICATION OR WE CANNOT ISSUE YOUR CERTIFICATE OF INSPECTION. Certificate of Inspection# Ziot -/6 - � J e 9 4'/1/2019$/1/2020 ad" .N•