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HomeMy WebLinkAboutCI-16-1518-03 The Commonwealth of Massachusetts err. City\Town of Pr !I' _=i1111." . ::n �_ 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: SUNFLOWER SCHOOL BLDCI-16-001518-03 Trade Name: SUNFLOWER SCHOOL BLD.3 UNITS I,J,K Identify property address including street number,name,city or town and county Certificate Expiration Located at 923 ROUTE 6A UNIT I,1,K 07/01/2020 YARMOUTH PORT,MA 02675 Use Group Floor Occupancy Use Group Other Classifications(s) 1-4 01st Floor 20 1-4 Institutional Day Care(More than 5) toddlers and preschool (18 mos.-7 yrs.) Allowable 01st Floor 9 1-4 Institutional Day Care(More than 5) toddlers(18 months- Occupant Load 2.9 yrs.) 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 4Q` Signature of Municipal Signature of MunicipalC)A6g Date of Building Commissioner Issuance Fee:$100.00 BLD_Certofl nspection.rpt sof.Yetit TOWN OF YAROUTH �1'1� I t�' 4. 14 (I ,,y, c M iiLaildin 3 : • : y BUILDING DEPARTMENT 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION June 11,2019 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: 23 Ikp h-Tg" (a�'i VArena,41-s:40(N. Name of Premises: 6 um Rol.'r/' 6411001 Tel: —342 !'J43 q iv+'. 113 Purpose for which permit is used: Az," eivig rat-L EzgAG410^ C.R 446,/ License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency CI O33a` 1 , tkq 0 C Lsr11( cIuCAftil ./. Care Certificate to be issued to `t►»� ;..r am) Tel: G05--314.'6l.}2,C7 gc 10. ) 13 Address: ©aa �pw� Di, ow- bit A- r 0c9.4 7 S+ Owner of Record of Building Address c '�-(vA , .400 a%VA Qa(W7S' Present Holder of Certificate Gji Clovice- Signatur son to whom Title Certificate is issued or his agent 14 /G,O 1el DateL Email Address: _Sv►nc10 t,.t[,,hakike. . Co n 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# BLDG/-/L- !J)/S/T-03 7/1/2019-7/1/2020