HomeMy WebLinkAboutCertificate of inspection The Commonwealth of Massachusetts
City\Town of
m1 YARMOUTH
r
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. DAVID'S EPISCOPAL CHURCH BLDCI-16-007009-03
Trade Name: PARISH HALL
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
205 OLD MAIN ST 06/18/2020
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-4 01 st Floor 195 A-4 Arena/Spectator Seating 195 PERSONS
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 of
Building Commissioner
— I ction ?181/9
Signature of Municipal Signature of Municipal / to of
Building Commissioner l Issuance 7,g/,"
Fee:$100.00
BLD_Certofl nspection.rpt
" l TOWN OF YARMOUTH
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BUILDING DEPARTMENT
Y 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
RECEIVED
APPLICATION FOR CERTIFICATE OF INSPECTI N
JUN 13 2019
May 3, 2019 PAYABLE UPON RECEIPT _
(X) Fe ug ' c O 0-0:mENT
( ) No Fee eq — —
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for thebelow-named premisese1 located at the following address:
Street and Number: Olt"QL e�CG pr
I \ c31 ao
Name of Premises: 9• 1).-ht pardg. (I1JI Tel: 56? - 59#" 4 2 2 2
Purpose for which permit is used: t// z /44
License(s) or Permit(s)required for the premises b other governmental agencies:
License or Permit Agency
Certificate o be issued to S DCVO 'Fj5
Tel: - ,2.��
Address:6( ' Coi inttAt 5 UZ 9
•
Owner of Record of Buildi g Z blew ci S Sfigeop� G4 CA444 -
Address �,OS` 4{)
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`Present Holder of Certificate $44111- —
cpyrt.e-tiAet;j ,a_teit.e.i.e4A4a...1
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Signature of person to whom Title
Certificate is issued or his agent Gig J/i
Date < / L
Email Address: Frta".e.4 & 3-1-dam AS k/o2fl1.�, . G';S1�Yl Cms/ bi3 • ,
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# 230- 4- 7209`Q 3
6/18/2019-6/18/2020