HomeMy WebLinkAboutBLDCI-16-001518-06 The Commonwealth of Massachusetts C,,,,,,,i,
°— City\Town of
, ,•ire-
th.`a �, 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-16-001518-06
Trade Name: SUNFLOWER SCHOOL
Identify property address including street number, name,city or town and county Certificate Expiration
Located at
923 ROUTE 6A UNIT G Z-K. R 07/01/2023
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-
2.9 yrs.)
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
Signature of Municipal Signature of Municipal 7" Date of
Building Commissioner 'n Issuance 7 ,'A
W , _
Fee:$100.00
B LDCertofl nspectio n.rpt
,:JF.ygRa� �h2c�t�3b�
� � TOWN OF YARMOUTH
ci BUILDING DEPARTMENT
'e " T"`" 3`_ 9 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
June 1, 2022 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: qa3 R (� ( uy %i r,�. k*) Gur
_.„
Name of Premises: at k / E1 ) Tel: 4-36A—4100
Purpose for which permit is used: C h►)Scktri. 1-7,./
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to Gt.I.n c to t,44-/ Sco) Tel: 4- 3(2 -54
Address: CV 3 1o> G, , ta,n��' C ��crr�v,,.l�l.�,,�i r{lfl ')S-
Owner of Record of Building k '9,141- 1
Address L, l�)s]'e{s C,��� pct. , m'A O2I 1 S- RECEIVED
Present Holder of Certificate )4se,,,l✓lovle../ ,��}
JUL 07 2022
i' B U I` H Tl
Signature o' • so to whom Title Y -�
Certificate •. •.:• -• • ' .tent 7/o ,/o '
Date
Email Address: .„, r,
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 C SOT ISSUE YOUR CERTIFICATE OF INSPECTION.
Certificate of Inspection# L COC 007C,.3/-i‘(,
07/01/2022-07/01/2023