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BLDCI-16-007136-06
The Commonwealth of Massachusetts grt City\Town of 1 1- 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 BLDCI 16 007136-06 Business Name: EVENTIDE CONDOMINIUM ASSOCIATION Trade Name: EVENTIDE CONOOMINIUMMOTEL ASSOCIATION Identify property address including street number,name,city or town and county Certificate Expiration Located at ' 109-109 SEAVIEW AVE 07/09/2023 SOUTH YARMOUTH, MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) R-1 01st Floor 11 R-1 Hotel/Motel/Boarding House/Transient 1 THRU 11 UNITS 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 / Sg a06/t. Signature of Municipal Signature of Municipal Date of Building Commissioner Issuance 7/tVue Fee: $103.00 B LD_Certofl ns pection.rpt 4 R - , ,fa��°rA. TOWN OF YARMOUTH \° BUILDING DEPARTMENT , "^TT"`" ` 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 $103.00 ( ) 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: 1 0 7 Se_Gt V I,-3 .e. j 5. y a it,,,l.l.�'1 PM 02-4, 6 ii' Name of Premises: e V'-4I 7 d-� C1�1V1 de gsSU Tel: 3-5-9 3-9'i .Zici i Purpose for which permit is used: OC C eW!C-G\ Re-g.1141t License(s) or Permit(s)required for the premises by of r governmental agencies: License or Permit Agency RECEIVED J u ,0 8 2022 BUILDiN,a'II__ • "TMENT By ik.S!� Certificate to be issued to �V'� ".l�47 d- /�e h So Tel: S"l Sly 1 " `'' Address: /O f Sea,0.ecd /9V/4._ , S . /t t.1446 1.1_hi t•44, O .JZ' Owner of Record of Building Address Present Holder of Certificate A('-ii/41..7. i�u<te-e 1444/4a rAd- g Si nature of person to whom Titlq/Certificate is issued or his agent f/ 7 'ZOLZ Da Email Address: . ' 16/4(7/aR 0 r/,esre'e7 4. Com 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# • 07/09/2022-07/09/2023,-7 o7r� �,9c 44 tA, s� 7eF/-1 yW- ©2L3 4 a C j /2c02-Z irvt uukt ti L. 11, 22 d LII tg-c_ (3-(-4 u,7471; 771 \V\ 5)94.. C-c-t-€Ndl --PcsyL. \-1,Lc.(4 kaL ertiL La:1724t__ . (i t."--`\ �, e� �'�.: