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HomeMy WebLinkAboutBLDCI-22-006678 719 The Commove f#th of Massachusetts —�=71 r, 4'Ci -\Town of ml �= ' Y OUTH MSIMIMMW �! e 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: Blue Bird Hospitality Corp BLDCI-22-006678 Trade Name: Cape Shore Inn Identify property address including street number, name,city or town and county Certificate Expiration Located at 793 ROUTE 28 4/1/2023 SOUTH YARMOUTH, MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) R-1 01st Floor 8 R-1 Hotel/Motel/Boarding House/Transient 8 Units Managers Allowable Apartment Lobby Occupant Load 02nd Floor 10 R-1 Hotel/Motel/Boarding House/Transient 10 Units 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 Gryll Date of �� ,.,^ Building Commissioner Inspection P*4 Signature of Municipal Signature of Municipal Date of Building Commissioner 1� Issuance �A fed . ' ee:$157.00 BLD_Certoflnspection.rpt F°ac>12-'- TOWN OF YARMOUTH 41,o� 1 ` . yY BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION March 1, 2022 PAYABLE UPON RECEIPT (X) Fee Req 'red $157.00 ( ) No Fee Req 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: 9 3 RO'-ce �t 1 too-tA I/Ae.o u T ii , 4 tpxoyf Name of Premises: 'a),__v e. dS O tQS ery fk..S 1\f COdke Tel: JO`0 --V;\ ,2. Pe 5 it o I Purpose for which permit is used: License(s) or Permit(s) required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to CAP e. S to k) Tel: .O'S30 (ogy_ b Address: t' T5 t�. a / �+ov H y A�m007 H rn� q5 (g(oto."( Owner of Record of Building (s pc t-�e Address -k q 3 �{o e `fll in , ov a tt 1/fk (v\ 9T rt, V(1 A avo •(( Present Holder of Certificate R. W/.9 ) PtteSYOeN T Signature of person to whom Title Certificate is issued or his agent 03 /a ‘ /2°e Z Date Email Address: C fk qe S ri-©({e_, I O N fivet G Sri L . ocv\ 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# -O(X 7j---/V 04/01/2022-04/01/2023