HomeMy WebLinkAboutBLDCI-23-000346 The 9ionwea1th of Massachusetts
t e .—it City\Town of
YARMOUTH
416,p'
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: Kingsway Meeting House BLDCI-23-000346
Trade Name: Kingsway Meeting House
Identify property address including street number, name, city or town and county Certificate Expiration
Located at
64 KINGS CIRCUIT 08/10/2023
YARMOUTH, MA 02675
Use Group Floor Occupancy Use Group Other I
Classifications(s)
A-3 01st Floor 83 A-3 Amusement/Church/Gym/Library/Museum 83 Person-1st floor
Allowable Basement/Lower 49 A-3 Amusement/Church/Gym/Library/Museum 49 Person-Basement
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 /�r�
Building Commissioner Inspection 5) .=Signature of Municipal Signature of Municipal Date of
Building Commissioner Issuance 7 A
Fee:$100.00
BLD_Certofl nspection.rpt
r a. TOWN OF YARMOUTH
= l BUILDING DEPARTMENT
MATTAt•1 ,;.a. 1146 Route 28, South Yarmouth MA 02664 508-398-2231 ext. 1260
RECEIVED
APPLICATION FOR CERTIFICATE OF INSPECTION JUL 212022
July 1, 2022 PAYABLE UPON RECEIPT
BUILDING DEPARTMENT
(X) Fee uired $100_10
U tl� ( ) No ee equired
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 preeises located at the following addre s:
/ti
Mil-
mod Street and Number: (/ l7' ( (✓eea1f1 ,1Y7 L /l(fir" (7 r 7�
Name of Premises: f_e.6111-1,31 Te _Stk•
Purpose for which permit is used: 47s f
License(s) or Permit(s) required for the premises o er governmental agencies:
License or Permit Agency
ecipiii;fi q Wag li;i6c
Certificate to be,isd to C S S C Tel:
Address: "/19 [� ul' KY1 r i it is-
Owner of Recor uild J
Address —
Present Holder of Certificate
Sig a r of person to whom Titl
•
C rtificate is issued or his agent
e
Email Address: /4k41„1") , A ulg aaz),-)
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# I a3-.f7(;7380
08/10/2022-08/10/2023
I