HomeMy WebLinkAboutBLDCI-16-006819-06 The Commonwealth of Massachusetts
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—" '° YARMOUTH
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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: Cape Cod Veranda BLDCI-16-006819-06
Trade Name: Cape Cod Veranda
Identify property address including street number, name,city or town and county Certificate Expiration
Located at 1261 ROUTE 28 6/8/2023
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 01st Floor 22 R-1 Hotel/Motel/Boarding House/Transient BLD. 1 -12 UNITS
BLD.2-9 UNITS,
MANAGERS APT.,
Allowable LOBBY
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 o I t -1/4 2.
r
Signature of Municipal Signature of Municipal /� // Date of
Building Commissioner Issuance Zl Z
Fee: $133.00
BLD_Certoflnspection.rpt
TOWN OF YARMOUTH
a0';�• ; . a BUILDING DEPARTMENT
" `;t %`' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
May 1, 2022 PAYABLE UPON RECEIPT
(X) Fee Require. $133.00
( ) No Fee Requi
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 atthe following address:
Street and Number: a.61 f?(,le c ' JcX, Lt Yai7fl (-th , MI 0.260
Name of Premises: �/ ) �-*�c Tel: = 3 1�
Purpose for which permit is used: RECEIVED
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency MAY 23 2022
BU�b 11,1ENT
Certificate to be issued to�� el:
Address: Pic/ Pk) dZ C v1A.01, -k ( PTO —CA1604
Owner of Record of Building A-vtaitu 1
Address f02,G( Q', 2 Uk .0 V vvi3O t, r, rita 002 68 4-
Present Holder of Certificate CO*
Si e of pe n to whom Title ;� �
Certificate is issued or his agent 9j ' p�0 — c
Date -
Email Address: CC,lJEkOUt,.,�-a...-
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#
06/08/2022-06/08/2023