HomeMy WebLinkAboutBLDCI-16-005909-06 /
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ealth of Massachusetts
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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
Issued to
Business Name:All Seasons Resort
Trade Name:All Season Resort Certificate No.
BLDCI-16-005909-06
Certificate Expiration
Identify property address including street number, name,city or town and county
Located at 05/29/2023
1199 ROUTE 28
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group O--------------
ther
Classifications(s)
01st Floor 57 R-1 Hotel/Motel/Boarding House/Transient
R-1
02nd Floor 57 R-4 Residential Assisted Living(5-15)
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 3/g
MunicipalBuilding Commissioner Inspection
Signature of Signature of Municipal W
�' e'te of
Issuance 4e/t
7Building Commissioner /
diZt
v Fee: $412.00
BLD Certoflnspection.rpt
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Z°t-----...,\ TOWN OF YARMOUTH
,o /., BUILDING DEPARTMENT
.un .ATT S, V
'�tea.«..t,.
ACH 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
April 1, 2022 PAYABLE UPON RECEIPT
(X)Fee Require $412.00
( ) No Fee Require
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: t t ck 1 � G cK
Name of Premises: A\1 Seco.cmA P-ca c,-" Tel: Sr o , 3ct 4 r---16'0)
Purpose for which permit is used: LT(e S -e
License(s) or Permit(s) required for the premises by other governmental agencies: RECEIVED
License or Permit Agency APR 26 2022
T
B
By
Certificate to be issued to+t S..cts,,,,1 , ,k ` .�-42 , Tel: g, - 39 4-1 6 c'-c)
Address: (i Q q D Spa y�n �a Q d.i t, , mil- , n,2 E
Owner of Record of Building
— Address 5c „Y\-e cz_.; c Joov e
Present Holder of Certificate
Cl evx-e9cJ )1.\(WA NI
Sig re of person to whom Title
Ct, ifcatc is issued or his agent L-k.-t S-..2 2-
Date
Email Address: 1 n co 1 Se cd o,,„ . (ow
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# SLOI)- I((-D(S 1 t__ -p c
05/29/2022-05/29/2023