HomeMy WebLinkAboutBLDCI-22-006029 The Commonwealth °, f \ assachusetts
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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:Yarmouth Country Cabins BLDCI-22-006029
Trade Name:Yarmouth Country Cabins
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
864&878 ROUTE 28 4/19/2023
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 01st Floor 1 R-1 Hotel/Motel/Boarding House/Transient
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 �r/��^''�
Building Commissioner Inspection
Signature of Municipal Signature of Municipal0 Date of
Building Commissioner Issuance OA Z
Fee:$100.00
BLD Certoflnspection.rpt
' TOWN OF YARMOUTH
r �yy y \ v BUILDING DEPARTMENT
`Sa ,,m " 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 Required $100.00
( ) 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: uf /el f+e....,2_S
Name of Premises: ✓l vk 0 vt,4/L e,,,,,,41/403(.tJ Tel: 3e-0 bolo en_
�i3-277-
Purpose for which permit is used: CC ..e A:.�474-il
License(s) or Permit(s) required for the premisg other governmental agencies:
?-Y
License or Permit Agency A\,\. d)
(164.14-k 0°66 ( [164_-04- 46er- ,A0),A.,
Certificate to be issued to 4I 00n/rve Tel: G i-7—"438 o Q.
Address: c----7 .4('E't 1 t -e (.�.w4- ( (�l t Itk- UF', 2Y� f
Owner of Record of Building ✓1.f , ; (1' A 0L/.44-'
Address 01 6-'1en ( 1,,,rnx,L 044. O2-t17e
Present Holder of Certifica }.e,e, T ti 6:-i o✓
41
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Signature of pe on to whom Title
Certificate is issued or his agent ip-y
Date
Email Address: 'A v+-t.0vl,"4'� 0bt.;�✓'- y t� (de,i,-,
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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#
• 04/19/2022-04/19/2023