HomeMy WebLinkAboutBLDCI-22-004820 The Commonwealth of Massachusetts
1 _1'1_ +s� City\Town of
..A_- �= 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: HOLIDAY VAC CONDO ASSOC INC BLDCI-22-004820
Trade Name: HOLIDAY VAC CONDO ASSOC INC
Identify property address including street number, name, city or town and county Certificate Expiration
Located at
488 ROUTE 28 03/09/2023
WEST YARMOUTH, MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 Other 11 R-1 Hotel/Motel/Boarding House/Transient BLD. 1 (11 Units)
Allowable Other 14 R-1 Hotel/Motel/Boarding House/Transient BLD.2(14 Units)
Occupant Load
Other 10 R-1 Hotel/Motel/Boarding House/Transient BLD.(10 Units)
Other 7 R-1 Hotel/Motel/Boarding House/Transient BLD.4(Units)
1 Story Storage
Building/former 2
car-garage
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 /5-722
Signature of Municipal Signature of Municipal Date of
Building Commissioner Issuance g//tiz
i
BLD_Certofl nspection.rpt
°- RN TOWN OF YARMOUTH
+ BUILDING DEPARTMENT
gym•rrA=n g. Yarmouth,
�.
1146 Route 28, South Y MA 02664 508-398-2231 ext. 1260 •
APPLICATION FOR CERTIFICATE OF INSPECTION
February 1, 2022 PAYABLE UPON RECEIPT
(X) Fee Required $196.00
( • ) 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: sly_3(o� flS
Street and Number: 168 ,O O - 2 I.) J I'L► 11/1 a 4 it) 7 v
RECFIVED
1I 1
Name of Premises: MO\,tc v$9..acc on Coru c ,n,u i Tel: 50 ? ?5`O(( i q
AR -012022 1
• Purpose for which permit is used: L 1 Gl-n5_S
License(s) or Permit(s) required for the premises by other governmental agencies: BUILDING uLFARTMENT
By' •
License or Permit Agency
Certificate to be issued to lAO``eka- 1 V&c cc on Ce,nd ofyunt,,,,.,Tel: 5016 1 15 -0'1 t
Address: - % (o 2$ t.W.\1d r m OU4 - M O21;13
Owner of Record of Building ol,d lla.y VA.ccth a,7 E,i .(o 1rvs4
Address y I .ou- - o. �,A o„-E•t„ Met O2J 13
Present Holder of Certificate 44el V0.0 c• -ion C.ondonkinou (IruL&f
Pro 4
Signatur f person to whom Title
Certificate is issued or his agent Z
Da
Email Address: fV1 Lvin-a.ye r dkoL V&C-• Gorr`
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 AI COPY OF YOUR WORKER'S COMPENSATION INSURANCE FORM WITH THIS
APPLICATION OR WE CANNOT ISSUE YOUR CERTIFICATE OF INSPECTION.
Certificate of Inspection#
03/09/2022-03/09/2023
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