HomeMy WebLinkAboutBldci-16-003720-04 The Composwealth of Massachusetts
City\Town of
• IARMOUTH
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: ROMAN CATHOLIC BISHOP OF FALL RIVER-ST. PIUS X BLDCI-16-003720-04
Trade Name:ST. PIUS X PARISH LIFE CENTER
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
99 STATION AVE 01/17/2023
SOUTH YARMOUTH. MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-3 01 st Floor 716 A-3 Amusement/Church/Gym/Library/Museum 716-Concentrated
334-Un concentrated
Rm. 18- Con. 137/Unc.
Allowable
63
Occupant Load Rm. 120-Con.53/Unc.
25
Rm. 121 -Con.29/Unc.
53
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 -�J {3ate of
Building Commissioner Inspection /3 aa-
Signature of Municipal Signature of Municipal ' Date of
Building Commissioner Issuance J ,/ Q. 2-
/ FFee: $100.00
BLD_Certoflnspection.rpt
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kR; TOWN OF YARMOUTLi
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o` A ,a-, BUILDING DEPARTMENT
41
�\"\6"•$`�' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
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APPLICATION FOR CERTIFICATE OF INSPECTION
December 3, 2021 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 Omre1,apply-for F ='Y
Certificate of Inspection for the below-named premises located at the following address: .-..._. ''
Street and Number: Z S &,a c r� S c NOV 1 3 2021
Name of Premises: c>iUS ()G`c:S`(\ ( (--C Cer\}e c Tel: ..SC>�- 3cl%_-I '`i lkD1NG DEPAk 5.1,=;:-r
Purpose for which permit is used: Cy3crmon: c\c,r\ P.i-erA-s. r evr‘3 6
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to �A- Puck. ( )rr h Tel: SCA-31 Z--2 2-,{
Address: { rc, S r S `ic,r GZ y
Owner of Record of Building (Z „ �,--N-V ,v c C ,\\,,P a F- tz\1 (Zwe(
Address (--Ls n V\. h\v �, Pg� t &.\\ 2\U , mFl 4Z7 Z2
Present Holder of Certifate (2,-ev- mph,, O_ ,.e\\c lne(
Signature of person to whom Title
Certificate is issued or his agent cernber 1(1,?n Z 1
Date
Email Address: pwS)\()Cce G Cor S�--.e' *
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# .3L a-/10—06 37.24-d y
1/17/22-1/17/23 /6
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