HomeMy WebLinkAboutBldci-22-006028 The Co t onwealth of Massachusetts
.� City\Town of
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. s YARMOUTH
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: New Testament Baptist Church BLDCI-22-006028
Trade Name: New Testament Baptist Church
Identify property address including street number, name,city or town and county Certificate Expiration
Located at
491 HIGGINS CROWELL RD 5/1/2023
WEST YARMOUTH, MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-3 01st Floor 74 A-4 Arena/Spectator Seating 5 Classrooms-74
Persons
Allowable 01st Floor 344 A-3 Amusement/Church/Gym/Library/Museum AUD/SANTUART-145
GYM(tables&Chairs)
Occupant Load
-100
GYM(Lecture)-50
GYM(Athletics)-25
LIBRARY-24
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 s'rictly prohibited.
Name of Municipal Name of Municipal Mark Gyl Date of
Building Commissioner Inspection
Signature of Municipal Signature of Municipal Date of
Building Commissioner ; Issuance s1/5 Lz
Fee: $50.00
BLD_Certoflnspection.rpt
og R�°�.
�, . evix TOWN OF YARMOUTH
ou; _ .i BUILDING DEPARTMENT
G MATTACM [SC/ Y
tea= t� .r 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
tr RECEIVED
APP:.I AT N,F?$,2E IFICATE OF INSPECTION
April 1, 2022 I''l1(( -LLUULLLL PAYABLE UPON RECEIPT
BUILDING DEPARTMENT By' (X) Fee Required $50.00
( ) 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: 1f-q/ /-fi fyhs Crowell le..- --
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Name of Premises: IV r itz-ro '►'►Gnt 134 p rl(r CII u✓dt, Tel: , O " 7 7 I—S %
Purpose for which permit is used: WO/0 a p
License(s) or Permit(s) required for the premises by other governmental agencies:
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License or Permit Agency
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Certificate to be issued to /V w-/P.Jtamenr Qaprut G4,4vidlt- Tel: Sc'?-72/'J' Q
Address: y/'%/ i JJin.t Ceow-ll Ro-L ' 5
Owner of Record of Building Ai ave. S
Address v
Present Holder of Certificate i 4uue.
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Signature of pevd-fiiAl-k- on to whom Title Z O
Certificate is issued or his agent `Kul \v Vj k;,
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Email Address: Jj r]4// 7-7 7 E V m,4 i 1 . co IllV.
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# I' (., /o?o?_.,( �2,-f4-ij"
05/01/2022-05/01/2023
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