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Bldc-17-000944
The Commonwealth of Massachusetts • City\Town of 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: MATTACHEESE MIDDLE SCHOOL BLDCI-17-000944 Trade Name: CAFETERIA/GYMNASIUM/AUDITORIUM/CLASSROOMS Identify property address including street number, name,city or town and county Certificate Expiration Located at 400 HIGGINS CROWELL RD 12/31/2022 WEST YARMOUTH, MA 02673 Use Group Floor Occupancy Use Group Other Classifications(s) A-3 01st Floor 757 A-3 Amusement/Church/Gym/Library/Museum 757-AUDITORIUM 660-GYMNASIUM Allowable 02nd Floor 240 A-3 Amusement/Church/Gym/Library/Museum 240-CAFETERIA Occupant Load Other 1110 A-3 Amusement/Church/Gym/Library/Museum 1ST&2ND FLOORS- 1110-CLASSROOMS 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 G a Date of Building Commissioner Inspection Signature of Municipal Signature of Municipal Date of Building Commissioner Issuance r/ Z Fee: $0.00 BLD Certoflnspection.rpt The Commonwealth of Massachusetts '* City\Town of la Q � YARMOUTH IM 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: MATTACHEESE MIDDLE SCHOOL BLDCI-17-000944-02 Trade Name: CAFETERIA/GYMNASIUM/AUDITORIUM/CLASSROOMS Identify property address including street number,name,city or town and county Certificate Expiration Located at 400 HIGGINSGroup W CROELL RD 06/01/2019 WEST YARMOUTH, MA 02673 Use Group Floor Occupancy Use Classifications(s) Other 01st Floor 757 A-? A-3 Amusement/Church/Gym/Library/Museum 757-AUDITORIUM 660-GYMNASIUM Allowable 02nd Floor 240 A-3 Amusement/Church/Gym/Library/Museum240-CAFETERIA Occupant Load Other 1110 A-3 Amusement/Church/Gym/Library/Museum 1ST&2ND FLOORS- 1110-CLASSROOMS 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 rY Date of Building Commissioner Inspection Signature of Municipal Signature of Municipal Date of Building Commissioner Issuance l --4 CS?e4C7%O', 0T ( 7� /"7 Fee:50.00 BLD_Certofl nspection.rpt The Commonwealth of Massachusetts ' City\Town of el, =— t= . YARMOUTH IMIP S 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: MATTACHEESE MIDDLE SCHOOL BLDCI-17-000944-01 Trade Name: CAFETERIA/GYMNASIUM/AUDITORIUM/CLASSROOMS Identify property address including street number,name,city or town and county Certificate Expiration Located at 400 HIGGINS CROWELL RD 06/01/2018 WEST YARMOUTH, MA 02673 Use Group Floor Occupancy Use Group Other Classifications(s) A-3 01st Floor 757 A-3 Amusement/Church/Gym/Library/Museum 757-AUDITORIUM 660-GYMNASIUM Allowable 02nd Floor 240 A-3 Amusement/Church/Gym/Library/Museum 240-CAFETERIA Occupant Load Other 1110 A-3 Amusement/Church/Gym/Library/Museum 1ST&2ND FLOORS- 1110-CLASSROOMS 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 • Signature of Municipal Signature of Municipal Date of Building Commissioner Issuance N�J(/5 pe�7—krl /�-OT C1701p Fee: $0.00 BLD_Certofl nspection.rpt 44. TOWN OF YARIVIOUTH of- . .'Y y BUILDING DEPARTMENT �`\" 1 m /4, 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION November 1,2021 PAYABLE UPON RECEIPT ( )Fee Required (X) 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: Lid O d �9 tl ;/i.� (Ii1'Ilw(�A i �1.� U� `k /44,6 .. MA 02.- 73 Name of Premises: '^G„..4A . ..x40.t '.;elate S Te1: , 'g 178 - 19 Purpose for which permit is used: (..:c.13 CAAd"ice RECEIVED 1 License(s)or Permit(s)required for the premises by other governmental agencies: 1 I NOVo4i21 License or Permit Agency N BUILDING D' , RTMLNT By _1 Certificate to be issued to , C'01 S Tel: - fl _7 q Address: `I fi t) o� ti�.e /Lv t o A F1 02 i 7 3 Owner of Record of Bulid3n g C44.4.-6 ©e.b L ,,, ,J Q . Address E.v, Awe- . .`i4k vi4.o M(l- O Z..0(04 Present Holder of Certificate Attai-IL Signature of person.. whom Title Certificate is issued or his agent ( 1 zJ?_d Date Email Address: ( '6 h S - l d (1.4I , - 12_ *la 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# R(,j J- /7`009(4 n_toy/ 12/31/2021-12/31/2022 7" . 1. YaR`S TOWN OF YARMOUTH f - Cj5 o M ;.�,. BUILDING DEPARTMENT `;a-xMRTTA �t) 1146 Route South 1 r,: 28, , outh Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION November 1, 2021 PAYABLE UPON RECEIPT ( ) Fee Required (X) 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: (-t6 0 14,jii-vi,f CArDvvej( sd Ri .. `16.4,40 AL] M19 02 ?3 Name of Premises: J Mc aA 1e S(i" f)6 Tel: P6 118 7 q i 9 Purpose for which permit is used: GGt ►(Jlti License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to r .S C 01 s Tel: — )/8-7 97 1 Address: 10 d14;,qqi,n S, e_d 1 1C RI. \/ -wvLkL L A"A0 Z 4.1 3 din Owner of Record of Bu' g j I/J a C (� ✓� S y Il..-i vu Address ? f r/Co II, A� . y v�� 1 M-I'} 0 Zlo(a4 Present Holder of Certificate Lem 1 Signature of perso om Title Certificate is issued or his agent P 11212424 Cl J _ Date Email Address: �—rkkk-r — 1 0 fttd k- . -I2_ YV1a--• 0,f 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# 12/31/2021-12/31/2022 1 1 4' c - _ _