HomeMy WebLinkAboutBLDCI-16-001553-06 The Commonwealth of Massachusetts
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1 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: BLDCI-16-001553-06
Trade Name: SACRED HEART CHAPEL
Identify
property rty Certificate Expiration I
address including street number,name,city or town and county
Located at 32 SUMMER ST 05/01/2023
YARMOUTH PORT, MA 02675
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Use Group Floor Occupancy Use Group Other
Classifications(s) 01 st Floor 185 A-3 Amusement/Church/Gym/Library/Museum
A-3
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 5."-‘---pig,
Building Commissioner Inspection
Signature of Municipal
Signature of Municipala . , Date of Building Commissioner Issuance 5-VO• ZZ
Fee: $50.00
BLD Certoflnspectionspt
lc :� TOWN OF YARMOUTH
eo,o`. , . a BUILDING DEPARTMENT
t�t\m•- - S[
�• ^��.v..:t m,r�' 1146 Route 28, South Yarmouth, MA 02664508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
April 1, 2022 PAYABLE UPON RECEIPT
(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: 301 j-ti m too r\s-1ree
Name of Premises: :SCSI ere 4 /-,Pad,, e hag I Tel: (500 n o i e
Purpose for which permit is used: C14//)Ci he Ch/a',h— Pala/CUP iCUP 5 A/I(pi )
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
RECEIVED
APR 2 2 2022
BUILDING LJEPHRTMENT
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Certificate to be issued to Tel: 31 S O& 3 1-)—7 Y 2 9
Address: 3. 3 _ ft oR t cJ JD-C
Owner of ecord of Building ,S�0' �,( I /e
Address p &l . 0 cI j( :.i 571 rat lei L)(L , &' 14 0 a1 a
Present Holde f Certif to
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Sig to of person to whom Title
Certificate is issued or his agent `d/g-/.1.)-
Date
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Email Address: j��e js 6 6 T Palm i ,1 . ( C
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#
05/01/2022-05/01/2023
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