HomeMy WebLinkAboutBLDCI-16-006097-06 The Com wealth of Massachusetts
City\Town of
-,=-- 1— } 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: BEACHBERRY INN BLDCI-16-006097-06
Trade Name: BEACHBERRY INN
Identify property address including street number, name,city or town and county Certificate Expiration
Located at
157 BERRY AVE 02/18/2023
WEST YARMOUTH, MA 02673
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Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 01 st Floor 3 R-1 Hotel/Motel/Boarding House/Transient 3 BEDROOMS-3 TO 11
PERSONS
02nd Floor 5 R-1 Hotel/Motel/Boarding House/Transient 5 BEDROOMS
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
Building Commissioner Inspection a 3 ' A
Signature of Municipal Signature of Municipal Date of
Building Commissioner digil
"��' Issuance
Fee: $100.00
RI rl rs o.FnFl ne-.",+i"....,F
�irnar�.
_� TOWN OF YARMOUTH
»� BUILDING DEPARTMENT
MATTACn S[/_��
`«�r.:t� 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
RECEIV_ ED
APPLICATION FOR CERTIFICATE OF INSPECTION JAN 14 2022
3
January 1, 2022 PAYABLE UPON RECEIPT..__ __ _,j
(X)Fee Required$�, N 0/
r
( ) 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: ) 5 7 her-RI / e , vn U i yarmout , MA- Oae,13
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Name of Premises: 3co ch (3crxi Inn Tel: 5N-a go `)0-1 G
Purpose for which permit is used: 1 Q((C e.
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
None.
1
Certificate to be issuedto 1((tC h ber r .nn Tel: J�()6-"a�'�) -I�l g C)
Address: )51 Bur h Q , w,yo.rm A t'J 4- 0aco,3
Owner of Record of Building }N ts-- yarm(uth Serl?S L L C
Address P.O box 31.Ja, thionnu3 MA- %cop I
Present Holder of Certificate Be6 C,h Be ril I n n
\_______,f;! . ' - , en..1
N.Ono( ,r of: vv QSThrmo th Series L L C
Signature of person to whom 'itle
Certificate is issued or his agent Hy y -a(j aa.
Date
Email Address: �(}an(\I \\ joloson,uu;,(OTYA
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#
02/18/2022-02/18/2023
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