HomeMy WebLinkAboutBLDCI-16-006474-06 The monwealth of Massachusetts
•
City\Town of
YARMOUTH
4�!
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: Cape Windrift Motel BLDCI-16-006474-06
Trade Name:WINDRIFT MOTEL
Identify property address including street number, name, city or town and county Certificate Expiration
Located at
115 ROUTE 28 05/06/2023
WEST YARMOUTH, MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 01st Floor 36 R-1 Hotel/Motel/Boarding House/Transient BLD 1-20 UNITS,
LOBBY
BLD 2-16 UNITS&
Allowable ' MNGRS.APT
Occupant Load Note:#130 includes
adjoining kitchen
Other 7 R-1 Hotel/Motel/Boarding House/Transient 7 EFF.COTTAGES
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 toe Inspection
Signature of Municipal Signature of Municipal Date of
Building Commissioner ✓� Issuance j L / t 2
Fee:$226.00
BLDCertoflnspection.rpt
ool qR,,
4t . - �4°' TOWN OF YARMOUTH
1o! � . ah� BUILDING DEPARTMENT
"AT " 5� s 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
April 1, 2022 PAYABLE UPON RECEIPT
(X) Fee Required $226.00
( ) 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: // c Ral.016 t.2tf cued yq,072„,..i-L. i A- `at9 3
Name of Premises: ghjicire,i J?ekl Tel: n,2 21 - 105 -ce,1 (
Purpose for which permit is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency RECEIVED
APR 212022
Certificate to be i ued to CjY lAY1 ' CAa'1 ' Tel: 1 -t- °2--Elf--CUO3 "
Address: k,lS Ll c CA?e.4fi j(-lnr'‘G.1et_ ay--O.S 3
Owner of Record of Building5'281., -c-,
��'1s15�'�
Address S'Conl•}ctnu=� CJ-e.d-4 `vm..,t4 _ 0.-6 3-j
Present Holder of Certificate e,(1yt ,.,-}- (yf-et
DiLA-Ki L 1f( ec —c eT ..e^
Signature of person to whom Title
Certificate is issued or his agent hr.2P'-V-
- /� note
Email Address: \'V i id:n j+Ntif J l ( t c 0 9 YY1 Ct l . &h.--
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#,B/✓k".i/&--0/151--.0.6
05/06/2022-05/06/2023