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HomeMy WebLinkAboutBLDCI-17-000948-05 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: MARGARET E. SMALL ELEMENTARY SCHOOL BLDCI-17-000948-05 Trade Name: GYMNASIUM/CLASSROOMS/CAFETERIA 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 172 A-3 Amusement/Church/Gym/Library/Museum 172-CAFETERIA 172-GYMNASIUM 20 CLASSROOMS Allowable LIBRARY VISUAL AID Occupant Load ROOM 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 / ` / Fee: $0.00 BLD_Certofl nspection.rpt 1°g Y4< TOWN OF YARMOUTH • ° ofis) -, BUILDING DEPARTMENT �� TTCS � '•�Ol1La.CL 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-named11 premises located at the following address: Street and Number: Q 7-j �` S' C�i- _.1l?// Lc/ tj , G� �r 4 --- I"A Name of Premises: ROI Ui,in•1-t_- C, _i 114(tA( SC eb I Tel: 5-be- !1-)T -1 g 7S~ Purpose for which permit is used: CLAAJCA.,4 6 v, License(s)or Permits)required for the premises by other governmental agencies: R E C E I.V E D License or Permit Agency NOV 04 2011 BUILDING DEPHRAlENT ©y' Certificate to be issued to )"i 10 AID 1 J� If Tel: 5 11 b- 16}7.S Address: ii'1 @ „4 y-.„ • +tip ii d v.) .`'1 d-+-md.1 it &Lk�.3 Owner of Record of Buildi 'J Address - l,� _Pal,iA .„ S. 1/414A,✓h erc tM A a.41ket1 Present Holder of Certificate %/1 Signature of person to . • on Title Certificate is issued or his agent i/W1-42-4 11 . Date Email Address: Iaf t/tQ�,J @ C1.V1 — ral6 vu , K 1Z • ✓IeL. kJ' 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# 564G/-4 dz- c/F- /I-,0415- 12/31/2021-12/31/2022 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: MARGARET E. SMALL ELEMENTARY SCHOOL BLDCI-17-000948-05 Trade Name: GYMNASIUM/CLASSROOMS/CAFETERIA 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 172 A-3 Amusement/Church/Gym/Library/Museum 172-CAFETERIA 172-GYMNASIUM Allowable 20 CLASSROOMS LIBRARY VISUAL AID Occupant Load ROOM 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 / Q Building Commissioner � Inspection < /V p Signature of Municipal Signature of Municipal i' �Y - Date of Building Commissioner ( / Issuance Fee: $0.00 BLD_Certofl nspection.rpt ' c� TOWN OF YARMOUTH frti�. BUILDING DEPARTMENT r\MATTACM fSCfr� .,.�, 1146 Route 28, South Yarmouth MA 02664 508-398-2231 ext. 1260 m J 'cr 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: %IN Q fc.,rnAM/ kat 110 (f f}'C— PA Name of Premises: V' in.� , s ✓462( se e0 I Tel: 0- -3 7b -1 c7S Purpose for which permit is used: 2J-v K- ea- O t"- License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to 1)`i ,��}0 ytelI JCd fr Tel: 1(4 .c Address: LI 0 - . ('�r�'.vQ_/I W � 13 O2J 7.? g, d Owner of Record of Buildin ,�yraAddress aq(o -5fiti try AJie., -S• Lf 0.4, ef �d 2-611K Present Holder of Certificate Signature of person to o Title „ Certificate is issued or his agent /I/ ydYt nn Date Email Address: Ciatklaktf GV CLJ — b y.OJ . ✓htt. 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