HomeMy WebLinkAboutBLDCI-16-001518-05 The Commonwealth of Massachusetts 0,,
1 ""� City\Town of
__ . .0
::m= 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: SUNFLOWER SCHOOL BLDCI-16-001518-05
Trade Name: SUNFLOWER SCHOOL Unit I J &K
Identify property address including street number, name,city or town and county Certificate Expiration
Located at
923 ROUTE 6A UNIT G 07/01/2022
YARMOUTH PORT, MA 02675
r— . --
Use Group Floor Occupancy Use Group Other
Classifications(s)
1-4 01st Floor 20 1-4 Institutional Day Care(More than 5) toddlers and preschool
(18 mos.-7 yrs.)
Allowable 01st Floor 9 1-4 Institutional Day Care(More than 5) toddlers(18 months-
Occupant Load 2.9 yrs.)
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 2 r
Signature of Municipal Signature of Municipalk...(2 Date of
Building Commissioner Issuance >//9/Z`
Fee: $100.00
BLD_Certofl nspection.rpt
• y ° � 'e TOWN OF YARMOUTH
1� BUILDING DEPARTMENT
•° 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
m -.
APPLICATION FOR CERTIFICATE OF INSPECTION
June 1, 2021 PAYABLE UPON RECEIPT
(X ) Fee Required $100.00
( ) 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-namedeln premises located at the following address:
Street and Number: 023 1 � �} B„►1s2,„ 3 u;,,
Name of Premises: SunFIouec Tel: So46-3&2- 4)00
Purpose for which permit is used: LL,Q Cz.r e,
License(s) or Permit(s) required for the premises by other governmental agencies: R ,: ( _E I v F D
License or Permit Agency r u N ,
2021
ei05qc.1 lam. OCr Gra .0( Fducilt 'AR 1 iL;ENT
Certificate to be issued to �jt,,y,cLo c.,, Tel: -F10,1,- 5439
q
Address: 6)2,3 R0,,,6. (o Y1 , ‘-toe‘-trxe r i A- act 011,1
Owner of Record of Building 13 4�etAki 'f-t4
Address lit S►s C- ea t. . Lc„. ,. , �l't t3'7
Present Holder of Certificate ,rtFlp�,�t/ 1
OtAll
Signa erson to w m Title
Certific e i r his agent �t:1 _ 4314' oft)
Date
Email Address: Ge. .r,e Su.,ccloc.teron Cade . corn
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# geliC/--/(p--06/37ef
07/01/2021-07/01/2022