HomeMy WebLinkAboutBLDCI-17-000544-06 The Commonwe t of Massachusetts
et City\ own 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: South Shore Early Education BLDCI-1 7-000544-06
Trade Name: South Shore Early Education
Identify property address including street number, name,city or town and county Certificate Expiration
Located at
367 ROUTE 28 10/02/2022
WEST YARMOUTH, MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
1-4 01 st Floor 100 1-4 Institutional Day Care(More than 5) CLASS 1 -15 CLASS
2-16
CLASS 3-16 CLASS
Allowable
4-50
Occupant Load 3 PERSONS IN
KITCHEN,OFFICE
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 /vim/�...al
Building Commissioner Inspection
Signature of Municipal Signature of Municipal Date of
Building Commissioner Issuance lo/q L/
Fee:$100.00
BLD Certoflnspection.rpt
{��F��' R .; TOWN OF YARMOUTH
a'�� yr' `;p,
�a +` - BUILDING DEPARTMENT
$„,
..,«-'' -~ 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
September 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-named premises located at the following address:
Street and Number: 6- 1/7--+ (if R �MI\�� Nl -) IY DA;1
Name of Premises: Sv\ '*)Oct eri t'ly Tel: j 5
Purpose for which permit is used: LC),(1\ eh ,IC )oc x Ed XCt} �[�.�, Pre.. K
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
°I 0 5 a L1`1-1 c - rlI c1
Certificate to be issued toSp) 900(e.. Cc1Vk`� Et Tel:SCE 9d1 Lj1)5
Address: 3t21 1Z4' �� 54- GrytibV fY1 D 7
Owner of Record of Building U=1-\/-) ` 'Olt, ft-w w t Pp-t1 AA, Cb Mc.
t
Address 71 ( OUfF - 0 ,P 3 0
Present Holder of CertificateM
jp� 1)}-� (� °t(l of u C9kt I Lx"—J
Sign re of pers n o whom Title a�a
Certi irate is issued or his agent aPI-•
1 1 (
t n Date
Email Address:i t CifCI c y 1 '-dUVL� �% 3�L . DreA
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. R
PLEASE SEND US A COPY OF YOUR WORKER'S COMPENSATION INSURANCE FORM iA"CHF IVED
APPLICATION OR WE CANNOT ISSUE YOUR CERTIFICATE OF INSPECTION.
Certificate of Inspection# 8L). l-/'7-OOOsy CX OCT 04 2021
10/02/2021-10/02/2022
BUILDING DEPARTMENT
By:
.0011 .•