HomeMy WebLinkAboutBLDCI-16-007136-05 Li
s_ ss, The Commonwealth of Massachusetts
1 =" City\Town of
�� YARMOUTH
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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: EVENTIDE CONDOMINIUM ASSOCIATION BLDCI-16-007136-05
Trade Name: EVENTIDE CONDOMINIUMMOTEL ASSOCIATION
Identify property address including street number, name, city or town and county Certificate Expiration
Located at
109-109 SEAVIEW AVE 07/09/2022
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy - Use Group Other
Classifications(s)
R-1 01st Floor 11 R-1 Hotel/Motel/Boarding House/Transient 1 THRU 11 UNITS
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 -RI
Signature of Municipal Signature of Municipal Date of
Building Commissioner Issuance
6 cG103 Z/
Fee: .00
BLD_Certoflnspection.rpt
1
.� , ! a TOWN OF YARMOUTH
(s.0 4 ,7,1 BUILDING DEPARTMENT
M [S[� Y<.. �.,s.m ' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
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APPLICATION FOR CERTIFICATE OF INSPECTION
1
June 1, 2021 PAYABLE UPON RECEIPT
(X)Fee Required$103.00
( ) 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: / CI ae_bN I e .7 .>t1le 's- yagYvto A 01 A- 02-4 4 Lf
Name of Premises: &web 01-2 CC) 4-S'S a . Tel: ,n—`I g'�'1 2,111
Purpose for which permit is used: V c c.-,a4.1 P(2-YuZ
License(s) or Permit(s) required for the premises by other overnmental agencies: Fad _�
`. E
License or Permit Agency JUN 03
2
21
BUILD
Ely -
Certificate to be issued to C. Vei.„4-1 2.. (17v►ol o ,' csO Tel: ' l7 1 A-I q el
Address:
Owner of Record of Building
Address
Present Holder of Certificate
.0071a --)4 4 rJ !1 a
S�-GL
Signature of person to wh m itle
Certificate is issued or his agent 02-- a o a, I
Date/ ,
Email Address: 30vt o St}>,y,S 2 11P3WJ4l L*C°vvl
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#
07/09/2021-07/09/2022