HomeMy WebLinkAboutBLDCI-23-001644 The Commonwealth of Massachusetts
} ,!er City\Town of
_•5,e- M YAROUTH
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-23-001644
Trade Name:South Sore Early Education
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
367 ROUTE 28 10/2/2023
WEST YARMOUTH,MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s) - -
1-4 01st Floor 100 1-4 Institutional Day Care(More than 5) Class 1-15 Class 2-16
Class 3-16 Class 4-50
Allowable _ 3 Person in Kitchen and
Occupant Load 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
Building Commissioner Inspection p(�(
Signature of Municipal Signature of Municipal to of
Building Commissioner /j Issuance ///Z//Z Z
Fee:$100.00
B LD_Ce rtofl nspection.rpt
;04= ?�y TOWN OF YARMOUTH
oe 1y BUILDING DEPARTMENT •-.
'ck''.7" "J� 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1260
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APPLICATION FOR CERTIFICATE OF INSPECTION
September 1,2022 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 forthe below-namedlo premiseses located at
the following address:
Street and Number: 31c;7 gi OSam W D est /*t(M(v A
Name of Premises:7 SI (]C7f\ ff J -Et till .D Tel: 1 al 5715
Purpose for which permit is used: C� t� (iA,r1 l
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
el 09 0 5() FEG
Certificate to be issued to of x)(Q.FL1.1'(y EI Tel:E L C) 1 rD715
Address: '31.. ) P-E-, c9t i t(91• Vr nM D U f h 0.;.17 7 3
Owner of Record of Building c•g5ok'l SVM(Ke, CI;rM rv1 W o Yif t l O - CD i I
Address ^11 nbc Cf S-F P I'W D V tVt (Ylt()_( ()
Present Holder of Certificate <0( e,E t4 i'l DX txcA.Aif& J
Signa a of person o hom Ude
Certificate is issued or is agent —f) Oli
• Date
Email Address:1 lcicxlxi, O Jls (t 3`cCOC.Ol,
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#
10/02/2022-10/02/2023
BSI--Z3-ou1(ogy
RECEIVED
SEP 2 6[ 2O22
BUILDING DEPARTMENT
By:
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