HomeMy WebLinkAboutBLDCI-17-002470-06 The o onwealth of Massachusetts
City\Town of
YARMOUTH
11,
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 YARMOUTH LIBRARY ASSOCIATION BLDCI-17-002470-06
Trade Name:SOUTH YARMOUTH LIBRARY-MEETING ROOM
Identify property address including street number,name,city or town and county Certificate Expiration
Located at -
312 OLD MAIN ST 10/30/2023
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-3 01st Floor 100 A-3 Amusement/Church/Gym/Library/Museum 100 Persons
Allowable Basement/Lower 100 A-3 Amusement/Church/Gym/Library/Museum 100 Persons
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 Gryll Date of f�p
Building Commissioner Inspection
Signature of Municipal Signature of Municipal $(2Date of
Building Commissioner Issuance
WU/I/L.
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BLD_Certofl nspection.rpt
:t t M TOWN OF YAROUTH
BUILDING DEPARTMEN
MATTAG!1Sy 1146 Route 28, South Yarmouth, MA.02664 508-398- 3 e1Ati 2022
tAli.r
BUILDING DEPARTMENT
By
APPLICATION FOR CERTIFICATE OF INSPECTION
September 1, 2022 PAYABLE UPON RECEIPT
( ) Fee Required
(X) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: j(2 D!d 11 c., +ree 4. So 0-f k Yet,Nv%0 U*., t1J} 6266q
Name of Premises: Booth lwc c.c-y Tel: SD�-76G-A18ZU
Purpose for which permit is used: Po ro i',L L be_c-j
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to Y6.cmoU-}t to irk Li 6C6.0drel: S0$-760- ‘46Zo
Address: ,312 O 1d f-i .S-fret SSt_rt-,.Y�cma Ut/n /yA 026641
Owner of Record of Building -Taws, a-F a no o+h
Address 1I `f6 Route 28 Sou-tin Yo rin M A 02G6L/-gg97
Present Holder of Certificate
ea-viD Zib qyj DuzLe:tor
ignature of person to whom Title ,I
Certificate is issued or his agent /0-- 7-
IIA Date
Email Address: P-"4'
. U
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#
10/30/2022-10/30/2023