HomeMy WebLinkAboutBLDCI-23-002936 The Commonwealth of Massachusetts
1 City\Town of
mulibissiff
• — 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: Town Of Yarmouth BLDCI-23-002936
Trade Name:Yarmouth Senior Center
Identify property address including street number,name,city or town and county Certificate Expiration
t Located at
528 FOREST RD 12/4/2023
• SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-3 01 st Floor 430 A-3 Amusement/Church/Gym/Library/Museum 49 Person-Solarium
100 Person Front
Allowable Ballroom
\ Occupant Load 200 Person-Rear
Ballroom
MAXIMUM
CAPACITY-430
PERSONS
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 n ection /�/3 ?
Signature of Municipal Signature of Municipal ate of Building Commissioner Issuance /2 //2/121
( Fee: $0.00
BLD_Certofl nspection.rpt
°off YaR�
. �Q TOWN OF YARMOUTH
' BUILDING DEPARTMENT
, _ 1.146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
�`` m'" RECEIVED
APPLICATION FOR CERTIFICATE OF INSPECTION 1
N0V 2 2 2022
ipcp
November 1, 2022 PAYABLE UPON RECE P t
( ) Fee R q �NG U�HHRTMENT
(X) No Fee equine
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for the; s /below-named premises
remises located at the following address:
Street and Number: Lnf el
28 v . a).8017764 Ala- (1267.
Name of Premises: Craa4/ dAkt Tel: 6'39 "7M,
Purpose for whit permit is used: &YEW//[n/Ad&
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be iss ed t1_oi/ndd Ceo Tel: 5,0 3q i-74,Ai
Address: .52B c 7 M. /yw 6 Z.3
Owner of Record of Buildmh �'
//
ax, 4 eitowcf...,
Address '6 /f6 C, 4.,8 a iixp /yam. Oa,6V-
Present Holder of Certificate
/ ,
___,264*.
Sig re of person to whom Title /
Certificate is issued or his agent !``8/2
Date
Email Address: a/[.[/ ,. i a.i
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# 6 CJld-cm- 931"
12/04/2022-12/04/2023