HomeMy WebLinkAboutBldci-23-003694 The Commonwealth of Massachusetts
_ _ City\Town of
=u • = y 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: Howard Lodge Masonic Trust BLDCI-23-003694
Trade Name: Howard Lodge Masonic Trust
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
20 DAVIS RD 2/24/2024
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 Fixed Seating
Allowable Gist Floor 125 A-3 Amusement/Church/Gym/Library/Museum Additional Seating
Occupant Load
01st Floor 175 A-3 Amusement/Church/Gym/Library/Museum Function Room/Table&
Chairs
Total:225 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 Inspection /—;z;
Signature of Municipal Signature of Municipal Date of �f Building Commissioner Issuance
Fee: $100.00
•
BLD_Certoflnspection.rpt
401. YaR TOWN OF YARMOUTH
OI .,y# BUILDING DEPARTMENT
\rkz‘rx—,.v.Shi 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
January 1, 2023 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: 20 D/j v/S Rovi-j,5p,ya/QI v IA, me p 446
Name of Premises: RewQiP I L o d ' ,FM--/M M Tel:(50J'39r 110X
Purpose for which permit is used: fic444 / / q'o GGfQNGr /PR M jr hilt/hnsa,°d 11'
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
lea lti z/v6feaie4c
5-0d'-,74 f-7ta/ Hone
Certificate to be issued to W��,Id jd y�°/PI N C.- Tel:Sa6P-KcP4D,3p Lelp9
Address: ,2 t/IS /COA so.�aNnob i/ 40aO64
Owner of Record of Building /f,,U,dr`LD A/1i iv�L �/(✓,5�
Address k pa "S .. d 649,yar,levm, Adc!oiib s RECEIVED
Present Holder of Certificate Aid w U f d La y 7`R v
� A JAN 04 2023
77i. i/ ' / e BUILDING DEARTMET
Signature o �`_ P /4rson to whom Tile By
Certificate is issued or his agent AD03
ate
Email Address: /1 f*1//2 1 S% g c7g/ ,/vet"
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# /V t /1 6Ojrd A it° pie46 a ea //
02/24/2023-02/24/2024 81,0C,1. ,3-60 ,pt} n� P.-RA-wool RA 1/Z!Sd/a $B cP-7 3 7- 3/4 l
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