HomeMy WebLinkAboutBldci-16-00476-06 / T Commonwealth of Massachusetts '
A = ,i City\Town of
ali=
YARMOUTH
'r� ="� 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:HALLET FAMILY TRUST BLDCI-16-004746-06
Trade Name:HALLET FAMILY TRUST-FUNERAL HOME
property Certificate Expiration
Identifyroe address including street number,name,city or town and county
Located at 273 STATION AVE 02/25/2024
SOUTH YARMOUTH,MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s) 140 PERSONS
A� 01st Floor 140 A-3 Amusement/Church/Gym/Library/Museum
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 Gryl Date of .�
Building Commissioner / J Inspection cW
Signature of Municipal
Signature of Municipal / Date of
,
40 n
Building Commissioner Issuance % b
Fe .$100.00
BLD Certoflnspection.rpt
. ' TOWN OF YARMOUTH
o R�
o �'4 ' BUILDING DEPARTMENT
�; "1`2 1.146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
m
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: 273 Station Ave. , South Yarmouth, MA 02664
Name of Premises: Hallett Funeral Home Inc. Tel: 508-398-2285
'Purpose for which permit is used: Funeral Home
1License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
RECEll" TD
JAN 0 9 2023
Hallett Funeral Home Tel: 508-398-2285 LI_-.-
Certificate to be issued to
BUILDING DEPARTMENT
Address: 273 Station Ave. , South Yarmouth, MA By _---
Owner of Record of Building Hallett Family Holdings LLC
j Address 273 Station Ave. South Yarmouth, MA 02664
t
Present Holder of Certificate same
President
Signature of person to whom Title
Certificate is issued or his agent January 6, 2023
Date
Email Address: info@hallettfuneralhome.com 1
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#
02/25/2023-02/25/2024
1