HomeMy WebLinkAboutBldci-23-003910 W
'.•%, The Commonwe ilt: I. of Massachusetts
i = / Ci Tiiwn of
"' '' YARMOUTH
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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:Yarmouth Fire Department Station 2 Meeting Room BLDCI-23-003910
Trade Name:Yarmouth Fire Department Station 2
Identify property address including street number, name,city or town and county Certificate Expiration
Located at
340 ROUTE 6A 2/13/2024
YARMOUTH PORT, MA 02675
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-3 01st Floor 142 A-3 Amusement/Church/Gym/Library/Museum 142 Persons
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 Grylls Date of ��^�
Building Commissioner ection
Signature of Municipal
Signature of Municipal ate of
Building Commissioner Issuance 3 /S 473
Fee:$0.00
BLD_Certofl nspection.rpt
T , �o TOWN OF YARMOUTH
oµf .. - . ypY BUILDING DEPARTMENT
"`»ATTACft S[% '! 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
,aa.•Y�ram,,
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APPLICATION FOR CERTIFICATE OF INSPECTION
January 1, 2023 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: 340 RoW c_ (PA
Name of Premises:la.(mClk Vl Fire, Do-. CL h 2- Tel: SOS'an-7:2,12
Purpose for which permit is used: Met--\inC \(Orrl
License(s)or Permit(s)required for the premises by other governmental agencies:
RECEIVED
License or Permit Agency
JAN 17 2023
BUILDING DEPARTMENT
By.
Me-L* r
Certificate to be issued to 1 FD St3.*% n 2. R cXacrn Tel:
Address: -lu R Me_ (pp ,yo rm r,Rx -, r n p, 02&15
Owner of Record of Building
Address
Present Holder of Certificate
/1./1/_,&i-/-.?/r 1-jr...r,c. cf-r..,-c_
Signature of person to whom Title
Certificate is issued or his agent /- 12 • 23
Date
Email Address: ,T P.,fet e 6,„40-4-`` -,# . c-f
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#
02/13/2023-02/13/2024