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Home My WebLink AboutBLDCI-23-001851 The Commonwealth of Massachusetts }i >* City\Town of C:: 1=u _ YARMOUTH IMP 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: Flax Pond Recreation BLDCI-23-001851 Trade Name:Flax Pond Recreation Identify property address including street number,name,city or town and county Certificate Expiration Located at 11/23/2023 31 DUPONT AVE SOUTH YARMOUTH, MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-3 01 st Floor 206 A-3 Amusement/Church/Gym/Library/Museum CHAIRS ONLY 01st Floor 96 A-3 Amusement/Church/Gym/Library/Museum TABLES&CHAIRS Allowable Occupant Load 01st Floor 289 A-3 Amusement/Church/Gym/Library/Museum STANDING 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 Signature of Municipal Signature of Municipal Date of Building Commissioner Issuance jf //z f Fete::$0.00 BLD_Certofi nspection.rpt RECEIVED OCT 05 2022 ,,Y.,,14Y. •10*tt,,, TOW\ OF1'. ►R\1Ot I I-1 -. - . , „. BUILDING DEPARTMENT ,. BUILDING DEPARTNILN I" ny:— „ '' 1146 Route 28. South 1 aemouth, 11,1 02664 SO8-398-2231 ext. 12(01 APPLICATION FOR CERTIFICATE OF INSPECTION October 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: 31 Dupont Avenue Flax Pond Recreation Area-Lorusso Lodge Name of Premises: Town of Yarmouth-Recreation Department Tel: (508)3998-2231 x-1 2t) Purpose for which permit is used: Assembly Space License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Entertainment License/Sundays C'ornmorwaalth of fsAA_ Entertainment License/Weekdays Town of Yarmouth-Gterks Camp.I cerise-Summer 2022 T —F ealth 1 Certificate to be issued to Town of Yarmouth Recreation Dept..__...-Tel:1508)398-2231 x-1520 Address: 424 Route 28,West Yarmout .-MA. 02673 -._.._____....___....._....__. Owner of Record of Building Town of Yarmouth Address 1146 Route 28. South Yarmouth,MA 02664__ _..._—_......._ Present Holder of Certificate Town of Yarmouth Recreation Deoartment _-,4-� Director of Recreation Signature of per in to whom Title Certificate is issued or his agent October 6` 2022 Date Email Addres'. recreationd@yarmouth.ma.us 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 4 11/23:2022-11123/2023 INVOICE , 4 0 FIRE EQUIPIVIENT . INVOICE#: SIN162446 , INVOICE INCORPORATED DATE 03/14/2022 i DUE DATE: 04/13/2022 Phone:SOR 1/5-3473 Cox.SOS PS 6110 www.feinewenka,d,corn —iasr-rvicerer•eweng arc.corr BILLING ADDRESS: SHIPPING ADDRESS: YARMOUTH RECREATION DEPARTMENT YARMOUTH RECREATION DEPA 424 ROUTE 28 424 ROUTE 28 WEST YARMOUTH,MA 02673 WEST YARMOUTH, MA 02673 — .. WORK PERFORMED Ext.inspec _CUSTOMER REFERENCE WORK ORDER NUMBER PURCHASE ORDER WORK COMPLETED ON YARRECDEP WO-00228993 T&M 03/14/2022 PRODUCT NAME DESCRIPTION QUANTITY UNIT PRICE NET VALUE Portable F re Extinguisher 1-Annuai-626A-Extinguisher nspection IV 1.00 S0.00 $0.00 2.5 lb ABC Fire Extinguisher New 2.5 lb ABC Fire Extinguisher New Includes 1.00 546.00 $46.00 Includes Certification and Wail Hook Certification and Wail Hook Ir.....2gfection of Fire Extinguishers Inspection of Fire Extinguishers le/ 9.00 , $6.60 $59.40 Pull Tamper Seats Pull Tamper Seals 1,--- 9.00 $2.20 $19.80 5 lb ABC Recharge Fire Extinguisher 5 lb ABC Recharge Fire Extinguisher 2.00 $34.10 $68,20 6 Year Maintenance 6 Year Maintenance 2.00 $19.80 $39.60 " . Service Collar Service Collar 2.00 $4.40 $8.80 .. Oring Oring 2,00 $6.60 513.20 Labor Labor ve" 1.00 $50.00 $50.00 NET TOTAL: ' $305,00 I k . 6,) Scx,, \t n 9 TAX TOTAL: INVOICE TOTAL: $OW ‘ $305.00 OUTSTANDING TOTAL: ! $305.00 61\ CNY v\ ‘ s Q ,c -c • \.) 5 e ) 6,-) 4z1 ,------0 REMIT TO: FIRE EQUIPMENT INC•PO BOX 423•READING,MA 01867-0623