HomeMy WebLinkAboutBLDCI-23-004890 The Commonw • It '`Qf Massachusetts
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New and Renewal Certificate of Inspection
In accordance with 780 CMR, Chapter 1 (The Eighth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004 (an Act to further enhance
fire and life safety), this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to
Business Name: Heavenly Family Restaurant BLua-23-0U489U
Trade Name: Heavenly Restaurant
Identify property address including street number, name, city or town and county Certificate Expiration
Located at
194 ROUTE 28 03/06/2024
WEST YARMOUTH, MA 02673
Use Group Floor Occupancy Use Group Other
Classificate(s)
A-2 01st Floor 89 A-2 Nightclub/Restaurant/Bar/Banquet Hall
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 withthe contents of the certificate is strictly prohibited.
Name of Municipal Name of Municipal Mark Grylls Date of
Fire Chief Building Commissioner Inspection ,y--,tea,
Signature of Municipal Signature of Municipal Date of
Fire Chief Building Commissioner (--j‘ Issuance v./HA,'
Fee: $100.00
BLD_Certofl nspection.rpt
TOWN OF YARMOUTH
Peftt BUILDING DEPARTMENT
1 146 Route 28, South Yarmouth, MA 02664 508-398-
CEIVED
APPLICATION FOR CERTIFICATE
C E OF INSPECTION L MAR 06 2023
February 1,2023 PAYABLE UPON CLEWING DEPARTMENT
(X) Fe —
( ) 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: l'9 Y) r S
Name of Premises: cr.Ye/l XCh2u rael: 85
Purpose for which permit is used: 001 SPrVi C
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to / L/e11A n'f- Tel: 54 -7-j5--3?s'Z
Address: /q /y�cu 18� . y4 r,lttux r'Gq- ozh
Owner of Record of BuildiEs. k,,atrzr` C t yje,Odi s
Address T 7 4 WA✓1 /4 . 74ert ( /71)- 02443
Present Holder of Certificate
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Signature o''son to whom Title
Certificate i issued or his agent ,"
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Email Address: 4e,ositeilI'ts let-Lee-A.11
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# hj L1L 2 I-2 3-W ciD
03/01/2023-03/01/2024
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