HomeMy WebLinkAboutCI-18-002561-06 The Common \ce 1th of Massachusetts
Ci 9 Town of
rammiim
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: PARKERS RIVER RESORT, LLC BLDCI-18-002561-06
Trade Name: PARKERS RIVER RESORT
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
759 ROUTE 28 UNIT 1 06/26/2024
WEST YARMOUTH, MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 01st Floor 24 R-1 Hotel/Motel/Boarding House/Transient 24 UNITS
1 LAUNDRY ROOM
MANGRS.APT.
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 Inspection
Signature of Municipal Signature of Municipal Date of
Building Commissioner Issuance e z n
F :$142.00
BLD_Certoflnspection.rpt
°1''YgRo TOWN OF YARMOUTH
•o _ -y BUILDING DEPARTMENT RECEIVED
.
3"4-;,,---v�2 1146 Route 28, South Yarmouth, MA 02664 508-398-22 1 xt. 1260
APR 0 4 2023
APPLICATION FOR CERTIFICATE OF INSPECTION BUILDING DEPARTMENT
BY ____-----
April 3, 2023 PAYABLE UPON RECEIPT
(X)Fee Required 142..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:
r
Street and Number: ( `, v ' E.. 28 1'
Name of Premises: lePe 4-1f-S 1'1141k R-- V;Z.‘A PA- Tel: 1 1 4 LA- 1 d7 O J TB� 33q$2
Purpose for which permit is used: �C I
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
p,�� L-Lc.
Certificate to be issued to `l Ps-f- V'E R— l TeI -119'4-4i5-1 02301 '13Q 2Sa
Address: —MIA "gnc)-}E, Z$ , _ 'mac k-i-E V JflOIi- 1 MAr DZOLy'
Owner of Record of Building 1z.4c k._.'V� r j �sd.TUI S
Address 120 O)( � M('• y til ciuii- { 8Ztg 3
Present Holder of Certificate ' (1.W2 _ V 02) /Qeasl'etl+- 2_,. .1-A 11
ajC(1;040S/'4-1-vow Lui vz—
Signature of person to whom Title
Certificate is issued or his agent A - - `i
Date
Email Address: alwizs t.9--- 0a ot✓ Umfire-- ', W t
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# 3 L i) C we- QQaS'(o/ -xi b")-O 6
6/26/2023 -6/26/2024