HomeMy WebLinkAboutCI-23-005752 The Commo\we\th of Massachusetts
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YA M UTH
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: Norbert Ginter BLDCI-23-005752
Trade Name:Ocean Breeze Motel
Identify property address including street number,name,city or town and county Certificate Expiration
Located at 4/1/2024
170 SEAVIEW AVE UNIT 1
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 01st Floor 16 R-1 Hotel/Motel/Boarding House/Transient
01st Floor 16 R-1 Hotel/Motel/Boarding House/Transient Managers Apartment
Allowable Lobby
Occupant Load
l Coffee Room&
Kitchenette
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 Gryll Date of
Building Commissioner ___ nspection `/7•-• 3
Signature of Municipal y-�" uate of
Signature of Municipal . /BdirI2 ! P4!!'��� - Issuance
41111111611111°'7if 4114.
Fee:$166.00
BLD_Certofl nspection.rpt
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
March 1,2023 PAYABLE UPON RECEIPT
(X) Fee Required$166.00
( ) 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: 1 70 _c�_'4U/ L✓ �l/�
Name of Premises: (O 64/-J I3CC--26 / -1 DEL Tel: -3ce
Purpose for which permit is used: 1RECEVEDL
License(s) or Permit(s)required for the premises by other governmental agencies:
APR 12 2023
License or Permit Agency _
BUt RTMENT
By _
Certificate to be issued to Eti r �/, 'P .- Tel: 6/7-tr -4 66-
Address: /70 SC=4.1/C'i✓ 4V ,£.y 4Levvi (,try. OZ 6
Owner of Record of Building /1.0c'A-7— G-z__ '—
Address /7 0 16'9vic:c‘/ / S yl-yero- 1X1 ( Coe4,4 f'
Present Holder of Certificate /l/A241c' z-r— c,,vrzq_
/Signs . = : . on to whom Title
Certificate is issued or his agent ('/ /23
Date
Email Address: r l h fe tr -L/e+t'2oc,_ / e
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# t )C/-a 3-00576;71-
04/01/2023-04/01/2024
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