HomeMy WebLinkAboutBCOI-23-1714- The Commonwealth of Massachusetts
Town of
YARMOUTH
New and Renewal Certification of Inspection
In accordance with the Massachusetts State Building Code,Section 110.7
Identify Name of Establishment Certificate No.
Issued to Business Name:Blue Bird Hospitality Corp BCOI-23-1714
Trade Name:Cape Shore Inn
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 793 ROUTE 28 April 1,2025
SOUTH YARMOUTH,MA 02664
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01st Floor 8 R-1 Hotels,motels,boarding houses, 8 Units
etc. Managers Apt
Allowable Occupant Load 02nd Floor 10 R-1 Hotels,motels,boarding houses, Lobby-10 Units
etc.
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 line safety features.This certificate shall be framed behind clear glass and/or laminated and posted in a conspicuous place within the space as directed
by the undersigned.Failure to post or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Building / /r f J�
Name of Municipal Chief � fVlar G ate of Inspection y
Commissioner
Signature of Municipal Fire Signature of Municipal Building Date of Issuance
Chief Commissioner Z� Z�
TOWN OF YARMOUTH
4.o 1�'' - y BUILDING DEPARTMENT
'_Y4 MATT00RATt AG 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
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APPLICATION FOR CERTIFICATE OF INSPECTION
March 1 , 2024 PAYABLE UPO CEIP
(X) Fee Require $157.00
( ) No Fee Requ
In accordance with the provisions of the Massachusetts State Building Code, Section 1 10.7, I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 1 a rel Nf\ ! RECEIVED
Name of Premises: 'Ca, c.S l 1rt j ✓� Tel: LMAR 112024
f
Purpose for which permit is used: ce,r + of- 14 S p-e c H' D 17\ BUILDING DEPARTMENT
License(s) or Permit(s) required for the premises by other governmental agencies: CAL
License or Permit Agency
Cie vis3pea-Coyi
CCL VIv r-e Tel: (PCD 9�` Cp / -a�.3 /Certificate to be issued to � cs
Address: TB deco Sk 3o tilt., ti c{: r t) t`^ t 1 02.6 E4
Owner of Record of Building u ?at- i
Address 7c3 Maio S4 So)- , Y►-trrw th HA 02L6k1
Present Holder of Certificate
I 4L,(
( '71 r,e_G"
Signature of person to whom Title ` I
Certificate is issued or his agent 3 -- l Z
Date
Email Address: Cc c k(j 1'Yn a:_ 6. 3L,� c 0
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 # `' CD1 3 —t-i f
04/01/2024-04/01/2025