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HomeMy WebLinkAboutBCOI-23-1709 2024 U.y± .gyp��"°7? / •V• '`-\" TOWN OFYA " MOUT O _-,t }CI BUILDING �? 1146 Route 28, SouthYarmouth, IOTA 02664 0 - 9�3- 31 ext. 126 -N.) Agw APPLICATION FOR CERTIFICATE OF INSPECTION March 1, 2023 PAYABLE UPON RECEIPT (X) Fee Required$100.0 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for Certificate of Inspection for the below-named premises located at the following address: Street and Number: ,96p / k re- . g Name of Premises: /.,� wail. Itc, 00 u. 4t 04(xi Tel: Purpose for which permit is used: - • h , , 4___ 4,. /i License(s) or Permit(s)required for the premis- by other governmental agencies: R E C E I E License or Permit Agency MAY 16 2023 7 OA€ ,Jl/n 04- Pe/eepri7— zjuAe, aC 'M7'/ BUILDING ac/ t DEPART� NT hfl*F T !° ems' �� By.----- Certificate to be iss d to C� z,�► '1, A.. e.�,1. ,i Tel:6(7 8� —� o /ó/z 6,yU 3O,sr Address: er z - F Owner of Record of Building -,,,,e,F, s Address 4 y�✓ E'}j � ����`���� 7 ,o�P/�..., 1h4 6,2/7O Present Holder of Certificate ,(4e),7 t c7-1e/�� 4fil,*iv'-4/--<- ./RLACe....f",`-; "4'S-. Signature of p on whom Title Certificate is issued or his agent ,S—/� IS Date Email Address: p,a,4/u7ti ('o tl��hy ,4-OL. :,La i..-i 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 C1j/-c?3-/70� 04/19/2023-04/19/2024 • „ '' Alt `\c4 0¢ �M -1 p UI DI. 1 . A. . - 0• : ' ` , 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$121.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a .l.. Certificate of Inspection for the below-named premises located at the following address: Street and Number: 7' - Name of Premises: /4/2,ct&&r/L ”Uu,c at Li Tel: 677 78—(l U(c, 4,1 7 Purpose for which permit is used: Lt/ee/'/v �i i (v 4e A�.c,t if ''il rJ , License(s) or Permit(s) required for the pre ises by other govern ental agencies: V -7 D License or Permit Agency R E C '�G:74 aO, C. rMAY 1 t 7'4A' 1 e 2D23 BUILQ!NG F By Certificate to be issued to 2sr,,f1-y J ce i b;6( ✓, 4,4, Tel: -" — ' -(� 1 - _''--.9' Y4 11 Address: F 7 144 ' e. -1 l Owner of Record of Building Address 67 /4 . , /,.A-(0,4- / i - (%)-Y7e Present Holder of Certificate e1 `Signature o erson to whom Title Certificate is issued or his agent S /J"/6)_? Date Email Address: //?b©q t' Y7 t- 'e0 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# 13Cv/a3- I7De 04/19/202 3-04/19/2024 a) G j wO a) d o .6 a 15 n M a co C 1n .-. I it N a a) N N cc co U 4: N w C i O co c cn U m ' a NJ N o _cs h ) '3 0 a) " N N a) Cu C 7 b O a) o op C e 0) L a C Q. . co C — C tl)d O v ` Cl)co y O OR ) C a)CI) .c ti gs O N �O C r : p ,,, E o N as i Cod=C b.. u ao a; -0CD 0 \N I0 N V C N • = 0 V .,H cu � C. & i; � ai +' .t G V C d Z, co m ccc 0 c O U !' RI in 2 C in 0 + o 7 a) N Q cow as 03 p 'Q C.) o •Q W N o s cp O ff = v W o 5 GOD a) o Eo .w � U ay .. SOS as � � 2 sew �`/ M Y 0 1i V - Qj } oif Q I N N O) C Q z E a) G - .G d Z co ~ ' V G co Z '.1 v a:) oO a) o in vl U L ,.�.. m a E re , v., ` h 2 .c o •a '0 rr O O~ o c ` cV Cca O_ m 'O mC E Q 13 ` 0' O O a ` ya) `� CD ~ Z a) ' v .c E E C E c __ EE cE o 4 to ZO o)U U o s � � , ) 4 a) v o v a•C -a co c o o c m d 7 -t k- a) a - o .' co) c co LL 0.0 n, co pl 5 d .0 co C N 1] C 7 23) co c co as J 10 N it•O • as 0 H 7 O C d 3 a•a)i 40 m v m _.0 v 5 U a) CO O C. a) 5 R C CO ° 3 C J .Q 'c 2 Cu OL 10 U tC O cm 411) p_ o 0 0 cn N N 0 co O a .~ Cl) C N 0 Cu (n0 ED