Loading...
HomeMy WebLinkAboutBCOI-23-1732 2024 \ o / a) ZN.Q. `I'N ICI k � a - ® 0 ° CC C \ LU 5 / t (PI k 0 3 U ^ 0 § 0 § 0 ¥ _ £ C---: . *k ) EL Q) 0) 0 c @ � eft } k ) 0 _ _ _ = o S4S§ . a•cas � q � Z. 2 § ƒ f 2 2 0 0 o m E k % 8 0 E c E g ± S \ @ g E § 2 \ § £ — « o , 0 § kf ■ c \ ) \ \ k/ � 0 ' o o g a t § 7 # 2S $ k 3 u , 9 § O ° m = p2 £ .. 3 3 {/ / ` � / w _c % t § o o. MI / / : RI (0 ' tf 3 o a = � R0 f3 & E CA I CZ 0 ao ED �d \ O M Cu 2k0 § ƒ ( 2 % / 0 = . CO £ % ® / % / O \ 2 \ E E 0 HI £ as % ■ O © Z o m 2 , \ % : 7 � Cu n = * n O m •e c C § t k \ \ cv cn 7 \ f2E / 03 E § \ \ / + k k o \ f co 0- co o \ a a = o \ o 0 \ Z § 2 \ \ / & I » 0 § - a) \ Ek § » $ . � e \ tJ £ 0 � 29 ? 2 , _ g « @ t f 2 E E E k E o j / \ } \ ƒ\ E >/ % a" 'a _ _ c = - g t a) » V) 03 2t % $ 5- 5 ° ° 2 E 2 2 : m / Su_ u = = m E ® \ \ \ / > § 7 \ = o ® -0 g ' \ b al \ C E ° e e _ / O 2 / \ 2 . C u ° � » _ % 2 0 Q 0 0 C \ / E 2 3 g ° \ 22 / 2 Coi,..4 no 2 B. Ec ] » 2 0 f § \ % \ 0 o ■ 2 mcn a) k % � � E ƒƒ c z eo At° .,-gR a-_ TOWN OF YARMOUTH a o . a, BUILDING DEPARTMENT � , r c',:>Y 1 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION June 1, 2023 PAYABLE UPON RECEIPT (X) Fee Required $100.00 ( ) 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: ci Rpt„ bI}\.1 n��•g ) ?5T yto unh �,�, k( Name of Premises: V ij 1.44ie j 11) Tel: ��J% s42- L1)O 0 Purpose for which permit is used: G111viG car+L52 g-,k., r-dllL,c.(.V'boy, £icc tvd License(s)or Permit(s)required for the premises by other governmental genies: License or Permit Agency Cl oc)c1 O ,€1 Sl,e1-.o(-- Lc„rt1 14 c.4.)0,., ah/C %l& ri Certificate to be issued to `j c �o�}r<,,, , , Tel: - A-c1 Ial i(l) Address: 9 a.3 '�a,.1-.� b R , . LPk ,�i'cc Da6'15 e I .Owner of Record of Building 13 ObeA.W.4 Icye Address 9 4 '1S)&mot ,,rGlA.t, kr a>A'j MN'A 034916. ( i Present Holder of Certificate S+n C1 ire./ O axle, ©tAit-t✓ R F!C _1 _' -:,..? Signature o son to whom Title Certificate is issued or his agent (, 3O A, JUN 30 2023 \ \ Date gUIL T Email Address: 0,yN e ►^C. 1.0(44 ar0 y‘4,..ele. • Efl 1r BY _ - 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# ()/-Q7�/9 07/01/2023-07/01/2024