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HomeMy WebLinkAboutBCOI-23-1743 2024 a) C ` U w0 N O Z 6 CO : C�\I i 73 a a) cNa M a V CI CYS ill N 0 co a) U a) Q i Z �`�Vl4\.% C) O II] L L Z rn to t- a) (I)€€ a• C U U U 0 m OF- O N Q.Q.ZS f6 U) a) .E -ir, C o 4Q O (A s- n C 0N O -C L1 o O 0 o '� Q. U C O .0 " R7 C �' Q 7 C 0 +. a iv c0> o p U V c C 2 2w 2cow w w as () .0 U C a) C y O 0 O L - .14 a) m v 0 +0. al c N c U N O V , yE Q)C.) y __IN -J ' 0 R) \i, (v�` �N V NC R Q Q U 3 .� +., \,.0 in C UE cOu C a) 7 = co V O eLL R) N. ,. in QO Q y _ 'd E � ` I~a- � y �3 to C� 2 Z moo } T L � � c, d 0 c �' _ F. - 12 E O a m C (n O o o N co a o O L V o 'a a) M -a -o 'n V C o i C O oO c a� 0c »- C CO a D) 4 0 0 0 U . 3 a)cn R L � .0 � ,� 2 v, F- a! + a a i m E m Z aS c __ �_ EE cE 0 O. ' R) R) ZU cnU U O t � �co OC . � a73 ci cod c 'C l- a) -10 `0 `0 4) N -C Rs .. o o >,.� U) 1 L. LL Jo L co O m N L. N LT o O L N 7 N a) L 7 U C6 O a) R) C co O J a) 0 tr. p. N coC CO a3 a) 2 G "' IL .0 N O C a) = L-' a) �. R) V U n 3 N u V 0 0 = .E O u) 0 O. a) 4= co a C .Q �_ c w I L Ri U 4- c O (@4 m to Q L a) ~ E c a c Z cn U °�°�YaR%-, TOWN OF 'YARMOUTH c~ BUILDING DEP,L RTME?VT z�,""T'" "_x 1146 Route 28, South \`aunouth MA 02664 08-3)�3-223I ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION August 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: q ` `�1 bv-, A f g 6j.kr 1'nO Ai, rri j- �.ev N Name of Premises: _ Q, IiAal 1 Tei: 5ng-3R q-o-to 5 Purpose for which permit is used: Q€ L Abu jj Lti 0 e,( y\ 11 License(s) or Permit(s) required for the prerrlises by other governmental agencies: J License or Permit Agency RECEIVED rAuGi4 2023 BUILDING DEPARTMENT I_ By: Certificate to be issued to 84 , P U5 )� Ch ur c 1 Tel:�( -- Ne- at4 0 Address: 5 `l? ,' bQ • ,` = c )�v()ow I y A- ©a(c 0 4 Owner of Record of Building Address Gi 44j+c,.,,,k-L�✓t (}{ICJ,� ) (si 11(4.V VY1 I1 DPP �' Present Holder of Certificate l U J ' r i-ru,� QcWilt(-e/t-t. Svii), -- 4; , Signature of person to om Titl / Certificate is issued or his agent Y )0 1 .3 Date Email Address: PI US y & tv e QCOrn . o1 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 C NOT ISSUE YOUR CERTIFICATE OF INSPECTION. Certificate of Inspection# i Z_-17(.13 09/01/2023-09/01/2024