Loading...
HomeMy WebLinkAboutBCOI-24-8 2025 e so § m ƒ \ 2 = \ k \ a 4 Q. E ° § Cii- q q m S 0 2 b 0 So § § 7 J R / ' ° '� § § _c 0 0 = % 0E 0 kE 6 = # /a-6 ( / Cqf ) } / 00 c o c ) u) f § \ f E c R § 7 ; % E / / I - 2 r m k % % \ k / : & a a E § kf 3 3 ■ c 6 49 U ¥ SS / o � o 07 I 0E\ $ Q 2 0 2 $ } b \ § . ° ° ' a -- d ° \ 3 ■ k _I � « M » ais /2 £ - . ofl / co \ \ .- Al \ \ U © •aom � o U m 2 • k \ k / § 2 CO k j 2 / ( \ \ F � xl � e0 0- (./) � o @ ,_ ■ O a_ c m ° 2 I £ \ \ \ \ \ E C ■ Z , % 2 c -3 [ ] k § _\ � k � � \ � kk / . j / z . u m Ei a o 2 � ° ° / / 2 E = T. ■ @ Q m � § \ R "0 \ Ek c ( / k 0 0 / k 7f2 \/ e \ , . Z & c c 2 K \ zoo co �/ / d �f /k � \ k2 e 2 mm ® s Z \ � ° 2 m 0 � _.ƒ - m k # 2 e ¥ / \ Er- E @ / § >, = IT aCf) k 2 C 4 a) ..- 2 / 0 la' cc co / k 2 m % E 2 2 $ 0 5 3 5 2 § Q O 32 \ f S 2 o a ■ 9 E § c = -czt r \ O 2 z 2 0 7 8 2 ] ¥ A -. R ■ 2 / ( y e * CO M ® E ! k \ - ® 2 // °�.YaRo TOWN OF YARMOUTH oN vs . y BUILDING DEPARTMENT MATTAonooutL�o`�"[vct 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 � APPLICATION FOR CERTIFICATE OF INSPECTION January 1, 2024 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: 2 7 1 OQTh '6 4- i� b Name of Premises: +0-re t {.{-d i5t ) Tel: $ b Z- `E3if$ Purpose for which permit is used: 1f*T License(s) or Permit(s) required for the premises by other governmental agencies: Agency RECEIVED- License or Permit _.. Rc.n o0,4373 JAN 112024 �..__ j BUILDING DE-PAR I ME_NT By._-----------..._.-_...---- • Certificate to be issued to 1)A-Y re I 1 lAI 6-7)IN {, C-uTel: 5 3 4,1_ 43 S Address: Z 77 Pr& -6 4- Y•4-P,Pi 0.0 i}- 1�o Jai ?4i4- O L t 7 s Owner of Record of Building h�AryThA. *Tat ou% - ?i o r 11-0 LrD t&r6 Address 1 o "j e x 1 S 3 f44-c eAi eJ n A- O 2 6 4 1 Present Helder of Certificate . /}-x 1 /?, /*/A/K ?FA/4 t—Le- 1!/4 C —Pik.&' SE- ra / i tP 1i�4-sern_. 1ge/.4/5 442, Sign. re of person to whom Title Ce ficate is issued or his agent ///b/2. ( Date Email Address: ?(4-�(� D 1-- ,4-)ereA 44-00 4 co 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 # 0(4 )—Z( —�- 02/27/2024-02/27/2025