HomeMy WebLinkAboutBCOI-24-1 2025 . s.,
The Commonwealth of Massachusetts
lk.") 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:Keltic Kitchen BCOI-24-1
Trade Name:Keltic Kitchen
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 415 ROUTE 28 January 1,2025
WEST YARMOUTH,MA 02673
Use Group Classification(s) Floor Occupancy_ Use Group Other
01st Floor 75 A-2 Restaurants,Night Clubs,or 75 Person
Allowable Occupant Load similar uses
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 ate of Inspection Name of Municipal Chief (::: Mark G Is P �/(pA0 2-4
Commissioner ,/
Signature of Municipal Fire Signature of Municipal Building Date of Issuance g/f z/ Zy
Chief Commissioner `
° YR'� TOWN OF YARMOUTH
o ;�y BUILDING DEPARTMENT
MANTA„o$,E% 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
o
APPLICATION FOR CERTIFICATE OF INSPECTION
December 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: �►�C/Lr
Street and Number: I D ai .1/4,z/di,/
Name of Premises: (EL 1 C- ((7 Lt t t - Tel: 5bb.- 77(—j $( 7 7i/ 10 -6 75
Purpose for which permit is used: 1 ) CS-rv- 5 ti-\,(031 .
License(s) or Permit(s) required for the premises by other governmental agencies:
RECEIVFD
License or Permit Agency
DEC 2 9 2023
BUILDING DEPARTMENT
By:
Certificate to be issued to MO DUMP S E1 Tel 5O -171 r�94- 'a J
Address: IA) 7�1/10 k b 6i
Owner of Record of Building u10 Oett P$t,( C C,
Address in N(L-F-0U fib s yvi OdTtk (1/4(,;A (D 6"69 / n
Present Holder of Certificate 0A0tQ ctPSe�-{ ' {�
--
i \O
Ow0
Signature of person Title
Certificate is issued or 's gent at i 4 EQ a-3
Date
Email Address: k 14-f—jci f EN-t_CQM(a rt-
(A
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# ✓ ,(.)/-c77 y l
01/01/2024-01/01/2025