HomeMy WebLinkAboutBCOI-23-1810 dining 2025 The Commonwealth of Massachusetts
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`"� Town of ..Y9�
` *RPORATED�.��
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:Windsor Nursing Home
• Trade Name:Windsor Nursing Home-Dining BCOI 23 1810
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 265 NORTH MAIN ST
SOUTH YARMOUTH, MA 02664 October 10, 2025
Floor Occupancy_ Use Group Other
01st Floor 162 A-3 Lecture halls,dance halls, Dining Room
Use Group Classification(s) churches and places of religious
worship,recreational centers,
terminals,etc.
Allowable Occupant Load 01st Floor 141 A-3 Lecture halls,dance halls, Lounge
churches and places of religious
worship,recreational centers,
terminals,etc.
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 Chief Name of Municipal Building
Commissioner Mark G.%5 Date of Inspection ,
Signature of Municipal Fire Signature of Municipal Buildin
/1----
Chief Commissioner ate of Issuance
6o '__R�> TOWN OF YARMOUTH
a' Zak BUILDING DEPARTMENT
..ITT_ ",„V,"x9 . . 2 4 5Q$-39 -223.1 ext. 1260
-om _ 1146 Route 28, South Yarmouth, MA0 66 $
APPLICATION FOR CERTIFICATE OF INSPECTION
September 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: a(p N 1��
5
Name of Premises: w z.SO(t yl �U f S: i� Tel: SoQ si g- 36tc4
Purpose for which permit is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency i
9-Alei
*Vn 11 oarvt V d.
Certificate to be issued to [, S Tel: 5c9 -ayt—/f/3
Address: (pS 4. M Avn. cep S. 4 ,vv od(vlo q
a � r�-
Owner of Record of Building I A:rv:ew E 4. eke. Strsfca. .T.c(„
Address ...-----
Present Holder of Certificate vet-I-el c;4u S 14-eA-t*( C4120
d7Cckr oc
na re of person to whom Title
is issued or his agent
Datela " In—
Certificate " aa?.3 = V
Email Address: J hgvte f n*It r j ty 5Z. oc j DEC 05 2023
gini_DING DEPARTMENT
Instructions: Make check payable to: Town of Yarmouth /� ,� �
1146 Route 28, South Yarmouth, MA 02664 lJ
Return this application to: Building Inspector's Office /(7f
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�1 7.3--/ 7 )
10/10/2023-10/10/2024
Y:� TOWN OF YARMOUTH
�� - Office of the Building Commissioner
{, '' 1146 Route 28, South Yarmouth, MA 02664
F, yl
508-398-2231 ext. 1260 Fax 508-398-0836
M ATTACH EESE- ,k i
CORPORATED\k'/
�`` APPLICATION FOR CERTIFICATE OF INSPECTION
November 06, 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: a6_ 00(44n, ,, s - b1 n t V k v
Name of Premises:111454 S,.\144 OS M -t Rye. tlh'(3 Tel: -3 b -351li
Purpose for which permit is used: Aid( :t �tn i-t Ce«
License(s)or Permit(s)required for the premises by of er governmental agencies:
License or Permit Agency
RECr-
ry
IVED
Certificate to be issued to Tel: DEC 2 3 202
li
Address:
Owner of Record of Building4
E P T
Address BU 1- 111
By
Present Holder of Certificate
Signature of person to whom Title
Certificate is issued or his agent
Date
Email Address: J Ott I . 0(7
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#
10/10/2023-10/10/2024 fb/-0ff 3-1 k1 6