HomeMy WebLinkAboutBCOI-23-1816- The Commonwealth of Massachusetts
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:Mill View Suites BC0I-23-1816
Trade Name:Mill View Suites
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 85 ROUTE 28
WEST YARMOUTH,MA02673 January 12,2025
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01st Floor 7 R-1 Hotels,motels,boarding houses, 7 Bedrooms
etc.
Allowable Occupant Load 02nd Floor 8 R-1 Hotels,motels,boarding houses, 8 Bedrooms
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.
i
Name of Municipal Chief
Name of Municipal Building I r 7�Z,(2(. 7
/LJ Mark S Date of Inspection '(
Commissioner � �
Signature of Municipal Fire Signature of Municipal Building Date of Issuance 57/tf/
Chief Commissioner / Z
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o TOWN OF YARMOUTH
o . y BUILDING DEPARTMENT
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% 4 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
December 1, 2023 PAYABLE UPON RECEIPT
(X) Fee Required $115.00
( ) 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: S S �4:71.-c 2-F
Name of Premises: (7 017-C.4 Tel: -g-62.3- -&-zD( 4— Lr 44 14'('
Purpose for which permit is used: /tom
License(s)or Permit(s) required for the premises by other governmental agencies: / J
y 'VI License or Permit Agency
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V)
Certificate to be issued to /'A..0ad Ph3t..- -z7 Tel: 50S -a'`- 4- 4- 4
Address: 2 L'�N jJw7, �- - F/uv z I <fycz- v✓J ram_ a 2.v%
Owner of Record of Building jeoA14at %.i,e' -'-t.rf j
Address 2 t y J A I.rl ( - -- / 2.A/c/ Elver.H-;Y 4-2 vtvrs. . it-t/L,_ O 2.6 O/
Present Holder of Certificate ea/PA/Cad rerzxc -€.-45 3
,
Signature of person to whom Title
Certificate is issued or his agent /Z - f 1r- 2-0 2-3
Date
Email Address: _W N OD -6 3 bite cp-e.o ap.�z1-/"...4,
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 INSURANC
APPLICATION OR WE CANNOT ISSUE YOUR CERTIFICATE OF INSPECTION. E C E I V E D
Certificate of Inspection# /C /p/-23— /(,01/12/2024-01/12/2025 Lc1823J
BUILDING DEPARTMENT
By_
Name on Policy: BASS
RIVER PROPERTIES
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Policy Term: 08/15/2023 to 08/15/2024
Policy Coverage
WORKERS COMPENS Policy Number
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ay, 7daysaweek.
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