HomeMy WebLinkAboutBLDCI-22-005232 The Commonwealth of Massachusetts
City\Town of
e • YARMOUTH
New and Renewal Certificate of Inspection
In accordance with the Massachusetts State Building Code,Section 110.7
Identify Name of Establishment Certificate No.
Issued to
Business Name:Whydah Pirate Museum BLDCI-22-005232
Trade Name:Whydah Pirate Museum
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
674 ROUTE 28 1/1/2022
WEST YARMOUTH,MA 02673
Use Group Floor Occupancy Use Group Other
Classlfications(s)
A-3 01st Floor 294 A-3 Amusement/Church/Gym/Library/Museum
Allowable
Occupant Load
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 life safety features. This certificate shall be framed behind glass and/or laminated and posted in a conspicuous place within the space as directed
by the undersigned. Failure to pose or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Name of Municipal Mark Grylls Date of
Building Commissioner Inspection
Signature of Municipal Signature of Municipal Date of
Building Commissioner Issuance
Fee:S100.00
....4(45p4 T.e 01 Nor" G'vrJtf sncet)
BLD Certoflnspection.rot
0e. � Mom..
y � S TOWN OF YARMOUTH 0- `
; ��,y�1 I . I I 1.4 l BUILDINGDEPARTMENT
., _ .1 1146 Route 28, South Yarmouth, MA 02664 508-398-22 --- .
H
APPLICATION FOR CERTIFICATE OF INSPECTION I i MAR
I L._ CV tc/b-11
December 3, 2021
PAYABLE tJPtletlifir . .: m NI.,..
:.............
(X) Fee Requir ---- -
( ) 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: � _ -�c- Lkit1
h
,
Name of Premises: WV v� `� 0,,c-"‘e ( (-,. , - � Tel: M- 5 1y 9 "
Purpose for which permit is used: frlL; U(
License(s) or Pennit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to L.)' rieN1 p, (.41,14e iThaa.jrn Tel: ` ; - -Cf 5 71
Address: Li fki_ 2,(,-il ut ).- v , infA OQL, . - -._....._..._.._ __
Owner of Record of Building
Address
Present Holder of Certificate €, i- c Ali ( ;-j , 010 n
_0:,..,.....______-)1 ,,-
Signature of person ham Titre
Certificate is issued or his agent i I 3 LA r
Date
Email Address: Me.c > 't-�PC1 fx-- "' ,_ kc -, C cm
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 # 8LiJ— Z2,— d 3 ,,,
11l/21 -1/1t22
a
�.�. TON OF YARMOUTH
BUILDING DEPARTMEN
a _ ,` 9 1 146 Route 28, South Yarmouth, 41A 02664 508-398- 2 atIZ►(g r
, 7246j
APPLICATION FOR CERTIFICATE OF INSPECTION al -1
December 3,2021 PAYABLE U
(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: ( 7t-1 91
Name of Premises: Wilt,_ ,fair CrUcycx 1Y1 Tel: 5() -5 34 9S-' /
Purpose for which permit is used: Mt rrN
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to Whwch h h i/3/e / uscjcri Tel: —5314-9,5 7l
Address: (014/ /7 T. 2k' WAS( Velralaidth MA
Owner of Record of Building
Address
Present Holder of Certificate W hp pirck' /y fl1
Signature of person to whom
Certificate is issued or his agent 1 f a j
Date
Email Address: fik-e ,e)1 eiiScc 'r'pir { - ( 'Yr
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# 2.2-004,W32 -n879- Df
L 1`,2 1/1/23