HomeMy WebLinkAboutBCOI-23-1815- 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:Whydah Pirate Museum
Trade Name:Whydah Pirate Museum BC0I-23-1815
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 674 ROUTE 28
WEST YARMOUTH,MA 02673 April 1,2025
Floor Occupancy_ Use Group Other
Use Group Classiflcation(s) 01st Floor 294 A-3 Lecture halls,dance halls,
churches and places of religious
Allowable Occupant Load 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 Mark s Date of Inspection a I.j/�
Commissioner /
Signature of Municipal Fire Signature of Municipal Building ifiq
Chief Commissioner Date of Issuance 7
.
0.y qR
TOWN OF YARMOUTH
P(..AQ:4).4°'
�,,, 1 BUILDING DEPARTMENT N »:may' 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$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: ( 1L 4 '\'(_?
Name of Premises:WI .C�1 e .{ C(\yc, 1 cl: ` ,5,L/-q 5-7/
Purpose for which permit is used: (Y1U (Y'1
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to h ar'thq f4 Tel: 5 +-C15-71 .! 11)L9
Address:Coil-1 Q.7 7` t +-:...Yarn-v—A is 6.a_ rci739-1
Owner of Record of Building{`flr-aiyhrvv. r.;} ,,Y-i ,1 ,
Address QC3_-r3,c 43 pt-ba+rur-si-rx,-et1, O >-7
Present Holder of Certificate `0 y1 carat-e._..CY_Is 5er rn /\ _ l
i
4
Signature of person to whom Title( /\
Certificate is issued or his agent /;
Date
' t )
Email Address: Xer- .6 c ale__rra _
`V.
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 CANNO.EX U% ��ICATE OF INSPECTION.
Certificate of Inspection# S-
01/01/2024-01/01/2025
1 ec^ all ma`1 : Pao x S IcA W..`,// ti, MA Ca(.0-1
r [�
TOWN OF YARMOUTH
BUILDING DEPARTMENT
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$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: —11--i Q T_Z 53
Name of Premises: (t \" \"`irt>*QfTh lr( el`: - 9 j4-
Purpose for which permit is used: 1 E 1o` '"'L '1
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to(A)\'tt 1 P\(Me pr use rn Tel: -539-G'5-
Address: 1 94_2(R Loes1 ..Yar r•,oc l 1, i`rll _C Ire?
Owner of Record of Building._. 'ri ;me k•.,eri} QkPSE?rz Lays
Address PI:),„‘-mac yG 3 2-t.v na +r n mr4 Ci 0S-7
Present Holder of Certificate Y'k ireNke raogotorl /Q)�rr y f'tw( rarcl
, er
Signature of person to whom r t L Titl
Certificate is issued or his agent
Date
Email Address: E�CPt t C�`trs t-pi„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#
01/01/2023-01/0 I/2024 6 G'b/o?3 I c/S