HomeMy WebLinkAboutBCOI-23-1807 2024 .0 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:Seaside Inn
BCOI-23-1807
Trade Name:Seaside Inn
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 812 ROUTE 28
SOUTH YARMOUTH,MA 02664 December 21,2024
Floor Occupancy_ Use Group Other
Use Group Classification(s) 02nd Floor 2 R-1 Hotels,motels,boarding houses, 1-Rental Unit
etc. 1-Owner's Unit
Allowable Occupant Load 02nd Floor 4 R-1 Hotels,motels,boarding houses, 4-Rental Units
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
/
P ark G 5 Date of Inspection d�
Commissioner !!! JJ Signature of Municipal Fire Signature of Municipal Building Date of Issuance 3/./S— J
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Chief Commissioner ! /z
01•'Yikit TOWN OF YARMOUTH
iy
o '' . BUILDING DEPARTMENT
st a 1146 Route 28, South Yarmouth, MA 02664 508-398-22 IRxE F7-ri vr.
APPLICATION FOR CERTIFICATE OF INSPECTION NOV 3 0 2023
November 1, 2023 PAYABLE UPON RE I E ± L 'l 4,
(X) Fee Requires
( ) 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�O� l�
Street and Number: ,b S '/2m7!� 0,)(69
Name of Premises: a Tel: 7 7 cI//(.6( ,
Purpose for which permit is used: etr/j 6(ale pf 'n5peGhUn
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
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Certificate to be issued to L9rnhrbS /�/k.o /�� g11 S Tel:-779 a[t9 //(/
Address: 8/( al SUh ryieA Od[1Ov-
Owner of Record of Building LQkrik0 N/JGa/4, c/,
Address 8(/ kf 2-Z so,A-tfrk YQrwIcuh4 11,14 G07Co(oV
Present Holder of Certificate
Signature of perso to whom Title
Certificate is issued or his agent 1// '/� 3
Date !
Email Address: A, sI id/j )4.01 COrr-
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#
12/21/202212/21/2024
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