HomeMy WebLinkAboutBCOI-23-1769 \ The Commonwealth of Massachusetts
Town of
*
YARMOUTH
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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:Evangelical Baptist Church BCOI-23-1769
Trade Name:Evangelical Baptist Church
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 1240 ROUTE 28
February 6,2024
SOUTH YARMOUTH,MA 02664
Floor Occupancy_ Use Group Other
01st Floor 260 A-2 Restaurants,Night Clubs,or Auditorium
Use Group Classification(s) similar uses
02nd Floor 50 A-3 Lecture halls,dance halls, Gallery
Allowable Occupant Load 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 Building 2 Mark II ate of Inspection / �`, V.
Name of Municipal Chief Enrique Arrascue rY 3-2to-[-02,1
Commissioner
Signature of Municipal Fire Signature of Municipal Building ( Date of Issuance _j/2?AY
Chief Commissioner
°A•.Y
} • • TOWN OF YARMOUTH
O _ H
BUILDING DEPARTMENT
? " o.<i�' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
May 10, 2023 PAYABLE UPON RECEIPT
(X) Fee Required $50.00
( ) 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: [21O R mite aO co PDX' 2O sy
Name of Premises: E V4NGe.11�4t `}iS-}- C�((uittx Tel: SV Z 7—D I Z l �
�V1 Purpose for which permit is used: C-\1( uot,
License(s)or Permit(s) required for the premises by other governmental agencies: 9,1
1/10.
License or Permit Agency }1)-F f 0 C'
GI
Certificate to be is ued to EVcolANQ. �k1ihTi C,hAwi1 Tel: S 0S'Z 37 - r1 1 Zut
Address: t2.y,) 6otZ4C. 2 2 r
Owner of Record of Building ac aboot RECEIVED
Address
Present Holder of Certificate &mt. 4.c Qboye, OCT 0 6 23
J /,s•/ Pctghr BUILDING DEPARTMENT
IIJJ((JJ ,,JJ,�JNNNN By:
Sign ure of person to whom Titl p
Certificate is issued or his agent UC* 6, 2O23
Date
Email Address: \OVA. Cobb 3 6 ;(,\Et.k • co.*,
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#
02/06/2023-02/06/2024 6 l_a3._. /7 f