HomeMy WebLinkAboutBCOI-24-11- The Commonwealth of Massachusetts
Town of
IT 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:RJ Resorts Green Harbor Village Resort LLC BCOI-24-11
Trade Name:Green Harbor Village Resort
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 182 BAXTER AVE February 16,2025
WEST YARMOUTH,MA 02673
Floor Occupancy_ Use Group Other
01st Floor 9 R-1 Hotels,motels,boarding houses, Bld 1-19 Units
etc.
Use Group Classification(s) 02nd Floor 9 R-1 Hotels,motels,boarding houses, Bld 1-9 Units
etc.
Allowable Occupant Load 01st Floor 28 R-1 Hotels,motels,boarding houses, Bld 2-28 Units
etc.
02nd Floor 5 R-1 Hotels,motels,boarding houses, Bld 3-5 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 Mark Date of Inspection 3r)tM
Commissioner /ate,
Signature of Municipal Fire Signature of Municipal Building �' Date of Issuance 32
Chief Commissioner �'— Y
•°I•Y`kit TOWN OF YARMOUTH
.; _ BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
January 1, 2024 PAYABLE UPON RECEIPT
(X) Fee Required $223.00
( ) 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: t 3 'btz* r Pi
Name of Premises: G�¢ar� 4a.c6oC q rc,soC Tel: 50 S 7 7 I 1 1,Zfu
Purpose for which permit is used:
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency __
PVFD
JAN 3
1 2 L24I
BUILDING UEPARTA4ENT
BY
Certificate to be issued to Tel:
Address:
Owner of Record of Building
Address
Present Holder of Certificate
nature of person to whom Tit4
Certificate is issued or his agent I it 19.14
Date
Email Address: f o'o� 1r1 % el ('4C� zc_ki�C¢.S0 s .CC,v✓1
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#
02/16/2024-02/16/2025 \