HomeMy WebLinkAboutBCOI-24-31- -c.YARo TOWN OF YARMOUTH
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ero ` - y BUILDING DEPARTMENT
cs,"t.a»«.,;,:g 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
February 1, 2024 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 J V
Certificate of Inspection for the below-named premises located at the following address:
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Street and Number: j qL�- /' halo LI UI
Name of Premises: Tel: ` g-- 3,33;4- A \UN
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Purpose for which permit is used: pd � �w //�
License(s)or Permit(s)required for he premises by other governmental agencies:
RECEIVED
License or Permit Agency Lt:IAR
08 2024
BUILDING DEPARTMENT
Certificate to be issued to a. en) e Tel: .PF- s-`�- CI
Address: /' 4. /?7 ,9 1 9 r7'��c ,/2J9 1 '77-Owner of Rec(rd of B ilding ej
Address 2 C7 / �Ju // i� V17'./
Present Holu`c .of-ertificate P�
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Signatu of person to whom Title
Certificate is issued or his agent o / &/2y
Date
Email Address: e res /' a j/_(ems
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# BCC)/ c
03/06/2024-03/06/2025
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The Commonwealth of Massachusetts
Town of
11/4...V 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:Heavenly Restaurant
BCOI-24-31
Trade Name:Heavenly Restaurant
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 194 ROUTE 28 March 6,2025
WEST YARMOUTH,MA 02673
Use Group Classification(s) Floor Occupancy_ Use Group Other
01st Floor 89 R-1 Hotels,motels,boarding houses,
Allowable Occupant Load 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 C-/f/�/ate,'I
Commissioner
Signature of Municipal Fire Signature of Municipal Building Chief Commissioner Y//'Z/Z 6�Y
Date of Issuance