HomeMy WebLinkAboutBCOI-24-42 2025 The Commonwealth of Massachusetts
Town of
1‘"..." 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:Chapman Funerals&Cremations BC0I-24-42
Trade Name:Chapman Funerals&Cremations
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 58 LONG POND DR rtn,-ii4 25,2025
SOUTH YARMOUTH,MA 02664
Floor Occupancy- Use Group Other
Use Group Classification(s) 01st Floor 200 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 Building Mark G I Date of Ins Inspection
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Name of Municipal Chief \ ry p 111 / 'Commissioner
Signature of Municipal Fire Signature of Municipal Building
�, Date of Issuance 4/j y�/?47
Chief Commissioner `f?,�.. r
TOWN OF YARMOUTH
In 01
o *Ai N. - oi BUILDING DEPARTMENT 7. y�
:�' MATTA cSE "S' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
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APPLICATION FOR CERTIFICATE OF INSPECTION
RECEIVED
March 12, 2024 PAYABLE UPON RECEIPT
MAR 15 2Q24 (X ) Fee Required $100.00 /
6( ) No Fee Required
BUILDI G DEPARTMEV
In accordance with the provisions of the Massachoetts (:ode, Section 110.7, I hereby apply for a \6.11
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: �S �`� 'j� .
Name of Premises: Oir-Nocc, 4_45Tel: ��� -ZIZ 1
Purpose for which permit is used: CackRe c..)17,(1
License(s) or Permit(s) required for the premises by other governmen 1 agencies:
License or Permit Agency
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Certificate to be issued to C_Y ,Aper1C y c.1.5 ccc ,,,r1 Tel: 6c:Th-y-t (
Address: ' d=ib R� . `j \cart-. , '-t,- ozko
Owner of Record of Bu ding y\\, .,.‘ 7), C(1c c-
Address
Present Holder of Certificate
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Signature of person to wh Title
Certificate is issued or his agent `31 /ZL-1
Date
Email Address: . Can,-;. ,Mca/1cyAe'"c,1 , C
bhcoLe -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 # ICO1-c?9_L Z,
02/2 5/2 024-02/2 5/2 02 5