HomeMy WebLinkAboutBCOI-24-51- 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:Ocean Breeze Motel
BCOI-24-51
Trade Name:Ocean Breeze Motel
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 170 SEAVIEW AVE
SOUTH YARMOUTH,MA 02664 April 1,2025
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01st Floor 16 R-1 Hotels,motels,boarding houses,
etc.
Allowable Occupant Load 01st Floor 16 R-1 Hotels,motels,boarding houses, Seasonal Managers Apt/Coffee Room
etc. &Kitchenette
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 -/j�/� j
Name of Municipal Chief Ma S Date of Inspection Y
Commissioner
Signature of Municipal Fire Signature of Municipal Building Date of Issuance
Chief Commissioner �1��j/L y
pY YR�
r;; . , TOWN OF YARMOUTH
o,. _ _ y BUILDING DEPARTMENT
;� MATTACM sE/ 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION 6 \\ - e
March 1 , 2024 PAYABLE UPON RECEIPT \\
(X) Fee Required $166.00
( ) 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: 170 S6-:--4frict, 4 t'e S \/9t' % 1--) / �2 G 4 c?
Name of Premises: OCCSLII _veC.2.e. A4e7/49,<---- Tel: 5-ce-3W 0'G
Purpose for which permit is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
[ APR 112024
License or Permit Agency L _
BUILDING DEPARTMENT
Pev4-14-- B y
P/Certificate to be issued to N° �� t`'4-4}-- Tel: .CO2 - STD? — 3�
Address: / 70 Se9i e 4 l- ' i - - .4 d 2 -4 c
Owner of Record of Building d 1C
Address 1740 .5e-3 r.. w 4 - .1- ' v -i--j - 2- 6 4
/
Present Holder of Certificate
i7 — o (0 , '
S,i-gnature of pers whom Title
'Certificate is issued or his agent // (7.,�
Date
Email Address: ill ieE cce&J1 '`Mete 4 14'10u6 A G 2
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 # IJ CL- d 3-1
04/01/2024-04/01/2025
Ac1 1. 1 PIA
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