HomeMy WebLinkAboutBCOI-24-58- 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:Edge of the Sea Motel BCOI-24-58
Trade Name:Edge of the Sea Motel
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 301 SOUTH SHORE DR
SOUTH YARMOUTH,MA 02664 April 1,2025
Floor ueanev_ Use Grog2 Other
Other 13 R-1 Hotels,motels,boarding houses, BUILDING 1
etc. 1st Floor-4
2nd Floor-5
3rd Floor-2
Basement-2
Other 4 R-1 Hotels,motels,boarding houses, BUILDING 2
etc. 1st Floor 2
2nd Floor-2
Use Group Classification(s) Other 4 R-1 Hotels,motels,boarding houses, BUILDING 3
Allowable Occupant Load etc. 2nd floor 2
Other 2 R-1 Hotels,motels,boarding houses, BUILDING 4
etc. 1ST Floor 2
Other 4 R-1 Hotels,motels,boarding houses, BUILDING 5
etc. 1ST Floor 4
Other 4 R-1 Hotels,motels,boarding houses, BUILDING 6
etc. 1ST Floor 4
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
Name of Municipal Chief Mark Gry ate of Inspection JZ.(u 17L /tis �
Signature of Municipal Fire Signature of Municipal Building Date of Issuance 5/2
6/Zy
Chief Commissioner
,, TOWN OF YAROUTH
''4 o. MBUILDING DEPARTMENT
? ,,, d 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
April 25,2024 PAYABLE UPON RECEIPT
(X ) Fee Required $163.00
( ) 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: 301 South Shore Drive y
Name of Premises: Edge of the Sea Motel Tel: 5 o 3G10 " ?r) C E I V E Q I
Purpose for which permit is used: APR 2 5 2024License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency BUILDING DEPARTMENT
By Certificate to be issued to Tel:
Address: 3'0 S PG cr
Owner of Record of Building VQLl)(l(`' -Y t i I��U e- ' ., L) kD-boa
Address
Present Holder of Certificate €,)c s. k- I f
/
Signature of person to whom Title
Certificate is issued or his agent jI
, ( G Date
Email Address: \()h�mf__,, jj_
' �'C ,\O 1 ({f�(j l., ,
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# S(,V I �f
4/1/2024-4/1/2025
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