HomeMy WebLinkAboutBCOI-24-49 The Commonwealth of Massachusetts og"Y9 __
Town of :.�_ o,..
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YARMOUTH io'
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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: Bass River Lodge BCOI-24-49
Trade Name: Bass River Lodge
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 28 PLEASANT ST May 23, 2025
SOUTH YARMOUTH, MA 02664
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01st Floor 1 R-1 Hotels, motels,boarding houses,
etc.
Allowable Occupant Load 02nd Floor 2 R-1 Hotels, motels,boarding houses,
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 �jI Date of Inspection �I'�la(1�,
Name of Municipal Chief Mark Commissioner C '
Signature of Municipal Fire Signature of Municipal Building • A i ,irDate of Issuance 4 ``,y/Z7
Chief Commissioner
ro'Y Y94v\
;2o�,y TOWN OF YARMOUTH
4� jy BUILDINO DEPARTMENT
�" MATTALI 3„ 7 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION '
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April 01, 2024 PAYABLE UPON RECEIPT
(X) Fee Required $100.00
4n
( ) 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: , ' /le-/ ' /lI s� { -'
e
Name of Premises: Tel: c'?�j �] j 2
•
Purpose for which permit is used: 1-a cy e 1ther
C/s
License(s) or Permit(s)required for the premises by o governmental agencies:
License or Permit Agency
re
Certificate to be issued to 6/¢-sr eve—Al /1 d y g— Tel: ,F, '--3?8-a-'4�
Address: .. „ ii 1 ,_
Owner of Record of Building At*pc. - e- • / / C.—
Address 54-4
Present Holder of Certificate ,}SS £9'� k2 g
RECEIVED
Signature of per to whom Title APR 0 8 2024
Certificate is iss ed or his agent —
Date BUILDING DEPARTMENT
By:
Email Address: Jpd ;ive-2/s 701/E-i&G-- '11, 9- /.. CO/12
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#
05/23/2024-05/23/2025 6ct/-,23Y-ij