HomeMy WebLinkAboutBCOI-24-55 2025 The Commonwealth of Massachusetts
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Town ofIT ' o,
YARMOUTH c°A ,r a
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:New Testament Baptist Church BCOI-24-55
Trade Name:New Testament Baptist Church
Identify property address including street number,name,city or town,and county Certificate Expiration
Located at 491 HIGGINS CROWELL RD May 1,2025
WEST YARMOUTH,MA 02673
Floor Occupy_ Use Group_ her
01st Floor 74 A-3 Lecture halls,dance halls, 5 Classroom 75 person
churches and places of religious
worship,recreational centers,
Use Group Classification(s) terminals,etc.
01st Floor 344 A-3 Lecture halls,dance halls, Aud/Sanctuary-145 Gym 100
Allowable Occupant Load churches and places of religious Tables-Chairs Gym(Lecture)50
worship,recreational centers, GYM(Athlectic)25
terminals,etc. Library 24
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. II__
Name of Municipal Building 0 Bate of Inspection (Q J/)..) If
Name of Municipal Chief Mark IIS 111"```""'''��1��1
Commissioner
Signature of Municipal Fire Signature of Municipal Building f Date of Issuance 02/Zy
Chief Commissioner ��/
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7CO . ' TOWN OF YARMOUTH
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BUILDING DEPARTMENT
‘ 0 ,�" 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
April 01, 2024 PAYABLE UPON RECEIPT
(X) Fee Required $50.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for
Certificate of Inspection for the below-named premises located at the following address:,f7/ ifi ins' C,'osii / oaI- ::\/\.
Street and Number: �
Name of Premises: NCI" iP,s1 aniCh1 a4firt.St CAt/164--, Tel: SOF-7 133.7-‘
Purpose for which permit is used: G1/o/A1p Snvvue,.f P R V D
License(s)or Permit(s)required for the premises by other governmental agencies: APR 16 2024
License or Permit Agency
gU____ DEPARTMENT
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Certificate to be issued to Nertrlesp� t 8&1or�st Chum/- Tel: SOS?-7 7/--3a76
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Address: YI/ /1 j" Ciro�v'll ett. W.Y4e'mo,-,lh-- Oae73 a �°
Owner of Record of Building ,S�me. :5 of 60vti N. .
Address y,,
Present Holder of Certificate S4m6 a. 4AV —
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Signature of p on to whom Title
Certificate is issued or his agent i7/(Val" V
I Date
Email Address: SJ A4Iii77 5 11141'•60 in
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# 6 Cb --S ---
05/01/2024-05/01/2025