HomeMy WebLinkAboutBCOI-24-61 2025 The Commonwealth of Massachusetts .........
Town of ;k° A'� ,
IT YARMOUTH .�- ;',�',
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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: Red Jacket Beach Resort
Trade Name: Red Jacket Beach Resort BCOI-24-61
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 28 SOUTH SHORE DR
SOUTH YARMOUTH, MA 02664 April 1, 2025
Floor Occupancy_ Use Group Other
01st Floor 75 R-1 Hotels, motels,boarding houses, 75 UNITS
Use Group Classification(s) etc.
02nd Floor 75 R-1 Hotels,motels,boarding houses, 75 UNITS
Allowable Occupant Load etc.
Other 10 R-1 Hotels,motels,boarding houses, 4 Dulpex-8 Units
etc. 2 Single Cottages
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 /, //
Commissioner Ma Gry Date of Inspection V/ �'(
Name of Municipal Chief
Signature of Municipal Fire Signature of Municipal Building Date of Issuance /2X
Chief Commissioner
'YR TOWN OF YARMOUTH
or BUILDING DEPARTMENT
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 $550.00
( ) 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: 28 South Shore Drive
�� G11t
Name of Premises: Red Jacket Beach Resort Tel: s J �'�� �
Purpose for which permit is used:
License(s)or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be is ue t j3G 1f,� el: '344 -0(4
Address:
Owner of Rec rd of wilding £f 7_ �; yftl;},
Address �� 1� �I �¢��11 1Y J ,`-7 j V�1.tJ (.U1�`" (fib/2--
P sent Holder of Certificate tiCi). • 'Y)'{,tA
L &r
Sigi a r of rson to whom Title i
Certificate is issued or his agent I X I
Date
l',illi]11 t1::illflSS: j
K
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#
4/1/2024-4/1/2025