HomeMy WebLinkAboutBCOI-24-74- The Commonwealth of Massachusetts
Town of :og..Y9 T .4-..,.
YARMOUTH o'
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New and Renewal Certification of Inspection °�RPOAATEo�,�'
In accordance with the Massachusetts State Building Code, Section 110.7
Identify Name of Establishment
Issued to Certificate No.
Business Name:Village Green Motel
Trade Name: Village Green Motel BCOI-24-74
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 33 &37 SEASIDE VILLAGE RD
SOUTH YARMOUTH, MA 02664 June 1, 2025
Floor Occupancy_
Use Group Other
01 st Floor 15
R-1 Hotels, motels, boarding houses, 15 Units,Office&Lobby
02nd Floor etc.
Use GroupClassification(s) 20
R-1 Hotels, motels, boarding houses, 20 Units
etc.
Other 20 R-1 Hotels,motels,boarding houses, Cottages 1-11 Includes 20 Efficiency
Allowable Occupant Load
etc. Units
Managers Apt
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 Chief Name of Municipal Building
Commissioner Mark G r Date of Inspection
Signature of Municipal Fire Signature of Municipal Building //�/�
Chief Commissioner /� Date of Issuance
- Ro TOWN OF YARMOUTH
• BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
May 01, 2024 PAYABLE UPON RECEIPT
(X ) Fee Required $235.00
( ) 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: 3 "7 S 2q i, e el)
Name of Premises: If,:� moi-es/Tel: 5pg 7I0O / L
Purpose for which permit is used: m p (
License(s) or Permit(s)required for the premises by other governmental agencies: RECEIVED
License or Permit Agency JUN 24 2024
ne 1-4- BUILDING DEPARTMENT
Po.,1 �� By.
Certificate to be issued to S Pgyai, Tel: S01,e' 23-7-9yy
Address: 33 Se 0.11-o e it.4.
Owner of Record of Building S'1 d _s, df _ 'nop��A7sL� ,G G `444,1+ e e o44-1.-'M-
Address 3 C e
Present Holder of Certificate ,4'4 . 2 7Ls4,�1
Signature person to whom Ti e
Certific e is issued or his agent 61k�`2.
Date
Email Address: j k vi s t)/)l' ///9_ Gj Ali-eBL
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# geo
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06/28/2024-06/28/2025 'j