HomeMy WebLinkAboutBCOI-23-1719 2025 The Commonwealth of Massachusetts __
Town of ;;z 4 ' .
IT
YARMOUTH Fka •.
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New and Renewal Certification of Inspection ~,�AP�p�TEa� r
In accordance with the Massachusetts State Building Code, Section 110.7
Identify Name of Establishment Certificate No.
Issued to Business Name: Town of Yarmouth BCOI-23-1719
Trade Name: Hearing Room
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 1146 ROUTE 28 July 10, 2025
SOUTH YARMOUTH, MA 02664
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01st Floor 130 A-3 Lecture halls,dance halls, 130 Persons
churches and places of religious
Allowable Occupant Load worship, recreational centers,
terminals,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 Chief Name of Municipal Building Mark mate of Inspection iI
Commissioner 7 / 7 y
Signature of Municipal Fire Signature of Municipal Building �� Date of Issuance /
Chief Commissioner / 7 z,-/ , /
The Commonwealth of Massachusetts ........
Town of ;.z�� Y
44.4;,,.)
YARMOUTH Ei_ °d'
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: Town of Yarmouth
Trade Name: Hearing Room BCOI-23-1719
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 1146 ROUTE 28
SOUTH YARMOUTH, MA 02664 July 10, 2025
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01st Floor 130 A-3 Lecture halls,dance halls, 130 Persons
churches and places of religious
Allowable Occupant Load worship,recreational centers,
terminals,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 Chief Name of Municipal Building Mark gate of Inspection 7
Commissioner / 7 l�
Signature of Municipal Fire Signature of Municipal Building i� iii, Date of Issuance /// GJ
Chief Commissioner two.. „/ 7/zi-7?(/
I
of YY4 i TOWN OF YARMOUTH
,� 0 Office of the Building Commissioner
__-,y 1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1260 Fax 508-398-0836
MATTACHEESE '''
N(RP0RATED\
APPLICATION FOR CERTIFICATE OF INSPECTION
June 01, 2024 PAYABLE UPON RECEIPT
( ) Fee Required
(X) 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: II4-(o R i- i So trnA YAP-WWII-4 1 (KR 6240l0M
Name of Premises: 'Tov4 aJ i *u_ 1.1- ,(u I3G. Tel: e-jqg-? -3 l
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 issued to -R,u ti oc '(c f-IA u kE Tel:
Address: 114C4) (Loin ZSI 5o(MA \/AU-15501341 KA 52 of -4
Owner of Record of Building
Address
Present Holder of Certificate
Te cx43 NtiMl tJ kSfi2tvcofZ-
Signature of person to om Title
Certificate is issued or his agent d(0/o5/3e,14 •
Date
Email Address: RECEIVED
RI
0 5 2024
BUILDING DEPARTMENT
By— ----
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# �,
07/10/2024-07/10/2025 '-'/77