HomeMy WebLinkAboutBCOI-24-47 2024 The Commonwealth of Massachusetts
Town of Y`'
YARMOUTH -
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c0BPORATEO,�:
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 Community Baptist Church
Trade Name: Bass River Community Baptist Church BCOI-24-47
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 88 OLD MAIN ST September 16, 2024
SOUTH YARMOUTH, MA 02664
Floor Occupancy_ Use Group Other
01 st Floor 130 A-3 Lecture halls,dance halls, Sanctuary
churches and places of religious
Use Group Classification(s) worship,recreational centers,
terminals,etc.
Allowable Occupant Load Basement/Lower 10 A-3 Lecture halls,dance halls, Meeting Room
churches and places of religious
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 //�/�
Commissioner Mark II ate of Inspection /
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Signature of Municipal Fire Signature of Municipal Building Date of Issuance
Chief Commissioner 7 //
�•°��YaR,�o TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
August 1, 2022 PAYABLE UPON RECEIPT / 6 /
(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 a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 2% 0L) jr)ol; N �'7 S 0 it;i-1 VA Q/►10✓rf /r7 A- O2 ,6 9
Name of Premises:EMCS if C te OM in v y Tel: 5 14" 36 d- 7.2..2
th4 T r sT v(2(4 .�/G/ ,.6-T it) Q�o Purpose for which permit is used: / I �.
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
cs je;vE2 0-0.4101v .ry
Certificate to be issued to !'T I ST A_44 2 e-m . Tel: c-o - -3 E '
-2 .
Address: 5s7 D L A f14 A/ volta/'r o 1/11N - 1 c ? L i .
Owner of Record of Building S i' C.
Address ,S Pr m E
Present Holder of Certificate 13,1 sS 2-H vR .
Signature of it"; to whom Title
Cert}f e is issued or his agent _ /,a2/,/ Z 0 2/
Date
Email Address:j!f A 125 PF NJ /9 02/ e &1'1 •'L. e 0 vv)
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#
09/19/2022-09/19/2023 aoa,I - 2;o aa: od D a3 'dc7a4
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