HomeMy WebLinkAboutBCOI-23-1721 2025 The Commonwealth of Massachusetts ...
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Town of 'erg .
YARMOUTH :zi: •
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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:Village Inn Cape Cod LLC
Trade Name:Village Inn Cape Cod BCOI-23-1721
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 92 ROUTE 6A July 16, 2025
YARMOUTH PORT, MA 02675
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01st Floor 2 R-1 Hotels, motels,boarding houses, 2 Bedrooms
etc.
Allowable Occupant Load 02nd Floor 8 R-1 Hotels, motels,boarding houses, 8 Bedrooms
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 G s D to of Inspection 7' j lt
_ Commissioner
Signature of Municipal Fire Signature of Municipal Building
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Chief ate of Issuance
Commissioner 7/0r
%g YA TOWN OF YARMOUTH
-,� _ � Office of the Building Commissioner
I , �.1 1146 Route 28, South Yarmouth, MA 026R4E C E D
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` 508-398-2231 ext. 1260 Fax 508398-0836MAMATTACHEESE � JUN O • `Y`4
APPLICATION FOR CERTIFICATE OF INSPECTION BUILDING DEPARTMENT
By:
June 01, 2024 PAYABLE UPON RECEIPT
(X) Fee Required$100.00
( ) 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: i 2, F oUXe 6. (A-
Name of Premises: V i LLA6 I T' Y CPC 0.,!) Tel: .co O 3 6 Z 3 1%1-
Purpose for which permit is used: LD lb&ri
License(s)or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to C Us t (LC Tel: S83 36'Z 3R1,
Address: 't2 IZA9c.t.i Q.-
Owner of Record of Building o ,1 c CIA I f LAt) CZ1 y
Address q,L Nu,* d A5
Pr ent Hold of•-rtificate
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Signature o perso i whom Title
Certificate is issu- , • is agent b 6/a K/Z tt
,�„/IN'n Date
Email Address: thaw "A N l'occo Lo g Milt/,. -
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#
07/16/2024-07/16/2025 sco l-a 3--17c(