HomeMy WebLinkAboutBCOI-23-1726 2025 The Commonwealth of Massachusetts _
IT Town of :: ,
YARMOUTH °o � % y,
'--• PORATEO�,,.
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: South Yarmouth United Methodist Church BCOI-23-1726
Trade Name: South Yarmouth United Methodist Church
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 318&324 OLD MAIN ST
SOUTH YARMOUTH, MA 02664 July 28, 2025
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01st Floor 96 A-3 Lecture halls,dance halls, 96 Persons-Tables&Chairs
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 Building hq
Name of Municipal Chief Mark II D e of Inspection 7/ a
Commissioner
Signature of Municipal Fire Signature of Municipal Building /��. 1l Date of Issuance d Z
Chief Commissioner ` !l y
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/ TOWN OF YARMOUTH
• Office of the Building Commissioner
0 _ yl 1146 Route 28, South Yarmouth, MA 02664
,��;� 508-398-2231 ext. 1260 Fax 508-398-0836
/ MATTAGHEESE
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RPORAT- -
APPLICATION FOR CERTIFICATE OF INSPECTION
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: ` 0/d /t4 in . -14,1Name of Premises: .co- ( 44 v✓ n1 h-d- 4+1,01 I- Tel: Sbg 3 98 '7912—
✓-r
Purpose for which permit is used: W0/5-p $ ✓^J `e3� _f e l�� _✓sue 4, 3 v E o
License(s) or Permit(s)required for the premises by other govd>'nmern�l agencies: JUN 0
s102�
License or Permit Ag n iJ, pEP
ARTM,ENT
Certificate to be issued to 5 yan Jb/- eh , ' 1S 391
Address:
Owner of Record of Building ,---rvv s h c 5 S• / 140 44c14,,,J/ �h-'~�t✓
Address 3 Old ,Ll a r v� 5 I- • _co .i u✓hc v,J/'.i/
Present Holder of,Certificate
Ke'`) fA.4
Signature f person to whom Title
Certificate is issued or his agent LAbyDate
Email Address: 5y01 C • SC-Gr'cike y C ev►w i . 64141- -
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# (3 co/
07/28/2024-07/28/2025 ''S