HomeMy WebLinkAboutBCOI-23-1708 2025 The Commonwealth of Massachusetts
Town of ,.-og.Y'� -�..
gi YARMOUTH pi -1> o f
.0 ---- HI
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:Yarmouth Country Cabins
Trade Name:Yarmouth Country Cabins BCOI-23-1708
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 864&878 ROUTE 28
SOUTH YARMOUTH, MA 02664 April 19, 2025
Use Group Classification(s) Floor Occupancy_ Use Group Other
01st Floor 17 R-1 Hotels,motels, boarding houses, 17 CABINS
Allowable Occupant Load 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 IIS ate of Inspection
_ Commissioner Jr
Signature of Municipal Fire Signature of Municipal Building
Chief Commissioner Date of Issuance Zr
•1".YgR TOWN OF YARMOUTH
.� 'r
"''g''4 .c BUILDING DEPARTMENT
�" �:ro �. .3c 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
March 1, 2024 PAYABLE UPON RECEIPT
(X) Fee Required $121.00
( ) 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: g 7f k . 6
/ 0 17 -6 yo-3osy
Name of Premises: �-„Q✓t1,d y'�It y u 1� YJjtil Tel: 1/2-4i7,2�go 6
J /�
Purpose for which permit is used: �#Sod.4- a /I e /g674544 /-I
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency / V
CMM) 14 d o / /4- L!AYo3 ]?Op¢
eu,�
By SING bE.. _.
fiti
Certificate to be issued to 6 8fr4271,U 160 V.A LA 44 I Tel:6;/7-83 8 0 uv.
Address: 8 7 i9 d_2 ///
Owner of Record of Building o.Z,4- X. I);A-10 v_,/ '-v%
Address 6-7 G/`.'_4 ke!e ST i-e-f.0-.4, 4--0.2 4/-77
Present Holder of Certificate .C,4y2c t p,'�-/o VA'c- /
e I
ignature of pers o whom Title
Certificate is issu d or his agent o Jy
Date
Email Address: 4 /40-w7ft Cep u,.p' C il-pL,di
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# 6 W/ „."70
04/19/2024-04/19/2 02 5