HomeMy WebLinkAboutBCOI-23-1813 2024 The Commonwealth of Massachusetts
Town of '° ' Y9,� t
YARMOUTH 4 � ��4
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: Margaret E. Small Elementary School
Trade Name: GYM/CLASSROOMS/CAFETERIA BCOI-23-1813
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 400 HIGGINS CROWELL RD December 31, 2024
WEST YARMOUTH, MA 02673
Floor Occupancy Use Group Other
Use Group Classification(s) 01st Floor 172 A-3 Lecture halls,dance halls, 172-CAFETERIA 172-GYMNASIUM
churches and places of religious 20-CLASSROOM, LIBRARY VISUAL
Allowable Occupant Load worship,recreational centers, AID ROOMS
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.
al Chief Name of Municipal Building
Name of Municipal Commissioner Mark II ate of Inspection 5/e2 2�LI
Signature of Municipal Fire Signature of Municipal Building Date of Issuance
1 � i
Chief Commissioner V
°1..YgR . TOWN OF YARMOUTH
o y BUILDING DEPARTMENT ,,
1
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 Uto
APPLICATION FOR CERTIFICATE OF INSPECTION
November 1, 2023 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: I-1 40 (IS Crowe( ' Coact
Name of Premises:�Q Tel: 50 -112 1C' 7 t
Purpose for which permit is used: e uCG+1nr
License(s) or Permit(s)required for the premises by other governmental agencies: RECEIVED
License or Permit Agency DEC 0 7 2023
BUILDING DEPARTMENT
BY -—_____-
Certificate to be issued to MI E Sma 1 I SChb01 Tel: 5D8"r(rig-'3 q 115
Address: Li y O I-I-t Gq( I n.s P rntoC1 I goad W'-s- u a.rmt)/)41
Owner of Re ord of Building De n es N rr�C0 4- 1'2 9 i U Q l Sr-hcz,I
Address 21(P cS -+- h on Av �ou4-h yetyrylou
Pres- ' -older of Certificate
�! J
.5t- . d i ‘i(ec-tvy of ac 't ' ,
Signature of person to whom Title
Certificate is issued or his agent 12 -1-i 2 3
Date
Email Address: raudnP•y5 C° Dy- r(e I Uo 1( . L i Z. m 1'-1.u
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 IS UE YOUR CERTIFICATE OF INSPECTION.
Certificate of Inspection# OCL7/ --/f/3
12/31/2023-12/31/2024