HomeMy WebLinkAboutBCOI-24-56 2025 The Commonwealth of Massachusetts
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YARMOUTH 0 4
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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: Harborside Suites
Trade Name: Harborside Suites BCOI-24-56
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 953 ROUTE 28
SOUTH YARMOUTH, MA 02664 May 15, 2025
Use Group Classification(s) Floor - Occupancy_ Use Group Other
Allowable Occupant Load
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 Mar Date of Inspection WZ/M/
Commissioner
Signature of Municipal Fire Signature of Municipal Building
Chief Commissioner Date of Issuance /��
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M��_sray.
�k., �c TOWN OF YARMOUTH
o, ;f 4 .1 BUILDING DEPARTMENT
" .:__ 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 6/,/,
APPLICATION FOR CERTIFICATE OF INSPECTION kh Al"
April 01, 2024 PAYABLE UPON RECEIPT I b
(X) Fee Required $208.00
( ) 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: Clic X k_o tt 2.k , ,SOU y,y/ZYyip/ci" (
Name of Premises: i/cT rbo( .5de 5' I S Tel: - - Zl/y -/y if Lf
Purpose for which permit is used:
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency s,
APR 19 2024
i
DEPARTMENT
12.31.J1L—DING
Certificate to be issued to tioluaias - 'k r, I,I.( Tel: SUS--f 6 j-ZOZt
Address: R 5.1 /h#9-)J o t.L}it rn,u.l1- Ai if-
Owner of Record of Building 1-64.o4w,n `bc,,rskn (LG
Address '707 Sou 1-k L,JaAh rtm S,- iJvr 1 * 02 h
Present Holder of Certificate
igna re of person to whom Title /
Ce 'ficate is issued or his agent y/.�(Z LI
Date
Email Address: ra1 ilt,ti d,4,d.r
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# gC D/- zJ:6
05/15/2024-05/15/2025