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BCOI-24-69 2025
The Commonwealth of Massachusetts Town of :; °ix o` IN YARMOUTH V,--r ''_''y. Ur •hCORPORATE, Ai �,i 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: Sunbird Annex Cape Cod BCOI-24-69 Trade Name: Sunbird Annex Cape Cod Identify property address including street number, name, city or town, and county Certificate Expiration Located at 226 ROUTE 28 June 3,2025 WEST YARMOUTH, MA 02673 Floor Occupancy_ Use Group Other Use Group Classification(s) 01st Floor 35 R-1 Hotels,motels,boarding houses, BLD1-13 Units etc. Managers Unit Allowable Occupant Load 02nd Floor 22 R-1 Hotels,motels,boarding houses, BLD 2-22 Units etc. BLD 2-22 Units 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 rylls Date of Inspection Commissioner -7 3 D 2 Signature of Municipal Fire Signature of Municipal Buildi AA of Issuance 3 Y.Chief Commissioner i p� 7 / v . , ,u 0- TOWN OF YARMOUTH a, TTI. �, � BUILDING DEPARTMENT �",MAsci„ A :L?-: 1146 Route 28, South Yarmouth, NIA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION May 01, 2024 PAYABLE UPON RECEIPT (X) Fee Required $358.00 ( ) 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: 2- /Qd9lire. 26 diA S! Y� m,,y7y Name of Premises: rSer/Yegi,--, /9/3Wfe" R c)a— Tel: 603- /W Purpose for which permit is used: /VAT �/1/1.G9i [RECEIVED License(s) or Permit(s) required for the premises by other governmental agencies: License or Permit Agency q ! MAY 0 7 2024 UILDING Ifilk[BB y - Certificate to be issued to GU%6�be a//00,01N/A Tel: � /Y.3 ii—96 ' . Address: l2 4'9 4/ r e:1i lec�.t/� .4-f• OZ1'4,` Owner of Record of Building eS V4/i1 4--4-G Address /19 ' A GtPit/,7 8 Inc. ,J ,1 OZ'%/',e, Present Holder of Certificate Signa e of li son to who Title �©/205- Certificate is issued or his agent 0. Date Email Address: 4/.//•7i, 4 ee/4 i' t/ Li0-7 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# (7/,-? _(p y 06103/2024-06103/202.5