HomeMy WebLinkAboutBCOI-23-1765 2025 The Commonwealth of Massachusetts
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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: Loyal Order of the Moose BCOI-23-1765
Trade Name: Loyal Order of the Moose -
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 769 A ROUTE 28
SOUTH YARMOUTH, MA 02664 December 31,2025
Use Group Classification(s) Floor Occupancy_ Use Group Other
01 st Floor 118 A-2 Restaurants,Night Clubs,or
Allowable Occupant Load similar uses
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 Enrique Arrascue Name of Municipal Building Mark II Date of Inspection
Commissioner / i/7 iq
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Signature of Municipal F Wnature of Municipal Buildin / '
Chief Commissioner Date of Issuance
TOWN OF YARMOUTH
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Office of the Building Commissioner
sti O T 1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1260 Fax 508-398-0836
MATTACHEESE ��
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APPLICATION FOR CERTIFICATE OF INSPECTION
September 23, 2024 PAYABLE UPON RECEIPT
(X) Fee Required $150.00
( ) 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: 7t ! e4014-6 z6
Name of Premises: LO yftL Ogden_ d f ' _`w' Tel: 5` 73 7 1u 7 3
Purpose for which permit is used: --F4./t,ri t _ Lod4 t Ues-C t LkitiLe
License(s) or Permit(s)required for the premises by other govetnmental agencies:
License or PermitAgency R - C` [. _U D
oh Pm end': GA'' " 'f` 1` OCT 2 I
e yogi Vrehvnt- "- - 2024
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Ue t `s sue. / ,,I L UI/ ui 5 ! _7 ,7 Y IDING DEPARTMENT
Certificate to b�/e issued L !/ o Q /� fiL Tel: (/ -/-%
Address: ho 7 ao vre Z e 1044-0i n f1 Z &G y
Owner of Record of Building ?in'n-h / aq 4
Address 76 n Qv re
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Present Holder of Certificate L__j(1 1 on ff Kti 0 f fli oU/e(_•
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Sign �n to whom 'Tit/
Certificate is issued or his agent 0/ at(
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Email Address: /2/11fhavil (Of 04(S(0 C(-rwh.C'LGti
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#
12/31/2024-12/31/2025