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Home My WebLink AboutBCOI-23-1808 2025 ` _A TOWN OF YARMOUTH (Of Office of the Building Commissioner !, : A 1146 Route 28, South Yarmouth, MA 02664 ,0 y; 508-398-2231 ext. 1260 Fax 508-398-0836 �� 'MArrACHEESE ' CPORATEC)\,) APPLICATION FOR CERTIFICATE OF INSPECTION November 06, 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: a t°5 No(-1'h yvvs,%Y\ 5A-P-12-.Lir Name of Premises: k AlSat SLi IA4, Ajoiss� -c 12(11," Tel: 6-OS -3Qu- 3Sig Purpose for which permit is used: iUvfS,''� Iklom2 t�� C4.rc.- License(s) or Permit(s)required for the premilees by othe governmental agencies: License or Permit Agency RECEIVED Certificate to be issued to Tel: Address: DEC 232024 Owner of Record of Building Address BC; PAk rr! r 2 Present Holder of Certificate BY Signature of person to whom Title Certificate is issued or his agent c_ Date Email Address: n.s'vv.1.5 e, ttAes(;tj5 f• 0-47 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# ll 10/10/2023-10/10/2024 IP C(� -'d� -'/ r Li 6 daay- SPAS The Commonwealth of Massachusetts Town of YA YARMOUTH 0 COBPORATSO‘" 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:Windsor Nursing&Retirement Home Trade Name:Windsor Nursing& Retirement Home BCOI-23-1808 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 265 NORTH MAIN ST October 10, 2025 SOUTH YARMOUTH, MA 02664 Floor Occupancy_ Use Group Other 01st Floor 135 1-2 Residents incapable of self- 50 BEDROOMS-120 BEDS preservation:hospitals,nursing Use Group Classification(s) homes,mental hospitals,certain day care facilities Allowable Occupant Load Basement/Lower 15 1-2 Residents incapable of self- DAYCARE preservation:hospitals,nursing 12 CLIENTS,3 STAFF homes,mental hospitals,certain day care facilities 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 Building Name of Municipal Chief Mark G s Date of Inspection Commissioner / /� Signature of Municipal Fire Signature of Municipal Building Chief Commissioner Date of Issuance /PS/ZS— %g YA TOWN OF YARMOUTH _ 0 Office of the Building Commissioner 4..` 1 C 1146 Route 28, South Yarmouth, MA 02664 ,,t 7 y'•• 508-398-2231 ext. 1260 Fax 508-398-0836 yN MATtACHEESE N.C9RP O R Kr Eb �` --__:-...3- ' APPLICATION FOR CERTIFICATE OF INSPECTION November 06, 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: 9c05 No(A'h YWa,‘,./N IA.e-ee-4- Name of Premises: kY A ,S a(L 5LS lt4. AJO1Ssl -c a 144,, Tel: 6O . -2,4u- 3 Sif-f Purpose for which permit is used: 1&J)(.04't Iklomt -f]VrINA (arc_ License(s) or Permit(s)required for the premises by othe governmental agencies: License or Permit Agency RECEIVED Certificate to be issued to Tel: Address: DEC 2 3 2024 Owner of Record of Building Address gu pAtow5,7 2 Present Holder of Certificate BY -- Signature of person to whom Title Certificate is issued or his agent ` Date Email Address: e, takes C;1-,i 5 f• "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# ll �n, , 10/10/2023-10/10/2024 1, (;(j 1�-�C. 'j --f r v e doay- avas