HomeMy WebLinkAboutBCOI-24-10 2026 The Commonwealth of Massachusetts
Town of
YARMOUTH 'F.c
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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: Holly Tree condominium Trust BCOI-24 10
Trade Name: Holly Tree Motel
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 412 ROUTE 28
WEST YARMOUTH, MA 02673 February 16, 2026
Floor Occupancy_ Use Group Other
01 st Floor 8 8 UNITS 160-167
76 UNITS MAIN BLDG
Use Group Classification(s) 02nd Floor 76 R-1 Hotels,motels,boarding houses, 76 UNITS BLDG
etc.
Allowable Occupant Load 01 st Floor 48 R-1 Hotels,motels,boarding houses, MANAGERS OFFICE&LOBBY
etc. SWIMMING POOL
SQUASH COURT-10
BREAKFAST ROOM-36
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 Mark G ate of Inspection
Commissioner
Signature of Municipal Fire Signature of Municipal Building Date of Issuance /f'
Chief Commissioner /7 f
®g A��.; TOWN OF YARMOUTH
,i, , , . Office of the Building Commissioner;v ., 'f'R�j, 1146 Route 28, South Yarmouth, MA 02664
,,� - 508-398-2231 ext. 1260 Fax 508-398-0836
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APPLICATION FOR CERTIFICATE OF INSPECTION is
January 02,2025 PAYABLE U N RECEIPT
(X) Fee Re uired$325.00
( ) No Fee equired
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: 1 ( ) , 1
Name of Premises: ) *-0 t- 1 . k- g'ei 2. ' Tel: 11 \ Co G2 IA 1 j-
Purpose for which permit is used: 1 ' ___ - w
License(s) or Permit(s)required for the premises by other governmental agencies: R E C E - ® I
License or Permit Agency FEB 10 2025 ,
BUILDINGG DE RTMENT t
Certificate to be issued to i co *2 `\--y - S i Tel: �'(`t \ Co Ce e
Address:
Owner of Record of Building e��r,�` ��'
Address
Pr- -nt Holder of Certificate f 1
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Signature of person to who ' Title r-,�
Certificate is issued or his agent �-
Cl \ Date
Email Address: 0- I() C CD-CAN, " � • C 00?\----/`
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#
02/16/2025-02/16/2026 06 D I_ a- 1 D