HomeMy WebLinkAboutBCOI-23-1807 2025 The Commonwealth of Massachusetts
Town of it,*
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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: Seaside Inn
Trade Name:Seaside Inn BCOI-23-1807
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 812 ROUTE 28
SOUTH YARMOUTH, MA 02664 December 21,2025
I
Floor Occupancy Use Group Other
Use Group Classification(s) 02nd Floor 2 R-1 Hotels,motels,boarding houses, 1-Rental Unit
etc. 1-Owner's Unit
Allowable Occupant Load 02nd Floor 4 R-1 Hotels,motels,boarding houses, 4-Rental Units
etc.
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 Date of Inspection // 7 cA —Commissioner /
Signature of Municipal Fire Signature of Municipal Building(/^ �, Date of Issuance
Chief Commissioner ^�/ 2 87 1—
Cam' JJJ
�,,0 YA TOWN OF YARMOUTH
Office of the Building Commissioner
1146 Route 28, South Yarmouth, MA 02664
v _ - y` 508-398-2231 ext. 1260 Fax 508- 9111- 6E 1 V E D
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N ARP 0 R Al ED.'!
APPLICATION FOR CERTIFICATE OF INSPECTI 1 N NOV 13 2024
ENT
November 01, 2024 PAY' : T REC TM T
��B.ECEIPT
(X) F-e •equired $100.00
( ) 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: WI 1 + -3..b S lair-mat/3/4
Name of Premises: sea,ci f e i n,,.„ Tel: `779 -Z(o q 11
Purpose for which permit is used: Lodq ,n4 i-1 o v r
License(s) or Permit(s)required for the premises`by otter governmental agencies:
License or Permit Agency
Certificate to be issued to lA� w1fjr65 Ali '<id la t d,S Tel: `Z 7'/ Z&i'j it 0I'
Address: 2, Ivr D....8 `�O J 414. l m
Owner of Recorof Building 3 ck e t e.,
Address
Present -r of Certificate
1A In e-'
;Ina prirerson t sue.% om Title
Certifi . is iss • or his agent ii Ji 2 tt
gate
Email Address: La Zp&1 M-'n. 0 C O mc464 ne}-
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#
12/21/2024-12/21/2025 ,3t/ Q 3--I c 7