HomeMy WebLinkAboutBCOI-23-1781 2026 The Commonwealth of Massachusetts
,. Town of fF
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YARMOUTH •
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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: McDonald's Restaurant
Trade Name: McDonald's Restaurant BCOI 23 1781
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 1060 ROUTE 28
SOUTH YARMOUTH, MA 02664 February 24, 2026
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01 st Floor 73 A-3 Lecture halls,dance halls, 73 Persons
churches and places of religious
Allowable Occupant Load worship,recreational centers,
terminals,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 Building fx�
Name of Municipal Chief Mark G Is ate of Inspec
tion
Commissioner
Signature of Municipal Fire Signature of Municipal Building
Chief Commissioner ' Date of Issuance - 2 l /2_ 1—
g---_,:^Y TOWN OF YARMOUTH
4o _
„- ' - Office of the Building Commissioner
A �' 1146 Route 28, South Yarmouth, MA 02664
‘01:-._;,;.
y' 508-398-2231 ext. 1260 Fax 508-398-0836
- MATTACHE S[ q �.
•'.,ORPORATED,
APPLICATION FOR CERTIFICATE OF INSPECTION
January 02, 2025 PAYABLE UPON RECEIPT
(X) Fee Required $100.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 1 OW Z ra8- S• at mou4-n ?v'A ('' /,L(.01-1'
Name of Premises: MG�Q�(�`� S Tel: 56$ - B"I 4 -2 J0
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Purpose for which permit is used: (_,I‘(_Q ._A
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
LcInS-(-• dcpe,e enforpruis ,
Certificate to be issued to MC ' Tel: so A -7 j-21 q 'V
Address: 56 OI1 V`QX ST" S LO— t) JJ _Cli,Sk&\ kW C5-a ,SLp
Owner of Record of Building MC€C erg e�Y>,E 24
Address 56 01 k S' .cU ‘ W� \V3 U r_9/lSkedtA Vel 61,3S(.Q
Present Holder of Certificate
0-E-P CQ /}-&
Signatu of person to who Title
Certificate is issued or his agent 117 S
ate
Email Address: 0,ay 1 I n , Irnotocila @ US o Stere ,, mcd► -C.Om
RECEIVED
JAN 13 2025
Instructions: Make check payable to: Town of Yarmouth BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA C21 - _
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#
02/24/2025-02/24/2026 .5G0i--c,13/7