HomeMy WebLinkAboutBLDC-25-40- 0 TOWN OF YARMOUTH
Office of the Building o�>.�:
Commissioner
1146 Route 28, South Yarmouth, MA 02664
'� PfA7iACMEESE ' ` 508-398-2231 ext. 1260 Fax 508-398-0836
/
RPORATE \6'!Q
0/1)C-(9 -4-1D
In accordance with the provisions of the Massachusetts State Building Code, section 105.1
Application for a certificate of use and occupancy permit
Name of Business � � it f .�J- j� F Phone 7i.ti - /7
Type of Business� ���G �y� ,G Email ��
Property AddressV1-1 ' k e 6 mQr 4j , Unit
*Square Footage to be occupied *attach floor plan ee: $60
The following department sign offs will be required and will be notified_oneethc application is
entered into the OpenGov permitting system.
X Health Department — 508-398-2231 ext. 1241 MAR 19 025_
B iLDIN6 PAY iv
BY
G DEPARTMENT
X Fire Department — Fire Prevention, 96 Old Main Street, 508-39 - Y 12
Other
Building p ners Sign' ire Applicant Signature
Please note: this permit is for use and occupancy only. Any work requiring a building permit
will require a licensed contractor to submit an additional application with all the required
information based on the scope of the project.
**Office use only**
Zoning District Proposed Use _ Change of Use: Yes No
Allowed Use: Yes No APD Waiver: Yes No N/A
Building Officials Signature Date
Lpd,q,d 1,24
r o s -€ 2-0 /
caH
. � '� � �,� � � � �� gum, 0,q66
v ,bw5._.__.___.__---- L l- S U i0 \k ('`' t�t-9,�-�.
........„___
1 1
6 )-. _ 1/1- -C P " I �
/.--J , , CkqK ',_ '
,c,JAA4,-a ,
7 - P
f 3
,..,,
kiq
.....-. ,
111. ___, l•
al- ,N_____J r4
RECEIVED
P MAR 19 2025
BUILDING DEPART ENT By