HomeMy WebLinkAboutBCOI-23-1711 2026 The Commonwealth of Massachusetts
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j YARMOUTH c `yr
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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:Ambassador Inn &Suites
Trade Name:Ambassador Inn &Suites BCOI 23-1711
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 1314 ROUTE 28
SOUTH YARMOUTH, MA 02664 June 12, 2026
Floor Occupancy_ Use Group Other
Use Group Classification(s) 01 st Floor 36 R-1 Hotels, motels, boarding houses, 36 Units&Lobby
etc.
Allowable Occupant Load 02nd Floor 52 R-1 Hotels,motels,boarding houses, 52 Units-Managers Apt
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 Mark Dateof Inspection
Commissioner -- ,e '
Name of Municipal Chief � /'—t III v�
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Signature of Municipal Fire Signature of Municipal Buildi
Chief Commissioner ate of Issuance 7//11`2j---
og YA 4 TOWN OF YARMOUTH
,� 0 Office of the Building Commissioner
1146 Route 28, South Yarmouth, MA 02664
'G♦r� -rt y 508-398-2231 ext. 1260 Fax 508-398-0836
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APPLICATI I I ? ' 'r ' 1 •i 9 OF INSPECTION
May 6, 2025 PAYABLE UPON RECEIPT
MAY 12 2025 (X) Fee Required$337.00 *-
( ) No Fee Required
BUILDING DEPARTMENT
In accordance with the provisions of the .By. I - _ 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: f. ) 4) 10 V 2 g
1
Name of Premises: iyyr) f (,{i:f- �Tel: c 939 -C/D0,
Purpose for which permit is used: C 4i'.j Itt'itk ' Cf//ial Pe�Lot4
License(s) or Permit(s)required for the premises by other overnmental agencies:
License or Permit Agency
Certificate to be issued to A-171 ajjvy/hr'1 fl Surfer Tel: ( S-DYt)3 9L, 1/o°a
Address: 1314j et 21", SO Uf i jal-hint , 1111i-02.64
Owner of Record of Building ri c yptyi k & ( .
Address /f V - -
Present Hol er of ertificate -yr bev ,3 ,cv S el
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S• of person to whom Title)
C 1 i ate is issued or his agent �1- /
Email Address: ( �' G�'1t46 y et0/,r,GjjvvLe
C3 /ram(
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#BCOI-23-1711
06/12/2025-06/12/2026