HomeMy WebLinkAbout26F and Bedroom Affidavit 2015Vr-r-r"r**rt/rr/ot,/,/"r*.*r.*n
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FP{07C
(Rev. 1.1.2015)
a Retum completed application to:
APPLICATION FOR CERTIFICATE OF COMPLIANCE
FOR SMOKE DETECTORS AND CARBON MONOXIDE ALARMS
M.G.L. CHAPTER 148, SECTIONS 26F, 26F112
City or Town South Yarmouth oar.. 12t1212025
Application is hereby made for inspection of smoke detectors and carbon monoxide alarms as required by
Massachusetts General Law, Chapte|I48. Sections 26F, 26F1 12 and 527 CMR 'l:00 Section 13.7.
NOTE: SUBMIT APPLICATION TO LOCAL FIRE OEPARTMENT HEADQUARTERS
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Location of Property 15 Sharon Rd
Owner of Property Andy & Barbara Sidari
Number of Dwelling Units Signature of Applicant
lnspection/Testing completed on 12t12t2025 By
Fee: (M.G.L. Chapter'148 Sec. 10A)$50.00 Fire Chief
Note: Any certificate issued in accordance with provisions of M.G.L. Chapter 148, Sections 26F, 26F1l2 expires sixty (60)
days after issuance by head of the Fire Department.
FIRE DEPARTMENT'S COPY
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Property Address:
Buyen
Sellen
15 Sharon Road, South Yarsrouth, MA
Loudon Meringolo and Michaela Pujale
Andrew ). Sidari and Barbara |, Sidari
AIFIDAVTT AS TO TOTAL BEDROOM COUNT
We, Loudon Meringolo and Michaela Pujals, being duly swom, hereby deposes
and states as follows:
In connection with my purchase of the property located at 15 Sharon Road,
South Yarmouth, MA, w are aware that the property is a single-family 2 bedroom
home.
Executed under the pains and penalties of perjury this , i.-- ctay of Decembcr,
2025.
Loudon
l,
Michaela Puidj
A,"V
I
COMMONWEALTH OF MASSACHUSETTS
County of Bamstable
9n this i3TF6ay of December, 2025, before me, the undersigned notary public,
personally appeared Loudon Meringolo and Michaela Pujale
personally known to me, or
{ proved to me through satisfactory evidence of identification, which was
D drive/s license
I (other)
to bc the person whose name is signed on the preceding or aftached document, and
who swore or affirmed to me that the contenb of the document at€ truthful and
accurate to the best of his/her knowledge and belief, and ledged the foregoing
to be his/her free act and deed and signed it voluntarily for i stated purpose.
Nota
My Expires
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