HomeMy WebLinkAboutBCOI-23-1758 2026 F
The Commonwealth of Massachusetts
Town of fog YA'
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: South Shore Early Ed BCOI 23 1758
Trade Name: South Shore Early Education
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 367 ROUTE 28 October 1, 2026
WEST YARMOUTH, MA 02673
Use Group Classification(s) Floor Occupancy Use Group Other
01 st Floor 100 1-4 Adult and/or child day care Class 1-15 Class 2-16
facilities Class 3-16 Class 4-50
Allowable Occupant Load 3 Person in Kitchen and Office
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 Gr Date of Inspection
Commissioner —? / I� :11 ,(),_ks-
1Signature of Municipal Fire Signature of Municipal BuildingChief Commissioner % Date of Issuance /2 i
11.4q4i TOWN OF YARMOUTH RE-CEIVED
/;:,� ,.: t _, . Office of the Building Commissioner
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1146 Route 28, South Yarmouth, MA 02664 8 2025
Art 508-398-2231 ext. 1260 Fax 508-398-0836 �, �
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\C°RPORATED`"'�
APPLICATION FOR CERTIFICATE OF INSPECTION
September 01,2025 PAYABLE UPON RECEIPT
(X) Fee Required$100.00 -f
( ) 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: JC-27 '71) (4'yi 1 Dan ( Th7 J
Name of Premises, )\ ( )Nce_i [�I , Tel: SI%'9 Z17 - Si.75
Purpose for which permit is used: yAce.,- Oi>l
License(s)or Permit(s)required for the premises by other governmental agencies: RECEIVED
License or Permit EEL Agency SEP 15 2025
BUILDING DEPARTMENT
Certificate to be issued to \ Aroe._ Qx-,y Tel: ����C, 17- 51)j By
Address: 5W V+ \ C(A-. grMdOi e 7
Owner of Record of Buildi g S C MIN) ir)l , fI ,r tI
Address l 1 b c p Nrgon �Zrr
Present Holder of Certificate \1`}-h S1^?)1C• (7�,f'�v cl u(,C*iOf
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Sig re of per p to whom T'tl
Cei ' cate is issued or his agent Gt f,
Date
Email Address: 11N _CICA1 �- 3s(fib. or/
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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-23-1758
10/0 I/2025-10/01/2026