HomeMy WebLinkAboutBCOI-23-1751 The Commonwealth of Massachusetts
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UtTown of of Y9�
YARMOUTH .7i_ F:
MC-AP.00`yA
INew and Renewal Certification of Inspection I
In accordance with the Massachusetts State Building Code, Section 110.7
Identify Name of Establishment Certificate No.
Issued to Business Name: Golden Jalapenos Tex Mex Cusine, INC
Trade Name: Golden Jalapenos Tex Mex BCOI 23 1751
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 134 ROUTE 6A
YARMOUTH PORT, MA 02675 December 31, 2026
Use Group Classification(s) Floor Occupancy Use Group Other
01 st Floor 80 A-2 Restaurants, Night Clubs,or 80 PERSONS
Allowable Occupant Load similar uses
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 Enrique Arrascue Name of Municipal Building
Commissioner Mark Gryll _ Date of Inspection
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Signature of Municipal Fire �� � ,�Gl� Signature of Municipal Building
Chief r/ Commissioner
\\ / F 1 Date of Issuance l , /Z
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iOffi�' YAK TOWN OF YARMOUTH
a,; to
ce of the Building Commissioner
A ; 1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1260 Fax 508-398-0836
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MATrACH[[8.,-„:-Al,,,!
,. IPPORATED\-
APPLICATION FOR CERTIFICATE OF INSPECTION
August 15, 2025 PAYABLE UPON RECEIPT
(X) Fee Required$150.00
( ) 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: /34 Route. 44 ' ino 1Ih Po r) HA- 0 2 6 -5
Name of Premises:
P1? 301a pQ17 d fei. Welt Tel: Sods e{ 34-39 6 O
Purpose for which permit is used: Z (e0 t (, ? (e4 cc
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency l
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Certificate to be issued to Tel:
Address:
Owner of Record of Building
Address
Present Holder of Certificate RECEIVED
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Signature of person to whom Title [ SEP 16 2025
Certificate is issued or his agent
II Date BI •• ., .. ti '•�c;vr
Email Address: GO l D&Pj I#LA Pr /0 0T /1�'(P y4 / ,`0 0• CO m _
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-23-1751_
12/1/2025-12/31/2026