HomeMy WebLinkAboutBCOI-24-33 2027 (2) '` YA `, TOWN OF YARMOUTH
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,� Office of the Building Commissioner
I : : 5 1146 Route 28, South Yarmouth, MA 02664
y 508-398-2231 ext. 1260 Fax 508-398-0836
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4'ORPORA?E' f
`'`_. APPLICATION FOR CERTIFICATE OF INSPECTION
March 1, 2026 PAYABLE UPON RECEIPT
(X) Fee Required$205.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 31 To ciol Pei>
Name of Premises: _ B 1'1-1 e Qo c k Il e-. 0.r`c Tel: 9 lg 221 _i-' g2 6
Purpose for which permit is used: H 0 4e1 0pePrc1410,1 S
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
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Certificate to be issued to j r 1 410 -aM�4- L..Te1: Q l-t--ZZ (r 9 .E ZC
Address: 39 Todd Pct, ‹00.41/) Ncu,rrtivu. , MA — b266L1
Owner of Record of Building Lop.r klOi.,:p( I0!A Y ity‘OUT (rt L.L C
Address -7 11 CS m E v1 S 7 ., A r l o rV M A- 0 l q-2. 0,
`- Present Holder of Certificate
ie Nie 1 Ma-nc►er
Signature of person to whom Title `�
Certificate is issued or his agent 03- ( 6- 2 02.6
Date
Email Address: bt U soc k C q pe c 0d 1 j'YNcl i I . CO-rvL
Instructions: Make check payable to: Town of Yarmouth
1146 Route 28, South Yarmouth, MA 02664
Return this application to: Building Inspector's Office
Please note: Application form with accompanying fee must be submitted for each building or structure or part
thereof to be certified. Application must be received before the certificate will be issued. The building official shall
be notified within ten(10)days of an chan_e in the above information.
P4AsE SEND I A , -� ..,sto? : # • . , R �
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A. TION-• , -e. 4 in a `f.c ' .K$ j . ^t... s "F.4 t ,°r.
Certificate of'Inspection# BCOI-24-33
04/01/2026-04/01/2027