HomeMy WebLinkAboutBCOI-24-62- YA.�
_ TOWN OF YARMOUTH
(�rOffice of the Buildin Commission :-m
.,,1 �`lA E �; 1146 Route 28, South Yarmouth, MA 2
=EKSE 508-398-2231 ext. 1260 Fax 508-398- 6 2026 ,
APPLICATION FOR CERTIFICATE OF INSPECTION E ' , 1_j' '
March 1, 2026 PAYABLE UPON RECEIPT
(X) Fee Required$445.00
( ) 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 IIpremises located at the following address:
Street and Number: 7 � Sh oDr
Name of Premises: RIUi-QI-0\ C\c) ` Q5.0r).- Tel: SO 8 -3118—48 17
Purpose for which permit is used: ('j„,(a tA6,1.-1 t c.
License(s) or Permit(s) required for the prees by other governmental agencies:
License or Permit Agency
Certificate to be issued to Ri d,2rc%, £cv, Rt ,,-4-- Tel: S d -3q 6-°1$1-7
Address: 3a-.7 S5,„+\- 5\ ).t jr-
Owner of Record of Building �JJS 1,-el;
Address
Present Holder of Certificate
AGM
f ers n to om Title
ertif ate is issued or his agent 3/57110
Date
Email Address: 5 •t Ar @ re tok(, c-6045, Curt\
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.
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Certificate of Inspection#_BCOI-24-62_
04/01/2026-04/01/2027