HomeMy WebLinkAboutBCOI-24-5 The Commonwealth of Massachusetts
Town of 91) og Y , `
YARMOUTH $ °q
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`NIRPONAT' NO
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: Howard Lodge Masonic Trust• BCOI-24-5
Trade Name: Howard Lodge Masonic Trust
Identify property address including street number, name, city or town,and county Certificate Expiration
Located at 20 DAVIS RD February 4,2027
SOUTH YARMOUTH, MA 02664
Floor Occupancy_ Use Group Other
01 st Floor 100 A-3 Lecture halls,dance halls, Fixed Seating
churches and places of religious
worship,recreational centers,
terminals,etc.
Use Group Classification(s) 01st Floor 125 A-3 Lecture halls,dance halls, Additional Seating
churches and places of religious
Allowable Occupant Load worship,recreational centers,
terminals,etc.
01st Floor 175 A-3 Lecture halls,dance halls, Function Room/Table Chairs
churches and places of religious
worship,recreational centers,
terminals,etc. Total:225 Persons
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 G Da of Inspection
Commissioner ,//3 1D
Signature of Municipal Fire Signature of Municipal Building ,
Chief Commissioner G Date of Issuance l / v Zh
Og YA(\,,
i . K TOWNK OF YARMOUTH
/ 64 Office of the Building Commissioner
1146 Route 28, South Yarmouth, MA 02664
C y� y1 508-398-2231 ext. 1260 Fax 508-398-0836
MATTACHEESE
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`� APPLICATION FOR CERTIFICATE OF INSPECTION
January 1, 2026 PAYABLE UPON RECEIPT
(X) Fee Required$100.00
( ) 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: 02.4C9 lea- ,!
Name of Premises: �,�/"/ c1-4"'1 Tel:id e-, f ei. 1''J
Purpose for which permit is used: ,9�ini:// /G7 (' 7 n� o*
License(s)or Permit(s)required for the premises by other vermnental agencies:
License or Pe it Agency
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Certificate to be issued to '4)1rit. % Tel:&U yfir-Wpmiaii-soq-)7?3!q-i
Address: ;#'L7-6`4 Se �T�'1 �io ea av
Owner of Record of Building 09= yi-e `i—Pt
Address ie /C4-a .S,O' ar4Ad GR.�46"1�
Present Holder of Certificate (4/ /1i/, -itk. L1
iStfil-G4111/. 1-,6 ries-lee
Signature of person to whom Title
Certificate is issued or his agent /4/M
Date Email Address:4,F/i 'Rise/4/k Le-7-441-4, Arp7-- RECEIVED
i
1 JAN 0 9 2026
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I
BUILDING DEPARTMENT
By _
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-24-5_
02/24/2026-02/24/2027