HomeMy WebLinkAboutBCOI-24-15 2026 g Y'ck., , TOWN OF YARMOUTH
,,' Office of the Building Commissioner
1146 Route 28, South Yarmouth, MA 02664
y`r 508-398-2231 ext. 1260 Fax 508-398-0836
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`' APPLICATION FOR CERTIFICATE OF INSPECTION
January 23, 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: ?a1 SovA Se harQ. `D' S Nkrirlal IMP!' OQtQL[
Name of Premises: \V Q.rck ?j(2.-& \r) ` r Tel: SOY'" 3' S- a g i
Purpose for which permit is used:
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 K''\J I.Ar91 .c,c,h (4_5tr,r 1- Tel: S og - 3c1 c6-2,za 00
Address: 3"). 3 ScaL. Sl,.t.a, tr Seel (G,rr,oN.,0' . c P 0'*IDLA
Owner of Record of Building oS H-r30-51e-I
Address 3-2-2 Sv,,A'1, S1-w bf-.
Present Holder of Certificate EU5 1-4 0 I iL)
A
1 f person to whom Title
ertific to is issued or his agent a 13/2 b
Date
Email Address: _}Sty CEA_ _@,RedTcnc , f-s 4 (O in
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 chan_e in the above information
Certificate of Inspection# BCOI-24-15_
04/01/2026-11/30/2026