HomeMy WebLinkAboutBLDC-26-34 RECEIVED I 1 _7- 0 `3q
APR 0 :_.) 2026 1 TOWN OF YARMOUTH
/* __ fflce of the Building Commissioner
:,� 'IJILDING DEPARTPJE�
' 16_Route 28, South Yarmouth, MA 02664
ce _yAT AC 1 �' 508-398-2231 ext. 1260 Fax 508-398-0836
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In accordance with the provisions of the Massachusetts State Building Code, section 105.1
Application for a certificate of use and occupancy permit
Name of Business Connections, Inc. Phone # 5083621140
Type of Business Human Service Provider Emailgloomis@ccimass.org
Property Address261 Whites Path, S Yarmouth, MA 02664 Unit#
*Square Footage to be occupied+/ 25 000 *attach floor plan Fee: $60
The following department sign offs will be required and will be notified once the application is
entered into the OpenGov permitting system.
X Health Department— 508-398-2231 ext. 1241
X Fire Department—Fire Prevention, 96 Old Main Street, 508-398-2212
Other
00
Jos Krller( 9 2��20 08.59.O4 EDT.")
Building owners Signature Applicant gnature
Please note: this permit is for use and occupancy only. Any work requiring a building permit
will require a licensed contractor to submit an additional application with all the required
information based on the scope of the project.
**Office use only**
Zoning District Proposed Use Change of Use: Yes No
Allowed Use: Yes No APD Waiver: Yes No N/A
Building Officials Signature Date
Updated 6/24
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