HomeMy WebLinkAboutComplaint Form 4/29/26 -
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Office of the Building Commissioner
,i1 • 1146 Route 28, South Yarmouth, MA 02664o�' MAn���EEs - �' 508-398-2231 ext. 1260 Fax 508-398-0836
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RECEIVED
COMPLAINT FORM
APR 3 0 2026
Date: L/- D--/- -.
BUILDING DEPARTMENT
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ype o mplaint: Building ✓ Zoning General `/
This is a formal request for enforcement of an alleged violation. The following are facts in the case:
Property Address of Alleged Violation: I,3 Pin/n S C gckAul Q 0 , tint 4,'►' LI--
Property Owners Name (s): Gre&V&S InUt)n -frpc,51.
Property Owners Mailing Address: /3 3 14 ( ins Cr, ( Pr)
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Description of Complaint: 11/Us fCt3ptith
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Date (s) of Alleged Violation (s):
Name (s)of Person (s):
The following information is required.Failure to provide your name,address,
and telephone number will result in the Inspector of Buildings/Zoning
Erriorcement Officer to process the complaint at his/her discretion.(PLEASE
PRINT) 1 I
Complainant Name: e.\AC nc �V t C
Address of Complainant: 01 01421vu (C),) WNW Gr/Ybt_ll-- tYl✓-\ 02473
Telephone Number:9 11"Sik "y 3(z, Email Address: L OVILOc.e 6A1cep, CPjr-\
Preferred Method of Contact(check one): Telephone: Email:
I am basing my allegations on the above facts.I understand that as the complainant,in the event the Building
Commissioner is personally unable to bring the matter in to compliance,I may be required to attend legal
proceedings to enforce the regulation referenced above in a court of law.Pursuant to the above allegations I am
requesting an investigation and enforcement
lIif applicable.
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Signature of Complainant:
I Prefer to Remain Anonymous: [ ](check box)