HomeMy WebLinkAboutBCOI-24-45 2026 ("OC:-?---
`it. . TOWN OF YARMOUTH
Office of the BuildingCommissioner
a' * * 101 1146 Route 28, South Yarmouth, MA 02664
per _ - 4y
,N .- 441 508-398-2231 ext. 1260 Fax 508-398-0836
MATTACHEESE
/�C0RPORATE j34•f APPLICATION FOR CERTIFICATE OF INSPECTION
November 1, 2025 PAYABLE UPON RECEIPT
( ) Fee Required$100.00
( X ) 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:
( ' Y-0-hon �Street and Number: 28
Name of Premises: iliViSpitmoufh Srrter iC(r� Tel: 5bg" I�7
qg 79.7 ci
Purpose for which permit is used: M i'Od I e I 'Ed 0(i4 I I'o 0
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be j ss e to D\ 12 S) Tel: ____V - b 1 i
Address: L ci LP 54-rk-j['1 .A tin l.i air 16
Owner of Record of Building
Address
Prese ._.older of Certificate 'D 9 S C)
4 Q
_,
D 1 reclz a f- 166 I ties
Sign. s ' .e Title
Certificate is issued or his agent lk I(3) ZS
Date
Email Address: a uk,�'le 5 0' D I -'et' pool_ 1LIz< i'r" US __ , a- . . r _
NOV 17 1025
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-24-0- l
12/31/2025-12/31/2026
The Commonwealth of Massachusetts
ILEV) • Town of
YARMOUTH R )
0 H
+e°00 RATED�b�q
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: DY, Intermediate Middle School
Trade Name: DY, Intermediate Middle School BCOI-24-45
Identify property address including street number, name, city or town, and county Certificate Expiration
Located at 276 & 286 STATION AVE
SOUTH YARMOUTH, MA 02664 December 31, 2026
Floor Occupancy_ Use Group Other
01 st Floor 2,359 Educational I FL-A Wing-467
1 FL-B Wing 368
1FL-C Wing 781
1FL-D Wing 743
Use Group Classification(s)
02nd Floor 1,604 Educational 2nd FL-B Wing 214
2nd FL-C Wing 690
Allowable Occupant Load 2nd-FL-D Wing 700
01st Floor 2,705 A-3 Lecture halls,dance halls, Cafetorium Occ Load-457
churches and places of religious Auditorium.Occ Load-778
worship, recreational centers, Gymnasium Occ Load- 1470
terminals,etc.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 Mar ry ate of Inspection
Commissioner 3 LgiaotRca
Signature of Municipal Fire Signature of Municipal Buildi Date of Issuance
Chief Commissioner 1p/i