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The Commonwealth of Massachusetts
City\Town of
New and Renewal Certi tate of Inspection
In accordance with 780 CMR, Chapter 1(The 81h Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004 (an Act to
further enhance fire and life safety), this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment
Certificate No.
Issued to
GRILLE AT BASS RIVER
3484
BASS RIVER GOLF COURSE
Identify property address including street number, name, city or town and county
Certificate Expiration
Located at
62 MGHBANK ROAD
DECEMBER 31, 2014
SOUTH YARMOUTH, MA 02664
Basement
First Floor
Second Floor
Third Floor
Fourth Floor
Other
Use Group
78 INSIDE
Classification(s)
112 OUTSIDE —
A-3
TOTAL 190
With
TOTAL WITH
Allowable
entertainment:
ENTERTAINMENT:
Occupant Load
50 INSIDE
172 PERSONS
112 OUTSIDE -
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 life 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
PHILLIP SIMONIAN
Name of LocalANDRE
ARNAULT
Date of
Fire Chief
Building Inspector
Inspection
12-
Signature of Municipal
Signature of Local
Date of
Fire Chief
Building Inspector
Issuance
On
TOWN OF YARMOUTH ELELCI RICALL
GAS
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451
PLUMBING
Telephone (508) 398-2231, Ext. 26d- Fax (508) 398-0836
/ L6 r SIGNS
BUILDING DEPARTMENT
bupection and License Report / 3
Dace
Address Business Name (1^% �� ` s ft, /27 V e
/ i, -j
Contact.— �M �?' �' / -�� Phone - � / `� ' c) Ci % l
During the Annual Inspection of your premises, performed in accordance with the provisions of Section 106 of 780 CMR (Massachusetts
State Building Code), the Board of Selectmen, and/or the Board of Health rules, the following violation (s) were observed:
EPresa
❑ Emergency egress signage
Emergency egress lighting
❑ Maintenanceofexits
❑ Guards/handrails
Zoe:ia
❑ Signs
❑ Parking
❑ Other
❑ Combustion Air
❑ Storage in Boiler Room
❑ Vents
❑ Automatic door closures
on boiler room doors
❑ Clothes dryer vents
Odin
Location
Location
Location
Location
Location
Location
Location
Location
Location
location
Location
Location
Location L=lt
t- r
The State Building Code, Section 103.2 - Maintenance, provides that the owner as defined in Section 780 CMR, 2 shall be
responsible for proper maintenance.
In order to abate the above violation(s) )mu must:
o Make corrections immediately and contact this office for a follow-up inspection.
o Make corrections prior to opening and contact this office for a follow-up inspection.
o Made corrections prior to your next annual inspection.
Make corrections within 10 days and contact this office for a follow-up inspection.
Local Offrcial/Inspector
Received By
Tide
Reviscd 4/30/03
TOWN OF YARMOUTH
o!BUILDING DEPARTMENT
5�--•«•�, 1146 Route 28, South Yarmouth, NIA 02664 508-398-22rN
�E� E
APPLICATION FOR CERTIFICATE OF INSPECTION .9 2013
Date: November 1, 2013 PAYABLE UPU 111 1;MPERMITS
( ) Fee Required $ 100.00
(X) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a
Certificate of Inspection for the below -named premises located at the following address:
Street and Number:(o�� •? f�16� ,&i✓k d6AppD
6
Name of Premises: ?IZZ C 4T 4,rS• /] /y62 Tel: ,SDy- 3 jr- 9400�l
Purpose for which permit is used:
License(s) or Permit(s) required fi
License or Permit
1- Q 1jo 12
erg wti 6,Vr
E
NOV 15 2013
BUILDING DEPARTMENT
agencies:
Agency
Certificate to be issued to A j 11,49 n_our?f Tel: L4�08-t-79�
Address: 6 T 2
Owner of Record of Building
Address G
Present Holder of Certificate f� m
1il�FcTO�t', o � Gc� F D,o,�Rfrn�/L�r
Signature of person to who Title
Certificate is issued or his agent /////�3/0.20
Date
Instructions: Make check payable to: Town of Yarmouth
Return this application to:
1146 Route 28, South Yarmouth, MA 02664
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 # 3 V
Certificate Dates: 01/01/14-12/31/14
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1261 Fax 508-398-0836
LICENSE INSPECTION APPROVAL LOG
NAME: Grille at Bass River ADDRESS: 62 Highbank Rd, S. Yarmouth 02664
This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your
building/premises. When all signatures are obtained, this log shall be presented to the License & Permits
office and/or the Health Department in order to obtain your license. Licenses will be withheld until all
inspectors have signed.
V
Date Comments Approved for
license Issuance
�Z' jo • /3 es No
Fire Department Rep. Date Comments Approved for
License Issuance
es No
Board of Health Rep. Date Comments Approved for
% Li Issuance
No
190 7V-Z�-
Plumbing/Gas Inspector Date Comments Approved for
Lic Issuance
No
Electrical Inspector
Date
\4 &4 11wil
Comments
Taxes Paid Oes No
Rev.SepL 2003
Approved for
Lic ssuance
C)
No