HomeMy WebLinkAboutCI 1759-05The Commonwealth of Massachusetts
City\Town of
New and Renewal Certi
J
to of Inspection
In accordance with 780 CMR, Chapter 1(The Sixth 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.
Idents Name of Establishment
Issued to I SANDBAGGERS @ BASS RIVER GOLF COURSE
Idents property address including street number, name, city or town and county
Located at 62 HIGHBANK ROAD
SOUTH YARMOUTH, MA 02664
Basement First Floor Second Floor Third Floor Fourth Floor
Use Group
Classification(s)
A-3
73 PERSONS
Allowable
Occupant Load
Certificate No.
1759
Certificate Expiration
06
`CA6 2 Z6"
Other
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 RANDALL SHERMAN Name of Local AND ARNAUL T
ate of
Fire Chief Building Insvector spection ` S �jp
Signature of Municipal /� Signature of Local ate of �Z --
Fir e�ltief P/ uilding Inspector / suance
lZbe commonwealtb of Anncbuattg
TOWN OF YARMOUTH
In accordance with the Massachusetts State Building Code, Section 106.5.1, this
CERTIFICATE OF INSPECTION
is issued to ....... SAND BAGGERS PUB at BASS RIVER GOLF COURSE
.........................
I Om-tify that 1 have inspected the ... SNACK BAR ......... known as ... BASS RIVER GOLF COURSE • .. • • .
located at . E2 HIGHBANK ROAD....... in the TOWN of SOUTH YARMOUTH
County of Barnstable, Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity
Place of Assembly
or Structure
USE GROUP A-3
CLASS 5 - B
a 17%
Certificate Number
' �I��•3. u : Z�i3•�113�i�ll�li_�J
Capacity Location
73 PERSONS 1ST FLOOR
/Z'Z/•ate
Date Certificate Issued
Place of Assembly
or Structure
FERRI I6RV 48,2006—
Date
Q7MRDate Certificate. Expires
Story
Capacity
Location
Building Official
The building official shall be notified within (10) days of any changes in the above information.
Date: December 9, 2005
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 260
APPLICATION FOR CERTIFICATE OF INSPECTION
PAYABLE UPON RECEIPT
( X ) Fee Required $ 50.00
( ) 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.
j� ✓ V
Name of Premises: (/ S Re& Tel:%J r'� S{ 3207 1526
Purpose for which permit is used: (� M no,u 1 k
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit
Certificate to be issued to�iv1 fAi ��E�PiS Tel:
Address:
Certificate is issued or his agent
Date
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 # 5 -
Z./g.o: -T. f9a,o6