HomeMy WebLinkAboutCI 1114-03Vic Couti1tot1wrattlj of on5adjuatt!5
TO11W OF 1ARMOUTII
In accorclance 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 Certify that 1 have inspected the . , SNACK BAR _ . . • ..... • known as . BASS RIVER GOLF -COURSE .
located at62 HIGHBANK ROAD ..... in theTOWN o f SOUTH YARMOUTH
County of Barnstable, Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
Story, Capacity
Place of Assembly
or Structure
USE GROUP A-3
CLASS 5 - B
* 1114
Certificate Number
BY STORY
Story Capacity Story
Capacity Story
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly
Capacity Location or Structure
73 PERSONS 1ST FLOOR
Date Certificate Issued
FEBRUARY 18, 2004
Dale Certificate F..rpire.s
Capacity
Building Ofc•tal
The building official shall be notified within (10) thivs of ani, changes in the above information.
�e Y R TOWN OF YARMOUTH
o=j c` BUILDING DEPARTMENT
'��••}�s•l? 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 260
T
APPLICATION FOR CERTIFICATE OF INSPECTION
Date: March 17, 2003 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.
Name of Premises: U ,tk•s 1UL Zxlacc Rwc(rGG Tel: SU 7 39
Purpose for which permit is used: V_r T
License(s) or Permits) required for the premises by other governmental agencies:
License or Permit
liOVh May. \il �11J1.
Certificate to be issued to I
Address: (0,2
Owner of Record of Buildrn�
Address \`k_-3 "Rk o"
Present Holder of Certificate
Signaturelof person to whom
Certificate is issued or his agent
tit � R 1 R 003
50
.1 S v�—
.L
Agency
c-ESto of KI -
Tel: S O& — 3ct 9-1 ga (t),
COL..
Title
Date
Instructions: Make check payable to: Town of Yarmouth
1146 Route 28, South Yarmouth, MA 02664
Return this application to: Building Inspector's Office
W
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 # --�-
0410103
TOWN OF YARMOUTH
1146ROUTE28 SOUTHYARMOUTH MASSACHUSETTS02664-4451
Telephone (508) 398-2231, Ext. 261 — Fax(508)398-2365
BUILDING DEPARTMENT
NOTICE OF VIOLATION
BUILDING
ELECTRICAL
GAS
PLUMBING
SIGNS
Inspection Date: Inspection Type -
Property Address:/
Name: �tJ '`"� l " `� ��/�f �'�� �s� Owner ❑ Tenant
D / B / A: Telephone: _(2`g - 79 a V 9?_ 6
Mailing Address:
City / Town: - fe .1� State: Zip Code:
An inspection of the above captioned property was conducted by the undersigned,
uring which the following VIOLATIONS were observed:
cle
J
u
� r,
G /tel c — ro O „4I, w 11f r
r7-
You are hereby ordered to abate or correct 'said violations within ayr
Failure to do so may result in criminal/civil complaints being filed against you, which
may be subject to fines as pr scriba y ertinent laws and regulations, or may delay
the issuance ofo ilicG Y u 1 o faired to contact the Building Department for
Y g P
a re -inspection y th e d. o
Signed: - t `" S
spector Title
Copy Received By:
Original - Owner/Teriant Yellow Copy - Licensing Authority Pink Copy - Bldg. Dept.
l .r