HomeMy WebLinkAboutCI 20-91c�l�r Tuututatmealt4 of Massu rfluort#s
CITY/TOWN OF YARMOUTH
In accordance with the Massachusetts State Building Code, Section 108.15, this
CERTIFICATE OF INSPECTION
is issued to ........... THOMAS. B -..KELLY. & MICHAEL .BEAN ...............................................
(99dif it that I have inspected the ........... GQJF.91 . SR4P......... known as.. BASG, RIVER GOLF ,COURSE
located at...... . HIGH BANK ,ROAD • • . , .. • . , • • , , , in the..TOWN • • . , of .... • • . • , .SOUTH YARMOUTH
. . . ...............................
County of..BARNST. .. .
............ ...Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
The building official shall be notified within (ZO) days of any changes in the above information.
BY STORY
Story Capacity
Story
Capacity
Story
Capacity
Story Capacity
BY PLACE OF ASSEMBLY
OR STRUCTURE
Place of Assembly
Place of
Assembly
or Structure
Capacity
Location
:: or Structure
: Capacity : Location
USE GROUP A-3
:73 PERSONS :1ST
FLOOR
CLASS 4-B
�
=
#20
FEBRUARY 18,
1992
Certificate Number
Date Certificate
Issued
Date Certificate
Expires
,ouilding Official
The building official shall be notified within (ZO) days of any changes in the above information.
PERIODIC INSPECTION REPORT
Instructions: This form is to be completed each time a periodic inspection
is made. At the time that a new certificate is issued, a receipt indicating
that the fee has been paid will be attached to this form or this form will
be stamped "PAID" prior to issuing the certificate. Any changes since the
last inspection are to be added to the file card of the premises. This form
should be filed by street address.
Street and number: HIGH BANK ROAD, SOUTH YARMOUTH, MA. 02664
Name of Premises: BASS RIVER GOLF COURSE
Certificate to be Issued to: THOMAS B. KELLY/MICHAEL BEAN
Address: 32 MORNING DRIVE. SOUTH YARMOUTH_ MA. 02664
Owner of Record of Building: TOWN OF YARMOUTH
Address:
Purpose for which premises are used: COFFEE SHOP
Use Group Classification of Premises: A-3
Changes since last inspection (Required on File Card)
2.
3.
4.
5.
Date Order Issued:
Order Issued to:
Address:
Date violation(s) corrected:
Remarks:
I have this day inspected the above described premises, and the same conforms
to the pertinent requirements of the Massachsuetts State Building Code and
the rules and regulations pursuant thereto.
, 9/
DATE BUIL ING OFFICIAL
Certificate Number #20
Date Issued
Date Expires FEBRUARY 18, 1992
Recommended next inspection date
COMMONWEALTH OF MASSACHUSETTS
City/Town of YARMOUTH
APPLICATION FOR CERTIFICATE OF INSPECTION
CERTIFICATE EXPIRES
Date JANUARY 15, 1991 U
(X ) Fee Required $ 40.00
FEBn�
EB 111991
( ) NO Fee Required
O /
In accordance
with the provisions
of th
Massachusetts State
Building Code, Sec.
108,15, 1
hereby appy tor
a Certificate of
Inspection for the
below -named
premises located
at the following
address:
Street and Number
HIGH BANK
ROAD, SOUTH YARMOUTH, MA. 02664
Name of Premises BASS RIVER GOLF COURSE TF -1
Purpose for which premises is used COFFEE SHOP
License (s) or Permits (s) required for the presises b other
y govermental
Agencies:
License or Permit Agency
Certificate to Ve issued to I No'YitS al d4f- 114in w- 3Eya/
Address: 3a UtjiPN&K ?)R. S,1J1Y_d
Owner of Record of Building j Dlt/d/ 0 if1/PMDUTi�/
Address
Present Holder of Certificate
gnature of Person 4whmCertifi-
cate is issued or his agent
Instructions: Make Check Payable to Town of Yarmouth
tie
to
1146 Route 28 S. Yarmouth, Ma 02664
Return this application to BUILDING INSPECTORS OFFICE
Please note:
Application form with accompaning fee must be submitted for each building or
structure or part thereof to be certified.
Application and fee must be received before the certificate will be ussued.
The building offical shall be notified within ten (10) days ofany change in
the above infor ation.
Certificate #
1
1
r�Eli
� 1