HomeMy WebLinkAboutCI 3-90c01le Touiutuitw ealfil of ffia'aaadjuavits
CITY/TOWN OF YARMOUTH
In accordance with the Massachusetts State Building Code, Section 108.Z5, this
CERTIFICATE OF INSPECTION
is issued to ......... THOMAS , B. ,KELLY. & MXg1jUP..Q1PNj ........... .................... ..... .
.. . . ... .........
(ertifg that
I have inspected the...... COFFEE .SHOP .............knornt as.BASS.RIVER.GOLF.COURSE
...........................
located at ..... H IGF .
BANK. RQAp.................. in the ... T.QVV ..... of.......
S.QUTR .YBRMQUTH
.. ..... . ... . .
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
.. 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
'
#3
4 `O
FEBRUARY 18,
1991
Certificate
Number
Date Certificate
Issued
Date Certificate
Expires
Building
Official
The building official shall be notified within (10) days of any changes in the above information.
IODIC 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: HTr_u RANK RC111D, SOLLTH YARMriUT". MA n?6Aa
Name of Premises: BARR PT17P.R rnT.F MT1RRF.
Certificate to be Issued to: THnMAR n_ KF.T.T.Y/MTCHAF.T. ARAN
Address: 60 PAYSON PATH. WEST YARMOUTH, MA. 02673
Owner of Record of Building: TOWN OF YARMOTITH
Address:
Purpose for which premises are used: COFFER. SHOP
Use Group Classification of Premises:
Changes since last inspection (Required on File Card)
1.
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.
4z& /:q1J
DATE
Certificate Number
Date Issued
Date Expires FRBRUARY 18, 1991
Recommended next inspection date_
BUILDING OFFICIAL
COMMONWEALTH OF MASSACHUSETTS
City/Town of YARMOUTH
APPLICATION FOR CERTIFICATE OF
Date JANUARY 11, 1990
JAN 10..m
PECTION
( g) Fee Required $ 40.00
( ) NO Fee Required
In accordance with the provisions of the Massachusetts State
Building Code, Sec. 108,15, I hereby apply for a Certificate of
Inspection for the below -named premises located at the following
address:
Street and Number HIGH RANK RnAn, ROTITH YARMOUTH, MA 02664 Cy q
Name of Premises —PASS ;N1V-1<R GG1LF COUi2SE
Purpose for which premises is used rnFFRF. CHOP
License (s) or Permits (s) required for the presises by other govermental
Agencies:
License or Permit Agency
�.rr1U
Certificat
Address: i
Owner of Record of Building ';—&&///L n F Y4�fFtOvTY,4
Address
Present Holder of Certificate
Signature of Person to w om Certifi- Title
cate is issued or his agent G
ate
Instructions: :Sake Check Payable to Town of Yarmouth
3oy1
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 information.
Certificate U