HomeMy WebLinkAboutCI 45-89Y -
Mir (1 oututonwraltr of Masoadjusms
CITY/TOWN OF YARMOUTH
In accordance with the Massachusetts State Building Code, Section 108.15, this
CERTIFICATE OF INSPECTION
is issued to ........ , LOUIS COLOMBO ...... • • • • ............. • •
................................................. .......
Y TPrtify that I have inspected the...... , COFFEE. SHOP................. known as. BASS RIVER, GOLF COURSE
located at.... , HIGH, BANK ,ROAD , , , , , in the. TOWN, , , , , , of , , , , , SOUTH YARMOUTH
. ........... . ..............
County of..RALINST45M ..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 •• '
#45 3 to n •FEBRUARY 18, 1990 •�
Certificate Number Date Certificate Issued Date Certificate Expires uilding Official
The building official shall be notified within (10) days of any changes in the above information.
PERIODIC INSPECTION REPORT
Instructions: This form is to be completed each time a
inspection is made. At the time that a new certificate
indicating that the fee has been paid will be attached t
will be stamped "PAID" prior to issuing the certificate.
last inspection are to be added to the file card of the
should be filed by street address.
periodic
is issued, a receipt
o this form or this form
Any changes since the
premises. This form
Street and number: HIGH BANK ROAD. SOUTH YARMOUTH. MA. 02664
Name of premises:BARB RTAIPR C01 V MURRE
Certificate .to Issued to: MITTS rnT.nMRO
Address:
Owner of Record of Building: Tn N nE YARMnTTTH
Address:
Purpose for which premises are used: MPFFF SHOP
Use Group Classification of Premises: A_�
Changes /since last inspection(Required on File Card)
1• �2.(���.t�e lytLt- INSirtL` Wo IEXp.IT S16w15
2. flD'D 1 kL'Rr tnjcy Lick -'S Ito Aoctcr 2 60r�y,
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 requirments of the Massachusetts State Building Code and the
rules and regulations pursuant thereto.
3 I BLei
DATE BUILDI14G OFFICIAL
Certificate Number #45
Date Issued
Date Expires FEBRUARY 18, 1990
Recommended next inspection date
COi%MONWEALTH OF MASSACHUSETTS
City/Town of
APPLICATI
SECOND REQUEST
CERTIFICATE EXPIRED FEBRUARY 1
YARMOUTH
'CI1C INSPECTION
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 BANK ROAD; SOUTH YARMOUTH, MA.
Name of Premises BASS RIVER GOLF COURSE TFT._ 9k-9�
Purpose for which premises is used COFFEE SHOP
License (s) or Permits (s) required for the presises by other govermental
Agencies:
License or Permit Agency
Certificate to be issued .to %DJ C'O[�.KAgQ
Address: ,e b . o
Owner of Record of Building
Address
Present H der of Certificate
- RCs2
Signature erson to whom Certifi- Title
cate is issued or his agent 8
ate
Instructions: Make Check Payable to Town of Yarmouth
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 U91 '�