HomeMy WebLinkAboutCI 33-86t j
b CITY/TOWN OF YARMOUTH
z
In accordance with the Massachusetts State Building Code, Section 108.15, this
CERTIFICATE OF INSPECTION
is issued to ... ...,, .,LOUIS B. COLUMBO ... .._ ,.........
....................................................... ......... ...
I CnUMB that I have inspected the.,, COFFEE.SHOP BASS RIVER GOLF COURSE
located at.., ............................
HIGH BANK ROAD ,,,,,,in the..TOWN......of..... SOUTHYARMOUTH .,..
......
County of..., B ?NSTABL...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
jor Structure Capacity Location or Structure
i Capacity Location
USE GROUP A-3 73 PERSONS ; 1ST. FLOOR ,
CLASS 4-B
#33 G FEBRUARY 169 1987 /
Certificate Number bat6 Certificate Issued Atte Certificate Expires Bui ing Official
f �
The building official shall be notified within (10) days of any changes in the above information.
i
1.
rvuomc Mrt=)oh ""RT
n� rue ona� I o torn to to bi cc platod oaon %Ine a parioaic ancpootion
to gado. At tho timo trat a now cortifiooto to laauodi o rocaipt indicotinC
that the fco hos boon paid vill ba nttaohod to thio fibra or thio fora will
ba at -pod "PAID" prior to Sosuing tho c3rtificsto. Any chanson oinoo tho
loot inspection rro to bo oddod to the Pilo oard of the prcmicoo. Thio fora
should bo filed b3_ atroot oddroas.
Stract and 21L^tib3r HIGH BANK ROAD., S.Y.
F cne of pram co s BASS RIVER GOLF COURSE - COFFEE SHOP
Certificate to be Issue to Lou coLurBo
Addross 17 TERN ROAD, SOUTH YARMOUTH, MA
Owner of000rd of Ba -Yd SAME
Add_rocs
Purpose for Which remixes Are Ur -38 GOLF COURSE
Dee Qroup Classification Of ro.^Lises A-3
Chcnoea Since Last Inspection (Required on Me Card)
1. /
2. ,
3•
5•
6.
Date Order Issued
Order Iocuod To
Addreso
Date Violation(a) Corrected
Rc=drks
I have this day inspected the above described premises, and the -same conforms
to the pertinent requirements of the Yassachusetts State Building Code and
the rules and regulations pursuant thereto.
Dste Bui
Certificate F=,ber 033 - 1987
DEt2 Certificate Issued
Date Certificste i`rpires
Recrrended Feat Periodic Inepection Date
FDR`: SBcc-L-7L
C=
CONMONWEALTH OF MASSACHUSETTS
City/Town of YARMOUTH
nAR APPLICATION FOR CERTIFICATE OF INSPECTION
rt.
Date FEBRUARY 7, 1986
XXX XXW Fee Required $ 40.00
( ) NO Fee Required
In accordance with the provisions of the Massachusetts Stafe
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, MASS. 02664
Name of Premises BASS RIVER GOLF COURSE - COFFEE SHOP
Purpose for which premises is used COFFEE
License (s) or Permits (s) required for the presises by other govermental
Agencies:
License or Permit Agency
Certificate to be issued to I O u
Address: ,
Owner of R cord of Building
Name of present holder of certificate_
Name o Agent if any
S gnatu of Person to whom Certifi- Title
cate is issued or his agent 31,1 .rz�
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 11