HomeMy WebLinkAboutBLDCI-17-000800-01 The Commonwealth of Massachusetts
fl City\Town of
z YARMOUTH
S
New and Renewal Certificate of Inspection
In accordance with the Massachusetts State Building Code,Section 110.7
Identify Name of Establishment - Certificate No.
Issued to
Business Name:CROOK JAW INN BLDCI-17-000800-01
Trade Name:CROOK JAW INN
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
186 ROUTE 6A 05/09/2019
YARMOUTH PORT, MA 02675
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-5 01st Floor 1 R-1 Hotel/Motel/Boarding House/Transient 1 UNIT,GIFT SHOP
Allowable 02nd Floor 5 R-1 Hotel/Motel/Boarding House/Transient 5 UNITS
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise,structure or portion thereof as herein specified has been inspected for
general fire and life safety features. This certificate shall be framed behind glass and/or laminated and posted in a conspicuous place within the space as directed
by the undersigned. Failure to pose or tampering with the contents of the certificate is strictly prohibited
Name of Municipal Name of Municipal Mark Grylls Date of / M
Building Commissioner Inspection (rte /(f
Signature of Municipal Signature of Municipal /, Date of
Building Commissioner ����' Issuance Z /. �F
• Fee:$100.00.
BLD_Certof nspection.rpt
7:6'04k,, TOWN OF YARMOUTH
o� ;�� -ly BUILDING DEPARTMENT
N 11146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
June 5, 2018 PAYABLE UPON RECEIPT
( X) Fee Required $100.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
rt
Street and Number: / O & Rj: 1p Ii. I
Name of Premises: Cr0 0 K J GI �.4-13—I Al N Tel:
Purpose for which permit is used: 113 4
License(s)or Permit(s) required for the • D ther governmental agencies:
VE
License or Permit
RECEIVED
C E 1 ' Agency
JUN 12018
- -- - UILDINGPARTMENT
Certificate to be iss ed to A p TO W -L AIN Tel: SOS (' 80 - G III
Address: S(-7 , 'f' , A
Owner of Record f Buildin r6 A _
'Address /�(' p
Present Holder of Certificate 4d NDty Ie
I-(q UOu) 1e9 atkrwC
Signature of person to whom Title
Certificate is issued or his agent 6 ,0 ' I '
//}} Date
Email Address: C roD kTOWLIN/�noL'l/y 2(/�1)V\
Instructions: Make check payable to: Town of Yarmouth
1146 Route 28, South Yarmouth, MA 02664
Return this application to: Building Inspector's Office
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 of Inspection# , &— ,�rro Pro/
5/9/2018-5/9/2019
•
ski‘
..�F,..-Y - BUILDING A A t
F _ TOWN OF YARMOUTH ELECTRICAL vin
GAS
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451
IiQ Telephone (508)398-2231,Ext.12 Fax (508) 398-0836 PLUMBING
• GXT/� -' SIGNS
--- - BUILDING DEPARTMENT
Inspection and License Report Z 7--/8
/ Daze
Address /34' 719 Business Name C,CcOe 3)1
Contact Phone
During the Annual Inspection of your premises,performed in accordance with the provisions of Section 110.7 of 780 CMR(Massachusetts
State Building Code),the Board of Selectmen,and/or the and of Health rules,the following violation(s)were observed:
E.
e ��/� N� /` �Q?CIEmctEmergency Location
; /a, �1 1
❑ Emergency egress lighting Location re/ 00( �( /! W`,, cio/' 2/T
❑Maintenanceofexits Location
❑ Guards/handrails Location
Zoning
❑ Signs Location
❑ Parking Location
❑ Other Location
Mechanical
❑ Combustion Air Location
❑
Storagein Boiler Room Location
❑Vents Location
❑Automadcdoor dosures
on boiler room doors Location
❑ Clothes dryer vents Location
Other Location
The State Building Code,Section 1001.3-Maintenance,provides that the owner as defined in Section 780 CMR shall be
responsible for proper maintenance.
in order to abate the above violation(s)you must:
o Make corrections immediately and contact this office for a follow-up inspection.
o Make corrections prior to opening and contact this office fin a follow-up inspection.
o Make corrections prior to your nex/annual inspection.
o Make corrections withi / / days and contact this office for a follow-up inspection.
Local Official/Inspector
Received By �,�/ f tli e o Tide
Revised 2/8/13