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Home My WebLink AboutBLDCI-16-003134-02 The Commonwealth of Massachusetts ►'a I 'hi CPA '-et City\Town of YARMOUTH New and Renewal Certificate of Inspection In accordance with the Massachusetts State Building Code,Section 110.7 a • Identify Name of Establishment Certificate No. Issued to Business Name: BLDCI-16-003134-02 Trade Name:Flax Pond Recreation Area Identify property address including street number,name,city or town and county Certificate Expiration Located at 31 DUPONT AVE • 1122019 SOUTH YARMOUTH,MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-3 01st Floor 206 - A-3 Amusement/Church/Gym/Library/Museum CHAIRS ONLY • Allowable 01st Floor. 96 A-3 Amusement/Church/Gym/Library/Museum TABLES 8 CHAIRS Occupant Load 01st Floor 289 A-3 Amusement/Church/Gym/Library/Museum STANDING 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 G s Date of 7447 mate Building Commissioner Inspection Signature of Municipal Signature of Municipal Date of Building Commissioner /�` dodr/t / Issuance /19.2lie Fee:$0.00 BLD_Certofl nspection.rpt � TOWN OF YARMOUTH cipillAr �o `� BUILDING DEPARTMENT n ,�-� ••�f122. ;.' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION October 1,2018 PAYABLE UPON RECEIPT ( ) Fee Required $ 0.00 (X) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,1 hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 31 Dupont Avenue, South Yarmouth, Massachusetts 02664 Town of Yarmouth Recreation Name of Premises: Flax Pond Recreation Area/Lorusso Lodge Tel:(508)398-2231 x1520 Purpose for which permit is used: Assembly Space `License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Entertainment License/Sundays Commonweleth of M A _ Entertainment LicenselWeekdays Town of Yarmouth -Camp L cerise' - Town of Yarmouth Certificate to be issued to Town of Yarmouth Recreation Dept. Tel. (508)398-2231 x1520 Address: 424 Route 28,West Yarmouth,MA 02673 —..� — Owner of Record of Building Town of Yarmouth Address 1146 Route 28,South Yarmouth,MA 02664 Present Holder of Certificate Town of Yarmouth Recreation Department 4 - Director of Community Services Signature of person t whom Title Certificate is issued his agent October4,2018 Date _ Email Address: mee@yarmouth.ma.us 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# 8(2)e_7_:_/A c 3129e_O Z 11/23/2018-11/23/2019 E: • .,.,i „....;.ait = TOWN OF YARMOUTH ENG ILEECTRIICAL ~ : .r�i i-' 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 'Ai =? Telephone(508) 398-2231, Ext.1261 —Fax(508) 398-0836 PLUMBING SIGNS ---_ - BUILDING DEPARTMENT _e ii Inspection and License Report gig Date /a -22-g? Address :i I Du o✓!T gig Business Name �Hx 1-20YO Con ` G Phone L 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 Board of Health rules,the following violation(s)were observed: 4 afi.; 76/ ti 0 Emergency egress signage Ioation (/67/ ❑Emergency egress lighting Location ❑Maintenanceofexits Location ❑Guards/handrails Location Zo�inr ' ❑Signs Location (3 Parking Locat on } ,yr ❑Other Location 4 Meehan/ea( ❑CombusdonAir Location "R ❑Storage in Boiler Room Location ❑Vents Location ❑Automatic door closures 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. Jn 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 for a follow-up inspection. o Make corrections prior to your ne t annual Inspection. o Make corrections withi d ys and contact this office for a follow-up inspection. Local Official/Ins r Iif LN G+ Received Brill /9Pf rA A N Id 4-A- Tide � , ( (f (±049 ki Revised 2/8/13 RALPH J. PERRY P.O. BOX 339 •HYANNIS, MA 02601 •508-775-3473 MA-CR#017 •DOT CERT#A-850 R- FIRE PROTECTION INSPECTION REPORT/WORK ORDER# N2 63560 NAME:TQ p (3 R- yea PAD\�-L\ .DATE I0'\1'Aa ACCOUNT# Pt Al..LOCATION _ coo 0 NEW CHARGE K COD t ANNUAL 7.4 ,NEW EQUIP SERVICE RETURNS S yir rrc IJ TOTAL#OF EXTINGUISHERS CBILL TO l6' #EXTINGUISHERS DUE SERVICE NEXT YEAR CUSTOMER PO# - INSPECTION DUE 10\-1.0 el \ CONTACT PHON} rr-- '%1 EMAIL SERVICE/LABOR k � -;lS NEW EQUIPMENT. " DRY CHEM 2 4:ABC - 5ABC IOABC 20ABC IOBC 20BC 10PK 20PK CO2 SIb_1016_151b_2011) PW CLASS K HALOTRON 242 lb _ 516_ Illb_15.5I6 _ MARINE SYSTEM EMERGENCY LIGHTS - EXIT LIGHTS OTHER INSPECTION / RECERTIFICATION- DRYCHEM .3.K CLASS_PW_HALONMALOTRON_CO2_COND TEST_MARINE CYLINDER EMERGENCY LIGHTS EXIT LIGHTS OTHER RECHARGE'/SERVICE/ HYDROTEST s RECHARGES SERVICE DRY CHEM 2 42 lb _ 516 1 1016 201b 6 YEAR MAINTENANCE , HYDROTEST PW K CLASS.61 2.5G HYDROTEST HALOTRON 2 V2 lb_51b I1 lb 15 V2 lb 6 YEAR MAINTENANCE HYDROTEST CO2 51b _ 1016 _ 15Ib _ 201b_ COND TEST _ HYDROTEST Notes: . PARTS SERVICE COLLAR 1 WALL HOOK MI-51b Other ORING k VEHICLE BRACKET M2-1016 CHECK STEM HEAVY DUTY BRACKET 2016 PULL PIN BULBS REPLACEMENT COVER GAUGE BATTERIES BATTERY DISPOSAL FEC COVER SIGNS/ LABELS FIRST AID a DOT OSHA PWM 90 FIRST AID KIT 8161_8162_ 8163_ I-KIT_REFILL BL SERIES VINYL TYPE EYEWASH STATION_REFILL INSPECTA SHIELD RP SERIES PLASTIC TYPE OTHER FIRE EXTINGUISHERS-ARE IN COMPLIANCE WITH NFPA10 CODE YES" \ NO ❑'` . . i RECOMMENDATIONS: On this date th0 fire = uishers and fire equipment were inspected or serviced in accordance with procedures of the NFPA 10 and thefmanufacturer's manual,with the results iq lion.d.2lzoV T SERVIQE TECH CIAN LIC# CUS OME'Q, UTHORIZED REPRESENTATIVE J The a.me service technician certifies that thefire extinguishers and emergency lights were personal( Inspected and found conditions to be as indicated above. DELUXE FOR BUSINESS 1-800-088-6327 nM.No 158010143 r _ • • 1 INVOICE Customer Name Town Of Yarmouth Alarm New England,LLC Customer Number 0024440 t� �) 65Inwood Road Invoice Number 768192 ill, 0607 ALAILAL NEW ENGLAND Rwww earmne engllend.com Invoice Date 06/012018 • TEL:(860)616.7501 PO Number FAX:(860)616-7587 PAYMENTS APPLIED THRU 5/15/2018 ( CURRENT CHARGES Quantity - Description , Rate Amount.: } u Recreation Department-Administration Building,31 Dupont Avenue,South Yarmouth,MA 12.00 DAILY TEST-MA-6814158,07/0112018.06/302019 3.65 43.80 12.00 MONITORING-MA-6814158,07/012018-06/302019 24.95 299 40 g Town of Yarmouth-Flax Pond,31 Dupont Avenue.South Yarmouth,MA I3 12.00 MONITORING•MA-6814326,07/012018.061302019 22.46 269.52 Sales Tax 0.00 8 Payments/Credits Applied • ,___._,-_ 0.00_ Invoice Balance Due: $612.72 J IMPORTANT MESSAGES N Billing Questions billing Oatarmnewengland.com Main Line(800)322-3500 Central Station Option 1 Servl • Please Test Your System Monthl Please remember to test your alarm system regularly '= H ,,,l' t 1r . YW YI PLEASE SEE REVERSE SIDE FOR IMPORTANT INFORMATION. PleaPlease _, .._ . ... _. . __......_. a •detach ane return iurn portion with your payment to ensure proper credit MO Alarm New England,LLC REMITTANCE INFORMATION 65 Inwood Road Customer Number 0024440 ALARAILANEVA ENGLAND Rocky Hill,CT 06067 Invoice Number 768192 www.alarmnewengiand.com Invoice Date 06/012018 Invoice Amount $612.72 Address Service Requested DUE DATE Upon Receipt TOTAL DUE $612.72 D Please check it your Ming address has changed, Amount Enclosed: $ provide updates on the reverse side. 1..111111L1II11LII1NI..pi•gPlilid..ldly..Ii1ll.i1.ii.. a.ar ALL FOR AADC 028 1262 1 AB 0.408 • . It..i..1..i.1.L�..�d1lll.illi411111idIIIIIIIIIIIII+111ll1 TOWN OF YARMOUTH ALARM NEW ENGLAND(60) 424 ROUTE 28 i 85 INWOOD RD : WEST YARMOUTH MA 02873-4113 ROCKY HILL CT 06067.3440 LiGId Page 1