HomeMy WebLinkAboutCertifation of Inspection The Commonwealth of Massachusetts
'* ` City\Town of
-1. — u
1 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: BRENTWOOD MOTOR INN BLDCI-16-005897-03
Trade Name: BRENTWOOD MOTOR INN
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
961 ROUTE 28 05/15/2020
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
R-1 01st Floor 46 R-1 Hotel/Motel/Boarding House/Transient 3 Buildings
Allowable
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 Gryl Date of ..,/Building Commissioner Inspection 5_ /
Signature of Municipal Signature of Municipal Date of
Building Commissioner 4 /�` 401" Issuance t
Fee:$208.00
BLD Certoflnspection.rpt
•.Y9R o TOWN OF YARMOUTH
o - -H BUILDING DEPARTMENT
MATTACM CSFj
••,•.,o,. 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
April 1, 2019 PAYABLE UPON RECEIPT
(X) Fee Required 208.00
( ) 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:
Street and Number: 6/6/ ,tom i
Name of Premises: Lee„./t,iC c�l� �j�l�JL t N/,-) Tel: `g - Z 12,, , 6217.7q,Z. ‘`
017
Purpose for which permit is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
MAY I ,G 2(11
1-FR40-0UZ"Jo0S• tars
1,1101 --4107 T015 - trit4eL
Certificate to be issued to /. /410P ) Mo7ZyL Tel: sag' - 8-K(2
Address: q6 AT £
Owner of Record of Building 1LP79A17Lf t Ki6 v �'u l�L 7 6eusi
Address 44iZ /JC VI 65S 0-2/-7 i
Present Holder of Certificate y9.S
/`-
s corp
ature of person to whom Title
C rtificate is issued or his agent tc. - f 9
Date
Email Address:
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# Rtbel 0 d St' 7-03
5/15/2019-5/15/2020
Al
Y - TOWN OF YARMOUTH E TRAL
` ��� II, GAS
'i` ' ,;C;/ c 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451
'IIl Telephone(508)398-2231,Ext.1261 —Fax (508) 398-0836 PLUMBING
--- ow E • SIGNS
BUILDING DEPARTMENT
Inspection and License Report Date .5---`, 3 --/7
Address %? / htlir Business Name it3/641,--44coci MaTa/..
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 Board of Health rules,the following violation(s)were observed:
,Egress
❑Emergency egress signage Location a ri e e ✓C.)` h ;1 1.ort T /ale On cej112
vt' St- I1S
❑Emergency egress lighting Location C t el
it ,
❑Maintenanceafexits Location '/S /
❑Guards/handrails Location ✓(?�J /Si �.�/iQC>I
Z-- B Ccl \ /�
❑Signs Location f /c4GG7'" . '� /�0C,tt7..�',gam
❑Parking Location /� , 7 L A/y 'I L= Y> /97
❑Other Location ti [ 74 9/ 5/6'f /fr ' r e
Mechanical A� 6 -
5
Di Combustion Air Location' ��L—
(J( bra' d
❑Storagein Boiler Room Jtion Cf( Sr<
❑Vents Location
❑Automatic door closures
on boiler room doors Location
❑Clothes dryer vents Location
Qher 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 for a follow-up inspection.
o Make corrections prior to your next annual inspection.
o Make corrections within /'"5 �djays and contact this office for a follow-up inspection.
Local Official/Inspector ( 1 1/7
Received By '`�-
/y �- Title
1
Revised 2/8/13