HomeMy WebLinkAboutCertificate of Inspection The Commonwealth of Massachusetts
ill nil— i City\Town of
`- �_ YARMOUTH
w%
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:MAPLEWOOD AT MILL HILL BLDCI-19-000578-01
Trade Name:MAPLEWOOD AT MILL HILL-DINING
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
164 ROUTE 28 08/21/2020
WEST YARMOUTH,MA 02673
Use Group Floor Occupancy Use Group
Classifications(s) Other
A-3 01 st Floor 48 A-3 Amusement/Church/Gym/Library/Museum
48 persons
Allowable 02nd Floor 48 A-3 Amusement/Church/Gym/Library/Museum
48 persons
Occupant Load
L Total occupancy:96
persons
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
Date of as p,/
Building Commissioner Inspection /�7
Signature of Municipal Signature of Municipal
/ Date of
Building Commissioner A � Issuance /�1� /�
OP.-
'/ , JJ7
Fee:$150.00
BLD_Certofl nspection.rpt
. `'1 .ovwk TOWN OF YARMOUTT3 E.CEIVED
"...f.��t • BUILDING DEPARTMEN i{,
� g 2019
�} 1146 Route 28,South Yarmouth,MA 02664 508-398-223 exit:42610'
1 BUILDING DEPAf2TMENT
By
APPLICATION FOR CERTIFICATE OF INSPECTION
I PAYABLE UPON RECEIPT
July 1,2018 = I (X) Fee Required 8150.00
• ( ) 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 locatedoc at the followi% w' i.
ddress: f,� r� D � 3
Street and Number: 1 �o c)t - 7- ? W yr N'1 /
Name of Premises:14.0101 )l -v'�
t ,1 ! 1 Tel: / / ��"0 ''
f . •
if Purpose for which permit is used agencies:
License(s)or Permits)required for the premises by other governmental8
I
License or Permit Agency 73 e.F.71
* . • CLA"ks•sevrnev AP'
.. AT it t I Tel: 2'1174
Address:
Certificate to be toI. . L ���`�1 � U�-�-,y
fp p C e
Owner of Record of Building - I• el • "/' '� • I two S o
Address Zoo%/i[ rig• //A_ f'PrL - .. L`� llf;i /� ✓
Present Holder of Certificate A0,1.0 eta)) /yr' ii/
%/ii" / of,g,--- z.&IA
ki yik„'" _4,//I._ , A
`""" • person to whom Title
C, • t = is issued or his agent Da
Email Address: !mein bed lc /ems
Instructions: Make check payable to: ; 1146Town
f Yarmouth
South Yarmouth,MA 02664
Return this appli
cation to: Building Inspector's Office
Please note: Application form with acompaayia8 fee must be submitted for each building or structure or part thereof
to be certified. Application must be reioe1ved before the certificate will be issued. The building official shall be
notified within ten(10)days of anyicinge in the above information.
PLEASE SEND US A COPY OF YOUR YOUR COMPENSATION
TIFICATE INSPECTION.INSURANCE
NS NO R CE FORM WITH THIS
APPLICATION OR WE C oT Y+ ��_ cod 5777
Certificate of Inspection#
• 8/2112018-8/21/2019
TOWN OF YARMOUTH BUILDING
AS%
_-� ELECI'RICAI.
k0 GAS
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451
11 Z,•3 PLUMBING
Telephone(508)398-2231,Ext.I261 —Fax(508) 398-0836
SIGNS
BUILDING DEPARTMENT
• Inspection and License Report
Date ~�
Address / 9 �?O'�/T 26 Business Name di//j"/lC
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:
AVM
❑Emergency egress signage Location
❑Emergency egress lighting Location
❑Maintenance of exits Location
❑Guards/handrails Location
itfirthig
P/1/5'5ril
El Signs Location
❑Parking Location
El Other Location
lifttoitmktd
01 Combustion Air Location
❑Storage in Boiler Room Location
❑Vents Location
❑Automatic door closures
on boiler room doors Location
d Clothes dryer vents Location
Odor 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(sl 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 days and contact this office for a follow-up inspection.
Local Official/Inspector 040
��
Received By Trtle
•
Revised 2/8/13