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Certificate of Inspection 4/28/19
The Commonwealth of Massachusetts City\Town of : _ YARMOUTH • 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:WESTERLY WINDS MOTEL BLDCI-19-000692 Trade Name:WESTERLY WINDS MOTEL Identify property address including street number,name,city or town and county Certificate Expiration Located at 77 ROUTE 28 04/29/2019 WEST YARMOUTH,MA 02673 Use Group Floor Occupancy Use Group Other Classifications(s) R-1 01st Floor 15 R-1 Hotel/Motel/Boarding House/Transient 15 Units Mngrs.Apt. Allowable Storage Room 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 Building Commissioner Inspection g/9-78 Signature of Municipal Signature of Municipal Date of Building Commissioner Issuance /2 1,/47 ` Fee:$172.00 BLD_Certofl nspection.rpt °I.Y.44- TOWN OF YARMOUTH . - , BUILDING DEPARTMENT .:C,"`a.o..,�ew�3, ' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION July 31, 2018 PAYABLE UPON RECEIPT (X) Fee Required $172.00 ( ) 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: 1 7 I ctc 1 r 2 i L,J`S y (t/14.0.,. Name of Premises: l)r,4 ,.j,� Gd r;-� -1 &l c /Tel: /0 I L7Z Purpose for which permit is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit RECEIVED Agency AUG 022018 BUILDING DEPARTMENT By: Certificate to be issued to Tel: Address: Owner of Record of Building Address Present Holder of Certificate . // �_. , ., . _ -g- Signature of perso to whom Title Certificate is issued or his agent i ,i 2c /e / I Date L� Email Address: S�' T t li i LIa el"-e- C.e-ti (cc-er ot- , f_.... 1 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# 3.,pC...1- /9- COO 69 27._ 1"=%°• 04/29/2018—04/29/2019 { °� ' TOWN OF YA R M O U T H BUILDING 1 • GAS C: =t` 1146 ROUTE 28 S, l1V , SOUTH YARM MASSACHU ETTS 02664-4451 PLUMBING Telephone(508)398-2231,E 1 I —Fax (508) 398-0836 . ___ SIG 4 = - BUILDIZqeb P RTMENT : """;-... ,;;""'"'^ 0 t C S. ', Inspection and License Report 0 Date /* —:,455 Business Name 7LfZj/ 4...44/ I.,f ` Con 1 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 tie Board of Health rules,the following violation(s)were observe n d:❑Emetgency egress signage Location /C2,,-/G-- 97/ 'e 1)( i 1 / , Emergency � Location 3 v° 6 o 4 dh'c�e yw CMG S �' 'f 1°'D Maintenance of exits Location C/?I gieC?'ice X CT7'� t1<M 7- /5 ',t'Megt41` 0 ( ❑Guards/handrail, A ✓ Location /475 G 1, c-A/ G 4.4.11( y �'1 ,.,,,vrd,„„o.,.•o/om;-,.'v—. ---g--°- r6 J Location '7 Z L la Parking ""i Location '' � J El Other 0 1"*". Location >.F ' 0 CombusdonAir G/ Location �� ❑Storage in Boiler Room / b'' Location .°,..--i? ❑Vents /a ij Location i ❑Automatic door closures/' 1.'"-- . on boiler room doors Location 55' ❑Clothes dryer vents 1 y`,. Location `5IA"- 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 /3/�4`e T,.K n order to abate the above violations)you must: 7 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 /3 days land contact this office for a follow-up inspection. Local Oil'iciaUInspector &ill° � 7�L f 7 Received By d y Title 00:4, -+ Revised 2/8/13 L .. a „ ,,,op Y; _ TOWN OF YA R M O'U BUILDING '�► T H ELECTRICAL `; r GAS �; I 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 I =' PLUMBING '�� Telephone(508)398-2231,Ext.1261 —Fax (508) 398-0836 SIGNS _ » ..�' BUILDING DEPARTMENT Inspection and License Report /'..,_. �^'.,,/q �r © Date �O J / ,� Address / 7 /?QU� �. Business Name WeS7�~ / �i tOIC /�aC� Contact / Phone go i 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 Board of Health rules,the following violation(s)were observed: ECM ❑Emergenry egress signage Location // -5 7>4_,W:-/-7/ Kecy A [a Emergency egress lighting Location C/:° — ,?71 e- Zhi&i-1- 7 do .ZW,41-rd Nr ❑Maintenanceofexits Location 1i'�/ -,/�'�- ) x /2(/i• Pam' 4 / T /- ;/ 0 G '/l�"/71- Jj' „It '..---_- U Guards/handrails Location / 6 Al� �4 - ca Signs Location ik: C /9 l �i /fi '/S la P9ricing Locatio OP y 1,'rlien Lvr ❑ Other Locari /,y /0/04 fee/ Medliedggi 4 6 Di CombustionAir Location �rn vSr (7--- ❑Storage in Boiler Room Location /' n�//r ) V ` Or/ ID Vents Location t ❑Automatic door closures on boiler room doors Location ❑Clothes dryer vents Location Sidftz 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. hi order xo 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 days and contactco this office for a follow-up inspection. Local Official/Inspecto /S 1) 1)/Ilam' Received By Tide Revised 2/8/13