HomeMy WebLinkAboutCerticate of Inspection 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: MAPLEWOOD MAYFLOWER PLACE SNF, LLC BLDCI-16-007125-02
Trade Name: NURSING HOME
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
579 BUCK ISLAND RD 07/11/2020
WEST YARMOUTH,MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
1-2 01st Floor 72 1-2 Institutional Hospital/Nursing Home 72 BEDS
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 5-8/7
Signature of Municipal Signature of Municipal Date of
Building Commissioner f• Issuance 2515.
Fee:;100.00
B LD_Certofl nspecti on.rpt