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Certificate of Inspection
r' The Commonwealth of Massachusetts x= r City\Town of 11 t - i YARMOUTH . = • ogagv} New and Renewal Certificate of Inspection In accordance with 780 CMR, Chapter 1 (The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to Business Name: FOUR SEASONS TRATTORIA, INC. BLDCI-16-003278 03 Trade Name: FOUR SEASONS TRATTORIA Identify property address including street number,name,city or town and county Certificate Expiration Located at 1077 ROUTE 28 12/31/2020 SOUTH YARMOUTH, MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 54 A-2 Nightdub/Restaurant/Bar/Banquet Hall Inside Allowable Other 16 A-2 Nightdub/Restaurant/Bar/Banquet Hall Outside OCCUPANCY LOAD Occupant Load SET BY HEALTH DEPARTMENT TOTAL PERSONS-70 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 Philip Simonian III Name of Municipal Mark G . Date of Fire Chief Building Commissioner Inspection / Signature of Municipal Si ature of Municipal Date of Fire Chief uilding Commissioner Issuance /Z. 31 Fee:S100.00 BLD_Certofl nspection.rpt °i.YRR -- TOWN OF YARMOUTH ki•• O -y BUILDING DEPARTMENT . � 4. _ `� .-.Y:-/ 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION 11/08/19 PAYABLE UPON RECEIPT (X) Fee Required $100.00 ( ) 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: /011 (�e -e 4 s �` YOzf rt a 4.k Oft bA o 2-CC c � 11 � , Name of Premises: b1LV o""O"^ �vt f U'cQ &°r:'o l l n C Tel: S - 740-Ca() L. Purpose for which permit is used: ', 'S( ?&( rocs-(--- License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to O f1 Y S Sofro J' 6,1 C'- Y«►{l'el: b ! 4 0 Cb©O Address:10 "? eo�,c FC ,2 62. yeA v-...a,u 1LLt v{ O2 6 eLit' 'Owner of Record of Building , S t%,k 0 &f La 7 Address Present Holder of Certificate ) c-p5- w o- 40w, P1. /916.5-4e/14 r( Signa re of person to whom Title Certificate is issued or his agent I( (6 7 2-o I e( /� Date Email Address: i✓ri a vi lel- L(37 C� AbL' e---ou'l 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# 12/31/2019— 12/31/2020