HomeMy WebLinkAboutBldci-15-004597-04 The Commonwealth of Massachusetts '
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•`` , �_• YARMOUTH
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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: BLDCI-15-004597-04
Trade Name: BLUE ROCK CLUB RESTAURANT
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
39 TODD RD 11/30/2020
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-2 Basement/Lower 78 A-2 Nightclub/Restaurant/Bar/Banquet Hall MEETING ROOM
Allowable 01st Floor 110 A-2 Nightdub/RestaurantBar/Banquet Hall
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 Philip Simonian Ill Name of Municipal Mark Gryl Date of �` O
Fire Chief Building Commissioner �1 Inspection
Signature of Municipal Signature of Municipal Date of
Fire Chief /G• (p Building Commissioner - Issuance 7 ./
Fee:$150.00
BLD_Certofinspection.rpt
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YititTOWN OF YARMOUTH
0 ,''� BUILDING DEPARTMENT• ri 'y 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
PAYABLE UPON RECEIPT
January 23 2020, Fee Required $ 150.00
(0) 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: 39 Todd Road
Name of Premises: Blue Rock Club
Tel: 508-398-6962
Purpose for which permit is used: Liquor License Inspection
License(s)or Permit(s) required for the premises by other governmental agencies:
Agency
License or Permit
Common Victualler
Food Service
Certificate to be issued to Blue Rock Resort
Tel: 508-398-6962
Address: 39 Todd Road
Owner of Record of Building Daven ort Realt
Address 20 North Main Street
South k R Yarmouth MA 02664
Present Holder of Certificate
Blue Assistant Controller
Title
Signature o person to whom Title
23 2020,
Certificate is issued or his agent Date
Email Address: m urrier daven ortcos.com
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
ior s each build The bing or singtructure
ors part
thereof
to be certified. Application must be received before the certificate will
be
notified within ten(10)days of any change in the above information.
PLEASE SEND US A COPY OF YOUR WORKER'S COMPENSATION OF INSPECTION.CE FORM WITH THIS
APPLICATION OR WE CANNOT ISSUE YOUR CERTIFICATE
Certificate of Inspection# WC8196035
4/1/2020 - 11/30/2020 z?w e1- /5- / -t S9 7— 0 ti