BLDCI-17-003192-05 AoAea1th
The Co of Massachusetts
—= I (jYARMOUTH
/City\Town of •
7:11ifir— ,.
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: M.A.A.M. CORP. BLDCI-17-003192-05
Trade Name: LONGFELLOW'S PUB
Identify property address.including street number, name, city or town and county Certificate Expiration
Located at
• 182 OLD TOWNHOUSE RD 12/31/2022
SOUTH YARMOUTH, MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
Gist Floor 66 A-2 Nightcl:;.'S/RcstaurantBar banquet Hail 'NI-Bar Stools
A-2
• 6-Standing
Allowable 40-Main Dining 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 Philip Simonian III Name of Municipal Mark Grylls Date of //a l
Fire Chief Building Commissioner Inspection
Signature of Municipal Signature of Municipal Date of
Fire Chief — / Building Commissioner Issuance if.
f�
`�� Fee: $100.00
BLD Certoflnsoection.rot
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1260 Fax 508-398-0836
LICENSE INSPECTION APPROVAL LOG - 2022
NAME: Longfellow's Pub ADDRESS: 182 Old Townhouse
This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your
building/premises. When all signatures are obtained, this log shall be presented to the License &
Permits office and/or the Health Department in order to obtain your license. Licenses will be
withheld until all inspectors have signed.
Building Commissioner p. Date Comments Approved for
r4,5r" " 111M.Issuance
� No
Fire Department Rep. Date Comments Approved for
Li e Issuance
Ye No
Board of Health Rep. Date Comments Approved for
License Issuance
Yes No
Plumbing/Gas Inspector Date i'/2 /z( Comments Approved for
License Issuance
Yes No
Electrical Inspector Date Comments Approved for
License Issuance
Yes No
Taxes Paid Yes No
Rev.Sept.2003
I.
yy��f,�t qR \ TOWN OF YARMOUTH
'
��`� ]�Y .f.;, BUILDING DEPARTMENT
aA ..'�� - 1146 Route 28, South Yarmouth, MA 02664 508-398-223 l t
Eillitu-
APPLICATION FOR CERTIFICATE OF INSPECTION OCT 12 2021
October 1, 2021 PAYABLE UPOItt
WIE
PARTMENT
(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:u
Street and Number: /d' OA Q %7?)Aj4J /id 075t. aO/ O ) 'j , me
•Name of Premises: 01/l /A/e OMX0/06 e1: 50S^ 9'1-6C-3
ob
Purpose for which permit is used: e 5/#1700/t-T
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be 'ss�d^to -i O///) e I� d i Tel: 6 6 J"73'2-/JO 9
Address: ii O K1'Jk) Q -e CVU , '12/) O D C41
Owner of Re ord of Building / ,) 44.e.,
Address / 6 g C TOA)/v I10036 &)L)
Present Holder of Certificate 3 //& IC R 05iC
/ 4&
P�'5./,o6N/
Si ature of person to whom Title
Ce ificate is issued or his agent _ !06 -i"c)V
Date
Email Address: J ' R 0556 0 /I6/ I}9 d1L, dir)
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# JCL
12/31/21-12/31/2022
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