HomeMy WebLinkAboutBLDCI-16-003259-05 The Commonwealth of Massachusetts
} .t City\Town of
YARMOUTH
4.
L 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:JAMES A. LIADIS, INC. BLDCI-16-003259-05 ,
Trade Name: BLACK SHEEP BAH &GRILL
Identify property address including street number, name, city or town and county Certificate Expiration
724&726 ROUTE 6A 12/31/2022
YARMOUTH, MA 02675
Use Group Floor Occupancy Use Group `
Classifications(s) Other
A-2 01 st Floor 49 A-2 Nightclub/Restaurant/Bar/Banquet Hall 29-Tables&Chairs
20-Stools
Allowable Other 24 A-2 Nightclub/Restaurant/Bar/Banquet Hall 24 Outside Deck
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
Fire Chief ry Date of 1p2 `n��,
Building Commissioner Inspection d O�
Signature of Municipal Signature of Municipal 7 Date of ~
Fire Chief ,..,edBuilding Commissioner / /� Issuance _
Fee:$100.00
RI n r'nrtnflnencrri.,., ..,4•
BUILDING DEPARTMENT
1146 Route 28, South. Yarmouth, MA 02664
508-398-2231 ext. 1260 Fax 508-398-0836
LICENSE INSPECTION APPROVAL LOG - 2022
NAME: Black Sheep Bah & Grill ADDRESS: 720 RTE 6A
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 Commission r Re Date Comments Approved for
License Issuance
//*/7 //' -
/iZ 2 ..21 es No
Fire Department Rep. Date Comments Approved for
oe Issuance
•
No
I 1 .
Board of Health Rep. Date Comments Approved for
License Issuance
Yes No
Plumbing/Gas Inspector Date Comments Approved for
/t/ l( Li e Issuance
( /2/( Yes J No
Electrical Inspector Date Comments Approved for
License Issuance
Yes No
Taxes Paid Yes No
Rev.Sept.2003
s :t TOWN OF YARMOUTH
p.m BUILDING DEPARTMENT
+',�..a•-, a 1146 Route 28, South Yarmouth, MA 02664 508-3J ':y : 1 0E D
APPLICATION FOR CERTIFICATE OF INSPECTI I' NOV 1 4 2021
G� �9lZ
October 1, 2021 PAYAB I v NG ULNARTMENT
(X) Fee Requir-• 100.00
( )No Fee Require•
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 ess:
CCL,I(
Street and Number: 7 2p 6,A GI%'- 7)t-1-(f 3-j_4(o?�
Name of Premises: 1 L,L cj Tel: 5?i ft 364_67,01
Purpose for which permit is used: __c__S1iV�� rA,(-)b
License(s) or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
St fYv /v,.I.4 �cc-ti—
Certificate to be issued to jOnter4, `.{ oA'c r Tel: SZ F 9"7---)v fr'
Address:
Owner of Record of Building '4 L C(1- Rea,1
Address Tc.-e 6 C.. o` i7►t.
Present Holder of Certificate d2 fi-c-ra/S Y44 c-L t- G-2 .(f
7_3 /
04/1/(21AA, ?ject ciet/ r v-
ignature of person to whom Title Vo2-
Certificate is issued or his agent AIL o ____
l Date
Email Address: t c��t� t A Slt eete
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#
12/31/21-12/31/2022