HomeMy WebLinkAboutBLDCI-16-003546-05 The Commonwealth of Massachusetts
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City\Town of
_N �- 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: RYAN FAMILY AMUSEMENTS BLDCI-16-003546-05
Trade Name: RYAN FAMILY AMUSEMENTS
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
1067 ROUTE 28 12/31/2023
SOUTH YARMOUTH,MA 02664
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-3 01st Floor 300 A-3 Amusement/Church/Gym/Library/Museum
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 Grylls Date of
.� r\ Scw � �d'C A.
�� � �� G Building Commissioner ispection
Signature of Municipal Signature of Municipal ate of
ite"--- --__ A.).„...._ Building Commissioner Issuance //��(,� Z2
v Fee: $150.00
B L D_Ce rtofl n spectio n.rpt
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 M
508-398-2231 ext. 1260 Fax 508-398-0836
LICENSE INSPECTION APPROVAL LOG - 2023
NAME: Ryan Family Amusement Center ADDRESS: 1067 Route 28
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 Re . Date Comments Approved for
I.
License Issuance
&OW No
Fire Depart ent Rep. Date Comments Approved for
/� �✓ License Issuance
L/ ( a / 1/—/J '2 2 es No
Board of Health Rep. Date Comments Approved for
License Issuance
Yes No
Plumbing/Gas Inspector Date iU/c: /z Z- Comments Approved for
License Issuance
'' CI_ Yes No
Electrical Inspector Date Comments Approved for
License Issuance
Yes No
Taxes Paid Yes No
Rev.Sept.2003
1
R .: . ,v.. 1 E D TOWN OF YARMOUTH
�t21 BUILDING DEPARTMENT
�,x••ro., •
�d 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
BUILD NARTMENT
APPLICATION FOR CERTIFICATE OF INSPECTION
September 16, 2022 PAYABLE UPON RECEIPT
( X ) Fee Required $150.00
( ) 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: Vol eo l _OU'k'e d�--S
Name of Premises: R.1,, 1-an�: I 4 ► A„,>>eone,n V Tel:
Purpose for which permit is used: Ot,L A �rCOJ-(__ ki „,
r"
License(s) or Permit(s) required for the premiseylother governmental agencies:
License or Permit Agency
Certificate to be issued to `_,,, �- ` u4e,-'T Tel: CO 3e1'-4 51'49 ca..3,_6 -1 1 4 d
Address: I U(,— auk'-c. 2 E arw..o J4'1.-,
Owner of Record of Building cc..+.,\ Rw.,,$1 � '[
Address I\�, w.,.-�<; k v� vrr\.e_ �MA O--S57�
Present Holder of Certificate f 1-e-r CD,,••pb. (( R,Nti.� Fes.rk, 11 /i+M�.1e tm-e l (
Pdc
Signature of person to whom Title
Certificate is issued or his agent Gq2— 7-Z
Date 1
Email Address: r,J(i A)rvn A X. Cc rvs
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 YQUR CERTIFICATE OF INSPECTION.
Certificate#
1/01/2023 — 12/31/2023