HomeMy WebLinkAboutBLDCI-16-003280-06 : .\ The Commonwealth of Massachusetts
City\Town of
i hi 7 YARMOUTH
wit. Y .
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 _ 13LUGl-16-UU3280-U6
Business Name: OLD YARMOUTH INN
Trade Name: OLD YARMOUTH INN
identity property address Including street number, name, city or town and county Certificate Expiration
Located at
223 ROUTE 6A 03/27/2023
YARMOUTH PORT, MA 02675
Use Group Floor Occupancy Use Group Other
Classificate(s)
A-2 01st Floor 170 A-2 Nightclub/Restaurant/Bar/Banquet Hall
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 withthe contents of the certificate is strictly prohibited.
Name of Municipal Jon Sawyer Name of Municipal Mark Grylls Date of
Fire Chief BuildingCommissioner /a/ /
Inspection /� ZL
Signature of Municipal Signature of Municipal ADate of
Fire Chief Building Commissioner ifIssuance O Z' t
) .
Fee. $150.00
B LD_Certofi nspection.rpt
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1260 Fax 508-398-0836
LICENSE INSPECTION APPROVAL LOG - 2023
NAME: Old Yarmouth Inn Restaurant ADDRESS: 223 Route 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 Commissioner Rep. Date Comments Approved for
License Issuance
No
Fire Department Rep. Date Comments Approved for
Li�ssuance
I 2 2_ No
Board of Health Rep. Date Comments Approved for
License Issuance
Yes No
Plumbing/Gas Inspector Date Comments Approved for
License Issuance
Yes No
Electrical Inspector Date Comments Approved for
License Issuance
Yes No
Taxes Paid Yes No
Rev.Sept.2003
Y��
°1 44i TOWN OF YARMOUTH
o y'. -y BUILDING DEPARTMENT
MATTACn ,GJ� 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 e
7cLv. E D
APPLICATION FOR CERTIFICATE OF INSPECTION SEP 26 2022
September 16, 2022 PAYABLE UPON CEIPTJG DEPARTMENT
( X ) Fee Required $ - ( 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: ZZ 5 ' ` . `z_ 9 A
Name of Premises: lyvy\DI.5-ilc, rr1 Tel: 5 J6.? DZ . 99C,.P2-
Purpose for which permit is used: ( {
TA—
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to (7 Tel: 9c)1(o2..
Address: Z23 � ('MO:�1'- Y`-— 'l
Owner of Record of Bui ding <31(1c t \+rU
Address Z Z-2D ' �L'�*r l o^iCl-
Present older of Certificate e c fcno1 -�
t ( �— ��z .-� . 11�R(o cJN
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Signature of pe on to whom Title II 1
Certificate is issued or his agent 9 lzz 1zr—
Date
Email Address: %t p C1 c v
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 O WE CANNOT ISSUE YOUR CERTIFICATE OF INSPECTION.
,Certificate# j3 LJ— I (o-(xj--N_RD�0�
1/01/2023 - 12/31/2023