HomeMy WebLinkAboutBLDCI-16-003475-01The Commonwealth of Massachusetts
City\Town of
- - YARMOUTH
New and Renewal Certificate of Inspection
In accordance with 780 CMR, Chapter 1 (The Eighth Edition of the Massachusetts State Building Code) and Chapter 3G4 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: TOWN OF YARMOUTH BLDCI-16-003475-01
Trade Name: GRILLE AT BASS RIVER
Identify property address including street number, name, city or town and county Certificate Expiration
Located at
62 HIGHBANK RD 12/31/2018
SOUTH YARMOUTH, MA 02664
Use Group
Floor
Occupancy Use Group Other
Classifications(s)
Date of
"73
Fire Chief
01st Floor
190 A-2 NightdublRestauranf/Bar/Banquet Hall 78 -Inside
A-2
Inspection
-
112 - Outside
/'
Date of
With Entertainment: 50 -
Allowable
//'-',f�,d�p,..n
Inside
Occupant Load
Issuance
112 - Outside
TOTAL WITH
ENTERTAINMENT: 172
.`
PERSONS
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 111
Name of Municipal
Mark Grylls
-
Date of
"73
Fire Chief
Building Commissioner
Inspection
Signature of Municipal
Signature of Municipal
/'
Date of
Fire Chief
//'-',f�,d�p,..n
Building Commissioner
Issuance
EIA
- ree: 3u.uu
B LD_Certofinspection.rpt
October 1, 2017
TOWN OF YARMOUTH
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
Chapter 1 APPLICATION FOR CERTIFICATE OF INSPECTION
PAYABLE UPON RECEIPT
(X) Fee Required $0.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a
Certificate of Inspection for the below -named premises located at the following address:
Street and Number:
Name of Premises:
Tel: Jr2:Z-- %77"Smoc`
Purpose for which permiC1s used: -`RP Chu r4,14—
License(s) or Permit(s) required for the premises by 2ther-governmental agencies:
License or Permit
Certificate to be issued to
Address:_ 1/ 1-K44
Owner of Record off Buil '
Address //ZJ4 govt
Present Holder of Certificate
of person to whom
is issued or his agent
OCT 2� 2011
INGp VjR 1-N't
13U1LU
A57 r cf RICSC 17tw.
Agency
441,
`9a9�i
Date
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## ?3QL7—/6-o03y?S—aj
12/31/2017-12/31/2018
W
WrA Property And Casualty Group, Inc
Department 530, P.O. BOX 4106 WORKERS COMPENSATION AND
Woburn, MA 01 8 88-41 06 EMPLOYERS LIABILITY
DECLARATIONS CONTRACT # YAR00062-09-17
#1 MEMBER NAME AND ADDRESS:
Town of Yarmouth
Town Hall, 1146 Route 28
South Yarmouth, MA 02664
#2 CONTRACT PERIOD: FROM 07/01/2017 AT 12:01 AM STANDARD TIME
TO 07/01/2018 AT 12:00 AM STANDARD TIME
AT THE ADDRESS SHOWN ABOVE
#3 SCHEDULE OF COVERAGES:
A. Workers Compensation Coverage: Part One of the contract applies to the Workers
Compensation Law of the Commonwealth of Massachusetts.
B. Employer's Liability Coverage: Part Two of the contract applies to work in the
Commonwealth of Massachusetts. The limits of our liability under Part Two are:
Bodily Injury by Accident $1,000,000 Each Accident
Bodily Injury
by Disease
$1,000,000
Contract Limit
Bodily Injury
by Disease
$1,000,000
Each Employee
Note: Contribution: The Contribution for this contract will be determined by our Manuals of Rules,
Classifications, Rates, and Rating Plans. All information on the extension of Information
page is subject to verification and change by audit
(07/01/2016)
DEC PAGE 9
r
TOWNOF YARMOUTH BELLEECCTLJDRICGAL
1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 GAS
Telephone (508) 398-2231, Ext.1261 — Fax (508) 398-0836 PLUMBING
SIGNS
BUILDING DEPARTMENT
Inspection and License Report
Date //
Address e4l ll�n ICp BusinessNamey//&1_ OR
Contact Phone
During the Annual Inspection of your premises, performed in accordance with the provisions of Section 110.7 of 780 CMR (Massachusetts
State Building Code), the Board of Selectmen, and/or the Board of Health rules, the following violation(s) were observed:
❑ Emergencyegresssignage
Location L2L'� 97 Cu/LCC%j��0/e 5'G :2 &L#MK r
❑ Emergencyegressfighting
/
Location
❑ Maintenanceofexits
Location
❑ Guards/handrails
Location
zWk9
❑ Signs
Location
❑ Parking
Location
• �� ❑ Other
Location
Mechan
❑ CombusdonA r
Location
❑ Storage in Boiler Room
Location
❑ Yenta
London
❑ Automatic door closures
on boiler room doors
Location
❑ Clothesdryervents
Location
Othn
Location
_ The State Building Code, Section 1001.3 - Maintenance, provides that the owner as defined in Section 780 CMR shall be
responsible for proper maintenance.
- -
In order to abate the above violation(s) you must:
o Make corrections immediately and contact this office for a follow-up inspection.
o Make corrections prior to opening and contact this office for a follow-up inspection.
o. Make corrections prior to your next annual inspection. -
o Make corrections within io days and contact this office for a follow-up inspection.
au ,
Lotalo�al/I r
Received By bLEEEIITide MCJW*L.
Revised 7!8/13