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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