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Home My WebLink AboutCI-17-002385-02 The Commonwealth of Massachusetts tr City\Town of 5 _ FI= 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: St Plus Tenth School BLDCI-17-002365-02 Trade Name:St.Pius Tenth School-classrooms Identify property address Including street number,name,city or town and county Certificate Expiration Located at - �t/Woop RD 07/01/2019 SOUTH YARMOUTH,MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) E E 01st Floor 542 E Educational School to 12th Grade/Child Care(More than 5) Pre-Kindergarten-46 Kindergarten-46 1st Grade-45 Allowable 2nd Grade-44 . Occupant Load 3rd Grade-40 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 Q��/' • Building Commissioner Inspection U IQ Signature of Municipal Signature of Municipal /14 Date ofBuilding Commissioner Issuance P'• Z�•/� `jr,' Fee:$0.00 • BLD_Certofl nspection.rpt •` The Commonwealth of Massachusetts h _VEt City\Town of 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: St Pius Tenth School BLDCI-17-002395-02 Trade Name:St Pius Tenth School-2nd floor classrooms Identify property address Including street number,name,city or town and county Certificate Expiration Located at $.t/ WooD CD 07/01/2019 SOUTH YARMOUTH,MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) E E 02nd Floor 220 E Educational School to 12th Grade/Child Care(More than 5) 4th Grade-44 5th Grade-44 Allowable 6th Grade-44 Occupant Load 7th Grade-44 8th Grade-44 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 Q Building Commissioner nspection 8 0�V Signature of Municipal Signature of Municipal a ate of Building CommissionerQa Issuance �i. Z/ /r 04/14 / Fee:$0.00 BLD_Certofl nspection.rpt i The Commonwealth of Massachusetts __y: ,_ 't City\Town of ^gn= YARMOUTH if 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:St Pius Tenth School BLDCI-17-002397-02 Trade Name:St Pius Tenth School-assembly Identify property address including street number,name,city or town and county Certificate Expiration Located at 39,4 WOOD RD 07/01/2019 SOUTH YARMOUTH,MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-3 01st Floor 703 A-3 Amusement/Church/Gym/Library/Museum Cafeteria-130 Chapel-27 Allowable Administration-16 Gym-530 Occupant Load 02nd Floor 166 A-3 Amusement/ChurchlGymttibrary/Museum Library-80 ArUMusic-44 Multi Purpose Rio-42 Resource Rm-15 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 JOSn� Building Commissioner Inspection Ci Signature of Municipal Signature of Municipal //s as of Building Commissioner n Issuance 717(11 Fee:$0.00 BLD Certoflnspection.rpt 0304-> TOWN OF YARMOUTH • � �` BUILDING DEPARTMENT •-• N " '"`° �"�s 1146 Route 28, Yarmouth, �,�•.._..�E:. South MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION June 5, 2018 PAYABLE UPON RECEIPT (X) Fee Required N/C ( ) 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 Wood premises located at the following address: 364 Street and Number: J £ L �rD Dr`C Name of Premises: 5+, P/U 5 ✓-' SQ h DO I Tel: 5 ' 361 1 b If a Purpose for which permit is used: PA/bah let.I �hvv t License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency C VINVY A \A CM, lAc enst Certificate to be issued to 8b PI X . U Tel: bV p• 4 b. t (( 'a Address: 8P a A v. a�,. . MIC) d9&ac.f : Owner of Record of Building 1 .v 4. v�� ' Lys . ' iter Address ' 9 . i . . w . at . L�� It C O. ,: E C E I V E D Present Holder of Certificate i .t t. � JUL 17 2010 :lgwTe of person to whom Title BUILDING DEPARTMENT Certificate is issued or his agent 1.4111. ( Ili BV Date Email Address: Y• 1((l-Q)c li Sp v5 Chad L(/rt( 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# l6Dczi -0- nista j, 7/1/2018-7/1/2019 a397_O� 8395—oZ_ ROMACAT-02 LSOUZAI ACORO' CERTIFICATE OF LIABILITY INSURANCE DA"""""D°"""' 07/09/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS , 'CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.—THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER License#1780862 gm?* Lucia Mendes HUB222 Milliken BouMN England I; ;(508)235-2210 FAX /A/C,No): vard Fall River,MA 02721 Lucia.Mendes@hubintemational.eom PISURERISLAFFORDING COVERAGE NAI: INSURER A•Associated Industries of Massachusetts Mutual nsV.Ms Congas 33758 INSURED INSURER B I Roman Catholic Bishop of Fall River, INSURER C: Corp.Sole P.O.Box 2577 INSURER o: Fall River,MA 02722 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INaR ADDL SUBR POLICY EFF POUCY EXP LTR TYPE OF INSURANCE NSD IND POLICY NUMBER IMMDDNYYY1 IMMIDNYYYI LAIRS COMMERCIAL GENERAL LIABa1TY EACH OCCURRENCE ; CLAIMS-MADE OCCUR DAMAPREMISES(ELRENTED OSWOISIO ; _ MED EXP(Any ono person) $ _ PERSONAL A ADV INJURY S GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE . _ POLICY Sr& LOC PRODUCTS-COMP/OP AGO S OTHER: S AUTOMOBILE LIABILITY i IEOCOMBINED INGLE LIMB ANY AUTO sooty rum mew penon) $ OWNED SCHEDULED AUTOSRE� ONLY AUTOS BODILY INJURY(Per accident) S AUTOS ONLY — AUTOS Ott? EP«PE M14AMAOE S UMBRELLA LLAB _ OCCUR EACH OCCURRENCE S _ EXCESS LIPS CLAIMS-MADE AGGREGATE ; DED RETENTIONS S A ANDD WORKERS COMPENSATION NLABIITNY YIN PER FR ANY PROPRIETOR/PARTNER/EXECUTIVE WMZ60080066832018A 07/01/2018 07/01/2019 E.L.EACH ACCIDENT ; 1,000,000 OpF�FIlCCER,I.1EMgEp EXCLUDED? NIA (Mandalvy I^NH) E.L.DISEASE•EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101 AddSlonal Remade Schedule,may be stacked V more space N required) RE:St.Plus X School,321 Wood Road,So.Yarmouth,MA 02664 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Yarmouth,Health Division THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN TOW Tow Route 28 ACCORDANCE WITH THE POUCY PROVISIONS. 1146South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE Flw — 1 ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BUILDIN • ;: °F 49 ,; TOWN OF YARMOUTH E CAL GAS 1i1:ye 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 PLUMBING li Telephone(508)398-2231,Ext.1261—Fax(508) 398-0836 SIGNS • ` ••• BUILDING DEPARTMENT Inspection and License Reportyy. //t� Da �/ /g Address 3a 1 0�C..IJu hOC� Business Name Sr A>/(.15. c—Aj 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: grag / 1:1 Emergencyegresssignage Location Ale i r ' it P/ ❑Emergency egress lighting Location ❑Maintenanceofexits Location ❑Guards/handrails Location Zoning "••// ❑Signs Location ❑Parking Location ❑ Other Location Mechanical ❑Combustion Air Location ❑Storage in Boiler Room Location ❑Vents Location ❑Automatic doordosures on boiler room doors Location ❑ Clothes dryer vents Location Other Location Tht State Building Code,Section 1001.3-Maintenance,provides that the owner as defined in Section 780 CMR shall be responsible or proper maintenance. In order to abate the above violation(s)von 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 nextlunual inspection. o Make corrections with! / 0 days and contact this office for a follow-up inspection. Local Official/Inspector `)e r A ley Received By Title Revised 2/8/13