Loading...
HomeMy WebLinkAboutBLDCI-16-003545-02 • • The Commonwealth of Massachusetts ' =L, & City\Town of • �f __ ,s' 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: ROMAN CATHOLIC BISHOP OF FALL RIVER BLDCI-16-003545-02 Trade Name:ST PIUS X/HALL&CLASSROOMS Identify property address Including street number,name,city or town and county Certificate Expiration Located at 9V STATION AVE 09/01/2019 SOUTH YARMOUTH, MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-3 01st Floor 300 A-4 Arena/Spectator Seating Bingo Hall Allowable 01st Floor 110 A-3 Amusement/Church/Gym/Library/Museum 9Classrooms- Occupant Load TOTAL PERSONS-110 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 Gryll- Date of (J+�/�� �Q Building Commissioner i Inspection / 11 Signature of Municipal Signature of Municipal / Date of Building Commissionerto, Issuance 9� (,/� / Fee:$100.00 BLD_Certoflnspection.rpt e ° •YAR& TOWN OF YARMOUTH D j y BUILDING DEPARTMENT F�s� 4>. >•5' $ 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION August 1,2018 PAYABLE UPON RECEIPT (X) Fee Required $100.00 ( ) 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: 94 Station Avenue Name ofPremisesparish Hall/ Faith Formation Tel: 50R-394-0709 Purpose for which permit is used: rel ;gimug Panne tinn and nnn prnfit activities License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit RECEIVED Agency AUG 2 2 2018 BUILDING DEPARTMENT Br: Certificatetobeissuedto St . Pius X Church Tel: 50R-39R-7948 Address: 5 Barbara Street South Yarmouth, MA 02664 Owner of Record of Building Roman Catholic Bishop of Fall River Address 450 Highland Ave. P_O_Rox 9577, Fall River, MA 07722 Present Holder of Certificate Rev. Paul A_ Caron Pastor ignature o person to whom Title Certificate is issued or his agent Date Email Address: stpiusxoffice@comcast.net 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# 3'(j ,7 - ed .33- S`uZ 9/1/2018-9/1/2019 I • �j� ROMACAT-02 LSOUZAI .4COizo' CERTIFICATE OF LIABILITY INSURANCE DATE 08/10/2018Y) oanonots 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 COIN€CT Lucia Mendes HUB International New England PHOINC,N, Ext):(508)235.221(1 pvcFAX No): 222 Milliken Boulevard EMAIL Fail River,MA 02721 AOOREss:Lucia.Mendes@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Associated Industries of Massachusetts Mutual Insurance Compan 33758 INSURED INSURER B: Roman Catholic Bishop of Fall River, INSURER C, Corp.Sole P.O.Box 2577 INSURER D: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 HATH RESPECT TO NMICH 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. INSR TYPE OFINSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSO WVO (MMIDDPfYYYI IMM/DDWYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMI SES(Ea occurrence) $ _ MED EXP(Any one person) $ _ PERSONAL&ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE POLICY fl 5' 0 LOC PRODUCTS-COMP/OP AGG ., OTHER' S AUTOMOBILE LIABILITY Ea acccidenntBINGLE LIMIT — ANY AUTO BODILY INJURY(Per person)_ $ AUTOSApEONLY _ SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY _ AUTO ONLY PROPERTYtDAMAGE Fe Een7 $ UMBRELLA UAB _ OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS $ A WORKERS COMPENSATION STATUTEPER ETH AND EMPLOYERS'LIABILITY WMZ80080066832018A 07/01/2018 07/01/2019 1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE Y❑ EL EACH ACCIDENT $ (Mandattory In NH EXCLUDED? NIA 1,000,000 7 ) EL DISEASE-EA EMPLOYEE $ Ryes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ _ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLESACORD 101,Additional Remarks Schedule,may be attached N w mora space Is required) RE:St.Pius X Church/Parish Hall Religious Education 94 and 98 Station Ave,South Yarmouth,MA 02664. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Yarmouth Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g P ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • . ,,:.,•oF...-.Y'-_ BUILDING TOWN OF YARMOUTH ELECTRICAL �. GAS ~3ktir _` SOUTH YARMOUTH ROUTE 28 SOUYARMOUTH MASSACHUSETTS 02664-4451 PLUMBING M1lt Telephone(508)398-2231,Ext.1261 —Fax(508) 398-0836 SIGNS --" " .. BUILDING DEPARTMENT ---‘,.•:s. " Inspection and �License Reort Y_G,.� Date / '/l Address s7epp],2h ,Ij/,,po /TPr Business Name 5Z nig c,• • �J i-lb Cr 09-17/ Phone 62,- 777-93 X3 During the Annual Ins ection of your premises,perfo d In accordance with the provisions of Section 110.7 of 780 CMR(Massachusetts State Building Code),the Board of Selectmen,and/or Bo d of Health rules,the following violation(s)were observed: IDEmergencyegressignage Location / �J U Emergency egreslighting Location Set ` 5 � /510(&/ A , & /elleciir ❑Maintenance ofexits Location U Guards/handrails Location .J Zoning ❑Signs Location U Parking Location U Other Location ilfechanka( ❑ Combustion Air Location O Storage in Boiler Room Location ❑Vents Location ❑Automatic door closures on boiler room doors Location ❑ Clothes dryer vents Location Qthc 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)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 next annual inspection. o Make corrections withi days and contact this office for a follow-up Inspection. LocalOfcial/Inspector t r y Received By ; i:; ; .::;;; .. Title Revised 2/8/13