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Home My WebLink AboutBLDCI-17-000807-02 • • The Commonwealth of Massachusetts Jar=;y City\Town of ®u (= 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:FIRST CONGREGATIONAL CHURCH BLDCI-17-000807-02 Trade Name: FIRST CONGREGATIONAL CHURCH Identify property address including street number,name,city or town and county Certificate Expiration Located at 329 ROUTE 6A 09/01/2019 YARMOUTH PORT, MA 02675 Use Group Floor Occupancy Use Group Other Classifications(s) A-3 01st Floor 344 A-3 Amusement/Church/Gym/Library/Museum 342 PERSONS-IN PEWS Allowable 2PERSONS- WHEELCHAIR SPACES 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 with the contents of the certificate is strictly prohibited Name of Municipal Name of Municipal Mark Gryl Date of p//^/� Building Commissioner nspection J Signature of Municipal Signature of Municipal Date of Building Commissioner Issuance • Fee:$50.00 • • BLD_Certoflnspection.rpt °1 YAR4 TOWN OF YARMOUTH a y BUILDING DEPARTMENT ---- •5' 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 : It APPLICATION FOR CERTIFICATE OF INSPECTION August 1,2018 PAYABLE UPON RECEIPT (X) Fee Required $50.00 ( ) 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: ,`2R N\Rt&) S'n ctr, 1142PAOI414 .Pve rsou + cr �� iti ro8--gC0- 1/27, Name of Premises: R PtST'CDafr 4nrq-PIiAJLY., C{};t/C�li Tel: , Purpose for which permit is used: l�l-1weC}F License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit RECEIVED Agency AUG 15 2018 BUILDING DEPARTMENT Certificate to be issued to a 4. - rat a. 4c gal Tel: ' &-3La-L.977 Address: 5mMc. As 4 OUL. Owner of Record of Building _ Address Presentoca,Holder of Certificate A4, osU2Fe_ Signature of person to whom Title Certificate is issued or his agent R(o/S Date Email Address: ApcoolS( CoMCAST.ii,)et— 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# DLj7 -/7 all ri7-d Z 9/10/2018-9/10/2019 Church Mutual Insurance Company NCCI CARRIER CODE NO. 16853 WC 00 00 01A WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE 1.The Insured: FIRST CONGREGATIONAL CHURCH Policy No. 0187606 07-005235 OF YARMOUTH Renewal of: 0187606 07-940073 Individual Partnership Mailing address:329 ROUTE 6A X Corporation or ------- -YARMOUTH--PORT-,-MA-026-75-1817 ---- y See Schedule Federal Employers I.D.# Inter/Intrastate Risk I.D.# Other I.D. # _ Other workplaces not shown above:See Schedule Contact Phone Number 2.The policy period is from 12/23/2017 12:01 a.m.to 12/23/2018 12:01 a.m. standard time at the Insured's mailing address. 3. A.Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A.The limits of our liability under Part Two are:Bodily Injury by Accident $ 500, 000 each accident Bodily Injury by Disease $ 500, 000 policy limit Bodily Injury by Disease $ 500, 000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All states except states designated in Item 3 .A. of the Information Page and ND, OH, WA, WY. D. This policy includes these endorsements and schedules: See Schedule 4.The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Code Total Estimated $100 of Estimated Classification No. Annual Remuneration Remuneration Annual Premium See Item 4 . Extension WC 00 00 O1A Total Estimated Annual Premium$ 2, 021 Expense Constant$ 338 Taxes and Surcharges $ 103 Minimum Premium $. 281 (MA) 9101 Deposit Premium $ 2, 124 See Item 4 . Extension WC 00 00 O1A for the Taxes and Surcharges for: MA Premium Adjustment Period: Annual Countersigned by: Servicing Office: Church Mutual Insurance Com any Date: 10/20/2017 Producer: ANDERSON W. RYAN Church Mutual Copyright 1987 National Council on Compensation Insurance. Original INSURANCE car r°s YA�° TOWN OF YARMOUTH BUILDING DEPARTMENT _• �� : � 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 t, August 1,2018 1". Congregational Church Sanctuary/Class 329 Route 6A Yarmouthport,Ma 02675 Re: Inspection Date: 9/10/2018—9/10/2019 Fee: 50.00 Pursuant to the provisions of the Massachusetts State Building Code 780 CMR, Section 110.7 and Table 110,you are required to apply for a Certificate of Inspection for the building located at 329 Route 6A, Yarmouthport, Ma 02675 ls`Congregational Church Sanctuary/Class. Please complete the enclosed application and return it with the appropriate fee payment to the Town of Yarmouth Building Department, 1146 Route 28,South Yarmouth,MA 02664. Checks should be made payable to the Town of Yarmouth. Please note that as of September 15,2008, a revised fee schedule has been instituted. The new fee schedule includes re-inspection fees. IMPORTANT: One (1) re-inspection to confirm the abatement of any violations listed during the initial inspection will be included in the initial fee if the abatement is completed during the time period(typically 10 days)listed on the Inspection Report. Additional re-inspections will cost $80 each, which is payable in advance of the re- inspections. Unless otherwise requested, inspections will be performed unannounced. Typically the following elements/systems are inspected: fire protection equipment, means of egress, including emergency lights, exit signs, egress doors&hardware, clear path of travel, adequate lighting and occupancy total. Also, the building shall be maintained and adequate housekeeping provided to insure public safety. Rooms such as basements and attics are included. Violation details will be provided in the form of a Violation Notice and may delay the issuance of your certificate and/or license,if applicable. Note: After receiving your application a minimum of 3 weeks' notice is require for an inspection. Finally, applications and fees must be received within ten(10) days of receipt of this letter. Failure to comply may jeopardize your license where applicable, and/or the occupancy of the building. ruly y . pr Mark A. c 4 Building Commissioner AUG 6 2016 [2.V oF...-.Yq TOWN OF YARMOUTH BUILDING ELECTRICAL E GAS 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 �'C PLUMBING nll Telephone(508) 398-2231,Ext.1261 —Fax (508) 398-0836 SIGNS BUILDING DEPARTMENT Inspection and License Report Date 7".// Address 3a 9 Roarer. 4642 BusinessName I Sr CGJ/rrroTXOgte 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: 4a Ct` /4 la Emegenryegress ngnage Location l Q7.brOC(Lrge' (769°T of le°� �U'✓l r/, T al)rc/a, cP,"ci F.mergenryegresslighting Location , / / R^ / la Maintenance ofexits Location veal QcbTpWO� fir,/let 'AY C(to/yr l.-t/r ❑ Guards/handrails Locatia Xi�— Si�f1.S 5ni( ,Lys' Jere xr zoning / _ ❑Signs Location f/aiJcct (fuee✓ A r/)ktilel �nJE/-Cee-e ( ✓� � 1:11 Parking Location /� 7 /eca+T L f/��- 7/5d67/5d6 l310✓-e c7- G- other Le ation0-1 5ec V Mechanical '4 . ❑CombusdonAir Location ❑StorageinBoilerRoom Location ❑Venn Location ❑Automatic door closures \ on boiler room doors Location ❑ Clothes dryer vents Leaden Other Lorarion 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 ordetto 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 �/S days and contact this office for a follow-up inspection. Local Offrcial/I Jrc,ttW J or 6' o Tx/4/e/ /✓ Received By . i'L4/'i, ref-' t/ Tide Revised 2/8/13