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Home My WebLink AboutBLDCI-16-003283-02 The Commonwealth of Massachusetts t = �Qt City\Town of olirr 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 304 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:GIARDINO'S RESTAURANT BLDCI-16-003283-02 Trade Name:GIARDINO'S RESTAURANT Identify property address including street number,name,city or town and county Certificate Expiration Located at 242 ROUTE 28 12/31/2019 WEST YARMOUTH,MA 02673 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 241 A-2 Nightclub/Restaurant/Bar/Banquet Hall 94-Bar 8 Lounge 58-Rear Dining Room Allowable 89-Front Dining Room •' Occupant Load TOTAL-241 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 III Name of Municipal Mark Grylls Date f Fire Chief Building Commissioner \ nspecoonction Signatureof Municipal ///` �� Signatureof Municipal Dateof FirereChief f BuildinggCommissioner �'�, / Issuance r • • Fee:$150.00 • BLD_Certofinspection.rpt w. °` ego TOWN OF YARMOUTH 0 y' . $ BUILDING DEPARTMENT �; tce `:�, E. 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION October 3,2018 PAYABLE UPON RECEIPT (X) Fee Required $150.00 ( ) 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 7for the below-named premises located at the following address: Street and Number:0,2 O2 /t9' --(17- a -V n Name of Premises: G//¢/!.6/,v 041 ",y l�/( #' Ff� -ep Purpose for which permit is used: Redrym Al iv-7— License(s) /rLicense(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency RECEIVED OCT 18 2018 BUILDING t7EPARTMENT Certificate to be issued torr •4 i , P i Are - - Tel:&Fee Pat D.& Address: c9 Vol ./n -Cr Ar..nzP 1I,o.f ryf /t1Da5/> /id Do7d Owner of Record of Building S"4Mo Address Present Holder of Certificate (r/AeQiivd 0 ay* �A�'-./r>fy'�'"T /i.r�til r l RJ-J/IPAI Signature o person to whom Title Certificate is issued or his agent /a—/a -- a Date Email Address: Lod a �y z 3/"in< cC �9 z. 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# 8/-tec.j a,-OS 37 33 -07i 1/1/2019-12/31/2019 Worker's Compensation and Employer's Liability Policy NorGUARD Insurance Company - A Stock Co. Berkshire Hathaway Policy Number GIWC981835 t 1 G LP fl f® Companies Insurance Renew lNCCI No. [5844] Policy Information Page [1]Named Insured and Mailing Address Agency Glardino's Tastee Tower Inc. DGP-MILES INSURANCE AGENCY, INC. 242 Main Street PO BOX 1018 Yarmouth, MA 02673 Taunton, MA 02780 Agency Code: MAIROQ10 Federal Employer's ID 04-2490039 Insured is Corporation [2] Policy Period From September 1, 2018 to September 1, 2019, 12:01 AM, standard time at the insured's mailing address. [3] Coverage A. Workers' Compensation Insurance - Part One of this policy applies to the Workers' Compensation Law of the following states: Massachusetts B. Employer's Liability Insurance - Part Two of this policy applies to work in each of the states listed In item [3]A. The limits of our liability under Part Two are: Bodily Injury by Accident - each accident $100,000 Bodily Injury by Disease - each employee $100,000 Bodily Injury by Disease - policy limit $500,000 C. Other States Insurance - Part Three of this policy applies to all states, except any state listed in item [3]A. and the states of North Dakota, Ohio, Washington, and Wyoming. D. This policy includes these endorsements and schedules: See Extension of Information Page - Schedule of Forms 0 - 0 0 gi [4) Premium $ The Premium Basis and, therefore, the premium will be determined by our Manual of Rules, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit._ (Continued on another page) N. 0 U • Total Estimated Policy Premium $ 2,437 Total Surcharges/Assessments $ 78.00 • Total Estimated Cost $ 2,515.00 INTERNAL USE X)( - Page- 1 - MGA :G1WG981835 - Information Page Date : 07/28/2018 WC 000001A MANOTE Issuing Office:P.O. Box A-H, 16 S.River Street,Wilkes-Barre,PA 18703-0020 • www.guard.com t 1J ,,,,F,,, TOWN O F YARMOUTH ELECTRICAL BUILDING C GAS ~ _' 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 026644451 Telephone(508)398-2231,Ext.1261 —Fax (508) 398-0836 PLUMBING SIGNS BUILDING DEPARTMENT Inspection and License Report �� aye �� &8 Date ///7 Add= Business Name ''/8/e1.)//1/40 /2eS. Contact Phone 7,77- 0333 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: 'rest co4 ❑ Emergencyegresssignage Location ❑ Emergency egress lighting Location /ILL ❑Maintenance desks Location ❑Guards/handrails Location Zoning � ❑Signs Location ❑Parking Location ❑ Other Location Mechanical ❑ Combustion Air Location • ❑ Storage in Boiler Room Location ❑Vents Location ❑ Automatic door closures on boiler room doors Location ❑ Clothes dryer vents Location �1G r 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 -0} dace andel contact this office for a follow-up inspection. LoalOfciaUln/speco \€ Official/Inspector 3 r`+*' i I Received By / 'h / Title Revised 2/8/13