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HomeMy WebLinkAboutBLDCI-16-003273-02 l ti The Commonwealth of Massachusetts mm City\Town of 1YARMOUTH 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),thiscertificateof inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to Business Name: DAVENPORT/MUGAR LTD PARTNERSHIP BLDCI-16-003273-02 Trade Name:THIRWOOD PLACE-ASSEMBLY Identify property address including street number,name,city or town and county Certificate Expiration Located at • 237 NORTH MAIN ST 12/31/2019 SOUTH YARMOUTH,MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 Basement/Lower 27 A-2 Nightdub/RestaurantBarBanquet Hall 27 Persons-2 Studios - Allowable 01st Floor 321 A-2 Nightclub/Restaurant/Bar/Banquet Hall 196-Dining Occupant Load 20-Function Rm 24-Function Rm 49-Function Rm- 32-Private Dining— CORE SECTION NOT TO EXCEED 300 PERSONS AT ANY TIME 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 G Date of Fire Chief Building Commissioner Inspection tri �8 Signature of Municipal Signature of Municipal Date of Fire Chief 109/14 �/ �►7 Building Commissioner Issuance /�f /n h � jX,NQ6/_ 4• • UY �j+�� ee:$150.00 BLD_Certofi nspection.rpt .e0 F YARo TOWN OF YARMOUTH `' BUILDING DEPARTMENT ttaO _y: „AnA ` ., 'd?:''4. 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 for the below-named premises located at the following address: Street and Number: 237 North Main St . , So . Yarmouth, MA 02664 Name of Premises: Thirwood Place Tel: 508-398-8006 Purpose for which permit is used: Occupancy & Ass embly License(s)or Permit(s)required for the premises by other governmental agencies: RECEIVED 1 License or Permit Agency I OCT 22 2018 l Common Victualler Licensing Alcoholic Bev. Club License h BUILDING DEPARTMENT Food Establishment B.0.H. By Certificate to be issued to Thirwood Place Tel: 508-398-8006 Address: 237 North Main St. , So. Yarmouth, MA 02664 Owner of Record of Building Davenport Realty Address 20 North Main St. , So. Yarmouth, MA 02664 Present Holder of Certificate Same ' 4 _f AsstController Signature o'person to whom Title Certificate is issued or his agent 10-18-18 Date Email Address: mceku@ thirwoodplace.corn 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#WC8196035 1/1/2019-12/31/2019 Baez - /4 - 60-9-173"2. • AccoRcl CERTIFICATE OF LIABILITY INSURANCE DATE (;worn ) 2/20/2 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 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 CONTACT E. K. McConkey&Co.(ValleyForge) NAME: Kristina Converse /MC No path 484-965-9623 FAX 2555 Kingston Road,Suite 100 (AIC.No):484-965-9627 York PA 17402 l E-MAILSS: kconverse@vfcadvisors.com INSURER(S)AFFORDING COVERAGE NAIL S INSURER A:Zurich American 16535 INSURED DAVEN-1 Thirwood Place L.P INSURER B: c/o Davenport Realty Trust INSURER C: 20 North Main Street INSURER 0: • South Yarmouth MA 02664 INSURER E: • INSURER F: . COVERAGES - CERTIFICATE NUMBER:1239887211 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP INSD WVn POLICY NUMBER (MMIDDrrflYYI IMM/DDNYYYI LIMITS A X COMMERCIAL GENERALLIABIUTY GL08198255 3/1/2018 3/1/2019 EACH OCCURRENCE 31,000,000 CLAIMS-MADE ri OCCUR PREMISES00.000UI PREMISES RENTED 3500,000 MED EXP(My one person)_ S 1,000 PERSONAL 8 ADV INJURY. S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S22000,000 — X POLICY n JE P. n LOC PRODUCTS-COMP/OP AGG 52,000,000 OTHER: S • A AUTOMOBILE LIABILITY BAP8198258 3/12018 3/1/2019 COMBINED SINGLE LIMIT S (Ea accident) 1 000000 X ANY AUTO BODILY INJURY(Per person) S — ALL OKrTIED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE— $ HIRED AUTOS _ AUTOS (Perewldent) S UMBRELLA LIAB _ OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE _ S _ DED RETENTION S A WORKERS COMPENSATION WC8198035 3/1/2018 3/1/2019 X ;MUTE YINANY PRPRIE STATUTE ER OFFICER/MEMBER EXCLUDED?ECUTIVE N N/A E.L.EACH ACCIDENT S1 Ooa,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 51,000,000 D es,RIPTIONantler DESCRIPTION OF OPERATIONS below E DISEASE-POLICY LIMIT 51,000,000 DESCRIPTION OF OPERATIONS I LOCATORS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mon space Is required) + CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. Route 28 South Yarmouth MA 02664 AUTHORIZED REPR SENTATVE USA ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD °F ' = TOWN OF YARMOUTH BUILDING ELECTRICAL • GAS '~ A. 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 ' Telephone(508)398-2231,Ext.1261—Fax(508) 398-0836 PLUMBING SIGNS • BUILDING DEPARTMENT ==+r" Inspection and License Report l/ � / Date / J Address CV 7 i/6C7/7 ,w4'fr ST Business Name r .� /LQLL Contact Phone .r. 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: ❑Emagencyegresssignage Location ICJ i4/Qf/�/f�IG�G !'���"T k s. - ❑Emergenryegress lighting Location S'1 rer/t 5? 16'/h- / ❑Maintenance ofexits Location ❑Guards/handrails Location Zoning s ID Signs Location i• i ❑ Location - Parking ❑ Other Location Mechanics( ❑Combustion Air Location ❑Storage in Boiler Room Location ❑Vents location ❑Automatic door closures on boiler room doors location ❑ Clothes dryer vents Location 91hcc' 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 an ual inspection. o Make corrections within j� /5 days andcontactthis office for a follow-up inspection. Local Official/Inspector shi-0,2/VA// Q / (� Received By —, '/ / Tide ' ` sS� G¢-n er c J ! t C� r'- Revised 2/.8/113