HomeMy WebLinkAboutBLDCI-16-003446-02 c
The Commonwealth of Massachusetts
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raitia=
Jo_ 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:SONS OF ERIN CAPE COD,INC. BLDCI-16-003446-02
Trade Name:SONS OF ERIN CAPE COD
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
633 ROUTE 28 12/31/2019
WEST YARMOUTH,MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-2 01st Floor 160 A-2 Nightclub/Restaurant/Bar/Banquet Hall 160 PERSONS TOTAL
Allowable
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 Philip Simonlan III Name of Municipal Mark Grylls Date of //Jr
P
Fire Chief Building Commissioner Inspection 7
Signature of MunicipalSignature of Municipal Date of
Fire Chief di // ' Building Commissioner Issuance /Z.c/`
Fee:$150.00
BLD_Certofinspection.rpt
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0 TOWN OF YARMOUTH
BUILDING DEPARTMENT
F` 8 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
_ i
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: G33 kAr42n1 ST, ((Ll W 2.0
Name of Premises: SoNS of- t./un) CA Pa- Cot> Tel: So 8 -19o—0391
Purpose for which permit is used: 5o C Te1L C(..u13
License(s)or Permit(s)required for the premises by other ovemmental agencies:
ELicense or Permit �t E C 1 Agency
L-SQuo2 NOV 07 2018 y4RMou-ri-V5r/WE
Larra2-r4�r3 Mcg `/A2ulou114/s-rArt
F00-12 BUILDING DEPnRTML NT '1AC.Mo Utt4
BY
Certificate to be issued to M�-C(-l4&L. 5ucal )4fr/2..• Tel: i O- ?-1go-03cq
Address: C.33 MAZn1 c-r.(2're as) w.`/Aa3OU'fi4
Owner of Record of Building ?g. vA'fE 5-0 c Ta C.Lu 13 — S on)S or. 2N Si PE Cob
Address CO 3 3 MASn1 t, ((Lie- ZS) (.v.y42N1 oU-11-1
Present Holder of Certificate 5(st>; ocoNIGID
x_ CLUB MA 6-ft.
Signature of person to whom Title
Certificate is issued or his agent 11---1-1 g
Date
Email Address: 5 i i vier 4 ox 1 a gal r-f&ioo-Covvt
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# a/ /M.% -M- a 3 r6-p2-a
1/1/2019-12/31/2019
Rn
• CERTIFICATE OF LIABILITY INSURANCE I DATE] !0 DD1 NYTY)
11FICATE 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 pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to
the certificate holder In lieu of such endorsement(s).
PRODUCER. CONTACT
NAME:
BRYDEN&SULLIVAN INS PHONE FAX
PO BOX 1497 (AJC,No,Ext): (NC,No):
EMAIL
SOUTH DENNIS,MA 02660 ADDRESS:
75BKG INSURER(S)AFFORDING COVERAGE NAIC 0
•
INSURED INSURER A: ACE AMERICAN INSURANCE COMPANY
SONS OF ERIN CAPE COD INC INSURER B: r,
INSURER C:
INSURER D:
PO BOX 403 INSURER E:
SOUTH YARMOUTH,MA 02664 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 POUCY 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.UITS SHOWN MAY HAVE BEEN REDUCED BY
PAID CLAIMS.
INSR ADD SUB POLICY EFF DATE POLICY EXP DATE
LTR TYPE OF INSURANCE I. R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE S
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE DOCCUR. DAMAGE TO RENTED
PREMISES(Ea occurrence) S
IIIMED EXP(My one person) S
PERSONAL BADV INJURY S
GEN'L AGGREGATE LIMIT APPLIES PER: - ,
GENERAL AGGREGATE S
. POLICY 0PROJECT 0LOC PRODUCTS-COMP/OPAGG $
AUTOMOBILE LIABILITY COMBINED SINGLE $
- ANY AUTO LIMIT(Ea accident)
- ALL OWNED AUTOS BODILY INJURY $
. SCHEDULE AUTOS (Per person) -
- HIRED AUTOS BODILY INJURY $
(Per accident)
NI NON-OWNED AUTOS
PROPERTY DAMAGE S
I. (Per accident)
• UMBRELLA LIAROCCUR EACH OCCURRENCE �S
IEXCESS LIAB CLAIMS-MADE • AGGREGATE S
DEDUCTIBLE S
RETENTION S S
A WORKER'S COMPENSATION AND % WC STATUTORY OTHER
EMPLOYER'S LIABILITY YM UB-4705P928-18 08/02/2018 08/02/2019 LIMITS
ANY PROPERITORIPARTNER/EXECUTIVE N/A E.L EACH ACCIDENT $ 100,000
OFFICER/MEMBER EXCLUDED?
(Mandatory
Inn NH) E.L.DISEASE-EA EMPLOYEES 100,000
N yes,&sone under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONS/SPECIAL ITEMS
THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE
CERTIFICATE HOLDER CANCELLATION
TOWN OF YARMOUTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
1146 ROUTE 28 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL B DELI - D
ACCORDANCE THE POLICY PR 0....4410P-
AUTHORIZED
AUU THORIZED REPRESEESE NTATIVE
SOUTH YARMOUTH,MA 02664 a*
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORP•• • •r, i'Fights resented.
Gu
BUILDING
.e.1 °F `49` TOWN OF YARMOUTH
ELECTRICAL
F : 1 0-, "- GAS .
.,
. i' I _` 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 PLUMBING
I, Telephone (508) 398-2231, Ext. 261 — Fax (508) 398-0836
wESIGNS
nn QESE
BUILDING DEPARTMENT
{er
NOTICE OF VIOLATION
Inspection Date: , ,,,v.,y,,% ) 2 e/i- Inspection Type: e Z
Property Address: l' $3 / 2 L — /
Name: )�-ef _ �/rj Owner i� Tenant ❑
D/B /A: 7 Pr'L Telephone: 5O 9 79- D377
Mailing Address: ---(
City/Town: State: Zip Code:
An inspection of the above captioned property was conducted by the undersigned, during which the
fol owin IOLATIONS were observed: 74-/'n-'t/1
7.7. o".ri-
/J
72 –/- c''Die C /1 &76Z@
•
>., ,, w
•
You are hereby ordered to abate or correct said violations within At bF days.
Failure to do so may result in criminal/civil complaints being filed against you, which may be subject
to fines as prescribed by pertinent laws and regulations, or may delay the issuance of your license.
You are also required to contact the Building Department for a re-inspection by the time noted
above.
Signed: �yrr,�
Inspe for /• _ Tile
Copy Receiv By: A — _ r
Original - Owner/Tenant Yellow Copy - Licensing Authority Pink Copy - Bldg. Dept. -"" -""
‘r
CAPE COD LOCK & SAFE
657 Rt 28 West Yarmouth, MA 02673
Capecls1@comcast.net
(508)-398-2012 / (508)-775-1336
December 5,2018
To whom this may concern,
I am writing to inform you that Cape Cod Lock& Safe will be installing a panic bar onto the
door located at Sons of Erin,633 MA-28,West Yarmouth.The hardware has been ordered and
will be installed as soon as we receive it.We are expecting the hardware to arrive within 3-5
business days of the date of this letter.
Best Regards,
c)\-M)
6-Y-)14°
Kathy Hatfield
RECEIVED
DEC 05 2018
BUILDING DEPARTMENT