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HomeMy WebLinkAboutBLDCI-16-003446-02 c The Commonwealth of Massachusetts ==.4.75s:171---a. 1'r City\Town of 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 •}4‘t, 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