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Home My WebLink AboutBLDCI-17-000103-02 I The Commonwealth of Massachusetts _ '- - � City\Town of i C =4= 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. I Identify Name of Establishment Certificate No. Issued to Business Name:SEA DOG BREW PUB BLDCI-17-000103-02 Trade Name:SEA DOG BREW PUB 1 Identify property address including street number,name,city or town and county Certificate Expiration Located at j 23V WHITES PATH UNIT 1 12/31/2019 SOUTH YARMOUTH,MA 02664 Use Group Floor I Occupancy - Use Group Other Classifications(s) A-2 01st Floor 148 A-2 Nightclub/Restaurant/Bar/Banquet Hall 130 SEATS 18 BAR STOOLS Allowable TOTAL PERSONS:148 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 I • Name of Municipal Philip Simonian III Name of Municipal Mark Grylls Date of /� /� Fire Chief I Building Commissioner / Inspection - Signature of Municipal Signature of Municipal / Date of Fire Chief `S. / / • Building Commissioner / ° Issuance (Logo a" tee q Fee:$150.00 • { BLD_Certoflnspection.rpt 1 oF'YAR TOWN OF YARMOUTH_ _ o � BUILDING DEPARTMENT :N ww�rn �,`. ..,.Y6C 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:rl (.43,-,--c3 Street and Number: 03 4/ Lynn-- V Name of Premises: ,I__, g &- u1 Te1:S�S'�y '�(J��/ `" ' Purpose for which permit is used: P62, License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency gzni4F - C317Y- •:• ticeAs-e Certificate to be issued to ( Cre , i • 'Ste Db Tel: S-3_o - r0 Address: - t4J i t'r b D' t.l ChAb • , , pp Ot y Owner of Record of Building • _ n la V 1 L Address _ '1 "P ' S _ Mgr A43 at„, Present Holder of Certificate 1 1-eC ' • •-• nneakinatr CEI V ED NOV 0 5 2018 ire Signa person to whom Title ILDING DEPARTM Nl Certificate is issued or his agent (6/.r/ — Date —Email Address: rnrirD a SeQL?q XX• i 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(,p e-I '/"675U/D3' 1/1/2019-12/31/2019 A®ca' CERTIFICATE OF LIABILITY INSURANCE 10/31/22018 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 k 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(ies)must be endorsed.If SUBROGATION'S 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 PAYCHEX INSURANCE AGENCY INC/PAC NAMF: 76250881 PHONE (877)287-1312 FAX . (888)443-6112 (NC,No,Esq: (A/C,No): 150 SAWGRASS DRIVE E-MAIL ROCHESTER NY14620 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIL/ INSURER A: The Hartford Accident and Indemnity Insurance Company 22357 INSURED INSURER B: SEA DOG CAPE COD LLC DBA SEA DOG BREW INSURER C: PUB INSURER D; 23 WHITES PATH INSURER E: SOUTH YARMOUTH MA 02664-1221 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 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 ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR -INSR WVD IMMIDDNYVY1 IMM/DDM7Y) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE ❑OCCUR DAMAGE TO RENTED PRFMISES(Fe occurrence) MED EXP(My one person) PERSONAL&ADV INJURY GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE HPOLICY ❑JET LOC PRODUCTS•COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ (Ea accident) _ANY AUTO BODILY INJURY(Per person) — ALL OWNED SCHEDULED - _ AUTOS _AUTOS BODILY INJURY(Per accident) HIRED AUTOS NON-OWNED PROPERTY DAMAGE _ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR — CLAIMS-MADE AGGREGATE DED RETENTIONS WORKERS COMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY STATUTE FR ANY PROPRIETOR/PARTNER/EXECUTIVE V/N E.L.EACH ACCIDENT $100,000 A OFFICER/MEMBER EXCLUDED? N/A — 76 WEG Z06162 07/07/2018 07/07/2019 - (Mandatory lnNH) C E.L.DISEASE-EA EMPLOYEE $100,000 If yes,describe under ,.r—�� E.L.DISEASE•POLICY LIMIT $500,000—. DESCRIPTION OF OPERATIONSbelow - —� •--' - - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Those usual to the insured's Operations. CERTIFICATE HOLDER CANCELLATION TOWN OF YARMOUTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1146 ROUTE 28 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SOUTH YARMOUTH MA 02664-4463 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - <Mean or Cao a> ®1988-2015 ACORD CORPORATION.All rights reserved. • p :„, THE HARTFORD F. : BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 October 31, 2018 Town of Yarmouth 1146 ROUTE 28 SOUTH YARMOUTH MA 02664-4463 Account Information: Contact Us PolicyHolder Details : SEA DOG CAPE COD LLC DBA SEA DOG BREW PUB Business Service Center Business Hours: Monday- Friday (7AM -7PM Central Standard Time) Phone: (877) 287-1312 Fax: (888) 443-6112 Email: auencv.services@thehartford.com Website: httos://business.thehartford.com Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team • WLTR005 AoF....Yg9�` TOWN OF YARMOUTH FAL :15 r,1• 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 026641451 1111 Telephone(508)398-2231,Ext.1261 —Fax (508) 398-0836 PLUMBING � SIGNS -_ - - BUILDING DEPARTMENT Inspection and License ort e rj- Address al 1/ ti/ rG1s /q97-/ B nessName 5 ii DO 7 £Q 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: Zara \ ❑ / u YCI mergency egress signage Locationfiera'C'S- //Q / re , 8 /'S7G-0 - Emergcyegresslighting Location We) Irt4te actuty �Yllte', / (. e ❑ Maintenanceofexits Location U Guards/handrails Location Zoning ❑ Signs Location ❑Parking Location ❑ Other Location Mechanical ❑ CombustionAir Location ❑Storage in Boiler Room Location ❑Vents Location ❑Automatic door closures on boiler room doors Location ❑ Clothes dryervents Location Other 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)von 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 withinr 7 d d contact this office for a follow-up inspection. Local O$icial/Inslxaor I/fr�J �ir 9� Received By c_ Tide l irh� Revised 2/8/13