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Home My WebLink AboutBLDCI-17-005620-03 The Commonwealth of Massachusetts <. tF City\Town of t r, tirt lt= ill 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: IL MUN I EBELLU CLUtd-1 r-0Ubb2U-Ui Trade Name: IL MONTEBELLO Identify property address Including street number, name,city or town and county Certificate Expiration Located at • 81 KINGS CIRCUIT 12/31/2019 YARMOUTHPORT, MA 02675 Use Group Floor Occupancy Use Group Other Classification(s) A-2 01st Floor 172 A-2 Nightclub/Restaurant/Bar/Banquet Hall 124-Restaurant/Bar waiting Allowable Outside Patio seating-48 Occupant Load • Bar&Lounge-34 chairs/ 10 Bar stools 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 post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Philip Simonian III Name of Municipal Mark Grylls Date of Fire Chief Building Commissioner /" Inspection /7-215-18 Signature of Municipal / Signature of Municipal / /� Date of Fire Chief / Building Commissioner Issuance nifir / / Fee: $150.00 • BLD_Certoflnspection.ipt lid `3 tri`7 � ; -1 .. ` JOR Y TOWN OF YARMOUTH BUILDING ELECIWCAL ,1 is 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 GAS — It Telephone(508)398-2231,ExtPLUMBING(261—Fax(508) 398-0836 SIGNS BUILDING DEPARTMENT Inspection and License Rep /� DatelA B/� Address 6cil 14, r"lCri% a.! 1 Business Name ""7/�1.77,63F/1CTfob Contact Phone During the Annual Inspection of your premises,performed in accordance with the provisions of Section 110.7 of 780 CMR(Massachusetts State puilding Code),the Board of Selectmen,and/or the B of Health rules,the following violation(s)were observed: C' > Etas rilt ❑ Emergenryegresssignate Location / ��✓ Te /{E LC s/1lV // 01 Emergency egress •8h� Ii location 4/t'Fri/r7 /./A7 5M/1'f 1"mt f'letb.er (57;42c0rI ❑Maintenanceofexits _, Location ❑ Guards/handrails Location it Q ` Loation CI Puking LoLocatione* 0 Other '.°, Location Y / s t ❑CombusdonM Location ❑Storage inaoillaRoom Location ❑Vents ' ' Location ❑Automatio�ooraosures 'on boiler roan doots .,Ioa:ion - i 1:3 Clothes dryer vents%.. Y i Location • Qthc 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 if- daysaand contact this office for a follow-up inspection. Local Official/Inspector CC .7tY A / qr s Ree«vea sy_ Tide a f r Revised 2/8/13 ,car o014' c TOWN OF YARMOUTH BUILDING DEPARTMENT ': 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1260 'N-94.... 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: 1NameStreet and Number: RI k was ell ern 11— Name of Premises: I L MORA rP h ego Tel: 50S 362 500o Purpose for which permit is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency M-Col,olk Re,Pvaje) LICII (1-020(- 0l 41,co4olrc geen✓c.o) BON F-/7- -u0c6-o, l'oert FctaMich mouL 3LDr/ - 10- nC6,0 -ot Sittlee.., Pepccv& eaf. Certificate to be issued to Tel: Address: 8/ if iv. C rant t err u.,, /. /t, o D Owner of Record of Building "'RECEIVE Address Pv '1 .fiches 0.g�ciztt f Present Holder of Certificate NOV 14 2019 1 Signature of person to whom Title Certificate is issued or his agent 1 f /// Date Email Address: /Lf97044 / QGIO 0 Mad ,Com. 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# PU)C-7-/7-cE)54 2-O O 3 1/1/2019-12/31/2019 A� DATE posoaYYrn CERTIFICATE OF LIABILITY INSURANCE 11/15/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTfFICATE 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 policyQes) 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 endorsemeM(s). PRODUCER Phone: (978)851.9600 Fax: (978)851-4848 NMT ACT Kim Caron �p SULLIVAN INSURANCE AGENCY „ lA:D EA. (978)475-0400 it c Ne? (978)475-2171 885 MAIN STREET E-MAILTEWKSBURY MA 01876 ADDRESS: I INSURER(S)AFFORDING COVERAGE NC# ( '� INSURER A : Scottsdale Insurance Company . NsuRtU I.L MONTEBELLO INC. INSURER II : MA Retail Merchants Workers Comp Group 64 KINGS WAY INSURER : Scottsdale Insurance Company - _. YARMOUTHPORT MA 02675 INSURER D: INSURER : INSURER : COVERAGES - CERTIFICATE NUMBER: 30547 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. . ?NSR ADD'L SUER POLICY EFF POLICY EXP LNITS LTR TYPE OF INSURANCE NSR riv0 POLICY NUMBER IMMIDDIYI'YYI IMMICOITYYYI A GENERAL LIABILITY CPS2440414 01/20/18 01/20/19 EACH OCCURRENCE S 1,000,000 — DAMAGE TO RENTED S 50,000 COMMERCIAL GENERAL LIABILITY PREwSES(E,aavwe) CLAIMS-MADE 0 OCCUR MED.EXP(My one person) S 5,000 PERSONAL BADV INJURY S 1,000,000 —_ - -..- - — — GENERALAGGREGATE— S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGO S 1,000,000 POLICY n JPECT n LOC S AUTOMOBILE LIABILITY COMBINED IFI ode:4 SINGLE UMI? $ ANY AUTO BODILY INJURY(Per person) S —ALL OWNED —SCAHEDULED BODILY INJURY(Per*cadent) S AUTOS — N-f1V/NFD NOPROPERTY DAMAGE $ —DARREDEDAUTOS AUTOS 1e"4"e1 .$ C UMBRELLA Lw OCCUR XB50081993 02/06118 01/20/19 EACH OCCURRENCE $ 1,000,000 EXCESS uAs CLAIMS-MADE AGGREGATE S 0 DED 'RETENTION Si _ _ WC B WORKERS coMPExsATrox 014005034204118 01/20/18 01/20/19 ORYIUTNTS ERN S Arra EMPLOYERS LIMRITY Ylx EL EACH ACCIDENT S 500,000 NIT PROPRIETOR/PARTNER/MECUM! OFFICER/MEMBER OCCLUDED? MIA E.L DISEASE-EA EMPLOYEE S 500,000 (Moncllory In NH) II d&scammac EL DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Ammional Remarks Schedule.H mon apace is required) 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP ESEMATIVE ( Attention: ,SE\ �r -A0 " ( Amy R.Jose ACORD 25(2010/05) (d 1988atil ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD