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HomeMy WebLinkAboutBLDCI-16-003692-02The Commonwealth of Massachusetts r City\Town of ' 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 BLDCI-16-003692-02 Business Name: RED FACE JACKS INC. Trade Name: RED FACE JACKS Identify property address including street number, name, city or town and county Certificate Expiration Located at - 585 ROUTE 28 12131/2019 WEST YARMOUTH, MA 02673 _ Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 299 _ A-2 NightdublRestauranUBarBanquel Hall 95 Persons - Bar/Lounge 154 Persons - Main Allowable Dining Room Occupant Load TOTAL SEATS -248 seats TOTAL OCCUPANCY - 299Persons 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 Grylls Date of Fire Chief - Building Commissioner - pection Signature of Municipal Signature of Municipal Date of Fire Chief Building Commissioner Issuance /z BLD_Certofl nspecfion.rpt October 3, 2018 TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION 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: NameofPremises: Tel: 5bV-77(-S5-d.i Purpose for which permit is used: 'o License(s) or Permit(s) required for th�p�enb�o�� �v�u ental agencies: License or Permit OCT 2 9 2018 Agency BUILDING DEPARTME 0v' Certificate to be issued to Pace.Jet6ts ly,c Tel: Address: 51t!s-, `fav-kL ag Owner of Record of Building �4vangf ,lo— z rr.te). c sAq me- IZ,ea"41 Address Present Holder of Certific ^' Signature n to whom Title Certifca is i sued or his agent Date Email Address: �0� 26k- Gor1 Instructions: Make check payable to: Return this application to: Town of Yarmouth 1146 Route 28, South Yarmouth, MA 02664 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.� �qa-pa 1/1/2019-12/31/2019 'AC a CERTIFICATE OF LIABILITY INSURANCE °ATE,MM� 612016 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(ies) must have ADDITIONAL INSURED provisions or be endorsed. H 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 endorsements . PRODUCER STANDISH INSURANCE GROUP INC. 303 COURT STREET UNIT i6 PLYMOUTH, MA. 02360 CONTACT NAME: PHONE 774:Z83:442:) -- FAx-774383-4243— AID,No.Eal)' —L 1AIC,Mo)_ ADDRE ADDRESS: ANOYR STANDISHINSURANCE.COM s 1,00_0,()_0_0 f 50,000 INSURER(S)AFFORDING COVERAGE_ N_AICf INSURER A: GUARD INSURANCE GROUP INSURED - INSURER 8-GLTABB RED FACE JACK'S INC INSURER C:ATiD-- � D/B/A RED FACE JACKS INSURER °: 585 ROUTE 28 WEST YARMOUTH MA 02673 INSURER E: GEN'. AGGREGATE LIMIT APPLIES PER -. -- 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. LTR TYPEOFINSURANCE �ADOC3UBR, POLICY NUMBER IMM`DryEFF FOLExp- TR YP1 LIMITS LTR Ix I COMMERCIAL GENERAL UABIUTY CLAIMS -MADE 19 OCCUR RESP994034 8/12/2018 8/12/2019 EACH OCCURRENCE DAhRCETO RENTED PREMISE§.(EaommePn) s 1,00_0,()_0_0 f 50,000 MED EXP (Any one Fetzf 5000 , 1,0001000 ' RSONAL A ADV INANf GEN'. AGGREGATE LIMIT APPLIES PER -. GEN 3 2,000,0 00 POLICY I]jEC EILOC PRODUCTS - COMP/OP AGG f -_2 000 ..000 OTHER' S AUTOMOBILE LIABILITY OMDINED SINGLE LIMA LEe.acaPenl S 3 ANY AUTO BODILY INJURY(Perparson) OWNED 6CHEDULED AUTOS ONLY AUTOS HIRED No"WNED AUTOS ONLY HAUTOS ONLY BODILY INJURY (Per scaaem) PROPERTY DAMAGE 1PH A-XJ6 R S 3 f UMBRELLA UAR OCCUR EACH OCCURRENCE 3 EXCESS UAB CLAIMS -MADE AGGREGATE �'—_� f -- RIONS DFD ETENT S B IANY WORKERS COMPENSATIONCHUBB ANDEMPLOYERS'LWBRJTY YIN PROPRIETORMARTNERIEXECUTNEE.L. OFFICERIMEMDER EXCLUDED? F NIA 5116/2018 5/1612019 R t4 —LSTATVTE_ € EACH ACCIDENT S _500,000 E. L DISEASE_ EA EMPLOYE (Mandatory In NH) S SM000 DE6CRIPTION OF OPERATIONS treioN NIMyeC IPTION OF O S nn nan EL DISEASE -POLICY LIMB LIQUOR LIABILITY REOP994034 8112/2018 8/12/2019 $1,000,000 PER OCC R $2,000.000AGGREGA E DESCWTK)N OF OPERATIONS I LOCAT*NS I VEHICLES (ACOR0101, AdditionalRemarks SCAsduN, mar W aeatMd tl more spsee ngWrcd) LOCATION 1 585 ROUTE 28 WEST YARMOUTH MA BUILDING 1 YEAR ROUND RESTAURANT 10 DAYS NOTICE OF CANCELLATION TOWN OF YARMOUTH 1146 RTE 28 SOUTH YARMOUTH MA 02664 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD I TOWN OF YARMOUTH BEL; ELECTRICAL 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 026644451 GAS p1UMBING Telephone (508) 398-2231, Ext.1261 - Fax (508) 398-0836 SIGNS BUILDING DEPARTMENT Inspection and License ReportaO _ Date �y �J� t Address S /�OG-re Business Name S Cont 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 ❑ Emergency egress signage ❑ Emergency egress lighting ❑ Maintenanceofexits ❑ Guards/handrails � nirr ❑ Signs ❑ PWdng " ❑ Other Mechanical ❑ Combustion Air ❑ Storage in Boiler Room ❑ Vents ❑ Automadedoorelosures onbollerroomdoors Location Location v Location Location Location Location Location Location Location Location Location ❑ Clothes dryer vents Location 32that Location The State Building Code, Section 10013 - 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_days //ddaa�ys an act this office for a follow-up inspection. Received ByTitle ,411 Revised 218/13