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Home My WebLink AboutBLDCI-16-003683-02 f __ The Commonwealth of Massachusetts t* — ret City\Town of : ID"Ef= 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:KOUNADIS ENTERPRISES,INC. BLDCI-16.003663-02 Trade Name:YARMOUTH HOUSE RESTAURANT Identify property address including street number,name,city or town and county Certificate Expiration Located at 335 ROUTE 28 12/31/2019 WEST YARMOUTH,MA 02673 Use Group Floor Occupancy Use Group - Other Classifications(s) A-2 01st Floor 264 A-2 Nightdub/RestaurantBar/Banquet Hall • 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 Simonian III Name of Municipal Mark Grylls Date of Fire Chief Building Commissioner / Inspection x/-2/-/8 Signature of Municipal // Signature of MunicipalLA, // Date of Fire Chief ' •• Building Commissioner Issuance %t % / .t i /2 •/2•/1 / ' Fee:$150.00 BLD Certafinspection.rpt ° oYARTOWN OF YARMOUTH • '` 'o - -c BUILDING DEPARTMENT '.� f1�ri�n `' `:`�,'*-....,•;Y 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 $150.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: ,335 Siet ` Name of Premises: ?OXm& n P \ C4ASI. ,'S Q,t.av Tel: Ok ' 77/-- 57,51/ Purpose for which permit is used: - LOS G License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit RECEIVED Agency OCT 29 2018 BUILDING DEPARTMENT By Certificate to be issued to uiAY1 4%S n i'pvtse.N ¶t . Tel: Address: 4`73S nQu.q-t t e Owner of Record of Building QV avvolect_ 2.0,44041 s VI+ RettJ4y 7hd t Address ',5bc ' .o ✓L S t d Present Holder ofCertificat- ,._: • . ,• ••oe . Gt•ct. Q✓ i s a cRre%tdct2L ignatur:Zt "son to whom Title Certif- .to is issued or his agent Jp lat4 t t$ Date Email Address: 1 a.Y KS?€ A ..GOYI'\ 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 ISS E YOUR CERTIFICATE OF INSPECTION. Certificate of Inspection# CEJ— 3473 '0Z 1/1/2019-12/31/2019 AC R® CERTIFICATE OF LIABILITY INSURANCE DATE `MMa,n2D e THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS G!RTIFICATE 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. 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 endorsement(s). PRODUCER CONTACT NAME: STANDISH INSURANCE GROUP INC. PHONE 7/438114425— FAX 7/4".28114243 303 COURT STREET UNIT t B E.MCnNLo ,Eat. __—__--_ IAIC,_No)) PLYMOUTH,MA. 02360 ADDRESS' ANDYR@STANDISHINSURANCE.COM INSURERISLAFFORDING COVERAGE NAICS INSURER A:Lloyds Of London INSURED INSURER 6-11: BERTY MOTUAL KOUNADIS ENTERPRISESINSURER e:DAPI I UL SPECIAL THE YARMOUTH HOUSE INSURER D: 335 MAIN ST INS E E — — INSURER E WEST YARMOUTH MA 02673 SURER RF. 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. irisBR LTRRI TYPE OF INSURANCE blot) JVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LLABILITY DSCPK0543 4/01/20184/01/2019 EACH OCCURRENCE $ 1,000,000 A DAMAGE TO RENTED CLAIMS-MADE (OCCUR PREMISES lEeoccunenee) $ 100,000 MED EXPf one person) 1 10000 PERSONAL&ADV INJURY 1 1000000 GERL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE f 20,000,000 POLICY I I Tel: LOC - PRODUCTS_COMP/OP AGG f OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 3 (Ea accident) ANY AUTO BODILY INJURY(Per person) f OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS I HIRED NON-OWNED PROPERTY DAMAGE 3 _AUTOS ONLY AUTOS ONLY _O'ere9 dans) 3 UMBRELLA LDS OCCUR EACH OCCURRENCE 3 EXCESS UAB CLAIMS-MADE AGGREGATE f DED RETENTION 3 3 WORKERS COMPENSATION PEA OTH- ANDEMPLOYERS'LUeRITY WC5318816095018 IS.T.A_TWI EB__ YIN 5/01/2018 5/012079 ANY PROPRIETORIPARTNERIEXECUTIVE B OFFICER/MEMBER EXCLUDED? ❑ NIA EL_EACH ACCIDENT f 500,000 (Mandatory In NH) E L.DISEASE_EA EMPLOYEE 3 500.000 X yea debate under 500 000DESCRIPTION OF OPERATIONS below E L DISEASE.POLICY LIMIT $ LIQUOR LIABILITY CS 1800192501 4/01/2018 4/01/2019 51.000.000 PER OCCURENCE 32.000,000 GENERAL i AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,AddIIonel Remarks Schedule,may be attached S men space M required) CERTIFICATE HOLDER CANCELLATION TOWN OF YARMOUTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1146 RTE 28 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN SOUTH YARMOUTH MA 02664 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ®198 2015 ACORD CORPORATION. All rights reserved. ACORD 25(2015/03) The ACORD name and logo are registered marks of ACORD l � . 1 \� ..� ✓ . -• Ia.'''. ,.oF c-- TOWN OF YARMOUTH E I�1 ,vy�lra 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 PLUMBING 11 Telephone(508) 398-2231,Ext.1261 -Fax (508) 398-0836 �, SIGNS _. . BUILDING DEPARTMENT Inspection and License Report p Date //a//O/ Address t — I Business Name yl/'fl,1C1117 .het'St Contact ?AN/ >, /Be 41C1 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,tthhe following violation(s)were observed: /267/6711_, J Ares: • ❑ Emergency egress signage Location /744: 1"//e6101(] /4e7/Xtt1��itf //c(al t �v. ❑Emergencyegresslighting Location 1----C61-5(C°/ j ill°/4/IQ 5-6'11.71-/ 1 ❑Maintenance ofexits Location t ,t it ,eC nn'c`e`- '.`. 0Guards/handrails Location -/rite7 Cl«"�� —� • Zoning / ❑Signs Location iti /�//4G1T 5 7fSl, r ❑Padang . \ .. Location ❑ Other Location Mechanical ❑Combustion Air Location ❑Storage inBoiierRoom Location ❑Vents Location ❑Automatic door closures on boiler room doors Location ❑ Clothes dryer vents Location 9th¢ 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 withi /5— days and contact this office for a follow-up inspection. Local oi .. .r 1 ' % r7 ns a Received By Title Revised 2/8/13