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Home My WebLink AboutBldci-17-006521-02 The Commonwealth of Massachusetts _=� _ �►� City\Town of ' YARMOUTH New and Renewal Certificate of Inspection In accordance with the Massachusetts State Building Code, Section 110.7 Identify Name of Establishment Certificate No. Issued to Business Name:COLONIAL ACRES RESORT BLDCI-17-006521-02 Trade Name:COLONIAL ACRES RESORT Identify property address including street number,name,city or town and county Certificate Expiration Located at 07/14/2020 114 STANDISH WAY WEST YARMOUTH, MA 02673 Use Group Floor Occupancy Use Group Other Classifications(s) R-1 01st Floor 24 R-1 Hotel/Motel/Boarding House/Transient BLDG.1-12 UNITS BLDG.2-12 UNITS Allowable Other 10 R-1 Hotel/Motel/Boarding House/Transient 10 SINGLE COTTAGES Occupant Load Other 2 R-1 Hotel/Motel/Boarding House/Transient 2 DUPLEX COTTAGES 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 Name of Municipal Mark Grylls of Building Commissioner spection Signature of Municipal Signature of Municipal Date of Building Commissioner Issuance /a.ye); Fee:;184.00 BLD_Certofinspection.rpt a•Y4k TOWN OF YARMOUTH BUILDING DEPARTMENT 3 C MATTA M ESE 4. �.ro..«,.0 7;3 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 r APPLICATION FOR CERTIFICATE OF INSPECTION June 11, 2019 PAYABLE UPON RECEIPT i:' 2' 20" (X) Fee Required 184.00 79 , f e/W.Op ( ) No Fee Required In accordance with the provisoes of Massachusetts State Building Code, Section 110.7, I hereby apply for a Certificate of Inspection for the below-n ed premises located at the following address: Street and Number: \\A J k‘ \i—Nk—A Name of Premises: Ub,M, .i�, v( ka0.4_,--t Tel: ___or, "' on Purpose for which permit is used: e—Vv,4„, License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to r j\i -t tti9.-VsA Tel: t V grkr c-- Address: Owner of Record of Building Address Uk).„,‘,,L., nPresent Holder Certificate � 1Y Signature of person to whom Title.\,s-- Certificate is issued or his agent Date Email Address: k`^aca �� l DA..g c1/4-00.S(t.s62�, C6M 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# ,'GW 1 - /7 Qd 6. ,/"O2 7/14/2019-7/14/2020 09/26/2019 12:10PM 5087754515 COLONIAL ACRES PAGE 01/01 '`�C�® CERTIFICATE OF LIABILITY INSURANCE DATE(MEA/bb/YYYY) 4......./ 09/26/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OFt 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 en ADDITIONAL INSURED,the pollcy(Ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms end conditions of the policy,certain policies may require an endorsement. A statement on this certificate doss not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura J Murphy HART INSURANCE AGENCY,INC, NAMPHONE 508-759-7326 X207 FAX 243 MAIN STREET INC.No.Fat: IA/C,Not; PO BOX 700 EMAIL ADDRESS: BUZZARDS BAY, MA 025320700 INSURER(s)AFFORDING COVERAGE NAIC# INSURER A: NORGUARD INS CO 31470 INSURED Colonial Acres Resort Association INSURER e: 114 Standish Way West Yarmouth,MA 02673 INSURER C INSURER 0: INSURER E: 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 8E 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, -L p TYPE OF INSURANCE DL ByfVD POLICY NUMBER (MIWDD/....I (f M now LIMITS COMMERCIAL GENERAL LIABILrIy EACH OCCURRENCE 8 DAMAGE 10 RENTED CLAIMS-MADE OCCUR PREMISES(ga occurrence) S MED EXP(Any MIN parson) S PERSONAL 8 ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY n 28,, n LOC PRODUCTS-COMP/OP AGG I OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMB S — 1Ea aocldantl ANY AUTO BODILY INJURY(Per person) S -ALLa OWNED AUTOSSCHED BODILY INJURY(PeraecIdenl) S — NON-OWNED PROPERTY DAMAGE HIRED AUTOS _AUTOS _Iperaooidanll S S UMBRELLAIJAB — OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DEO k RETENTION S S A WORKERS COMPENSATION COWC8275512019 08/01/2019 08/01/2020 AND EMPLOYERS'LIABILITY YIN I STATUTE 6E1Rli ANY PROPRIETOR/PARTNER/EXECUTIVE n E.L EACH ACCIDENT S 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L DISEASE-EA EMPLOYEE S 500,000 If syaeee DESCRIPTION unde E.L DISEASE-POLICY LIMIT S 500,000 DESL�RIPTION OF OPERATIONS belay DESCRIPTION OF OPERATIONS/LOCATIONS r VEHICLES(ACORD 101,Additional Remarks Schedule,mey be alraolled If most space IC required) CERTIFICATE HOLDER CANCELLATION um `—" TOWN OF Y SHOULD ANY OF E ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE OFYARMOUTH STREET THE EXPIRATION DATE. THEREOF, NOTICE WILL BE DELIVERED IN 114ACCORDANCE WITH THE POLICY PROVISIONS. South Yarmouth,MA 02664 AUTHOFiIZm REPRESENTATIVE ;4. I ��G 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD • /5 i iv . Y TOWN OF YA R M O U T H BUILDINGELECTRICAL .11:4 • GAS { \i 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 ,'�� _. Telephone(508) 398-2231,Ext.1261—Fax(508) 398-0836 PLUMBING NS BUILDING DEPARTMENT • Inspection and License Report Date /4 --2.2-/9 Address // /} �Y/ Ll/l� Business Name 670 - in/ ,je5 Contact , �010 �/ 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 Location 141C- ��"" '' r- CIEm `/ lC:eergency egress lighting Location '( i Dh'1` q7, Maintenance of exits Location • /1� 4, /,&• - I )1.7 &24,1 ❑Guards/handrails Location S72)195tts -'iz 7 i G4t STi e s k j ,I'' ' ' ( of .lei Te �". ,,/' ._2eiz Signs Location , ❑Parking Location ❑Other Location ,I 7 G." 5.7011 Y=7 __54 4e. - methatied ❑CombustionAir Location ❑Storage in Boiler Room Location ❑Vents Location • ❑Automatic door closures ` on boiler room doors Location ❑Clothes dryer vents Location SAC 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 /". da s and contact this office for a follow-up inspection. Local Official/Inspector ,e;4,¢0.,"+ / Received By /i'k7 -Lr ,2 Title • Revised 2/8/13