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HomeMy WebLinkAboutBLDCI-22-004819 The Commonwealth of Massachusetts } ,—eri City\Town of _::firm YARMOUTH C:. 47 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:Tugboats BLDCI-22-004819 Trade Name:Tugboats Identify property address including street number, name,city or town and county Certificate Expiration Located at 21 ARLINGTON ST 11/30/2022 WEST YARMOUTH, MA 02673 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 157 A-2 Nightclub/Restaurant/Bar/Banquet Hall 57-Interior Main Dining 24-Bar Seats,30 Bar Standing Allowable Other 167 A-2 Nightclub/Restaurant/Bar/Banquet Hall 46-Porch Dining Occupant Load 104-Deck Seating 23-Bar Seating 40 Bar Standing 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 A Fire Chief Building Commissioner Inspection sy ?j� //' Signature of Municipal _ Signature of Municipal ,,----)ate of Fire Chief uilding Commissioner Issuance 7 /y ZZ._ Fee: $150.00 BLD_Certofl nspection.rpt The Commonwealth of Massachusetts City\Town of ri '- YARMOUTH A a� 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:Tugboats BLDCI-22-004819 Trade Name:Tugboats Identify property address including street number, name,city or town and county Certificate Expiration Located at 21 ARLINGTON ST 11/30/2022 WEST YARMOUTH, MA 02673 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 157 A-2 Nightclub/Restaurant/Bar/Banquet Hall 57-Interior Main Dining 24-Bar Seats,30 Bar Standing Allowable Other 167 A-2 Nightclub/Restaurant/Bar/Banquet Hall 46-Porch Dining Occupant Load 104-Deck Seating 23-Bar Seating 40 Bar Standing 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 i Signature of Municipal Signature of Municipal -7ate of Fire Chief wilding Commissioner j Issuance 7//Vf 41111WW", Fee: $150.00 BLDCertofl nspection.rpt BUILDING DEPARTMENT ENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG - 2022 NAME: Tugboats ADDRESS: 21 Arlington St This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your building/premises. When all signatures are obtained, this log shall be presented to the License & Permits office and/or the Health Department in order to obtain your license. Licenses will be withheld until all inspectors have signed. Building Commission r R . Date Comments Approved for License Issuance No Fire Department Rep. Date Comments_ Approved for e� r �=�s e Issuance 3 rC f-ZZ Sr�►Ie _2i�-tl�c No Board of Health Rep. Date Comments Approved for License Issuance Yes No Plumbing/Gas Inspector Date Comments Approved for . 7VZ2 License Issuance No Electrical Inspector Date Comments Approved for License Issuance Yes No Taxes Paid Yes No Rev.Sept.2003 TOWN OF YARMOUTH O . f'Y'qR k ' - 40 BUILDING DEPARTMENT 1146 0u�. `. . .-1 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1260 C MATTAi_4' APPLICATION FOR CERTIFICATE OF INSPECTION March 1,2022 PAYABLE UPON RECEIPT (X)Fee Required$150.00 ( ) No Fee RequiredIn accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Inspection for thqbelow-named premises located at the following address:Street and Number: a ( AT j \-0r1 C eel-- Name of Premises: T Te1:6-a-7 75-b(-/33 Purpose for which permit is used: C oro-C' - 1- c SP(oc e S License(s) or Permit(s)re uired for the remises by other governmental agencies: 1 License or Perrm�it S� - b�"(- 7-7 7 to Agency Varm03V1-\ Yo c u c� l v�.1odc, Certificate to be issued to ` d e ms- tk O C .� Tel: Soc6_740..q030Y S Address: i�\ 30 u S k l ar1Y} 3 WA- 0060 I Owner of Record of Building 1-20i Zcirfv\oe\\ S Address \ . \\0 v-) Sk-, ( a n t� L` _4c)A0 ( Present Holder of Certificate ! T ignu....,;of person ,.) wi..,.__ TitleCertificate is issued r his agent Dare Email Address: ,_ O,@ TO \Doc,\\--3 Q_CV CoLQ . CbM Instructions: Make check payable to: Town of Yarmouth 1146 Route 28, South Yarmouth, MA 02664Return this application to: Building Inspector's OfficePlease 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# 04/01/2022-11/30/2022 19°��o L 4-019 , RECEIVED MAR 012022 J BUILDING UtI-ARTMENT BY -- ----- + 'g �• {,. ., t 'qc CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/01/22 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. 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: PAUL SCHLEGEL Schlegel&Schlegel Ins Brokers,Inc. PHONE 508-771-8381 34 Main Street E-MAIL(A/C,No,Ext): FAX No): 508-771-0663 West Yarmouth,MA 02673 ADDRESS: schlegelinsurance@gmail.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ATEGRITY SPECIALTY INSURED INSURER B: GUARD INSURANCE ABOVE THE HARBOR,INC. DBA INSURER C: SAFETY INSURANCE TUGBOATS 21 ARLINGTON ST INSURER D: SCOTTSDALE WEST YARMOUTH,MA 02673 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 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 ADULSUMR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE CLAIMS-MADE I XI OCCUR PREMISESO(Ea occur ence) $ 100,000 MED EXP(Any one person) $ 1,000 A Y 01-C-PK-P20025697-0 06/17/21 06/17/22 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- POLICY JECT JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 BODILY INJURY(Per person) $ C OWNED SCHEDULED y COM5535672 AUTOS ONLY AUTOS 06/25/21 06/25/22 BODILY INJURY(Per accident) $ x HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY x AUTOS ONLY (Per accident) $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 D x EXCESS LIAB CLAIMS-MADE Y XBS0146316 06/17/21 06/17/22 AGGREGATE $ 2,000,000 _ DED RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X PER OTH- Y/N STATUTE ER B OFFICER/MEMBER EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE N N/A Y ABWC183736E.L.EACH ACCIDENT $ 500,000 (Mandato ry in NH) 06/08/21 O6/O8/22 f yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 LIQUOR LIABILITY EACH OCC 1,000,000 A Y 01-C-PK-P20025697-0 06/17/21 06/17/22 POLICY LIMIT 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) LISTED AS ADDITIONAL INSURED ON GENERAL LIABILITY AND LIQUOR LIABILITY: HYANNIS MARINA,HYANNIS MARINE SERVICE REALTY TRUST,S&L REALTY TRUST,MARINE REALTY TRUST, 146 LEWIS BAY ROAD REALTY TRUST,162 LEWIS BAY ROAD REALTY TRUST,OCEAN REALTY TRUST CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY P OVISIONS. rfallon@yarmouth.ma.us 1146 Route 28 AUTHORIZED REPRE NTATIVE South Yarmouth,MA 02664 I ©1988-2015 ACORD CORPORATION. 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