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HomeMy WebLinkAboutBldci-17-002517-04 i i The Commonwealth of Massachusetts A _ City\Town of I' J1/1111 III 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: HEARTH N' KETTLE PROPERTIES, LP BLDCI-17-002517-04 Trade Name: HEARTH N' KETTLE RESTAURANT Identify property address including street number, name,city or town and county Certificate Expiration Located at 1196 &1198 ROUTE 28 12/31/2021 SOUTH YARMOI_ITH, MA 112664 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 209 A-2 Nightclub/Restaurant/Bar/Banquet Hall 209 PERSONS 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 r Signature of Municipal Signature of Municipal / / Date of Fire Chief - Building Commissioner / Issuance j/'�' .,9 :s21 ( Fee: $150.00 RI r1 r nrfnflncnorfinn rnf BUILDINGAR 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG - 2021 NAME: Hearth N' Kettle Restaurant ADDRESS: 1196 Rte 28 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 Commissioner Rep. Date Comments Approved for License Issuance //, -2 Yeses No Fire Department Rep. Date Comments Approved for License Issuance IAPT. 4UC?C it 1 - - Yes No Board of Health Rep. Date Comments Approved for License Issuance Yes No Plumbing/Gas Inspector Date Comments Approved for License Issuance Yes No Electrical Inspector Date Comments Approved for License Issuance Yes No Taxes Paid Yes No Rev.Sept.2003 / o TOWN OF YARMOUTH iAT 7/4 BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION October 1, 2020 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 pre ises located at the following address: Street and Number: it q/ Alii h S' £ df Name of Premises: f� /[tee /�'�[ ,��� v �k'rl Tel:_. ��a J�� �a` � Purpose for which permit is used: ?) [/f'4 ...... w_-_____._. . License(s) or Permit(s)required for the premises by other governmental agencies: �° k ?_ License or Permit AgencyOCT 1 5 2020 � ± CV2z3 ,4 , / .1 F 2l ?)- Certificate to b f e,issu-d to r i ,/ Tel: �0 1 Address: 7 i f 4NOINETRITAY Owner of Record of B ildin a14WRIZERMIls` Address ' ‘i( AlilrialaMaffillar Present Hold r of Certificater'f r Si011-4K b ature of person to whom Titl Certificate is issued or his agent 1(/�� Date Email Address: / 4J 4 (Ark P I( kW Ph.(/'..).4/ 1 PP ,, 611'2 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# 3 C 6C//7 Dvc/7 i _D y 12/31/2020—12/31/2021 -�� CATAHOS-01 CROY AICORO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1/22/2020 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). CONTACT PRODUCER NAME: RogersGray,Inc. 434 Rte 134 a"c°,"N,Ext):(800)553-1801 FAX No):(877)816-2156 South Dennis,MA 02660 MAILS:mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:NorGUARD Insurance Company 31470 INSURED INSURER B Catania Hospitality Group,Inc.,ETAL INSURERC: 141 Falmouth Road INSURERD: Hyannis,MA 02601 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD IMM/DD/YYYYI (MM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY L J JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) _$_ _ ED AUTOSA ONLY _ SCHEDULEDNWNE BODILYO INJURY(Per accident) $ AUTOS ONLY AUTOS ONLY (Perr acEciident DAMAGE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION _X_ _STATUTE ERH AND EMPLOYERS'LIABILITY CAWC181851 1/1/2020 1/1/2021 500,000 ANY OFFICER/MEMBER N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Locations: 141 Falmouth Road Hyannis,MA 02601 149-151 Main Street Sandwich,MA 02563 151 Main Street Weymouth,MA 02188 1225 Iyannough Road Hyannis,MA 02601 1196-1198 Main Street South Yarmouth,MA 02664 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Informational Purposes OnlyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED-REPRESENTATIVE C :)Er— �W ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD