Loading...
HomeMy WebLinkAboutBldci-17-002911-05 The Commonwealth of Massachusetts 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 Business Name: GERARDI'S CAFE, INC. BLDCI-17-002911-05 Trade Name: GERARDI'S CAFE Identify property address including street number, name,city or town and county Certificate Expiration Located at 902 ROUTE 28 12/31/2022 SOUTH YARMOUTH, MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 57 A-2 Nightclub/Restaurant/Bar/Banquet Hall 57 Persons- Tables/Chairs/Booths 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 Iln Fire Chief Building Commissioner Inspection //`-`'"/�"�p Signature of Municipal Signature of Municipal Date of Fire Chief Building Commissioner Issuance / Fee: $100.00 RI rl C'artnflncnnrtinn rnt BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG - 2022 NAME: Gerardi's Café ADDRESS: 902 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 R. Date Comments Approved for License Issuance �‘7j7 7;2 � No J Fire Department Rep. Date Comments Approved for Lice.se Issuance I�Il bl No Board of Health Rep. Date Comments Approved for License Issuance Yes No Plu bing/Gas Inspector Date Comments Approved for /l///Z( Lic ,se Issuance Yes No Electrical Inspector Date Comments Approved for License Issuance Yes No Taxes Paid Yes No Rev.Sept.2003 r TOWN OFYARMOUTH BUILDING DEPARTMENT '�- . 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION October 1, 2021 PAYABLE UPON RECEIPT (X) Fee Required 100.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I h r yEp Certificate of Inspection for the below-named premises located at the following address: Street and Number: /�• 2 NOV 10 2 Name of Premises: 6 era , �s CAP Tel: ` ���� r r J Purpose for which permit is used: UV Li Rail License(s) or Permit(s) required for the premises by other governmental agencies: License or Permit Agency Certificate to bA. issued to (5)E r� di Tel: 5yg 7 7i U(�I/Z Address: k /y fix , ,/ Owner of Record of B ding f s r?' Address / Present Holder of Certificate 1).4aid .fra i' r d�rc , !TM e person t�ho Title - e is issued or is: -- k/4//0/ Date Email Address: ! `-KD V i o k g i1th} ;L Oa'ii 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# Bahl_ /7— OO 9//— R.-/-7_ U5 12/31/21-12/31/2022 1 GERACAF-01 LWALSH A —JRJf� CERTIFICATE OF LIABILITY INSURANCE DATE(MMDD/YYYY) 11/4/2021 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 Kaplansky Insurance PPHON 8 Main St PO Box 2743 :--,,r o,Extj:(508)255-7880 1 ,N,k(508)240-2908 Orleans,MA 02653 ;Mot InfoQkaplansky.com INSURERS)AFFORDING COVERAGE NAIC H INSURER A:Markel Insurance Companies INSURED INSURER B:Markel American Insurance Gerardi's Cafe Inc INSURER C: — 902 Rte 28 South Yarmouth,MA 02664 INSURER D: - MSURERE: 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. ILTRR TYPE OF INSURANCE NiID IINYD POLICY NUMBER alliVDID/YYYYI A!DD/YYYYI UNITS A X COMMERCIAL GENERAL LJABILrrY EACH OCCURRENCE $ 1+000+000 CLAIMS-MADE X OCCUR BQM0024300-01 5/19/2021 5/19/2022 PDAMAGE TO RENTED R M SES(Ea occunencs) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY S 1,000,000 GENE AGGREGATE uRu�rr APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY JELL I I LOC PRODUCT'S-COMP/OP AGG, S 2,000,000 OTHER: S AUTOMOBILE LIABILITYlEs a dd�rit SINGLE LMNR $ ANY AUTO OWNED SCHEDULED BODILY INJURY(Per pegen) $ AUTOS ONLY AUTOS BODILY INJURY(Per ecddent) 8 AUTOS ONLY J AUTO ONEY S[tOPERTY DAMAGE rraraoddNfrfl $ 1 S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DED RETENTIONS ' B WORKERS COMPENSATION X I PER I I OTFN- $ AND EMPLOYERS'LIABILITY ANYAO� PROPRIETOR/PARTNER/EXECUTIVE YIN AWC0012219-01 5/19/2021 5/19/2022 STATUTE ER 500,000 (MFandatoMEn NHR EXCLUDED? N N/A E.L EACH ACCIDENT S ry i •If yes,describe H) E.L DISEASE-EA EMPLOYEES 500,000 DESCRIPTION OF OPERATIONS below - — - E.L.DISEASE-POLICY LIMIT S 500,000 A Liquor Liability BOM0024300-01 5/19/2021 5/19/2022 Each Common Cause 1,000,000 A Liquor Liability BOM0024300-01 5/19/2021 5/19/2022 Agregate Limit 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more apace is required) Operations:Cafe/Restaurant located at 902 Main St.,Yarmouth,MA 02664 Including Temporary Outdoor Seating CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Yarmouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Yarmouth Town Hall-Liquor Licensing Dept ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Massachusetts 28 South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. I The ACORD name and logo are registered marks of ACORD