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HomeMy WebLinkAboutBldci-22-002222 The Commonw :'. 1 i of Massachusetts n Ci ,T t'vvn of ' ' YA 'VI1'1UTH 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: Baxter Innkeeping LLC BLDCI-22-002222 Trade Name: Chapter House Cape Cod Identify property address including street number, name, city or town and county Certificate Expiration Located at 277 ROUTE 6A 12/31/2022 YARMOI ITH POET MA 02675 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 36 A-2 Nightclub/Restaurant/Bar/Banquet Hall Bar: 10 Persons Screened Porch: 26 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 //�n��� Fire Chief Building Commissioner Inspection Oc Signature of Municipal Signature of Municipal % Dllte of Fire Chief .A4' �uilding Commissioner � Issuance ✓7. 2 / " Fee: $100.00 BLD Certoflnsoection.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: Chapter House ADDRESS: 277 RTE 6A 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 ep. Date Comments Approved for License_Issuance oLo2 2( es No Fire Department Rep. Date Comments Approved for C A TT oQ 1 Z3 Z i License Issuance Yes No Board of Health Rep. Date Comments Approved for License Issuance Yes No Plumbing/Gas Inspector Date Comments Approved for // Z S z Licence Issuance Yes/ No Electrical Inspector Date Comments Approved for License Issuance Yes No Taxes Paid Yes No Rev.Sept.2003 �r`a° iYN TOWN OF YARMOUTH (., t 21.,>, ./ A \c'-, o .ja, BUILDING DEPARTMENT �a<,�MATTACM CS[= :?� ;� 1146 Route 28, South Yarmouth, MA 02664 S08-398-2 E I V E D APPLICATION FOR CERTIFICATE OF INSPECTION OCT "5c 2021 CI� l t October 1, 2021 PAYABLE ONALRP PITARTMENT (X) Fee Requ L.TOff88----- _ ( )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: 2 7-7 "20 J rE. 6 4 Name of Premises: CHAcPr iz htGr!IC ek,e c o.o Tel: 3 1 c' g 7 7 c. 6 4 Purpose for which permit is used: 4t,L or/o c-i c- "81, i, _,y-c jt S License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Li?A-- 2-I O o `t & /4-Am 0v:)i- 6i ceN ji,/`-Ase, " /7 aJ--2s9 L/CA-- tti - oe lc? Tot.✓ri 4.o- 7i1q 1o✓tcO/- ,c� Certificate to be issued to 134-Ki iZ by/vie-et-AA-et-AA4 t:t Tel: 3 i C) 8 7 7 S, 6 Address: Po 8 0)e / ra? � -fr- /l4-NN I S / (-f 14- 0 2. 6 It Owner of Record of Building A-s/r A 7/4-i)-ot,9 0 a-pi- Po 2 r- /4-DC,4 f,6 6 y / C.(...C, Address 'PO N2X /f'o 3 6,4t i 04E7vn45 ` ail- 49 - 6 tt t Present Holder of Certificate R,4--T fL 1 N/= Pt i • u.G l �!,✓y a ActAiiti4- e 2 Signs a of person to whom Title // - u Certificate is issued or his agent Date Email Address: f Vi c`_ ri 714-KTe 0-0-0 S P/—0K-i r(, Co w 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# 8L )C I -. a, 12/31/21-12/31/2022 • No.: 06268-HT-1518 LICENSE ALCOHOLIC BEVERAGES THE LICENSING BOARD, TOWN OF YARMOUTH, MASSACHUSETTS HEREBY GRANTS A Annual Innholder All Alcoholic License to Expose, Keep for Sales, and to Sell All Kinds of Alcoholic Beverages To Be Drunk On The Premises To: BAXTER INNKEEPING LLC Date: 08/05/2021 DBA: CHAPTER HOUSE Ref: LICA-21-0048 277 ROUTE 6A YARMOUTH PORT, MA 02675 Fee(s): 1,762.50 License Duration Type: Annual Manager: PHILIP E. BAXTER License Conditions THE INN CONSISTS OF 21 GUEST ROOMS IN TWO BUILDINGS - CARRIAGE HOUSE 2 FLOORS, 10 GUEST ROOMS AND MAIN HOUSE 3 FLOORS, 11 GUEST ROOMS. IN ADDITION TO THE 15,628 SF OF INDOOR SPACE THERE IS 1,085 SF ON A DECK. THE FIRST FLOOR OF THE MAIN HOUSE AND THE DECK IS WHERE THE BAR AND RESTAURANT ARE LOCATED. On the following described premises: 277 ROUTE 6A, YARMOUTH PORT,MA 02675 This license is granted and accepted upon the express condition that the licensee shall in all respects,conform to all the provisions of the Liquor Control Act,Chapter 138 of the General Laws,as amended,and any rules or regulations made expires December 31,2021, unless earlier suspended,cancelled or revoked. IN TESTIMONY WHEREOF,the undersigned have thereunto affixed their official signatures. The Hours during which Alcoholic Beverages LICENSE may be sold are From: granted by:,; f 8:00AM - 1:00AM - Weekdays& Saturdays AI 10:00AM - 1:00AM Sundays 9 OUTDOOR HOURS ON LAWN UNTIL 8:00PM LIVE I THORI' IES DECKS & PATIO UNTIL 10:00PM / This License Shall be Displayed on the Premises in a conspicuous position where it can be easily read 411.1.4 ALL NOISE TO BE CONTAINED WITHIN THE BUILDING Fe 105.00 THE COMMONWEALTH OF MASSACHUSETTS No.: LIC-22-0049 TOWN OF Yarmouth, License For WEEKDAY ENTERTAINMENT: INNHOLDERS,COMMON VICTUALLERS AND OTHER KEEPERS OF RESTAURANTS AND OTHER ESTABLISHMENTS In accordance with the provisions of Chapter 140, Sec 183A of the General Laws as amended by Chapter 299 of the Acts of 1926 and amended thereto, LICENSE is hereby granted to: Name of the establishment: BAXTER INNKEEPING LLC dba: CHAPTER HOUSE Manager: PHILIP E. BAXTER Location: 277 ROUTE 6A,YARMOUTH PORT, MA 02675 License granted for: Live Band-Number of Pieces:3;Live Music Applicable Date(s)and/or Time(s): 1:00PM - 10:00PM MONDAY - SATURDAY LICENSE is granted to conduct the amusements as herein described in connection with his/her regular business of innholder, common victualler,or owner,manager or controller of a cafe, restaurant or other eating or drinking establishment,on the premises to: Owner: PHILIP BAXTER Expiration Date:12/31/2021 Description of Premises: BAR AREA OF THE CHAPTER HOUSE INN This LICENSE is granted as subject to the provisions of the General Laws,Chapter One Hundred and Forty, Sections Twenty-Two inclusive, and of Chapter Two Hundred and Seventy-Two, Sections Twenty-Five to Twenty-Seven inclusive, and amendments thereto,and shall not be valid for a location other than herein described. LICENSE granted by: • /� rrs NSINC14151140RITIES (See conditions of this license on reverse side) Conditions: THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE ON THE PREMISES Inspection Report Tel: 508-398-2231 Location: Inspection Date: 277 ROUTE 6A, YARMOUTH PORT, Barnstable, October 1 , 2021 at 12:17:19 MA, 02675, United States PM Record Type: Record ID: Use and Occupancy BLD-21-006770 Inspection Type: Inspector: Building Final Brad Inkley Result: Passed Comments: Handrail room 304 Repair holes in basement ceiling Clearance in front of panel Violation Summary: Inspector Contractor 4 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 40959 POLICY NO. WCC-500-5024303-2021A PRIOR NO. NEW ITEM 1. The Insured: Baxter lnkeeping LLC DBA: Chapter House Cape Code a/o Baxter Yarmouthport Mailing address: PO Box 1503 FEIN:**-"'0520 East Dennis,MA 02641 Legal Entity Type: Limited Liability Company Other workplaces not shown above: See Location 2. The policy period is from 02/11/2021 to 02/11/2022 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance:Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 500,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTRA 111111111 INTER SEE CLASS CODE SCHEDULE Minimum Premium $276 Total Estimated Annual Premium $3,331 GOV GOV Deposit Premium $858 STATE CLASS MA 9052 State Assessments/Surcharges $2,878.00 x 3.5100% $101 637 This policy, including all endorsements,is hereby countersigned by 01/29/2021 Authorized Signature Date Service Office: Dowling and 0 Neil Ins Agcy 54 Third Avenue 973 lyannough Road Burlington MA 01803 Hyannis, MA 02601 • WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with Its permission. Associated Employers Insurance Company Insured: 5024303 Producer: 10083-002-001 Baxter Inkeeping LLC Dowling and 0 Neil Ins Agcy PO Box 1503 973 lyannough Road East Dennis, MA 02641 Hyannis, MA 02601 Insured FEIN: **-***0520 Issue Date: 01/29/2021 Policy Number: WCC-500-5024303-2021A Endorsement Effective Date: 02/11/2021 Policy Period: 02/11/2021 - 02/11/2022 Endorsement Number: ENDORSEMENT SCHEDULE The forms listed below are included in this policy: Form No. Form Description Applicable States Policy Effective Date WC 00 00 00 C Policy Conditions 02/11/2021 WC 00 03 10 Sole Proprietors, Partners, Officers and Others 02/11/2021 WC 00 03 11 A Voluntary Compensation and Employers Liability 02/11/2021 WC 00 04 04 Pending Rate Change End. MA 02/11/2021 WC 00 04 14 Notification of Change in Ownership 02/11/2021 WC 00 04 22 C MA TERRORISM RISK INSURANCE PROGRAM MA 02/11/2021 WC 20 03 01 MA Limits of Liability Endorsement MA 02/11/2021 WC 20 03 02 A MA Assessment Charge MA 02/11/2021 WC 20 03 03 D MA Notice to Policy Holder Endorsement MA 02/11/2021 WC 20 03 06 B MA Limited Other States Insurance Endorsement MA 02/11/2021 WC 20 04 05 MA Premium Due Date Endorsement MA 02/11/2021 WC 20 06 01 A MA Cancellation Endorsement MA 02/11/2021 WC 20 06 04 MA Policy Definition Endorsement MA 02/11/2021 EndorsementSch(04/11) Associated Employers Insurance Company Insured: 5024303 Producer: 10083-002-001 Baxter Inkeeping LLC Dowling and 0 Neil Ins Agcy PO Box 1503 973 lyannough Road East Dennis, MA 02641 Hyannis, MA 02601 Insured FEIN: **-***0520 Issue Date: 01/29/2021 Policy Number: WCC-500-5024303-2021A Endorsement Effective Date: 02/11/2021 Policy Period: 02/11/2021 -02/11/2022 Endorsement Number: LOCATION SCHEDULE Insured Unit:001 Workplace:001 Business Type:Limited Liability Company Business Type: Chapter House Cape Code a/o Baxter Yarmouthport 277 Route 6A Yarmouthport, MA 02675 TAX ID:854310520 Business Type: Business Type: Business Type: Business Type: Business Type: Business Type: Business Type: Business Type: Business Type: Business Type: (11/11)LocationSch Associated Employers Insurance Company Insured: 5024303 Producer: 10083-002-001 Baxter Inkeeping LLC Dowling and 0 Neil Ins Agcy PO Box 1503 973 lyannough Road East Dennis, MA 02641 Hyannis, MA 02601 Insured FEIN: **-***0520 Issue Date: 01/29/2021 Policy Number: WCC-500-5024303-2021A Endorsement Effective Date: 02/11/2021 Policy Period: 02/11/2021 -02/11/2022 Endorsement Number: CLASSIFICATION CODE SCHEDULE Policy Unit: 001 Unit State Code: MA Policy Unit Name: Baxter Inkeeping LLC Billing Plan:4 Equal Quarterly Payments Classification Class Payroll Rate Estimated Description Code No. Amount Per$100 Premium HOTEL:ALL OTHER EMPLOYEES & 9052 216,400 1.33 2,878 Deviated Premium 2,878 Excess Employers Liability 1.00% 29 EEL Minimum Premium Adjustment 21 Premium Subject to Exp Mod 2,928 Standard Premium 2,928 Expense Constant 338 Terrorism Act Surcharge 65 Total Estimated Premium 3,331 DIA ASSESSMENT 3.51% 101 Total Estimated Premium & Surcharge(s) 3,432 ClassCodeSch(04/11) Associated Employers Insurance Company Insured: 5024303 Producer: 10083-002-001 Baxter Inkeeping LLC Dowling and 0 Neil Ins Agcy PO Box 1503 973 lyannough Road East Dennis, MA 02641 Hyannis, MA 02601 Insured FEIN: 854310520 Issue Date: 01/29/2021 Policy Number: WCC-500-5024303-2021A Endorsement Effective Date: 02/11/2021 Policy Period: 02/11/2021 -02/11/2022 Endorsement Number: INSTALLMENT SCHEDULE Units Billed to this Unit:1 Policy Unit No: 001 Billing Plan:4 Equal Quarterly Payments Policy Unit Name: Baxter Inkeeping LLC Installment/ DIA Total Amount Due Date Billed Endorsement No. Assessment Down Payment $25 $858 02/11/2021 Billed Installment 1 $25 $858 05/11/2021 Installment 2 $25 $858 08/11/2021 Installment 3 $26 $858 11/11/2021 Total $101 $3,432 InstallmentSch(04/11) • Associated Employers Insurance Company Insured: 5024303 Producer: 10083-002-001 Baxter Inkeeping LLC Dowling and 0 Neil Ins Agcy PO Box 1503 973 lyannough Road East Dennis, MA 02641 Hyannis, MA 02601 Insured FEIN: **-***0520 Issue Date: 01/29/2021 Policy Number: WCC-500-5024303-2021A Endorsement Effective Date: 02/11/2021 Policy Period: 02/11/2021 -02/11/2022 Endorsement Number: POLICY RATING SUMMARY BY STATE Massachusetts Deviated Premium 2,878 Excess Employers Liability 1.00% 29 EEL Minimum Premium Adjustment 21 Premium Subject to Exp Mod 2,928 Standard Premium 2,928 Expense Constant 338 Terrorism Act Surcharge 65 Total Estimated Premium 3,331 DIA ASSESSMENT 3.51% 101 Total Estimated Premium & Surcharge(s) 3,432 Total Estimated Premium & Surcharge(s) $3,432 RatingSum(01/12)