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Bldci-22-002943
The Commonwea lth of Massachusetts i r City\Town of ie,M :"` � YARMOUTH NNW 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 Issued to Certificate No. Business Name: Chez Hospitality Group Trade Name: Grille at Bass River BLDCI-22-002943 Identify property address including street number, name,city or town and county Located at Certificate Expiration 62 HIGHBANK RD SOUTH YARMOUTH, MA 02664 12/31/2022 Use Group Floor Occupancy Use Group Classifications(s) Other A-2 01st Floor 162 A-2 Nightclub/Restaurant/Bar/Banquet Hall INSIDE 78 Allowable With Entertainment 50 OUTSIDE 112 Occupant Load Total with entertainment 162 inside&out 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 Ill Fire Chief Name of Municipal Mark Grylls Date of Building Commissioner /2--7Zi '� Inspection Signature of Municipal �- - '� Signature of Municipal j Date of Fire Chief �/�/- �/ Building Commissioner Issuance • F. t Fee: $0.00 InI Pl n_1_n.__. .. . °Q.Y - TOWN OF YARMOUTH O o• = 11\4) BUILDING DEPARTMENT ic: ",,s, 9 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 ��MeLCA ,J'.�" m APPLICATION FOR CERTIFICATE OF INSPECTION October 1, 2021 PAYABLE UPON RECEIPT (X) Fee Required 0.00 ( )No Fee Required \'09 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: (.c v� )-k hbH.n IL Le. Name of Premises: G r Iit aA 6c,cs Roo'- Tel: Purpose for which permit is used: 5eiNci, a It �t,'Gr" f Q-S1Zv A ra_.r.t- License(s) or Permit(s) required for the premises by otheigovernmental agencies: License or Permit Agency Lt c�vfr l.�u. - "Tt o 01_,T +�6.: E C E I V E D eft.z ► t1a G��' I 191011 Certificate to be issued to el-hr. . C�n l tt.- 0k t>�ss R,,\ttt- Tel: `�13 I�Z, e as r-N-ov —�. - - _ Address: Po 6ri x 1-1-CIA ti.wst tn+vrti ,- T Q BUILDING ARTMENT Owner of Record of Building ,,.11-1. ek- 4E,re,e1/4411•• Address 1 l -0 2, +. A . cam . Lt r, - -0L v_ . r4 4 a 3iot-Ay Present Holder of Certificate C1hxz_ }+e,sp,1-\,,.1,t�{ C\L J Sig ature of person to whom Title Certificate is issued or his agent t.b (, -/I . i Date Email Address: Lh.a( C _Zkosp,t-w1 y}k , a'n 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# 12/31/21-12/31/2022 No.: 06252-RS-1518 LICENSE ALCOHOLIC BEVERAGES THE LICENSING BOARD, TOWN OF YARMOUTH, MASSACHUSETTS HEREBY GRANTS A COMMON VICTUALER License to Expose, Keep for Sales, and to Sell All Kinds of Alcoholic Beverages • To Be Drunk On The Premises To: CHEZ HOSPITALITY GROUP LLC Date: 07/30/2021 DBA:THE GRILLE AT BASS RIVER Ref:LICA-21-0043 62 HIGHBANK ROAD YARMOUTH, MA Fee(s): 0.00 License Duration Type: Annual Manager: MARC SPARKS License Conditions THE RESTAURANT IS LOCATED INSIDE THE CLUBHOUSE AND THE GOLF COURSE IS IDENTIFIED AS THE 18 HOLE GOLF COURSE ADJACENT THERETO. TWO BEVERAGE CARTS WILL BE USED UPON THE COURSE TO SELL ALCOHOLIC BEVERAGES. ALCOHOLIC BEVERAGES WILL BE STORED WITHIN THE CONFIENS OF THE CLUBHOUSE. On the following described premises: 62 HIGHBANK RD,SOUTH YARMOUTH,MA 02664 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. t, The Hours during which Alcoholic Beverages LICENSE -, CT �f ,_,�,; ` •may be sold are From. " granted by: . , ..wmr 8:00AM- 1:00AM WEEKDAYS&SATURDAYS - 10:00AM- 1:00AM SUNDAYS LI A 11t_ This License Shall be Displayed on the Premises in a conspicuous position where it can he easily read CHEZHOS-01 DALDRICH ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD YYYY) 10/28/2021 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 NAME: _ Haberman Insurance PHONE FAX 95 Ashley Ave (A/C,No,Ext):(413)781-7000 JAIL,Nol:(413)733-9545 West Springfield,MA 01089 E-MAIL ss:info@habermaninsurance.com INSURER(S)AFFORDING COVERAGE NAIC M INSURER A:Hartford Insurance INSURED INSURER B:Chez Hospitality LLC INSURER C: _ PO Box 498 INSURER D: East Windsor,CT 06088 INSURER E: r NSURER 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 INSR WVDIMM/DO/YYYYI (MM/DD/YYYY) j COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ J CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP.(Any one person) $ ._ PERSONAL&ADV INJURY j S GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE POLICY PEA LOC PRODUCTS-COMP/OP AGG $ OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS , BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I RETENTION$ A WORKERS COMPENSATION PER X OTH- AND EMPLOYERS'LIABILITY STATUTE ANY PROPRIETOR'PARTNER/EXECUTIVE YIN 08WECALIFGD 3/29/2021 3/29/2022 S00,000 OFFICER/MEMBER EXCLUDED? Y • NIA', E.L.EACH ACCIDENT E . (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under � y DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT h" 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Marc Sparks is excluded from workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Grille at Bass River THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 62 Highbank Road South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE 2-AtEP ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD a :Pr 1'4410 • • • . ,w r<<, „ • r d + ., d $fie . y BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG - 2022 NAME: Grille at Bass River ADDRESS62 Highbank Road 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 CEP No Fire Department Rep. Date Comments Approved for L' se Issuance Ye 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 The Commonwealth of Massachusetts I*^�=�►� City\Town of 15.71n1—= 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:TOWN OF YARMOUTH BLDCI-16-003475-02 Trade Name:GRILLE AT BASS RIVER Identify property address including street number,name,city or town and county Certificate Expiration Located at 12/31/2019 62 HIGNBANK RD SOUTH YARMOUTH,MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 0ist Floor 190 A-2 Nightclub/Restaurant/Bar/Banquet Hall 78-Inside t 12-Outside VYth Eniertainment(50 Allowable Inside Occupant Load 112-Outside TOTAL WITH ENTERTAINMENT:172 PERSONS 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 �A-4 .78 Signature of Municipal Signature of Municipal Date of Fire Chief c / Building Commissioner Issuance 10•P• f 0 Fee:;0.00 BLD_Certofi nspection.rpt °x•YA4 TOWN OF YARMOUTH o -i[ BUILDING DEPARTMENT "TM 1146 Route 28, South Yarmouth,MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION October 3, 2018 PAYABLE UPON RECEIPT (X) Fee Required $0.00 ( ) 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/ premises located at the following address: Street and Number; (. I72 / 1j 6,1) �pe ti/ 9 Name of Premises:Vy�rriikd , Tel: (SZ F- 77V S77 Purpose for which permit is used: /? S ate rim 14 . License(s)or Permit(s)required for the premisesb • .- •• emmental agencies: ( RECEIVED License or Permit Agency /�l dor OCT 2 5 2018 BUILDING DEPARTME , he 4/1 tly Certificate to be issu d to r '/ CL/ il- Tel: 6/3?- 179-0307 Address: Owner of Record of ilding�/Q,.QzAn vI'1��i-m 1)-7/k. Address //4'G I�' 2 kV7SI1l70-7,,e1(,7� Presen.Holder of Certificate AVM 4. _ 70-01-1a)e4V- •:Ire of person to whom Title C- irate is issued or his agent /0'411.I s/ Date Email Address: heaL4,8(2.4-cL(eyd. ro ,(1nry, 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# 3LDCj'/h-ire 3V7s-Q Z 1/1/2019-12/31/2019 .�` f, ' J —Vs.•-' .o r -.' TOWN OF YARMOUTHUILDING LT.BE 0 a GAS .'►Mika 1146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451 PLUMBING �� Telephone(508)398-223I,Ext.1261 —Fax(508) 398-0836 SIGNS BUILDING DEPARTMENT Inspection and License Report { Date /v2 y Address 120� 4,4F7/ A LJ Business Name / G e',1/ i11)/' ..- C ontact 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: ,Egress . ❑Emergency egress signage Location Q Emergency egress lighting Location I a ❑Maintenance of exits Jorarion 1� _ 1 r ❑ Guards/handrails Location nin4 Signs r Location ❑ Parking Location • ❑ Other Location Mechanical ❑CombustionAir Location ❑Storage in Boiler Room Location • ❑Vents Location Automaticdoorclosures on boiler room doors Location ❑ CIothes dryer vents Location Other 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. Jn order to abate the above violation(,)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 days and contact this office for a follow-up inspection. Local Official/Inspector i; Abe/ Received By 6f r.!/ � (!'14 f'-(. Tide nt )P0h)()`; , Revised 2/8/13