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HomeMy WebLinkAboutBLDCI-23-001971 i The Commonwealth of Massachusetts 11r. City\Town of „ � i— 7 YARMOUTH �.. row -=� 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 BLDCI-23-001971 Business Name:Yarmouth House Trade Name:Yarmouth House Restaurant Identify property address including street number,name,city or town and county Certificate Expiration Located at 335 ROUTE 28 12/31/2023 WEST YARMOUTH, MA 02673 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 264 A-2 Nightclub/Restaurant/Bar/Banquet Hall 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 Name of Municipal Mark Grylls Date of �j Fire Chief Z. w)�� /� Building Commissioner nspection Q Signature of Municipal Signature of Municipal 01101VDate of Fire Chief 41.. Building Commissioner ( : '4,, , _ (/7 72 .6.....„,.......--- Issuance /( ..... Fee:$150.00 B LD_Certofl nspection.rpt BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG - 2023 NAME: The Yarmouth House ADDRESS: 335 Route 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 J/�a dm No Fire Department Rep. Date Comments Approved for License Issuance 124,-2 1 42, No Board of Health Rep. Date Comments Approved for License Issuance Yes No Plumbing/Gas Inspector Date i//P/2 Z Comments Approved for License Issuance No Electrical Inspector Date Comments Approved for License Issuance Yes No Taxes Paid Yes No Rev.Sept.2003 1 o TOWN OF YARMOUTH BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION September 16, 2022 PAYABLE UPON RECEIPT ( ) Fee Required $150.00 ( X ) 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: 33 - Madu(� S 2 Name of Premises: \jCu xx\CA. Y\ C-CCJA Tel: 50 - �i 6 "S l Purpose for which permit is used: 1--1-1-1 License(s) or Permit(s) required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to \ ,iut_i.Q&d tS en-\(p �es Tel: 9. -- 7)I Address: •'» '(1f\0.,--r1 Owner of Record of Building L(arrYlct&-r\ ' ttA4 & . 2A� �c —Trt.k. Jt— Address tvz�.: Present of Certificate Y..riu-+ka.cku'a V -A r ,S .) i Sig re o person to whom Title��'a ertificate is issued or his agent Date Email Address: (f1..-111sS- Cyma.ki, -t;,cy-\ 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# L col 1/01/2023 — 12/31/2023 - —"-- -..:.-,.,....e�-,-r:-._..;-,.,..:-�.,n--...F,:_,..- ++'�- r.=«,:r._,._--cam=-.—� �,c-__- 1 - AC<Rc® /20 CERTIFICATE OF LIABILITY INSURANCE DATE 10/0 2 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 p,lfcies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu:of such endorsements PRODUCER CONTACT STANDISH INSURANCE GROUP INC. PHONE 774,283.4425 FAX 7/4.283.4243 1AIC.No.Eat): 303 COURT STREET UNIT 1B aE-MAIL s: ANDYR©STANDISHINSURANCE.COM PLYMOUTH,MA. 02360 INJRER(S)AFFORDING COVERAGE NAICa INSURER*:AIM MUTUAL INSURED INSURER B:CAP SPECIALITY KOUNADIS ENTERPRISES INSURER C: THE YARMOUTH HOUSE INSURERD: 335 MAIN ST INSURER E: WEST YARMOUTH MA 02673 INSURER F: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDI ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADMS POLICY EFF POUCY EXP LENT s IL R TYPE OF BISURANCE . .YiBD WVD POLICY NUMBER (MMIDD/YYYY).(MMfODIYYYY1 X COMMERCIAL GENERAL UABLRY CS1800192502 4/01/2022 4/01/2023 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED 100,000 B I CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POUCY JECCT- LOC PRODUCTS-COMP/OP AGG S 2.000.000 S - OTHER: AUTOMOBILE UABIUTY - CEOMBIINN D SINGLE OMIT S ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOSHIRED PROPERTY DAMAGE _ AUTOS ONLY _AUTOS SOONLY (Per accident) S S UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB _CLAIMS-MADE AGGREGATE S DES RETENTIONS $ - PER OTH- WORKERS COMPENSATION WCC5005022314 STATUTE ER AND EMPLOYERS'LIABILITY Y/N 6/08/2022 6/08/2023 ANY PROPRIETOR/PARTNER/EXECUTIVE 0 N/A EL EACH ACCIDENT S 500,000 A OFFICER/MEMBER EXCLUDED?(Mandatory In NH) EL DISEASE-EA EMPLOYEES 500.000 If yes,deecnie under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 500,000 1 3 LIQUOR LIABILITY BR20220509-01 4/01/2022 4/01/2023 PER OCCURRENCE$1,000,000 GENERAL AGGREGATE$2,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Addglaul Remarks Schedule,may be attached Emma apace Is required) OUTSIDE DINING IS ALLOWED UNDER THE GL&LL • CERTIFICATE HOLDER CANCELLATION TOWN OF YARMOUTH SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE 1146 ROUTE 28 THE � DATEH POTHEREOF, SIONS E WILL BE DELIVERED IN SOUTH YARMOUTH MA 02664 AUTHORIZED REPRESENTATIVE • g.71 1 61988- 5 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marts of ACORD ' F _ ; < x N{: i .g _ _ ♦ 3 .r .... to .Jai%'�a: ,� s s ko.i t.. art '• • -' .�:`i +t.: ,�r- „._. i� �^r .' t4 :1";kAa71� 7 r: • • x. 7 S a < .. ...... ,. t , w}to 3 v ='.a .d.a.' at.t `..t.F S li 1#itra Toottplo 7C1 Aarr='y`,,010 Pt' x i :ate Inspection Report Tel: 508-398-2231 Location: Inspection Date: 335 ROUTE 28, WEST YARMOUTH, Barnstable, November 8, 2022 at 10:52:35 MA, 02673, United States AM Record Type: Record ID: Certificate of Inspection Application BLDCI-23-001971-APP Inspection Type: Inspector: Certificate of Inspection Brad Inkley Result: Correction Required Comments: Co tanks chained little cellar Plumbing by dish room pvc change to copper or cast Fix leaky sink in prep room Hand rail no lights on hand rail Sprinkler system must be repair must Violation Summary: Inspector Contractor