HomeMy WebLinkAboutBLDCI-23-001972 The Commonwealth of Massachusetts
A w_ City\Town of
= YARMOUTH
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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:Diparma Italian Table BLDCI-23-001972
Trade Name: Diparma Italian Table
Identify property address including street number, name,city or town and county Certificate Expiration
Located at 12/31/2023
175 ROUTE 28
WEST YARMOUTH, MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
01st Floor 17 A-2 Nightclub/Restaurant/Bar/Banquet Hall Bar Stools
A-2
01st Floor 154 A-2 Nightclub/Restaurant/Bar/Banquet Hall 154-person-tables
Allowable &chairs
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 Sirnoaian-Ill Name of Municipal Mark Grylls Date of /-9
Fire Chief Building Commissioner �� Inspection
.--,Ra_
Signature of Municipal Signature of MunicipalC-24 Date of
Fire Chief Building Commissioner /f1"�.----- Issuance
Fee: $150.00
BLD Certoflnspection.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: DiParma ADDRESS: 175 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
/09. 7.;>22._ j No
Fire Department Rep. Date Comments Approved for
Li e Issuance
"2.2 im No
Board of Health Rep. Date Comments Approved for
License Issuance
Yes No
Plumbing/Gas Inspector Date ///c'/z'- 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�''YaR�
�! , TOWN OF YARMOUTH
-:�; BUILDING DEPARTMENT
.. .,~-% a 1.1.46 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
September 16, 2022 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 premises located at the following address:
Street and Number: 11 c PRCLILArN
Name of Premises: e r( - �n \Off... k Tel: R 7 )
Purpose for which permit is used: 1 jJ.\ Va,p _k_ O..,u,A •
License(s)or Permit(s)required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be issued to Cps c QA:., L Tel:
Address: \-1S S R F C F i V
FD
Owner of Record of Building(.. e-V0
Address abc `( NC2AA-►'1 ,� OCT 2�2z
Present Holder of Certificate C (,,-y_.cz .�
BUM itA
3y 1111§
V
‘empr of person to whom Title
Certificate is issued or his agent a41 ' a.a,
date — - —
Email Address: C\C11`1 C e C 0W\
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# I�(-l�Cl�-a3— UDIc 77
1/01/2023— 12/31/2023
DIT
AC RD CERTIFICATE OF LIABILITY INS RANCE DATE(M 1 o3YYY2
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ,• RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AL :R THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THI3 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT - TWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must - ,e ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain p.I Ides may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsements,
PRODUCER CONTACTNAME:..
STANDISH INSURANCE GROUP INC. PHONE 77''83.4425 FAX i/4-2133.4243
(A/C.No.Exley (A/O„No):
303 COURT STREET UNIT 1B " ANDYR c,STANDISHINSURANCE.COM
PLYMOUTH,MA. 02360 I . RENS)AFFORDING COVERAGE NAB S
INSURER A:BERKS'IRE HATHAWAY GUARD
INSURED INSURERS:TWIN FIRE INSURANCE COMPA
CALAMARI INC. INSURER C:
175 MAIN ST INSURER°:
WEST YARMOUTH MA 02673 INSURERE:
. INSURER F: •
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW'HAVE BEEN ISSUED TO E INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT is OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIE y DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY iAID CLAIMS.
INSR ADM NOR POLICY EFF POLICY EXP LIMITS
TYPE OF INSURANCE MD yryD POLICY NUMBER
LTR 1 COMMERCIAL GENERAL LIABILITY - 84 SBA BD5981 11/27/2021. 11/27/2022 EACH OCCURRENCE S 1,000,000
B DAMAGE TO RENTEDoccurrence) 1 000 Q00
CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $
MED EXP(Any one Person) S 5,000
PERSONAL 8 ADV INJURY $ 1,000,000
GENtL AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE S 2,000,000
POLICY JEOT LOC PRODUCTS-COMP/OP AGG S 2.000.000
S
OTHER
AUTOMOBILE LIAITY Ma
SINGLE LIMIT $
N.
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(PeracdderE) S
AUTOS ONLY AUTOS ' •
• PROPERTY DAMAGE
HIRED NON-OWNED IPer accident) S
AUTOS ONLY AUTOS ONLY I
$
UMBRELLA UAB —
OCCUR EACH OCCURRENCE S
EXCESS UAB CW1i1S-MADE AGGREGATE S
$
DED RETENTIONS PER OTH-
--WORKERS COMPENSATION CAWC158929 - STATUTE ER
AND EMPLOYERS'UABILTIY Y/N 6/01/2022 6/01/2023
ANY PROPRIETOR/PARTNERIEXECUTIVE (� N/A EL EACH ACCIDENT 8 500,000
A (Mandatory in NH)EXCUJOED4 ` ' EL DISEASE-EA EMPLOYEE S 500,000
If yes,describe under EL DISEASE-POLICY UMW S 50QD00
DESCRIPTION OF OPERATIONS below
1,000,000 PER OCCURENCE
3 LIQUOR LIABILITY 84 SBA BD5981 11/27/2021 11/27/2022 2,000,000 GENERAL AGGREGATE
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remains Schedule,may be attached N ' space is required)
General Liability and Liquor Liability are covered for outside dining.
CERTIFICATE HOLDER CANCELLATION
TOWN OF YARMOUTH SHOULD ANY OF E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATIO DATE THEREOF, NOTICE WILL BE DELIVERED IN
1146 ROUTE 28 ACCORDANCE THE POLICY PROVISIONS.
SOUTH YARMOUTH MA 02664
• AUTHORIZED REPRES' ATIVE
logo are registered 01 ,:: 2015ORD CORPORATION. All rights reserved.,
name and i o ma -
ACORD 25(2015If)3) The ACORD of ACORD -
Inspection Report
Tel: 508-398-2231
Location: Inspection Date:
175 ROUTE 28, WEST YARMOUTH, Barnstable, November 8, 2022 at 10:18:04
MA, 02673, United States AM
Record Type: Record ID:
Certificate of Inspection Application BLDCI-23-001972-APP
Inspection Type: Inspector:
Certificate of Inspection Brad Inkley
Result:
Pass
Comments:
Rear cellar stair repair and hand
Dish washer pvc repair
Violation Summary:
Inspector Contractor