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Home My WebLink AboutBLDCI-16-003252-06 SWEET TOMATOES The Commonwealth of Massachusetts i iw City\Town of �: M YAROUTH 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:THE GRUMP INC. BLDCI-16-003252-06 Trade Name: SWEET TOMATOES Identify property address including street number, name,city or town and county Certificate Expiration Located at 12/31/2023 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 32 A-2 Nightclub/Restaurant/Bar/Banquet Hall 32 persons total 01st Floor 28 A-2 Nightclub/Restaurant/Bar/Banquet Hall Allowable 28 persons with Occupant Load entertainment 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 440PPFSIV=molli Name of Municipal Mark Grylls Date of /� �`�^ Fire Chief �+o $��4� Building Commissioner Inspection aC Signature of Municipal Signature of Municipal Date of Fire Chiefi-- T 4 Building Commissioner Issuance l2/?/z/L Fee: $100.00 BLD_Certofl nspection.rpt MG DEPA T_ 1 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG - 2023 NAME: Sweet Tomatoes ADDRESS: 461 Station Ave 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 p. Date Comments Approved for // 7‘— -� License Issuance j G No Fire Departm nt Rep. Date Comments Approved for / Lic-•. uance 1_71. „ a/tz G Z. , - L Z 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 i R o TOWN OF YARMOUTH y'��•-y BUILDING DEPARTMENT MATTA 3 4' 1146 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 $100.00 ( ) 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 ifollowing address: Street and Number: '' '� �� NTV'1 fl 31.\"`.-\ \I r1 l_, Name of Premises: � 1..�--" S Tel: �-'0 Lr- .>c t `\- � c ,‘ Purpose for which permit is used: 'PCS7rkU (C.>:aU0 a L k_a4c License(s) or Permit(s) required for the premises by other governmental agencies: RECEIVED License or Permit Agency NOV 1 6 2022 rsuI Nfir By Le, Certificate to be issued to cEt; It ''42*-Zc)6- Tel: 5 361 `f U6L1 Address: C{4o Sip.—r '- A}ENc . S U o 2C-Coy Owner of Record of Building 227.-L c Sir c Address 79 t un- T fi` CAI'�I�v tic ►�l/�- O 1�5 Present Holder of Certificate -(00-LorzoEs Signature of person to whom Title t 2 �_ Certificate is issued or his agent l Date Email Address: V\''�fr . C- -)f J > 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 # 1/01/2023 — 12/31/2023 DATE IMM/DD/YYYY) A�Ro® CERTIFICATE OF LIABILITY INSURANCE 11/07/2022 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(les)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 Ileu of such endorsement(s). CONTACT Jen Davis PRODUCER ,NAME; _ PHONE 508 57-2125PAR t (508)957-2781 Mark Sylvia Insurance Agency.LLC (MC.tao•Eay 404 Main Street _mark(amarksylviainsurance.Corn , , INSURERS)AFFORDING COVERAGE NAGS - Centerville MA 02632 INsuidiRA: Farm Famil r�Casualty Insurance INSURED INSURER S: Scottsdale Ins Co - — . The Grump Incorporated Dba Sweet Tomatoes Pizza _INSURER C_ _ — 170 Hollingsworth Road •INSURER C: -.----- Osterville,MA 02655-2153 INSURER E: *- 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. NO1WTHSTANDING 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. INSRT TYPE OF INSURANCE ADDL SUBR1 POLICY EFF POLICY EXP UNITSLTR ,JN /Y Sn wvn� POUCY NUMBER (MMIDDYYYI,IMMIDO/YYYYL X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Y 1,000,000, t-'- -- -.._ PREMI ETORENTED 100,000 CLAIMS-MADE ,X I OCCUR ;PREMISES(Eaocc�rrcnccl S r.'ED EXP(Any oneperson) ,S 5,000 A N j N ,2001X1553 11/30/2022 11/30/2023 PERSONAL aADVINJURY s 1,000,000 GENE AGGREGATE LIMIT APPLES PER GENERAL AGGREGATE s 2.000,000 Ai POLICY: .JECT [ _we ,PRODUCTS-COMP/OP AGG 5 2,000,000 l $ IAUTOMOBILE LIABILITY COMBINED SINGLE LIMIT �S r ANY AUTO BODILY INJURY(Paf person) +13 I ~ ,OWNED SCHEDULED I -------- AUTOS ONLY ,_ AUTOS 1 BODILY INJURY(Per aaddart) $ HIRED NON-OWNED i PROPERTY DAMAGE S Perarnden;. AUTOS ONLY i AUTOS ONLY u--- - S UMBRELLA UAB J OCCUR EACH OCCURRENCE 3 + — EXCESSI.Aa I MIMS-MADE AGGREGATE S DED ,RETENTION$ 5 WORKERS COMPENSATION ~ (PER OTII AND EMPLOYERS'UABILITY 1 STATU.'L [R __ _. • ANY PROPRIETOR/PARTNER/EXECUTIVE Y/NI E.L.EACH ACCIDENT S 000,000 A OFFICER/MEMBER EXCLUDED? Y NIA N 2001W8131 3/4/2022 3/4/2023 '_ ---- (Mandatory In NH) E.L.DISEASE-EA L4IPLOYLE $ 1,000,000 Uzi,desube order _ IPTION OF OPERATIONS below E L DISL ASI.-POLICY I.'dlT•$ 1,000,000 Liquor Liability General Aggregate $2,000,000 B N , N 1 CPS2875152 11/30/2022 11/30/2023 Each Occurance $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Pizza restaurant Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing Contained in the certificate of insurance shall be deemed to have altered,waived or extended the coverage provided by the policy provisions. Store location:790 Main Street,Chatham CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Chatham ACCORDANCE WITH THE POUCY PROVISIONS. 790 Main Street AUTHORIZED REPRES- ATIVE Chatham MA 02633 Fax: Email: eti 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD