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Home My WebLink AboutBldci-17-002233-06 The Commonwealth of Massachusetts City\Town of -L �= , 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:MID-CAPE RAQUET CLUB BLDCI-17-002233-06 Trade Name: MID-CAPE RAQUET CLUB RESTAURANT Identify property address including street number,name,city or town and county Certificate Expiration Located at 193 WHITES PATH 12/31/2023 SOUTH YARMOUTH, MA 02664 Use Group Floor Occupancy Use Group Other Classifications(s) A-2 01st Floor 34 A-2 Nightclub/Restaurant/Bar/Banquet Hall 18-Bar Stools 16-Movable chairs Allowable Occupant Load This certificate of inspection is hereby issued by_theii.ndersigned 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 giiiiiratammiemlik Name of Municipal Mark Grylls Date of 2 /��Z Fire Chief '3'd N ��1.,., T 1 t Building Commissioner Inspection r Signature of Municipal Signature of Municipal Date of Fire Chief Building Commissioner Issuance !s2—30 Fee:$100.00 B L D_Ce rtof I n specti o n.rpt DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 Fax 508-398-0836 LICENSE INSPECTION APPROVAL LOG - 2023 NAME: Mid-Cape R.C.-Restaurant ADDRESS: 193 Whites Path 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 /2— • - �- p No Fire Department Rep. Date Comments Approved for / License Issuance 41:b 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 -. • r-s . • % Clarke, Kristin From: SUZANNE ELLIS <capecodsuz@msn.com> Sent: Tuesday, November 1, 2022 5:34 PM To: Clarke, Kristin Subject: Re: 26 Rogia Road Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Ok, Kristin,Thank you. Suzanne Get Outlook for Android From: Clarke, Kristin <KClarke@yarmouth.ma.us> Sent:Tuesday, November 1, 2022 8:37:25 AM To: SUZANNE ELLIS<capecodsuz@msn.com> Subject: RE: 26 Rogia Road Hi Suzanne, The permit was sent to the Inspector for approval. I will send it to you as soon as I receive the approval. Thank you, Kristin Clarke Office Assistant Building Department f1 508-398-2231 x1261 1,1 From:SUZANNE ELLIS<capecodsuz@msn.com> Sent:Tuesday, November 1, 2022 7:05 AM To: Clarke, Kristin <KClarke@yarmouth.ma.us> Subject: Re: 26 Rogia Road Attention!:This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure. Otherwise delete this email. Good Morning Kristin, Just checking in about the shed permit. In reviewing our emails, I realize that I didn't answer your question about our property being a corner lot and maybe that is the hold up. 1 The left side of our property does not have a road,though the plot plan indicates that Eddy is on our left.There is no road there.There has not been a road there since we moved in.That area is filled with trees, bramble bush, poison ivy, etc. I am hustling on the permit as I'd like to secure an appointment for the shed.The shed company we've chosen is scheduling appointments out to mid to late December. Thank you, Suzanne Ellis Get Outlook for Android From: SUZANNE ELLIS<capecodsuz@msn.com> Sent:Wednesday,October 26, 2022 2:21:22 PM To: Clarke, Kristin<KClarke@varmouth.ma.us> Subject: Re: 26 Rogia Road Hi Kristin, Yes, you are correct. I just couldn't figure out the system. Instead, Icame in on Monday, and left the sketch with the Board of Health folks. I understood that they, when approved, would take it over to the Building Department. I received a call from Bruce in the Board of Health Dept late yesterday, stating that it was approved and he'd take it over to you. If you can track that down, that would be great. If not, I can scan it to you tomorrow. I have paid the $35.00 I just called you and left a voice mail message, too. If you need to call for any reason, please do.... The phone reception where I am today is really poor but I can try. My phone number is 508-292-4657. Thanks, Suzanne Ellis From: Clarke, Kristin <KClarke@varmouth.ma.us> Sent:Wednesday, October 26, 2022 12:20 PM To: CapeCodSuz@msn.com <CapeCodSuz@msn.com> Subject: 26 Rogia Road 2 The shed permit you did online was not completed and that is why it did not populate the$35.00 fee to pay online. Attached is a plot plan, please fill in where the shed is going on the property and the distance from each lot line it will be. I show your property as being on the corner of Eddy and Rogia Streets, which means you have to maintain a 30 ft setback from each road and 6 feet from the 2 sides. Please either upload or email me back the plot plan and I will attach to your permit. Thank you, Kristin Clarke Office Assistant Building Department 508-398-2231 x1261 3 1 'Y`l tti Hp-MATTA S!/� TOWN OF YARMOUTH RECEIVED BUILDING DEPARTMENT 1146 Route 28,South Yarmouth,MA 02664 508-398-2231 ext. 1260 DEC 15 2022 BUIL f/�y/1�� By - APPLICATION FOR CERTIFICATE OF INSPECTION December 15,2022 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 following address: Street and Number: ti� (3 `lt{e6 'k tQ, �`[� C 0 Name of Premises: 1 \0. C .c ACitk. c " Tel: JC0Ej -art 4- 3 l Purpose for which permit is used: fk1J — Q os-e_ License(s)or Permit(s)required for the premises by other gov rnmental agencies: License or Permit Agency Certificate to be issued to —ar /vL A Tel: Slgi-231.7 Address: j°,3 gCorwe u-t4—_ Owner of Record of Building 13 Lug_ c.k..:1 AtEk_ Address t34- $cue. Rom 1ZSL Present Holder of Certificate 7-es r�k- $ienature of nerson to whom Title Certificate is issued or his agent \2-1 1S/Z _ Date Email Address: 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# 12/31/2022 to 12/1/2023 NOTICE _--= NOTICE TO = _UM .' TO N EMPLOYEES o�� EMPLOYEES „0, 14 =svo The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS LAFAYETTE CITY CENTER, 2 AVENUE DE LAFAYETTE, BOSTON, MA 02111 (617) 727-4900 —www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30,this will give you notice that I (we)have provided for payment to our injured employees under the above-mentioned chapter by insuring with: Technology Insurance Company, Inc. NAME OF INSURANCE COMPANY 800 Superior Avenue East, 21st Floor, Cleveland, OH 44114 ADDRESS OF INSURANCE COMPANY TWC3898983 9/20/2022 to 9/20/2023 POLICY NUMBER EFFECTIVE DATES Maguire Insurance Agency, Inc. One Bala Plaza, Bala, Cynwyd, PA 19004 (855)516-1776 NAME OF INSURANCE AGENT ADDRESS PHONE# Mid-Cape Racquet& Health 193 Whites Path, South Yarmouth, MA 02664 EMPLOYER ADDRESS EMPLOYER'S WORKERS' COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the ser- vices provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS TO BE POSTED BY EMPLOYER