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HomeMy WebLinkAboutBCOI-24-26- The Commonwealth of Massachusetts og YA Town of1.) zo YARMOUTH o s 4,�MPORI.TE�"� New and Renewal Certification of Inspection In accordance with the Massachusetts State Building Code,Section 110.7 Identify Name of Establishment Certificate No. Issued to Business Name:Sandbar Holding LLC BCOI-24-26 Trade Name:Shark Bites Cafe Identify property address including street number,name,city or town,and county Certificate Expiration Located at 518 ROUTE 28 November 30,2024 WEST YARMOUTH,MA 02673 Floor Occupancy_ Use Group Other Use Group Classification(s) 01st Floor 240 A-2 Restaurants,Night Clubs,or 40 SEATS INSIDE similar uses 200 SEATS OUTSIDE-Patios,decks, plus deck chairs and cabana seating Allowable Occupant Load TOTAL-240 SEATS 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 line safety features.This certificate shall be framed behind clear glass and/or laminated and posted in a conspicuous place within the space as directed by the undersigned.Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Mark - -te of Inspection (�I(pl a(�oZ Name of Municipal Chief (Enrique Arr e J Commissioner //'�) i Signature of Municipal Fire Signature of Municipal Building / !//dJ/.� m ate of Issuance 0/47 Chief � �Commissioner l�ly"r/0 - _ °�•Y ; . TOWN OF YARMOUTH """ �' BUILDING DEPARTMENT 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260 APPLICATION FOR CERTIFICATE OF INSPECTION January 10, 2024 � ,_.�,..�...�- -.: AYABLE 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: P1 Street and Number: S.t t' -74"I. (�1 _(3S_' %l 17 7 ✓ Name of Premises: S�a,��:P.S.a� 1`14'"S''Hr-vf Z.'/(. S-4 Tel: 97b'��, 7 yG. . 2 )11 ' th.l:1<s• tr Purpose for which permit is used: C'/1 License(s) or Permit(s) required for the premises by other governmental agencies: f° rl License or Permit Agency RECEIVED FEB 2 8 2024 BUIL ay: Certificate to be issued to Sa^r,1 s•1r 111, ,-s-v J.,ic.l+. L..i c: Tel: V78 Address: Pe Owner of Record of Building S--“4 -i - J:•"1 Address 5t z. Present Holder of Certificate Signatui.etz f person to whom Title Certificate is issued or his agent z Date Email Address: Crvt.gr.-.�N► Q5•�t4. -IA 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# 4/1/2024 to 11/30/2024 dLp/- • • . _ A;Jc; 931 • _ _ ACI: �•. /YYYY) ��� DATE(MM/DD CERTIFICATE OF LIABILITY INSURANCE 11/M/DD 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: Brian Allain Choice Insurance Agency PHONE 978_343-4853 FAX {A/C,No,Ext): {A/C,No): 978-345-1007 376 Summer Street ADDRESS: ballain@choice-insurance.com Fitchburg, MA 01420 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Scottsdale Insurance Company INSURED INSURER B : Guard Insurance Sandbar Management Inc INSURER C : P.O. Box 481 INSURER D : West Yarmouth, MA 02673 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. 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 AUUL SUBFZ LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP {MMIDD/YYYY) (MMlDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG S OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION S S WORKERS COMPENSATION PERv AND EMPLOYERS'LIABILITY Y/N STATUTE X ERH ANY PROPRIETOR/PARTNER/EXECUTIVE SAWC187858 10/01/23 10/01/24 E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Liquor Liability Aggregate 2,000,000 A CPS7362638 06/26/23 06/26/24 Each Occurrence 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Operations of Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 • South Yarmouth, MA 02664 AUTHORIZED REPRESENTATIVE - 1( • P'k SYI"? Ct9j2eaf‘#111 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 6. a i No.: 00152-RS-1518 LICENSE ALCOHOLIC BEVERAG S THE LICENSING BOARD, TOWN OF YARMOUTH, ASSACHUSETTS HEREBY GRANTS A 1 - COMMON VICTUALER License to Expose, Keep for Sales, and to Sell All Kinds of Alcoholic Beverag s To Be Drunk On The Premises To: SANDBAR MANAGEMENT, INC Date: 4/1/2024 DBA: SHARK BITES Ref: LICA-15-0373-08 518 ROUTE 28 WEST YARMOUTH, MA 02673 Fee(s): 2,350.00 License Duration Type: Seasonal Manager: JOSEPH.MARRAMA License Conditions Lazy River portion of the Cape Cod Inflatable Park includes a food trailer, bathrooms and drinks center added to the existing one-story building plus outside deck and patio areas within inflatable park with 8 entrances/exits plus inflatable cabana area (40 indoor seats and 200 outdoor restaurant seats in total on patios/decks plus deck chairs and cabana seating). Storage rooms in basement and office and bar areas on main floor in building. On the following described premises: 518 ROUTE 28, WEST YARMOUTH, MA 02673 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 November 30, 2024, unless earlier suspended, cancelled or revoked. IN TESTIMONY WHEREOF, the undersigned have thereunto affixed their official signatures. -diumil The Hours during which Alcoholic Beverages LICENSE 04:441/44`cifOr.' ' / ' . --,"�i may be sold are From: granted by: ir,,t1t41. f 8:00AM - 11 :00PM WEEKDAYS & 00,'r ip- SATURDAYS NOON - 11:00PM SUNDAYS LICENSING AUTHORITIES This License Shall be Displayed on the Premises in a conspicuous position where it can be easily read 0