Loading...
HomeMy WebLinkAboutBCOI-23-1753 2025 The Commonwealth of Massachusetts Town of ; .4 YARMOUTH 0f� - '"�' d1 7-,*;° 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: Leonessa Restaurant Trade Name: Leonessa Restaurant BCOI 23 1753 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 43 ROUTE 6A December 31, 2025 YARMOUTH PORT, MA 02675 Floor Occupancy_ Use Group Other Use Group Classification(s) 01 st Floor 78 A-2 Restaurants, Night Clubs,or 78 PERSONS similar uses Allowable Occupant Load 02nd Floor 18 A-2 Restaurants, Night Clubs,or 18 PERSONS similar uses Total Seating-96 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 Chief Enrique Arrascue Name of Municipal Building Mark G I Date of Inspection Commissioner J��, "�--_) '/ 5/6�,� y Signature of Municipal Fire C—Th Signature of Municipal Building / Chief C- ' ; Commissioner Date of Issuance `2 //G 7Z(•/ /04---11(4,/iN'' TOWN OF YARMOUTH Office of the Building Commissioner 4/ 1146 Route 28, South Yarmouth, MA 02664 .) ) 508-398-2231 ext. 1260 Fax 508-398-0836 r r 1 V E ..MAtTACf4 ESE - .._._.. .....-,...t� C°A'PORATED f OCT APPLICATION FOR CERTIFICATE OF INSPECTION A 2024 September 23, 2024 PAYABL OdSI 6l✓ N (X) Fee quire $150.00 ""`- ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: L/3 Jvf G;,7 Si, 6260r c (pA-) 1/661100/-/, Peiey-I. ,t4ft D d eo 7.5. Name of Premises: L4 ne ce (Or`eeice /llotG__ L.L.C) Tel: ,YCJ$-9 -3P3'1 Purpose for which permit is used: Li dio✓ 44 eel3-L /in6,04/ t / :/ ES/Z,b/irAn -L-i-'S-4.-.. License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency I tyvay.Li ccinJ-{._ rv►aUtz, T-/vXJ CSI-abI,'stimer*L.i c.eris . _7Ti,J.-,n( lialfelloiJei, `trh't ft,// DI -1--nsi)ls,,a-1 Tt..)y, Di 1/14/rewjtti. Certificate to be issued to I (a»e.sset_ ,2.Plia,-e n f- Tel: ,lac,_a2,,,i0-?A3-/ Address: 4/3 o f0. zoi4 VA rn,efif2, Pet/, MA ()' /o7S Owner of Record of Building J ,-j O'(on,,,„- Address y() Arm /An, VGrr,„o0 ,-J, A/✓_,MA O2.6,7S Present Holder of Certificate 7 io✓ Ayv�urQ t aD/g", rt,tc—•_(6cte €.Mete..LLc, D86 Lmiess43 40IA- -- a/Ai P7r 1 Signature of person to whom Title Certificate is issued or his agent 1 p)/p 'i-i bate Email Address: tq u/erAma,re�eleeetesseLL4pe? )d1 e13 v) 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# BCU 7 12/31/2024-12/31/2025 / oneo ts7161,G:raf)1` DATE(MM/DDIYYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE 10/11/2024 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 Megan Wright Wright Insurance Agency,Inca No (508)619-3586 FAX No): (508)619-3847 23 Whites Path Unit G2 ADDRESS: mean wri htinsa enc .com ADDRESS: g @ g g Y INSURER(S)AFFORDING COVERAGE NAIC# South Yarmouth MA 02664 INSURER A: ACCREDITED SURETY&CAS CO INC 26379 INSURED INSURER B: ASSOCIATED EMPLOYERS INS CO 11104 Osteria Mota LLC(Leonessa Restaurant) INSURER C: 43 Route 6A INSURER D: INSURER E: Yarmouth Port MA 02675 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL� LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE CLAIMS-MADE [ OCCUR PREMISESO(EaENTE occur ence) $ 500,000 MED EXP(Any one person) $ 10,000 A 1ABPMA05132935300 01/01/2024 01/01/2025 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 PRO- JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B OFFICER/MEMBER ER EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVEANY YYN N I A WCC-500-5028208-2023A 01/02/2024 01/02/2025 E- .L.EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The Willow Realty Trust 40 Amy Lane AUTHORIZED REPRESENTATIVE '" Yarmouth Port MA 02675 "e4-Zt-r) L01 /9i� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD