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HomeMy WebLinkAboutBCOI-23-1795 The Commonwealth of Massachusetts Town of og Y94-_`. YARMOUTH NJ. -00 `'-CoRPpRATE0 f. 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: Sea Dog Brew Pub Trade Name: Sea Dog Brew Pub BCOI-23-1795 Identify property address including street number,name, city or town, and county Certificate Expiration Located at 23V WHITES PATH UNIT 1 December 31, 2025 SOUTH YARMOUTH, MA 02664 Use Group Classification(s) Floor Occupancy Use Group Other 01 st Floor 148 A-2 Restaurants,Night Clubs,or 130 Seats similar uses 18 Bar Stools Allowable Occupant Load 148 Total Person 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 Name of Municipal Chief Enrique Arrascue Commissioner Mark Date of Inspection // _/ L )_.c.LI Signature of Municipal Fire �-----, Signature of Municipal Building �+ .i �'— ,/ Date of Issuance //E�2 Chief Commissioner g 'YA TOWN OF YARMOUTH 1 4 Office of the BuildingCommissioner %p 1146 Route 28, South Yarmouth, MA 02664 p y�' 508-398-2231 ext. 1260 Fax 508-398-0836 MATYACNEESE it .:RP0RAlE!\b APPLICATION FOR CERTIFICATE OF INSPECTION September 23,2024 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: 1.3 W(e1,1 4.e. 9 o r-fet Name of Premises: T1 'J tze C i,�,� Tel: —�C+9'�"b a a-0 Purpose for which permit is used: AZes tLu.YO. wi- 17 '1 -' ' License(s) or Permit(s)required for the premises by other governmental agencies: ?�'/�, License or Permit Agency Certificate to be issued to '�.c4-cr Lu6d- Tel: 6041,• c,9 4•(,4 24 Address: 2 a vs W kA 4-4,1 Pc,-k-1. So - tl ezxr -(,, M'4- oI"644 Owner of Record of Building Qsc_a_,r- -al lar s L I.C. Address Presen lder of Certificate rPeirte. cN lio Signature of person to whom Title RE B V E D Certificate is issued or his agent 10 ill h- -( in Date OC f22 . Email Address: ti✓NP•<, Ca'S,cAA ,q ca p.>L�bc� GJ 4`^ U BUILDING ARTMENT By_ Instructions: Make check payable to: Town of Yarmouth 1146 Route 28, South Yarmouth, MA 02664 ReturnThis 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 # Qlr����� L��— 12/31/2024-12/31/2025 �i�, 7/� THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 October 25,2024 For Informational Purposes 23 WHITES PATH SOUTH YARMOUTH MA 02664-1221 Account Information: Contact Us Policy Holder Details : SEA DOG CAPE COD LLC DBA Need Help? SEA DOG BREW PUB P Chat online or call us at (866)467-873U. We're here Monday-Friday. Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team WLTR005 -. K J DATE(MM/DD/YYYY) �-- CERTIFICATE OF LIABILITY INSURANCE 10/25/2024 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 pollcy(les) must be endorsed. If SUBROGATIONIS 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: BRABO INSURANCE AGENCY 08081347 PHONE (508)830-3800 FAX 65 CORDAGE PRK CIRCLE STE 120 IAJC,No,Ext): (A/C,No): EMAIL ADDRESS: PLYMOUTH MP.0236C INSURER(S)AFFORDING COVERAGE NAICI{ INSURER A: Hartford Accident and Indemnity Company 22357 INSURED INSURER B: SEA DOG CAPE COD LLC DBA SEA DOG BREW PUB INSURER C: 23 WHITES PATH SOUTH YARMOUTH MA 026 64-1 22 1 INSURER D INCIIRFR F• 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. INS T?rE Cr INSURANCE I ADDL. SUBR I ^0'�CY NUNIBEP. I POLICY EFF I POLICY EXP I 11!d9Tr LTR INSR WVD IMMJDD/YYYY) (MWDOJY WY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) MED EXP(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE P^Ltry n PRO- n'_r_ PRODUCTS-COMP/OP AGO L—�JECT I L OTHER: AUTOMOBILE IJABILITY COMBINED SINGLE LIMB (Es accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED BODILY INJURY(Per accident) _AUTOS AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS AUTOS (Per arrlderrt) _ UMBRELLA WB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION X PER 0TH- AND EMPLOYERS'LIABILITY STATUTE ER ANY YIN E.L.EACH ACCIDENT $1,000,000 PRO PRI ETOR/PARTN ER/EXEC UTI VE A OFFICER/MEMBER EXCLUDED? W'4 08 WEC AY1 P6C 05/08/2024 05/08/2025 E.L.DISEASE-EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION For Informational Purposes SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 23 WHITES PATH BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED SOUTH YARMOUTH MA 02664-1221 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE L C1OL ©1988-2015 ACORD CORPORATION.All rights reserved! ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD