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HomeMy WebLinkAboutBCOI-24-13 2026 The Commonwealth of Massachusetts c .. } Town of YARMOUTH o ',,y 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:Cultural Center of Cape Cod Trade Name:Cultural Center of Cape Cod BCOI 24-13 Identify property address including street number,name,city or town,and county Certificate Expiration Located at 307 OLD MAIN ST SOUTH YARMOUTH,MA 02664 February 6,2026 Floor Occupancy_ Use Group_ Other 01 st Floor 200 A-3 Lecture halls,dance halls, Owl Hall-80 Standing or 60 Seats churches and places of religious Culinary Art Kitchen-15 standing or worship,recreational centers, seats terminals,etc. Use Group Classification(s) 01 st Floor 20 A-3 Lecture halls,dance halls, Art Studio 20 churches and places of religious Allowable Occupant Load worship,recreational centers, terminals,etc. Basement/Lower 30 A-3 Lecture halls,dance halls, Note Aggregate Total shall not churches and places of religious exceed 200 for entire complex worship,recreational centers, terminals,etc. 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 Name of Municipal Building p ark G ate of Inspection Commissioner �/��,� S Signature of Municipal Fire Signature of Municipal Building Date of Issuance Chief Commissioner f 41:-Y-444\ TOWN OF YARMOUTH 6 �� �- °- - 0'. Office of the Building Commissioner 4 .' � 4t 1146 Route 28, South Yarmouth, MA 02664 ,� 508-398-2231 ext. 1260 Fax 508-398-0836 IiATTACNECSE E /�C�RPORATED.b,9 f ""`'' APPLICATION FOR CERTIFICATE OF INSPECTION January 02, 2025 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: '9 3 7/' ' 6) 5terr Name of Premises: _ brtICAL. Cy r G►f { ( Tel: RECEIVED Purpose for which permit is used: FEB 0 4 2025 License(s) or Permit(s)required for the premises by other governmental agencies: BUILDING DEPARTMENT License or Permit Agency By Certificate to be is ued o fit! i.i/Txpo§ - In f Address: .50i 01 0 Owner of Record o, ilding 4 6� _5 Address Bu 0 Present Hold i ica e --__ ')('e Di 1 . Signature of person to Title�/._r� 1 Certificate is issued or his agent I T 'n,, Date Email Address: r1hlo1 l d2 ti t'kii ,t'et( 1 e4.,,a,...rg 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# �� 02/06/2025-02/06/2026 J Co / /3 o® CERTIFICATE OF LIABILITY INSURANCE DATE 11` s/2 2024) (HIS 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 Gabriel DeSouza CIC NAME: Murray&MacDonald Insurance Services,Inc. PH NE (508)540-2400 FAX Na). (508)289-4111 550 MacArthur Blvd. ADDRE-MAILESS: gabriel@riskadvice.com INSURER(S)AFFORDING COVERAGE NAIL# Boume MA 02532 INSURER A: Mount Vernon Fire Insurance Co 26522 INSURED INSURER B Wesco Insurance Co Cultural Center Of Cape Cod Inc. INSURER C: 307 Old Main St INSURER D INSURER E: South Yarmouth MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER: 24-25 Master 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 ADDL SUBR POUCY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/OD/YYYY) LIMITS X COMMERCIAL GENERAL UABILRY EACH OCCURRENCE $ 1,DAMAGE TO RENTED 000,000 CLAIMS-MADE (Xi OCCUR PREMISES f Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A NPP2566508G 06/01/2024 06/01/2025 PERSONAL aADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ A EXCESSUAB CLAIMS MADE CUP2552068G 06/01/2024 06/01/2025 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER 'OTH- AND EMPLOYERS'UABIUTY ,,/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 1,000,000 B OFFICER/MEMBER EXCLUDED? Y W N/A WC3717048 06/01/2024 06/01/2025 E.L-EACH ACCIDENT $ (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 DESCRIPTION OF OPERATIONS I 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 Town of Yarmouth ACCORDANCE WITH THE POLICY PROVISIONS. 1146 Route 28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02665 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD