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HomeMy WebLinkAboutBCOI-23-1710 2026 The Commonwealth of Massachusetts Town of YA fosi YARMOUTH 1 . o,� tl,,` mow_ 9 �0RRPOR ATEO\bA 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:The Ocean Club Trade Name:The Ocean Club on Smugglers Beach BCOI 23 1710 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 329 SOUTH SHORE DR SOUTH YARMOUTH, MA 02664 June 7, 2026 Floor Occupancy Use Group Other 01 st Floor 32 R-1 Hotels,motels,boarding houses, 32 room,Function room Enclosed Use Group Classification(s) etc. Swimming Pool 02nd Floor 31 R-1 Hotels,motels,boarding houses, 31 Rooms-Function Room Allowable Occupant Load etc. Basement/Lower 2 R-1 Hotels,motels,boarding houses, Exercise Room-2 offices-1 Storage etc. Room 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 ..--7Name of Municipal Chief Mark Gryll ' .- Date of Inspection f. III ),2(),.. ,_5— Commissioner Signature of Municipal Fire Signature of Municipal Building Chief Commissioner �j Date of Issuance /� 17Zi _0 •4 Irt TOWN OF YARMOUTH d Office of the Building Commissioner { 1146 Route 28, South Yarmouth, MA 02664 A') ::-" = /MATTAEHEESE 508-398-2231 ext. 1260 Fax 508-398-0836 /Nc0RPORATE �9' APPLICATION FOR CERTIFICATE OF INSPECTION May 6, 2025 PAYABLE UPON RECEIPT (X) Fee Required$304.00 ( ) 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 llooc�atedat the following address: Street and Number: 3 Z c \ (�' vz r- _- �v--- • q Name of Premises: �� O��� �� I Tel: (2 —(CCt'Sc Purpose for which permit is used: J - C-NQI^ j2"-- License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to '11"--.— CCU-c ` C( AJO Tel: Address: 1 Owner of Record of Building Address Present Holder of Certificate M &e-iie- / ai/C:1W-- 'gnature of person to whom Title Certificate is issued or his agent 6/ 2 LS Date Email Address: �@ l U(,{� jltj �Q, ach t C,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#BCOI-23-1710 06/07/2025-06/07/2026 Eastern Alliance Insurance Company 25 Race Avenue PO Box 83777 Lancaster, PA 17608-3777 r J WORKERS' COMPENSATION and EMPLOYERS' LIABILITY INSURANCE POLICY In Witness Whereof, we have caused this policy to be executed and attested, and, if required by state law, this policy shall not be valid unless countersigned by our authorized representative4, ‘ firpt_ J Kevin M. Shook Kathryn A. Neville President Secretary If you need to report a claim, please call the following telephone number: 1-800-336-3658 Questions or concerns about your policy should be directed to your producer. If you need further assistance, contact us at 1-855-533-3444 or at the following address: Underwriting -- Policy Information P.O. Box 83777 Lancaster, PA 17608 WC 99 06 00 (11/08) • Insurer: Eastern Alliance Insurance Company Policy Number:001-0000618838-2025A Previous Policy: Workers Compensation and Employers Liability Policy Information Page (1)Name and Mailing Address of the Insured: Agency: Gregory&Appel,Inc. Resort Management&Consulting Group,LLC 1402 N.Capitol Avenue 783 Sandy Lane Suite 400 Surfside Beach,SC 29575 Indianapolis,IN 46202 Agency Code:8550 y See Named Insureds—Extension of Information Page Fed ID Number: 83-1075760 Legal Entity: Limited Liability Company(LLC) Bureau ID Number: 914813557 NCCI Company-Number: 42997 Other workplaces: See Additional Locations—Extension of Information Page (2) Policy Period: From 2/1/2025 to 2/1/2026,12:01 a.m.standard time at the insured's mailing address. (3) Coverage: A. Workers Compensation Insurance: Part One of this policy applies to the Workers Compensation Law of the following states:MA,NC,SC B. Employers Liability Insurance: Part Two of this policy applies to work in each of the states listed in item(3)A. The limits of our liability under Part Two are as follows: Bodily Injury by Accident-each accident $1,000,000 __._ Bodily Injury try Disease-policy limit $1,000,000 Bodily Injury by Disease-each employee $1,000,000 y` C. Other States'Insurance: Part Three of this policy applies to the states,if any,listed here:ALL STATES EXCEPT ND,OH,WA,WY and the states designated in 3.A.of the information page. y' D. This policy includes the following forms and endorsements: See Listing of Endorsements—Extension of Information Page (4) The premium for this policy will be determined by our Manual of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. False See Schedule of Operations—Extension of Information Page Minimum Premium $720 Total Estimated Annual Premium $55,580 Expense Constant $338 Countersigned by: �N a/ f, Yu WC 00 00 01A Insurer: EASTERN ALLIANCE INSURANCE COMPANY Policy Number: 001-0000618838-2025A Extension of Information Page Additional Locations Other work place locations not listed on Page 1 , Item 1 : 0001 Resort Management & Consulting Group, LLC - 329 South Shore Drive, South Yarmouth, MA 02664 0002 Resort Management & Consulting Group, LLC - 1110 S. Virginia Dare Trail, Kill Devil Hills, NC 27948 0003 Resort Management & Consulting Group, LLC - 4724 N. Croatan Hwy, Kitty Hawk, NC 27949-8911 0004 Resort Management & Consulting Group, LLC - 742 Mink Ave, Murrells Inlet, SC 29576 0005 Resort Management & Consulting Group, LLC - 2108 N. Ocean Blvd, Myrtle Beach, SC 29577 0006 Resort Management & Consulting Group, LLC - 8 Wimbledon Court, Hilton Head Island, SC 29928 0007 Resort Management & Consulting Group, LLC - 1307 S. Ocean Blvd, Myrtle Beach, SC 29577-4541 0008 Resort Management & Consulting Group, LLC - 100 N. Waccamaw Dr, Murrells Inlet, SC 29576 9 Y d J I WC 00 00 01 A