HomeMy WebLinkAboutBCOI-23-1710 2026 The Commonwealth of Massachusetts
Town of YA fosi
YARMOUTH 1 . o,�
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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
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•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--- •
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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
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WC 00 00 01 A