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HomeMy WebLinkAboutBCOI-23-1754 The Commonwealth of Massachusetts Town of O„gY_. q�4` j YARMOUTH ?o4 '`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:Thirwood Place Trade Name:Thirwood Place BCOI-23-1754 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 237 NORTH MAIN ST SOUTH YARMOUTH, MA 02664 December 31, 2026 Floor Occupancy Use Group Other 01 st Floor 27 A-2 Restaurants, Night Clubs,or 27 Persons-2 Studios similar uses Use Group Classification(s) 01 st Floor 321 A-1 Movie theaters or theaters for 196-Dining performing acts(stage and scenery) 20-Function Allowable Occupant Load Room 24 Function Room 49-Function Room-32 Private Dining CORE SECTION NOT TO EXCEED 300 PERSONS AT ANYTIME • 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 Gryl Date of Inspection (/ ( t.1 ,At. Commissioner / Signature of Municipal Fire /1 Signature of Municipal Buildi Date of Issuance Chief ` f Commissioner -�i ,' j2/Z� /6f YAl�, M TOWN OF YAROUTH ,� Office of the Building Commissioner 1146 Route 28, South Yarmouth, MA 02664 '-0♦rJ- ii i 508-398-2231 ext. 1260 Fax 508-398-0836 HATLACHEESE `'+ ,sct ORPORATE12, APPLICATI ,FOR CERTIFICATE OF INSPECTION August 15, 2025 AUG 27 2025 1 PAYABLE UPON RECEIPT (X) Fee Required$150.00 BUILDING JErr'.r-.t{J:i. Y 1 ( ) No Fee Required By 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: f2 3 7 N• IQl64 b'l S 1• S' Y tt0 vy e-, MA 02.40q Name of Premises: 'II I04 Voo1 ?lQG t- Tel: roa . 9 s 8 00 `E' Purpose for which permit is used: 4)fi .PeI her IAd i I I C .2 $Z License(s)or Permit(s)required for the premises by other governmental agencies: krLice se e Permit � ) ( ` Ag cy r cuw Xi � � t 5 �, , Certificate to be issued to 1 \ It(1$O0 J. CI 4 4. I Tel: / ;sr • tol4'd Address:on 7 M• et, r • • f tmovie,I MA I4 7 Owner of Record of Building �e ht • i Tr A'VQ.'- e I T Address .2 N. AAOh`r•1 S r, S.*inMvv , AAA d Z ce 4, Pres t Holder of Certificate i'.e n A .:4 W , S..., 11� aE'x.c.,A v4 ) .4DI Signature person to whom Title Certificate is issued or his agent 8 ' 2,1• T,.- lC.i 1-,41. 2 + .1. Date Email Address: �M I ��60 ��4,Ge. • C011i1 _ 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-23-1754_ 12/01/2025-12/31/2026 (A.1*CI 3 DAVEREA-01 KCONVERSE ACORU CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.� 2/10/2025 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). CONTACT PRODUCER NAME__ Valley Forge Captive Advisors PHONE FAX E. K.McConkey&Co.,Inc. (E-MAILC,No,Eat):(610)458-3659 (A/c,No):(484)965-9627 '630 Freedom Business Center Drive ADDRE_SS_____ King Of Prussia,PA 19406 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance Company 16535 INSURED INSURER B: Thirwood Place L.P INSURER C: c/o Davenport Realty Trust 20 North Main Street INSURER D: _. South Yarmouth,MA 02664 INSURERS____________ 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 NUMBER I POLICY EFF POLICY EXP W LIMITS LTR INSD VD IMM/DDIYYYY1 IMM/DD/YYYYL • A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE LJ OCCUR GL08196291 3/1/2025 3/1/2026 DAMAGE TO RENTED 1,000,000 PREMISES(Ea occurrence) $ _ MED EXP(Any one person) $ 1,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. GENERAL AGGREGATE $ 2,000,000 X POLICY I JELQT LOC PRODUCTS-COMP/OPAGG $ Included OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) - $ X I ANY AUTO BAP8196256 3/1/2025 3/1/2026 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ _ HIRED ONLY AUTOS ONLYY PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB OCCUR _EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ L $ A WORKERS COMPENSATION y PER AND EMPLOYERS'LIABILITY Y/N X STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE N N 1 A WC8196035 3/1/2025 3/1/2026 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ It yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below ;E.L.DISEASE-POLICY LIMIT $ 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. Route 28 South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE iZ-3/ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD