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HomeMy WebLinkAboutBCOI-23-1749 2026 The Commonwealth of Massachusetts * Town of o . '' YARMOUTH � � o�, •` ""co°ORA�EO / 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: Giardino's Tastee Tower Inc Trade Name: Giardino's Family Restaurant BCOI-23-1749 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 242 ROUTE 28 WEST YARMOUTH, MA 02673 December 31, 2026 Floor Occupancy_ Use Group Other Use Group Classification(s) 01 st Floor 241 A-2 Restaurants,Night Clubs,or 94-Bar&Lounge similar uses 58-Rear Dining Room Allowable Occupant Load 89-Front Dinning Room TOTAL-241 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. ue Arrascue Name of Municipal Building Name of Municipal Chief Enrique Commissioner Mark Date of Inspection ; ] ' �j ic)\ r�Signature of Municipal Fire / /` Z �� Signature of Municipal Buildin7v Chief LT •�` Commissioner Date of Issuance j/ T __, ,„-„,-,-,,,, TOWN OF YARMOUTH ,/ 0 Office of the Building Commissioner r 1146 Route 28, South Yarmouth, MA 02664 _- 508-398-2231 ext. 1260 Fax 508-398-0836 MATT.ACHE,ES� '' °HPORATED`b' "" APPLICATION FOR CERTIFICATE OF INSPECTION August 15, 2025 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: Ql V,? /2l , �� Name of Premises:6j,q 41i, /5 i , ; &AVOW/Tel: �Q,F—775 O Purpose for which permit is used:.Se677`� ©o .-ce/2 Wee 2c-C2 v21 License(s) or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued to C-i42v/,v l // 2�/ Tel: S —Og-77 23 Address:o o2 It , v? tue-!7l' , , 7- 4/l44- Owner of Record of Building ,5 2 /f r Address Present Holder of Certificate .S,tn'r P/240,,,4t- Signature of person to whom T' e Certificate is issued or his agent (�� e —2j--- Date Email Address: e Ce Q ,--4. ?...,e LP I, L , 6, p" RECEVED 1 SFP 08 2025 Instructions: Make check payable to: Town of Yarmouth r Bu rmi CA-1146 Route 28, South Yarmouth, MA 026648y �,,, — � C. 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-23-1749 12/1/2025-12/31/2026 RADATE' CERTIFICATE OF LIABILITY INSURANCE 09/04/2025� 5 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 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: AXIA INSURANCE SERVICES INC PHONE (413)205-2942 FAX (413)886-0190 08088030 (NC.No): 84 MYRON ST STE A INC.No,Ed): EMAIL ADDRESS: WEST SPRINGFIELD MA 01089 INSURER(S)AFFORDING COVERAGE NAICY INSURER A: Hartford Accident and Indemnity Company 22357 INSURED INSURER B GIARDINO'S TASTEE TOWER,INC INSURER C 242 MAIN ST WEST YARMOUTH MA 02673-4659 INSURER D INSURER E 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WAD IMMIDDIYYYYI IMMIDDIY YYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea Ocwrtenpe) MED EXP(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY OP ❑LOC PRODUCTS-COMP/OP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ (Ea accident) ANY AUTO BODILY INJURY(Per person) —ALL OWNED SCHEDULED BODILY INJURY(Per accident) _AUT _ MIREDOS NON-OAUTOSWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) _UMBRELLA LU1B OCCUR EACH OCCURRENCE EXCESS LIMB CLAIMS- AGGREGATE MADE FEDI I RETENTION$ WORKERS COMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY YIN E.L EACH ACCIDENT $1,000,000 A PROPRIETOR/PARTNER/EXECUTIVE E WA 08 WEC AY9G9D 09/01/2025 09/01/2026 OFFICER/MEMBER EXCLUDED? IL EL DISEASE-EA EMPLOYEE $1,000,000 (/ys,dtory escrb NH) E.L.DISEASE-POLICY LIMIT $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Romania Schedule,may be attached K 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 242 MAIN ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED WEST YARMOUTH MA 02673-4659 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE !�Y*ezln�Caotr d ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD