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HomeMy WebLinkAboutBCOI-23-166 2026 The Commonwealth of Massachusetts Town Of o '..Y9 . IV YARMOUTH c,f .�-�) RPORATE°�s3,�, 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: Diparma Italian Table Trade Name: Diparma Italian Table BCOI 23 1766 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 175 ROUTE 28 WEST YARMOUTH, MA 02673 December 31, 2026 Floor Occupancy Use Group Other Use Group Classification(s) 01 st Floor 17 A-2 Restaurants,Night Clubs,or Bar Stools similar uses Allowable Occupant Load 02nd Floor 154 A-2 Restaurants,Night Clubs,or 154-person-tables-chairs similar uses 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 Commissioner Mark G S Date of Inspection I I _ S Signature of Municipal Fire i .�_ ott� Signature of Municipal Building ate of Issuance l / Chief G- "C �c'�—'� Commissioner //I 7 Z f 'r. r " 'YA TOWN OF YARMOUTH ,', '. . Office of the Building Commissioner l � 3 1146 Route 28, South Yarmouth, MA 02664 . y'1 508-398-2231 ext. 1260 Fax 508-398-0836 NATTACHEESE / '�cRPpRATE�/�q�•` 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: I 1 e5 a g ij6.---cc 5N-TyvUw �� ` Name of Premises: .0 u' i)Op i -(3-11I1\.'"\V 3\ Tel: ')& v-Tl 7(2) Purpose for which permit is used: ' Z.�J\ r\\ License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A ency Certificate to be issued to 10 ( rv/a .�1(`U(`!1 k sae Tel: - - y Address: t ' 94 t,le� VIA Owner of Record of Building %V�1n h �J Address V��t1 Present Hold of Certificate l>V yan,,�.i. vA L4 r),c,..., „AI, creSkt&aft-i Signature of person to whom ''itleir- Certificate is issued or his agent Q, -_� � ((������ �� � ate p ` � ` �� �`� ! Email Address: ,�J Z��`�cti� ,� ��l �'�' COS' — N aV SEP 17 2025 Bur.�R�le ri: ,...) T BY ;.. .� 0 t.. ..--_... 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-23-1766_ 12/1/2025-12/31/2026 CALAMARI01 AREGULE f,•CORQ DATE(MM/DD/YYYY) I`,� CERTIFICATE OF LIABILITY INSURANCE 9/17/2025 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). PRODUCER CONTACT NAME: World Insurance Associates,LLC PHONEFAX 34 Main St. (A/c,No,Eat): (508)771-8381 (A/C,No):(508)771-0663 West Yarmouth,MA 02673 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Insurance Group 00914 INSURED INSURER B:AmGUARD Insurance Company 42390 CALAMARI INC INSURER C:LLoyds of London 15792 175 MAIN ST INSURER D: WEST YARMOUTH,MA 02673 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DDIYYYY) (MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00( CLAIMS-MADE X OCCUR 84 SBA BD5981 11/27/2024 11/27/2025 DAMAGE TO RENTED 1,000,00( PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,00C PERSONAL&ADV INJURY $ 1,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00( POLICY JECT PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,00( OTHER: $ AUTOMOBILE LIABILITY (Es INED acccdent)INGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNEDUUO erPROPERTYaccident) DAMAGE Per $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N CAWC626776 6/1/2025 6/1/2026 500,00( ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00( If yes,describe under 500,00( DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Property NMB031983 12/20/2024 12/20/2025 175 route 28 West YA 1,500,00( DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) INSURANCE COVERAGE.IS LIMITED TO THE TERMS,CONDITIONS,EXCLUSIONS,OTHER LIMITATIONS AND ENDORSEMENTS OF THE POLICY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE n of Yarmouth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tow Tow Route ACCORDANCE WITH THE POLICY PROVISIONS. 1146South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are reqistered marks of ACORD