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HomeMy WebLinkAboutBCOI-23-1763 2026 The Commonwealth of Massachusetts Town of g ,og YAK i) YARMOUTH Oki .�«ce ., ryCORPO R ATE j4 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: Sons of Erin Cape Cod BCOI-23-1763 Trade Name: Sons of Erin Cape Cod Identify property address including street number, name, city or town, and county Certificate Expiration Located at 633 ROUTE 28 WEST YARMOUTH, MA 02673 December 31, 2026 Use Group Classification(s) Floor Occupancy_ Use Group Other 01 st Floor 160 A-2 Restaurants, Night Clubs,or 160 PERSONS TOTAL Allowable Occupant Load 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 Building Name of Municipal Chief Enrique Arrascue Mark Grylls Date of Inspection 9/Z412t— Commissioner iie 7 Signature of Municipal Fire / Signature of Municipal Building / / Chief L-� • 'y— Commissioner /J �' Date of Issuance 49 t r- w j T. Y�`4. TOWN OF YARMOUTH 17 � Office of the Building Commissioner 4if d; 1146 Route 28, South Yarmouth, MA 02664 (� l ''�11 508-398-2231 ext. 1260 Fax 508-398-0836 \fir ti--.- �-:, 11 NATTACHIU `'"� 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: L 3 TEv Name of Premises: (94, ®/ EK/t? (2, c,,,,Tel: $08"79 'O Purpose for which permit is used: v License(s)or Permit(s) required for the premises by other governmental agencies: License or P it Agency Lio va C/Ce/W Certificate to be issued to Tel: Address: Owner of Record of Building Address Pres-1,,der of Certificate illit/Allear .'moo person to whom Title Certificate is .sued or his agent 9 - //'Z4 A'2? Date Emar • .it - s: Kk .e ell /, 6�yalet2.C-! ,1 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-23-1763_ 12/01/2025-12/31/2026 ACGRD® CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DDWYYY) s/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). PRODUCER CONTACT NAME: Sandra Hartman Acrisure New England Partners Insurance Services,LLC PHONE 508-754-1767 ( ,Na:50&754-1885 Acrisure New England Trust E-IRAIL Eon: P.O.Box 24717 ADDREss: shartman)acrisure.com New York NY 10087-4717 INSURER(8)AFFORDING COVERAGE NAics License#:3002607499 INSURER A:Hospitality Mutual Insurance Company INSURED SONSOFE-01 INSURER B:Markel American Insurance Company 28932 , Sons of Erin Cape Cod Inc P O Box 403 INSURER C:Maxum Indemnity Company 26743 South Yarmouth MA 02664 INSURERS:Great American Insurance Company 16691 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:671516289 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED 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. NSR COOL SUBR POLICY EFF POUCYELP ILIRR TYPE OF INSURANCE INSD MAID POLICY NUMBER INAUD01YYYY1 IMINDDIVYYYI UNITS A X COMMERCIAL GENERAL LIABILITY- CPP2002911 9/7/2025 9/72026 EACH oCCURRENCE 51,000,000 TO RENTED CLAIMS-MADE OCCUR REM SE X SS(Ea occurrence) S 100,000 MED EXP We one person) S 5,000 PERSONAL S AOV INJURY S 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S2,000,000 X POLICY LOC PRODUCTS-COMP/OP AGG $2,000,000 s • OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE DABIU1Y (Ps accident) -ANY AUTO BODILY INJURY(Per person) $ —OWNED SCHEDULED BODILY INJURY(Per accident)S • AUTOS ONLY _AUTOS — Y DAMAGE HIRED NON-OWNED PPeracdT PROPERTYD S —AUTOS ONLY _AUTOS ONLY S UMBRELLAWAB OCCUR EACH OCCURRENCE $ — EXCESS DAB CLAIMS-MADE AGGREGATE S DED I I RETENTIONS S E WORKERS COMPENSATION AWC0016135-03 2/7/2025 2/72026 X I ANTE I I EOl ,S E WORKERS COMPENSATION AWC0016135-03 2'7/2°25 211/2°26 X I ANTE 1 I Er AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTNE ❑N)A EL EACH ACCIDENT $100,000 OEFICERIMEMBEREXCLUDEDI(Mandatory In NH) E.L DISEASE-EA EMPLOYEE E10D,000 Oyee IIPTIg under E.L DISP an.-POLICY LIMB S 500,000 DESCRIPTION OF OPERATIONS below A BDC312 1R225 1/12/208 Bulldog h9 1,147,300 589 19/722254 11/12/2025 AA DUo S EPL CPP2002911 97I2025 9/7/2026 reFwe 1,000,000 PRIINd 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule,may be seethed N more apace le required) Location:627 and 633 MA Route 28,West Yarmouth,MA 02673 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town of Yarmouth 1146 Route 28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 1 ,/ k� I 0 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD