HomeMy WebLinkAboutBCOI-23-1763 2026 The Commonwealth of Massachusetts
Town of g ,og YAK
i) YARMOUTH Oki
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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: 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
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Signature of Municipal Fire / Signature of Municipal Building / /
Chief L-� • 'y— Commissioner /J �' Date of Issuance 49 t r-
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T. Y�`4. TOWN OF YARMOUTH
17 � Office of the Building Commissioner
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d; 1146 Route 28, South Yarmouth, MA 02664
(� l ''�11 508-398-2231 ext. 1260 Fax 508-398-0836
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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�
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