Loading...
HomeMy WebLinkAboutBCOI-24-30 2027 The Commonwealth'of Massachusetts Town of g YA , . YARMOUTH '� � .. aj :0 - H, fi.,P0 R ATEO> 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: Thacher Hall Trade Name: Thacher Hall BCOI-24-30 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 266 ROUTE 6A April 10, 2027 YARMOUTH PORT, MA 02675 Floor Occupancy_ Use Group Other 01 st Floor 175 A-3 Lecture halls,dance halls, Chairs Only-175 Persons churches and places of religious Tables/Chairs-96 Persons Use Group Classification(s) worship, recreational centers, terminals,etc. Allowable Occupant Load 02nd Floor 133 A-3 Lecture halls,dance halls, 133 Persons churches and places of religious worship, recreational centers, terminals,etc. 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 Name of Municipal Building Mark IS Date of Inspection �., Commissioner - J I I�( ,�� Signature of Municipal Fire Signature of Municipal Buildin D e of Issuance // Chief Commissioner c7 (2 eO26, ,g Yam1,igii ' ';i'"fit4' ,.. TOWN OF YARMOUTH ,..ftlsOffice of the Buildin Commissioner E C 1146 Route 28, South Yarmouth, MA 026 i 4' E I VED 4N • -- 4, 508-398-2231 ext. 1260 Fax 508-398-083 Z �� ` ., 00RATE j* f "` '- APPLICATION FOR CERTIFICATE OF INSPECTION e�i '� "'a if ENT March 1, 2026 PAYABLE UPON RECEIPT (X) Fee Required$100.00 ( ) 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 forthe below-named premises located at the following address: Street and Number: L C//# 6 iticc., 4 i Name of Premises: ' C H4!! Tel: Purpose for which permit is used: 414-S- alit( �nrnAts-ti- �✓ft l t))-/i e License(s) or Permit(s)required for the premises by other governmdntal agencies: License or Pe it / Agency /E+1i'G/` 1ai✓/hie, /— n 51)1 3 Ve , Certificate to be iss i d to� mv& �vyChwe' reef tM el: v'O - 3L),--- J o Address: P.0. 06Ne Owner of Record of Building Y4 iihillso 04 / auii ?YC*t_+U rea,1c Ii 72c6ril , h c, Address 5tW)4 _ Prese H lder of Ce ' is to 5kyrw /reActset -r Signature o person to who Title Certificate is issued or his agent if<rri, 1/ 6lo.2.h Date Email Address: N) 1, pLeitie2 i I en_aJ .F_DP1t 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 an chan.e in the above information. s.: U Certificate of Inspection#_BCOI-24-30_ 04/10/2026-04/10,/2027 ACORD DATE(MMIDDIYYYY) ��. CERTIFICATE OF LIABILITY INSURANCE 3/24/2026 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: Mary Murphy Roger Keith and Sons Insurance Agency, Inc. PHONE HO No.Exit 508-583-1106 FAX 1575 Main St (A/C,No): Brockton MA 02301-7195 ADDRESS: certificates@rogerkeith.com INSURER(S)AFFORDING COVERAGE _ NNCk INSURER A:Associated Employers Insurance 11104 INSURED YARMNEW-01 INSURER B Yarmouth New Church Preservation Foundation Inc PO Box 237 INSURER C: Yarmouth Port MA 02675 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:724951022 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 EFF POLICY EXP W LIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO CLAIMS-MADE L I OCCUR PREMISES(Ea occu RENTED $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JE T LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WCC-500-5030614-2026A 4/1/2026 4/1/2027 X X AND EMPLOYERS'LIABILITY STATUTE ERH Y N ANYPROPRIETOR/PARTNER/EXECUTIVE I NI NIA E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? LII — - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 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 Yarmoth ACCORDANCE WITH THE POLICY PROVISIONS. Building Inspector 1146 Route 28 AUTHORIZED REPRESENTATIVE South Yarmouth MA 02664 4i1/01 4"e7 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD