HomeMy WebLinkAboutBLDCI-16-003692-06 The Commonwealth of Massachusetts
_ �— City\Town of
'LL TAN= YARMOUTH
•
New and Renewal Certificate of Inspection
In accordance with 780 CMR,Chapter 1 (The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to
Business Name: Red Face Jacks BLDCI-16-003692-06
Trade Name: Scallys Irish Ale House
Identify property address including street number,name,city or town and county Certificate Expiration
Located at
585 ROUTE 28 12/31/2023
WEST YARMOUTH, MA 02673
Use Group Floor Occupancy Use Group Other
Classifications(s)
A-2 01 st Floor 299 A-2 Nightclub/Restaurant/Bar/Banquet Hall 95 Persons-
Bar/Lounge
154 Persons-Main
Allowable - Dining Room
Occupant Load TOTAL SEATS-248
seats
TOTAL OCCUPANCY-
299 Persons
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 life safety features. This certificate shall be framed behind glass and/or laminated and posted in a conspicuous place within the space as directed
by the undersigned. Failure to pose or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal I Name of Municipal Mark Grylls sate of /���
Fire Chief �+ Building Commissioner / Inspection
Signature of Municipal Signature of Municipal Date of
Fire Chief Building Commissioner �-j'for Issuance / ��
Fee:$150.00
BLD_Certofi nspection.rpt
BUILDING DEPARTMENT
1146 Route 28, South Yarmouth, MA 02664
508-398-2231 ext. 1260 Fax 508-398-0836
LICENSE INSPECTION APPROVAL LOG - 2023
NAME: Scally's Irish Ale House ADDRESS: 585 Route 28
This log is to be signed by the appropriate inspectors upon a satisfactory inspection of your
building/premises. When all signatures are obtained, this log shall be presented to the License &
Permits office and/or the Health Department in order to obtain your license. Licenses will be
withheld until all inspectors have signed.
Building Commissioner Re . Date Comments Approved for
License Issuance
f O—L7-2 4111:01 No
Fire Department Rep. Date Comments Approved for
License Issuance
61/4-) 01110 No
Z-.#1��� * ic'k, -.
Board of Health Rep. Date Comments Approved for
License Issuance
Yes No
Plumbing/Gas Inspector Date /////Z Comments Approved for
License Issuance
Yes No
Electrical Inspector Date Comments Approved for
License Issuance
Yes No
Taxes Paid Yes No
Rev.Sept.2003
Y aRo TOWN OF YARMOUTH
o y'' -y BUILDING DEPARTMENT
ro % 1146 Route 28, South Yarmouth, MA 02664 508-398-2231 ext. 1260
APPLICATION FOR CERTIFICATE OF INSPECTION
September 16, 2022 PAYABLE UPON RECEIPT
( X ) Fee Required $150.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, I hereby apply for a
Certificate of Inspection for the below-named premises located at the following address:
Street and Number: 5S ?1G 0'
Name of Premises: d Se :11y S -_l-r'Sh ?t4-b Tel:
Purpose for which permit is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
License or Permit Agency
Certificate to be jssued to(,at Cate_.e_ 3ek-ek s Tel:
Address: ` 1,l j., t4$ --
Owner of Record of Building Why m - ' — � 1
FIVED
Address 33C '�,�C�t-.,-. _� `..
Present e Certificate �" 2t ( J' ..c.CS
OCT 07 2022
4_ _.._..UL,&--1CtM NT
Sig ure o person to whom Tit
Certificate is issued or his agent
Date
Email Address: C T?j Cq..) i ma.LO , L GyY N
Instructions: Make check payable to:`J 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 O W,ECANNOT ISSUE YOUR CERTIFICATE OF INSPECTION.
- Certificate# k3L-DC — /&--2 J Z—(.)
1/01/2023 — 12/31/2023
I
R.9 CERTIFICATE OF LIABILITY INSURANCE DATE( 1a"`�"°o o12
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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED,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 5).
CONTACT HI MY REGULA
PRODUCER NAME: FAX /I4.1t33.4'143
STANDISH INSURANCE GROUP INC. PHONE 7 I4'283'4425 (NC,No):
INC.No.E:ct): I
303 COURT STREET UNIT 1B EE441"- s: ANDYjt@STANDISHINSURANCE.COM
ADDRE
PLYMOUTH,MA. 02360 NSURER(S)AFFORDING COVERAGE NAIC#
INSURENA:GUAR')INSURANCE GROUP
INSURED
INSURER B:BERKSHIRE HATHAWAY GUARD
RED FACE JACK'S INC INSURER C:GUARD
D/B/A SCALLY'S IRISH ALE HOUSE INSURER D: ,
585 ROUTE 28 INSURERE:
WEST YARMOUTH MA 02673 INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED s)THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDI-ION 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 PAID CLAIMS.
POLICY POLICY EXP LIMITS
INSR ' SUER POLICY NUMBER IMMID 1MMIDDIYYYY)
LTR TYPE OF INSURANCE ROD MSD MD1,000,000
X COMMERCIAL GENERAL LABILITY REBP079489 8/12/2 B/12/2023 EACH OCCURRENCE $
DAMAGE TO RENTED
!CLAIMS-MADE OCCUR $ 50,000
A 1 X PREMISES(Ea occurrence)MED EXP(Any one person) $ 5000
PERSONAL&ADV INJURY $ 1,000,000_
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: '
PRODUCTS-COMP/OP AGG $ 2.000,000
POLICY I IjE�7 I I LOC $
OTHER: COMBINED SINGLE LIMB $
AUTOMOBILE LU�9ILnY (Ea accident)
BODILY INJURY(Per person) $
ANY AUTO
OWNED SCHEDULED - BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS HIRED NON-OWNEDPROPERTY PRO(PerERTYP DAMAGE accident) $
AUTOS ONLY ,�AUTOS ONLY - $
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
—
EXCESS LAB CLAIMS-MADE AGGREGATE $
$
DED I RETENTIONS ' PER OTH-
WORKERS COMPENSATION REWC159388 ATE I ER
AND EMPLOYERS'UABILI Y YIN 6/19/2022 6/19/2023
E L EACH ACCIDENT $ 100,000
ANY PROPRIETORIPARTNER/EXECUTNE N/A
B OFFICER/MEMBEREXCLUDED? E.LDISEASE-EAEMPLOVEE,S 1OO�000
(Mandatory In NH)
If yes,describe under E L DISEASE-POLICY LIMIT $ 500 000
DESCRIPTION OF OPERATIONS belay+
LIQUOR LIABILITY REBP079489 8/12/20V 8/12/2023 $1,000,000 PER OCCUR
I $2,000,000 AGGREGA t
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Addldonal Remarks Schedule,may be attached If More apace Is requked)
OUTSIDE DINING IS ALLOWED UNDER THE GL&LL
•
CERTIFICATE HOLDER CANCELLATION
TOWN OF YARMOUTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRA—ION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1146 RTE 28 ACCORDANCE WITH THE POLICY PROVISIONS.
SOUTH YARMOUTH MA 02664
AUTHORIZED RFPIIIESENTATNE
C 1988 15 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered m rks of ACORD
Inspection Report
Tel: 508-398-2231
Location: Inspection Date:
585 ROUTE 28, WEST YARMOUTH, Barnstable, November 8, 2022 at 11 :26:49
MA, 02673, United States AM
Record Type: Record ID:
Certificate of Inspection Renewal BLDCI-16-003692-REN-06
Inspection Type: Inspector:
Certificate of Inspection Brad Inkley
Result:
Pass
Comments:
Plumbing repair on vent pipe next to rear door
Sprinkler inspection needed
Violation Summary:
Inspector Contractor