Loading...
HomeMy WebLinkAboutBCOI-23-1768 The Commonwealth of Massachusetts * Town of z - o. YARMOUTH o&� 4y� •~pRPp RATo•e 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: Scally's Irish Ale House Trade Name: Scally's Irish Ale House BCOI 23 1768 Identify property address including street number, name, city or town, and county Certificate Expiration Located at 585 ROUTE 28 WEST YARMOUTH, MA 02673 December 31, 2025 Floor Occupancy Use Group Other Use Group Classification(s) 01 st Floor 299 A-2 Restaurants,Night Clubs,or 95 Persons Bar/Lounge similar uses 154 Persons-Main Dining Room Allowable Occupant Load TOTAL SEATS 248 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 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 Arrascue Enrique Mark G S�/ Date of Inspection /()/ 2 q Commissioner ._ ei 1 �l ��� ✓ Signature of Municipal Fire > Signature of Municipal Building ---� Date of Issuance f� (4 ,/Z 111 Chief —Commissioner / TOWN OF YARMOUTH rcir"----44-k , fro:,. Office of the Building Commissioner if 1146 Route 28, South Yarmouth, MA 02664 0— -4sPii,� �';' 508-398-2231 ext. 1260 Fax 508-398-0836 MATtA6HErSE 0<f'p0RAT0 Vb 1 `` APPLICATION FOR CERTIFICATE OF INSPECTION September 23,2024 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: 5aSrn Name of Premises: 6c.D .I t Li `3 J'Yt sh 4 f '/,,4 Q Tcl: Purpose for which permit is used Lq, _ License(s) or Permit(s) required for the premises by other governmental agencies: License or Permit Agency Certificate to be issued torked, Pj cj j� c Tel: Address: 5 S ®wry Owner of Record of Building bet tS Address ' '' S— IM011.rl SILA De Present Holder of CertificatI .. 't_k_ . Signature of person to whom Titl R 1~ r► Certificate is issued or his agent \01(4.late iI Email Address: 1 1 OCT 0 9 2024 BUILLBY `yyrp1 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. C12/31/i202e o-1 Inspection# n /Jb/ a /76 JL l2/31/2024-12/31/2025 /�l� AC_(7RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/l'YW) 10/09/24 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: 24 (A/CNo.Ext): 508-771-8381 (A/C,No): 508-771-0663 34 Main Street E-MAIL West Yarmouth,MA 02673 ADDRESS: schlegelinsurance@gmail.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Trisura INSURED INSURER B: GUARD RED FACE JACK'S INC D/B/A/SCALLY'S IRISH ALE INSURER C: Lloyds 585 ROUTE 28 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDIYYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE ED CLAIMS-MADE X OCCUR PREMISESO(EaLoccurrrence) $ 100,000 MED EXP(Any one person) $ 5,000 A OSU1009068 08/12/24 08/12/25 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,00(1,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,00(1,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY B OFFICER/MEMBER EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE N/A REWC 159388 06/19/24 06/19/25 E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 5,000,000 BPP 500,000 C BI NMB031681 08/12/24 08/12/25 400,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) OUTSIDE DINING IS ALLOWED UNDER THE GL Surf Condominium Trust is named as an additional insured under the GL policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TOWN OF YARMOUTH ACCORDANCE WITH THE POLICY PROVISIONS. 1146 RTE 28 _ SOUTH YARMOUTH MA 02664 AUTHORIZED REP E NTATIVE I � ,I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD