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0073 FALMOUTH ROAD/RTE 28 - Health
73 FALMOUTH RD,HYANNIS A=311-071 of i i ra GF tHE Tp� Town of Barnstable * BARNSTABLE, MASS.116 9. .�� Board of Health AtEp�.tA 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,RS. FAX. 508-79076304 Sumner Kaufman,MSPH Wayne Miller,M.D. January 30, 2004 Mr. Stuart Bornstein Holly Management & Supply Corporation 297 North Street Hyannis, MA 02601 t � qu ��, errun Order�t®�C nnect Buildmg�to�1'�b�lio?� er Dear Mr. Bornstein: On Tuesday January 20, 2004, the Board of Health held a public meeting to discuss various variance requests received. Your variance request regarding the above referenced matter was scheduled on that agenda; however you were not present. Therefore, your request was postponed to the next Board of Health meeting which is scheduled to be held on Tuesday February 17, 2004 at 7:00 p.m. at the Town Hall second floor Hearing Rdom. We hope that you will be available to attend the next meeting. If not, please communicate to us in writing (via mail or facsimile #508 790-6304) to request a continuance. Sin rely yo , a e Miller, M.D. Ch an Board of Health SewerVarianceBomstein S ID Ica • . . . ni �+ -01 m _ OFFICIAL. USA -0 Postage $ Y Certified Fee C3 C3 ost ark Return Receipt Fee He e (Endorsement Required) O Restricted Delivery Fee t3 (Endorsement Required) Z Q� CO J�O aTotal Postage_&Fees_ o iStuborn Limited Partnership LP 297 North Street ------------ Hyannis;MA 02601 ---------- ` 1 Certified Mail Provides: a o A mailing receipt A o A unique identifier for your mailpiece o A signature upon delivery o A record of delivery kept by the Postal Service for two years Important Reminders: n Certified Mail may MY,be combined with First-Class Mail or Priority Mail,_ o Certified Mail is not avvOle for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For, valuables,please co der Insured or Registered Mail. o For an additional fee,� eturn Receipt may tie requested to provide proof of. delivery.To obtain Ret�Q�FReceipt service,please complete and attach a Return Receipt(PS Form 3811)W-tuthe article arld add applicable postage to cover the fee.Endorse mailpiece 'Return Receipt Requested".To receive a fee waiver for a duplicate returmrecelpt,a USPS postmark on your Certified Mail receipt is required. o For an additional fee,delivery may be-restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. ,o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a.postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3800,April 2002(Reverse) 102595-02-M-1133 �E-m-DE-R' - cdMPLETE�THIS SECTION, COMPLETE THIS SECTION ON DELIVERY., ■ Complete items 1,2,and 3.Also complete A. Sig ture ,, D j itefii 4 if Restricted Delivery is desired. X ` �.Ci�[ (�p ❑Agent j ■ Print your name and address on the reverse �Z B7 t,❑Addressee so that we can return the Card to you. B. Rece ed by(Printed Name) C. Datej Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No I Stuborn Limited Partnership LP 297 North Street Hyannis, MA 02601 Se YP e Type LLY_ Mail ❑ press Mail ❑Registered 19 Return Receipt for Merchandise ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service babe.< __4 7 0 0 2 ; 10 0 0, O°0 0:4. 6 6 8 3. . 2,355, . . I r Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE ' ' First-Class Mail � Postage Fees Paid I USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • I M 'Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 I E I I I�IlFit!i3i-!i1£!I1!!!i£il�itlililil3li!£34t�1��I!!lllft'.ti£�i� i 1 ` Town of Barnstable Regulatory!Services Thomas F. Geiler, Director 9� 1639. .�� Public Health Division •e�EG Mph p Thomas McKean,Director 200 Main St, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 May 28, 2003 Stuborn Limited Partnership LP 297 North Street Hyannis, MA 02601 IMPORTANT NOTICE RE: Map & Parcel 311- 071 Dear Addressee: You are directed to connect your building located at1,73--Falmouth_Road,_Hyannis,-- Massachusetts, to public sewer on or before August 29, 2003. The Department of Public Works, Engineering Division, has notified us that your property abutts recently installed vacuum sewer lines. The lines were extended because of the density, and the size of the lots in the area, and the potential for serious health problems. Failure to comply with this order will result in a complaint against you, in a court of law, due to your failure to comply with a Board of Health Order. If you should have any questions, please telephone me at 862-4644. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. CHO Health Agent for: TOWN OF BARNSTABLE BOARD OF HEALTH Wayne Miller, M.D., Chairperson Susan G. Rask, RS. Sumner Kaufman, M.S.P.H. Return receipt requested Cc: Barbara Childs, Water Pollution Control Mark Giordano, Engineering Q:Sewerorder.doc l S $45 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZippY%cattou for atgoal 6pstem Con0tructiou Fermat Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon VIE].Complete System ❑Individual Components Location Address or Lot No. I 0-7 Owner's Name,Address;and Tel.No. sTvUoQA 1i ntfi op_, '�haw e,.,h t�' 173 F\qLMv u l4-t-R cl- 1(qv RMS S'u r� f3urzs ,t, Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. D0LQ it CcRk lZai?l e�d�r•i c� CO RSA �O�C• p, � Ri4e2 (Zz,-,AJ-�'C(fIMOR,s V l t r� eveMR o IL7 PZ C Type of Building: Dwelling No.of Bedrooms Lot Size �— sq.ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) - gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environme tal Code and not place the system in operation until a Certificate of Compliance has been issued by t ' o .-. rd of Health t Q Signed66 - B `�^ + ` Date Application Approved by Date Application Disapproved by: Date for the following reasons s Permit No. Date Issued No. 0� sq5 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for ;Diopozal 6pgtern Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon yr E Complete System ❑Individual Components P. P Location Address or Lot No. 3 1 I O-7 Owner's Name,Address,and Tel.No.SX-1--1(Z l�maTeJ Ph(rr4 to ,e I , 73 'FRLmouXh- R a- x(qo, nos a Sou � i3oas eC,2 Assessor's Map/Parcel ' `fig sgZo-IZS(o ��u,kl t_tZ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. CRt� R0aQ rick Co1sT Co-Vr\c, : ,- 2oscl -)TtAcsaoa-s %tks tne C 3 M19111 S71 . 2R Fo rJT n7A Type of Building: Dwelling No.of Bedrooms Lot Size `�— sq.ft. Garbage Grinder (. ) '. Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures i Design Flow(min.required) gpd Design flow provided gpd Plan Date1 Number of sheets Revision Date � `Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 17ATLd nSz 0-%� S'l��tit <r= �X r"6 j— �.. Date last inspected: - a` Agreement: The undersigned agrees to ensure-the construction and maintenance of the afore described ondsite sewage disposal system in accordance with the,provisions of Title 5 of the Environmental Code and not o place the system in operation until a Certificate of Compliance has been issued by thi Bo rd of Health. Signed Date Application Approved b I — Date Application Disapproved by: Date i. �> for the following reasons an Permit No. Date Issued r ——————————————————————=:———————— ——---------- 'THE COMMONWEALTH OF MASSACHUSETTS oo BARNSTABLE, MASSACHUSETTS Certificate of Compliance . { THIS IS TO C IFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) i A_l?andoned( y �Gm ms. �1e.,,, at 73 �/+�lrneu , R61 /T7�•i has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 9-o'0 7 dated D- 9^ O Installer Designer i. #bedrooms Approved design flow gpd The issuance of this permit hall no be co strued s a guarantee that the s stem 'I fa ction as design 411, Date Ins ecto! ———————————•—.————'——————— F JN ——————— ———————— t No. a•�0� — SU.S 1: � Fee 'Z THE COMMONWEALTH OF MASSACHUSETTS , PUBLIC HEALTH DIVISION: BARNSTABLE, MASSACHUSETTS A i • .�i �f lwigogal *.,potem Construction permit Permission is hereby granted to Construct ( Repair ( ) Upgrade ( ) Abandon f System located at 49' T-.3 / gl mead 4p and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. ' Provided: Construction must be completed within three years of the date of thisrpelit. Date - r-(' 0 Approved by Town of Barnstable brt OAItN IAHLE, r Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-8624644 Susan G.Rask,F-S. FAX: 508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. April 5, 2004 Mr. Stuart Bornstein Holly Management& Supply Corporation 297 North Street Hyannis, MA 02601 RE Extension of Time to Conneet Building to Public Sewer 73 Falmouth Road;Video Store A=311-071 Dear Ms. Bornstein: You are granted an extension of time, until November 1, 2004, to connect your building r located at 73 Falmouth Road,Hyannis, Massachusetts. Your original request for an exemption from connecting the building at 73 Falmouth Road to town sewer, due to an increased DPW permit fee of$845, is denied. Now that a public sewer line is available in the street directly in front of this building, you are obligated to connect the building to the sewer line per Massachusetts General Law Chapter 83 Section 11. Sin rely your ay Miller,M.D. Chai an Board of Health Town of Barnstable Cc: Robert Burgmann Peter Doyle Jim Daley Q:Health/WP/.Sewe,ExtBornstein HOLLY MANAGEMENT & SUPPLY CORPORATION 297 North Street Hyannis,Massachusetts 02601 (508) 775-9316 FAX(508)775-6526 December 3, 2003 Thomas A. McKean,Director Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Re: 73 Falmouth Rd., Hyannis Map &Parcel 311-071 Dear Mr. McKean: In response to your Notice directing us to connect the referenced property to public sewer, we are requesting an exemption. This is a freestanding building with only one bathroom, and we do not feel we should have to pay$845.00 for a hook-up. We are already paying our share for the sewer line. We would like a hearing on this matter in order to get it resolved. Please advise. Thank you! Kindly, Stuart A. Bornstein SAB:jk F t TOWN OF BARNSTABLE Date: d El New Application ` LICENSE APPLICATION snxrrSTABU, [ Renewal 200 Main Street :, ( r Transfer 16 Hyannis,MA 0260.1 Other 508-86274674 —► NO BUSINESS MAY .OPERATE WITHOUT A VALID LICENSE ON THE PREAUSES.4 Name of applicant/cor oration: p7O.44 ; C� 3 2t ! e?'- :. z?4�2 T ',� iome phone#. �._...--- g ---- Address of:applicant/cor o _�` Z�S �✓� /Tvnr �.---- --- - # t ...:: 7.....0:..../ ...C....... Business phone D/B/A _+ o �y_L,�_r?q V _© .� _ _.�� __..._ _-- Business phone#: S_-- -� __ ?GD�. Business location: _ - ,-- --- Business mailing address; _ ... __ Q�?:_ _... r � ._ °S ? _ :_� ' ?{„ �. __ __._._. Local business address. Local mailing add r ---- --- �.:___ ._�__ .- _--_- --=---- - -= ----:a.�-- ----- -- — LICENSE TYPa � v . c rZ uaf Seasonal .. ... k ....... :a.. .. .. o HOURS OF OP :�I U_— F i` - _ Name of manager:' - Local mailing address ....::..... .... ......... ........ ...:.:.:. .......: Manager's Permanent mailing address "�. {� �.� � t j / ------ Manager' 1 s home phone#: V �_CtL� __ Business phone#. Flo/I-7_32 _5+o}S _"""' ___ ______. Name of property owner : >3r _Ca,t�?a�A�-rc�a ._. : ..... ASSESSOR'S MAP/PARCEL#: MAP ;: 3j� `PARCEL t " O .::: List any flammable substance or hazardous waste used in business(specify): /lJaNc :Applicants must. contact the Building Commissioner's : off,i.ce, (508) 862-4038, the Board:of Health off:ice,' (50`8) .862-4644, and the .:appropriate Fire District office to schedul ... inspections. ` i Signature of appficant cr. sc €t2 1. c , c `p r�c.e6AC, C , ForTo iimr r REAL ESTATE TAXES PAID IN FULL.. � ' PAYMENT AGREEMENT IN EFFECT ON 1 IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES O NO ,:0 INSPECTORS APPROVAL __.__ _: __.__:_. _.__.__.. Capacity set by 8uildin f o `lnspeCtion .._.:� -- I Building/Zo ing -� ._._..- Date Board of Hea(th�,:.. _... Date _.:. ..: Wire ": ,�........_: ..... Date`_::.. - -... _ Plumbtn Date g .._..._. .. - ...___._ Date ._.__.._._.. Fire District ......_.. Date _.._._ Gas _:.::.._ _:._._.. .._....._ :_. -_.: ._..-._. i Comments:::_ --- ... ._.. _: _ ._..:.,-. ._..:_......._...... . i White.Licensing Authority canary,Health Division Gold-Building Commissioner Pink-Fire Department Page 1 of 1 Miorandi, Donna From: Gregory Straticoglu [atlanticcontractors@yahoo.com] Sent: Monday, July 12, 2004 11:30 PM To: Miorandi, Donna Cc: acomilegaldepartment@yahoo.com Subject: 73 Falmouth Rd. Notice#3351 Dear Mrs. Miorandi I received a call from Mrs. Bornstein today about a warning notice for 73 Falmouth Rd. Hyannis. You have listed as the offense nuisance regulation#1 1 small rug, 1 piece of carpet, 5 dead shrubs, 1 pipe 28 inches long(was really an upright ashtray) All the above items have been removed from the far rear parking lot along with three bags of leaves. The loam and the sand has been piled neatly in the farthest rear right corner of the lot. Dead branches and brush were also removed.. The loam remains and will be used for planting during the fall. I reviewed your regulations thoroughly. This property by no means should receive a citation or warning of a citation under this regulation.Non the less your input and request was obliged quickly. I just received this at noon today and the problem was addressed by 3:00 this afternoon. Please feel free to call me at 508-420-5879 or e-mail me. (' r `jog `Z7- ?9 The lot has and will be in compliance with the Merits of Chapter 111, Section 122, of the General laws, Attached are a few pictures from this afternoon at the site.I hope that this satisfies your requirements. Thank You Greg Strati 0i 009 \A1 Vv . Q V 7/13/2004 I\ wf. 1. t . � y.mw/ .. ra+� t•, A1'ks • v 0 'h.� ;'S ��4A • :�.i�w: ' � ryl Tl�'^ I` ���TN Y�-G"a* Y�/'7G;: �• , ., ,^=,.+,/ #•tL 1'... G "w• • a• .�ys 4}T Cy+r '4�YA d•f1• a.' d". ' f's=f .YM��t w C T r "'=+Ar a Eq#. A' ��� ��� �fi',7h`.uk� �•t,�',. 'F` a''c.,><,e.'Sys.,�� Y�����'i �°- 'y; rag � � .- }} ;� .•�N'"�"7�• � �w'_ ,,•f,•l•-'k-' k+l,�,sd' :•y,: �'.�-sX$T tiu,� j ttaYl�J •.`.w.-�F` y��' �.+'t:�� 'a��• '��"rtN t,1 � ij �"Myi..°�e .W' •p gti•4' Jar4+pt + -i.,� 7+ 1 'y�w^Y Y -•�+w1 "S:Se v > F#'t t .- n�' " `W .y '•F5 T'� "`3i'� r,f4?2s",tt ' yF4..�..f ,s 44 ,a�g „" •.^s ,, 1.v hz:.N" .`7.; • Z .,• •� �..�' .•s,,• t �'•-� '.:? I11_. .:i �rAOr�� ..�� rti .:.` 'wt:"r�-�� _.w¢.ti.•� .-'h"e�aa� s •�-a,. -,:�''r� .'f�.frA�.w.+'-�.`� z{. ..:.-^"`f :^�v!-+..,.,,,.r,,.T.-.+.+...- .��.. .. .m,Y.,. ::�•'o,,,r...a•!yr-r..ti�;,s�*",d'?h'V'P!i.'�'t��`.+.r..;Ya�R+r�":',...� `.3ri;".�*":.ac`.m,{ P �t �'.'z.-.r�.-r'- k a`'rr ^t'-` - TOWN OF BARNSTABLE BAR_yJ3 1 N Ordinance or Regulation WARNING NOTICE Name of Offender/Manager & ,1( r,._ Address of Offender f� � /p 9003 ►{►1 Lt '"�G" MV/MB Reg.# Village/State/Zip A/A P A r) (2n Business Name " Ili) Rd L M 1' 0 PA I lain, pm on Pf _/ 20/ N� - �- Business Address Lqj ,�i ', � ) f -� ;� Signature f Enforcing'Offi er""� Village/State/zip yf dt�..1 Locution of Offense I, !' �.MM j"� �( 1 /X.AUoe 044O �1` ll i �. I�t L4 14A ) /©_- } ( Enforcing Dept/Division Offensef + 11J�,I i �AN �?i,� { ICY !f 9 a Fact s LAPC. _ AICS � t }� G Ala T�` J.l') T/. Pl f L. s 0 4 QU 67S I'a 061-, Al This will serve only as"a warning. At this time. no le!galaction has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town (a(, Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. „r r.«5•-y am.:_�".'7"t'':"�...."._:_ q--c r'-•z� j:.:� -^q` 'A.-y,Y 'x..,.ruw-rae +..�.n. �.,.f5^a ,.,r•e r t 3F 3T z"�-:'.u , . -TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager STUARr 'Address of Offender MV/MB Reg.# Y `T Village/State/zip_ _ _ if Business Name ,,fpp; Lim APf1 =,.pm on -M, Business Address 1 � � l` E`r'�h f Signature -of' Enforcing Officrer"�'' Village/State/Zip Location of Offense L InYf Ane ,g6AL � 7 Q' `'''�� /,� Enforcing Dept/D`ivision Offense l J�'�' �0 J Lt'_L r< 6C, I��� 1� �FIV FactsaR 91L .3 c r Af 0),-DO/P T.2EAA 0, V)APiPr::j04D� o JUGS This will s.erve only as- a warning. At this time no 1 ga 'adtion has been taken. +f It is thelgoal of Town agencies to achieve voluntary compliance of Town [ „ „Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. f WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Health Complaints 08-Jul-04 Time: 1:00:00 AM Date: 7/7/2004 Complaint Number: 17547 Referred To: DONNA MIORANDI Taken By: Sally Shea Complaint Type: GENERAL Article X Detail: Business Name: Hollywood video-Stuart Bornstein Number: Street: Village: HYANNIS Assessors Map_Parcel: Complaint Description: Behind Hollywood Video the caller states that there are about ten dump trucks that are storing salt and sand. The caller states that the property owner is Stuart Bornstein. He is concerned if it rains that this may cause poblems. Actions Taken/Results: DZM investigated and took pictures. Shall investigate owenership and send a warning letter. Investigation Date: 7/7/2004 Investigation Time: 2:50:00 PM 1 Parcel Details Page 1 of 3 Back I Home I Government Departments Data below is based on Fiscal Year 2004 Assessor's database.. Details for Map 311 Parcel 071 Property Location Acreage 73 FALMOUTH ROAD/RTE 28 1.29 Owner of Record STUBORN LIMITED PARTNERSHIP 297 NORTH ST HYANNIS, MA 02601 Appraised Value Assessed Value Buildings $ 293,800 $293,800 Extra Building Features $ 0 $ 0 Outbuildings $2,500 $2,500 Land $464,400 $464,400 Total $760,700 $ 760,700 Construction Detail Style Store Model Ind/Comm Grade Below Average Stories 1 Story Exterior Wall Pre-finsh Metl Roof Structure Gable/Hip Roof Cover Metal/Tin Interior Wall Drywall Interior Floor Concr Finished Heat Fuel Typical Heat Type Hot Air AC Type None Bedrooms Zero Bedrooms Bathrooms Zero Bathrms Total Rooms 2 Rooms Building Valuation Living Area 10956 Replacement Cost $419,724 Year Built 1977 Depreciation 17 Building Value $293,800 http://www.town.bamstable.ma.us/webmap/assessorsk/dataviewk.asp?mappar=311071 7/8/2004 Parcel Details Page 2 of 3 w Outbuildings & Extra Features Description Units Appraised Value Assessed Value PAVING-ASPHALT 5500 $2,500 $2,500 Ownership History Owner Book/Page Sale Date Sale Price STUBORN LIMITED PARTNERSHIP 9711/330 6/15/1995 $ 100 BORNSTEIN, STUART TRUSTEE 8522/339 4/15/1993 $ 1 BORNSTEIN, STUART 7464/244 3/15/1991 $ 342,500 MOLLICONE, R B & TILLIS, E 5676/023 4/15/1987 $ 1 MOLLICONE, ROBERT B 5676/005 4/15/1987 $ 800,000 GRISHAVER, B & COSTA, A 4219/295 8/15/1984 $ 700,000 MARKEN, ANTHONY G II TR 3710/015 4/15/1983 $20,000 BEDFORD FRUIT& PRODUCE 11/15/1982 $23,537 MARKEN FOOD SERVICES 5/15/1982 $ 175,000 2004 Tax Information: Tax Rates: (per$1,000 of valuation) Town Tax $ 5,028.23 Town Fire District Rates 6.61 Barnstable 2.01 Hyannis FD Tax $ 1,544.22 C.O.M.M. 1.10 Cotuit 1.52 Land Bank Tax $ 150.85 Hyannis 2.03 West Barnstable 1.36 Due to rounding differences these Total: $6,723.30 values may vary Other Rates Land Bank 3%of Town Tax Building Sketch http://www.town.barnstable.ma.us/webmap/assessorsk/dataviewk.asp?mappar=311071 7/8/2004 Parcel Details Page 3 of 3 d� n F,, Sketch Legend BAS First Floor,Living Area SFB Semi Finished Living Area BMT Basement Area(Unfinished) TQS Three Quarters Story(Finished) CAN Canopy UAT Attic Area(Unfinished) FAT Attic Area(Finished) UHS Half Story(Unfinished) FCP Carport UST Utility Area(Unfinished) FEP Enclosed Porch UTQ Three Quarters Story(Unfinished) FHS Half Story(Finished) UUA Unfinished Utility Attic FOP Open or Screened in Porch UUS Full Upper 2nd Story(Unfinished) FST Utility Area(Finished Interior) WDK Wood Deck FTS Third Story Living Area(Finished) FUS Second Story Living Area(Finished) GAR Garage GRN Greenhouse PTO Patio By using this site,you are agreeing to the following terms and conditions. DATA SOURCES: Assessing information is based on FY2003 data. NOTE:The parcel lines on the map are only graphic representations of property boundaries. They are not true locations,and do not represent actual relationships to physical objects on the map. For more detailed information on map data sources and accuracy,click on the hyperlinks in the map legend. Developed by Town of Barnstable Information Systems Department-GIS Unit. Send comments or suggestions to gis@town.barnstable.ma.us I http://www.town.bamstable.ma.us/webmap/assessorsk/dataviewk.asp?mappar=311071 7/8/2004 AMV s M. v1L ri i xAr t�'i „t� � �• fir�i� t t•YgJ�d�"'� �5�+1 }iR tr���.+�^ �,` +�,^ .k. �9 cyi t r,' p •V�1 � ��Z��"4�''�t`v���n�tIT`' Y��A 3+ yra''R+�•�. '� .1. r f p (eyt+ 1� Y� t r • t ��r ,- Ci�1.; t, •� ,,y' rr•,t lj��� �s14pt1��rt9q�y#J•y�' y >���4 /.�•d7y,�,«I.r �,`i i ;..�~t >�' y3 , `G e{l`� , � 11, 4I� 5;'S,��y� � .�A�i�ty�}1�' �yy�i }:• •4 � • S^• �... t. i 11. 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Uri 4 sr a >�Jrib rill, i �- 3il - r� 71 0-7 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: I AC__%-04 V^2 Board of Health MAILING ADDRESS: Zr► 014 Town of Barnstable TELEPHONE NUMBER: 9yo - 1I_� P.O. Box 534 CONTACT PERSON: ARJAdA Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities tot I 'ng, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NC This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered z Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants r Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants t Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic.-soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business No..dz=... >e—s w �a FEB.. ... .......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........ ......... ................OF_........................................................................................ Aptiration for Elispatiai Works Tnnitrnrtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ><I an Individual Sewage Disposal System at: 7-3 .....-•••-------....... -•-•--•--------- ...................... •-----•---....••------....._......----....._..----•--•----•-•---•---------......_......---•------- cation.Address or Lot No. ....... _C !Y....... ...'JlS . ................... iiioi Owner ................................Address... ............... .......T..--.. ...---..... f.• ,a.,.. Install Address �. Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures --------__________________________ w Design Flow............................................gallons per person per-day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. . Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) � Percolation Test Results Performed by.......................................................................... Date........................................ a4 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ....................----••--•--------•••---•-•------•-•-----------------•--.._.......--•---••---------------•--•-••-•--••-•--•---•--•---......---•---•-.---- 0 Description of Soil.................................................................................................................----------------------------------------....._..----- x U ---------•-------••-•---•-•------•---•----••-----•-------------•-•......---•-----•-•-------------------------•--•-------•--•-----------------•-•••--•---•----------------•..........---------•---------- w x �} U N ure of Repairs or Alterations—Answer when applicable....__e--V -T?v^/........®t___.._�E' -1 �TJ Qa- C`J .....................................---..11cc31� _Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTT 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss d by thy,board of health. Signed........ .......... Date Application Approved BY E /�!?'atl--......._.. -ealleof ate Application Disapproved for the following reasons------------------------------------------------------------•----------------------------------------------.---•- Date Permit No......................................................... Issued......................... .............................. Date No.... ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ........ ..............------.OF.......................................---------------------._........................... Appliraiion for Disposal Works Ton.6trurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at .,Location Address or Lot No. . +�2 a,+ :r.�S .. ..... :._..--•---•----•---•. .................................... ....•.............................................. Owner Address W - ...................................................--......---------- ----•••......... ............. al � � Install � � Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( } Other—T e of Building No. of persons............................ Showers — Cafeteria G4 Other fixtures -----------_---_----------•-•-----------. ------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area........:.........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by..............................................................•-•--•----•. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------•---------•-------•--................----------------........-----••---••-••-•••---....--•-••••-•-----•--.._._._........-•••.....----•-•-••••-- 0 Description of Soil.................................................•--.....---......-----•------------•-----------•-------------------•-----------------------------------•••--•-•-------- x W ---- ------ ------- --------- -------------------- --------- --------- ------ ------ ----- - - - ------------ U N re of Repairs or Alterations—Answer when applicable __ - f,1 r ,T!.il!`!_........ ��.....Vie' �" .. j •?....j------="C----,-------------------- --- ----- .r Via------`-------------------------------------•--•--•----------------------------------••-------•- - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'.'TT p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu by th board of health 44 Signed........ .................... 'f ...... Date Application Approved By------. ....... ...................•. -------2-/ 1--/ ----------- Date Application Disapproved for the following reasons--------------------------------------------------------------•-•----------------•--.....---•---•-----••-••---•-- --....--•-•-•-••-•--•-------------------------------•----•-------------------------...----------....-------•-----------•--------•---------•-•---•--•--------•---- .................................. Date Permit No.................. ................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS s BOARD OF HEALTH ............ ...OF......�����. ............................................... Trrtif iratr of Trrntplittnrr THIS ISTO CERTIFY, That the Indiv• ual Sewage Disposal System constructed ( ) or Repaired (, by----------- ------------ ----- a � :-------------•-----------•----•-------.---------- ,! Installer has been installed in accordance with the provisions of TIT j of The State Sanitary Code as described in the application for Disposal Works Construction Permit .............. dated----------...................................... THE ISSUANCE OF THBS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION ATISFACTORY. DATE--•-•--•--...--••-•--•-..._••-•1t' -Z-2/� ..................... Inspector---..1.5 0 .............................. THE COMMONWEALTH OF MASSACHUSETTS 4 BOARD OF HEALTH ®i ............�5 No....... FEE ..................... Diopnsal Vorhpfin ' n rrnti Permission is hereby granted----- - -!?.. _ ..... to Construct ( ) or Repair ( �an Individual Sewage Disposal ystem - atNo. ........I� ............ -:.............-------................--------...................................................... Street as shown on the application for Disposal Works Construction Pe it No.__........ ..__.. Dated.......................................... DATE.................................... ---�,.���----------...---- 15ard of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS No._7%d�0 ... Fx$......Z,....~�e..... THE COMMONWEALTH OF MASSACHUSETTS ro BOA HEALTH ...W.-f----......0F.........1.. A. ..., -. :..r9. ..lC ................ Appliraatiun for 11iupuuttl Works Tomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at.. .... T% 0. .............. --...........-------- ....-- •--�yAAJJV T-. ------ ------------- ...:z. L ion-Addres or Lot No. ...Al .simmau'r------ ------------------------------------------ ......� ,�'..�, .f... , , .........---- wner .• -•--- Address o' - ----------------------------------•--•------ --.6i -kar...r���...+' Installer Address Type of Building U Dwelling—No. of Bedrooms............. ...._Expansion ttic ( ) Garbage Grinder ( ) Other—Type p, of Buildin � .g-S . ....._•.•--• No. of persons...... ................ Showers (J ) Cafeteria ( ) Q' Other fixtures -------------------------------• - W Design Flow....:.......................................gallons per person pe day. Total dail flow__.... `7.3__.._................._..gallons. WSeptic Tank—Liquid capacity/&A...gallons Length----- ...... Width..... ._ Diameter________________ Depth................ x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area_.�s�� ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..........._.__....sq. ft. z Other Distribution box ( ) Dosingtank ( , ) Percolation Test Resu ts� Performed by-_ 15�111��.-a.............................•..__............. .Date.. L�....._ ..__. Test Pit No. 1. (_. ..-----minutes per inch Depth of Test Pit.................... Depth to ground water...A?__G,eA -,.L 011 (i Test Pit No. 2... ...._minutes per inch Depth of Test Pit.................... Depth to ground Water------------------------ �+ ................................................ ---.-------•-- �_Q.R_�......P _ �- •---• " ...................................... O Description of Soil... Q• - -. =- -- V -A- XAA� �`7L24�' -------------------------•-•-----------------------------------------------------------...--------------- =® :YAa� W -------------------------------- � - U Nature of Repairs or Alterations—Answer when applicable................................................................................................ ---•---------------------•-----••--•--••--•---------------•---•---------------------...............-••-.....-•-••••••••-•-•••--••-••••-•-•••-••....•-•-•-••--••••-•••••--••......•-••••......-•-•.•--•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI- 5 of the State Sanitar e— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ssued by th b of h 1 h� Signed... --------- ............... . ................................ r Date_ ` U i ../APPlication Approved By-•-• Date Application Disapproved for the following reasons-----------------------•--------------------------------------------------------------------•-•-•--••--•---...... .........................................••-•--•......--•-•------•--•--•••••----•••-•---•-.........••------....._...._......----•••---•---••----•-•---•-••••----•••-----••----•----•------••---•--•--•-- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOA HEALTH ...1.. .��F.......O F......:...r. .1S..I •................ Trrtifiratr of ToutpliFanrr TH.Lj IS 0 GE TIFY®T at e Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--•-..... ........ .-•.....-• - Installer at............................AT...... ..............44�.,l -ilaN1 has been installed in accordance with the provisions of TITLY, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated--. 7____......._..__.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................................................•---......----••------•-•-- . Inspector.................................................................................... -� No................_....... Fins.....ZS................ THE COMMONWEALTH OF MASSACHUSETTS �.. BOARD-,C�f= HEALTH .......OF....:.............f�..s2 _..1.... 0 Appliration for Disposal Works Tonotrurtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: --- _-R- ................................1_ A.1� ...i1Z ------------ -------------------------------------------------------------------------------------------------- Location-Addres� or Lot No. .14!. ... -----------------------•-------------.... t�ly_/1.�N�%�_5 ........ .. ^-� Owner - Address- or n G C -� ��-s� � --1 --1V.1� cu��.� Installer Address dType of Building Size Lot..._.as2_4----V------Sq. feet U Dwelling—No. of Bedroo s_____________ .....Expansio ttic ( ) Garbage Grinder ( ) pa, Other—Type of Building .T���_:1__....__.... No. of persons_____. ______________ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------------------------------------------------ Design Flow............................................gallons per person per day. Total daily flow_.__._�_-3.................._ gallons. Septic Tank—Liquid capacitA20..._gallons Length____________ Width._..:..... Diameter________________ Depth r____________... Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area.4c?P_4�_____Sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin tank 4 ) '-' Percolation Test Res It Performed by. � !!_±<,!G--- ff a % ---••---- --------------------------- Date_7/,_/V----•�-?r Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water..VX..�t_>!+f4A_ A rl Test Pit No. 2__1__I.._...minutes per inch Depth of Test Pit____________________ Depth to ground water........................ •;------------------------------------------------------------------- ................................................................................ -1'_P,`:1_--_-- PA � <L �....._�2.A•` •C -----••-•--••-•••••-•--•••••-•---•---••-••--•--•-----•-------------------------•--- ---------------------•----------- - -- -------------- W � - u I r�«tee / _________________ _ _ _ �a C_�}.,_�_}�__�.....C. _ �__;.___._!•ff___........________.....___........_...___.___............_...._._..........._........__._......... UNature of Repairs or Alterations—Answer when applicable____________________________________•______:__•_•-_____________-__-_•-_-_•____-__•_•__-.______- ..••---•--••••------•••••-•---•---•--•---•-•--•-------••••••-•-•--••••-••--•••--•--••-•....................•--••••••••-------••••----•-•---•••--••-----••--••------•-•-•-•--•----••-......•---------•--- Agreement: _ The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T I E 5 of the State Sanitary de—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has'b e issued by t Jb�ar of 1 Sig �.a ......%u '-rf!. _ � : ? Date Application Approved BY = ff. .4?.._� 1��`_ 77 Date Application Disapproved for the following reasons________________________________________________________________________•_._____.. .......-• ---••----..... ------------------------------------------•-----------........---•.............................-........................................................................................................ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS • :..r.�'� B®A HEALTH � .................�..,J�`.,.......OF......�/� ................ &rfifiratr of Tontplionrr T IS 0 C TIF aA Individual Sewage Disposal System constructed ( ) or Repaired ( ) by------ _0� 1 ---- ...... -•--------•. .----•-•-- •-•-•--•-•....----•••--•-.........••...................••--...._..._.........--•------ Installer at................... ' _ .� -,,.Installer _-"-----_-..--•----------------•-----•------------------------------•--•-------•------------ has been installed in accordance with the provisions of TITI� 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated__77_l_ '_..?7__.__._._._._._..._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector•-•-•---•-•-•-•••••••-•----•••-••••••-•••-•-•--•••-•-•-•--•----•--....._-•---__-•-- THE COMMONWEALTH OF MASSACHUSETTS ' B F HEALT =j=- � ........................... OF.. No.... ......`......... FEE.-..�.............. Bisjlos I .ork Toner ton rrnti# Permission is hereby granted ------------------------------- •--•-•--•••- -•••--•--•-•••-----•--•-•-•••-•...............•••--•..........._.... to Construct O' l pair ( ) an Individual SewayeFisp�js�al System atNo......................................a..8-----•- > ..ZJ_c.-------N...... y f ............................................. Stlreet as shown on the application for Disposal Works Construction Permit No/:__ :..__ �_ Dated.._7-1 1�_..�.�__...__. �- r =�---�`� '�----••----•------------- /_7� Board of Healty DATE------------------------•----------/-------- ----....----••-•-----------------•-- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS — — — L_ _i - „ti!� -�;'.4 ,S.. �c a- -?I 1, ,'s - .,z -d -�s � k .•a �'"5,:.- 4?:i ..;, !g -'?�ia. p w ': ,_ .�i��.����W�•.:_.. ._...at -> .i•: r.t_. -:.� `s? ,:. .:w �.a. "?a�..* ::�.�n;;c„>: � „ti,^,.., - ,-�,3='... -:�. ..*.r.. -il`�-t_- ..:a+`ti! 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'^"c':.x*t��Y�}+y..�+r ..+�:;"''4,,tr.,d(.,�I}i�A�,���t♦l 6!1'1'��'•�.•3j,-�SY1�/�bE - � p:0 M « R .4. T, iw LTaS.b.k :rr- ,r-i: `i YR .7 N 4Y� J >• 5 'iYb' *"p'> z. -}-�: k *?A:- 4c•#+* �i' -L�....:.0 }' =�`�i- t, � #' '`� �su rr„i:, •r F ^�'+' ,-r ,,,....7 T 'x` f t .d x^ > S-•='.'aw1✓L �R ' ` Y`'r CLf�P L1_1n,La -5ar11u5 ii5 DEPARTMENT OF PUBLIC HEALTH DIVISION OF FOOD AND DRUGS a (� 527 State House Boston, Massachusetts 02133 APPLICATION FOR REGISTRATION by RETAIL FOOD ESTABLIS11MENT In accordance Kith the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the commonwealth of Massachusetts application for Registration is hereby MAIL TO made by: Board of Health (Print or t)pe) Town of Barnstable C U c� �P.O. Box 534 FIRMNA'�1E S UIY C21 11 S, M a s7sacl-n3sufts 02Sol FIRM ADDRESS y = � Street city or town Zip Code STORE ADDRESS Street City or town tip Code (Each store must be registered individually.) Type of Business ' CORP (check one) ORATION PARTNERSHIP SOLE OWNER Date of A lication J City or Town where filed /✓ �/ Pp Name of Corporate OfScers: (to be signed by each) President s/ 0 0 Treasurer: Name Addrw Clerk: C, Name Ad&.,s Frame of Partners: (to be signed by each) Name Address n Name Address Name of Sole Owner: (to.be signed) ' Nam. eadrn. Person Preparing Application Title STORE SELLS: Meat `� Produce "- DGroceries \ f�auy '- or zen Foods (Duplicate copies of application should be filed with local Board,,of.. Health; or Health Department.) �r Fors PH-F-70 30K.7-88-84778E \` L , , e- J CAPE '¢ ISLAND PRODUCE � 73 tFaolmo�itfi R&Ad } .H antiirss r \ ' �g , Y, 02601 ''` Y J.- _ r'.- r ��� ,•,�'\9i� E S� t S i ,�r•f' '>1 1 - r r w December 1/28/85 a TAM CAPE &'.ISLANDS PRODUCE 73 Falmouth Road- Hyannis 62601 December. 31, 1985 1/28/85 a/TAM . i � TOWN OF BARNSTABLE BOARD OF HEALTH Date ..................................... Food Handling Establishments Timer......�S.Ids................ A.M. :CA PF ' AN-bP-M,751)qVj D�A44 P(W Name .........................................................1........!.............. Address ........................................................ Owner ................................................................................... No. of Food Handlers ............................................................... Compliance Points/Item YES. NO Remorics.or Recommendations 2 Floors 2 Walls and Ceilings L 15/1144tv WOT i7N'tiZ-ArGe 2\Doors; and Windows 2 Li Ming 2 Ventilation 2 Toilet Facilities lie 6 Water Supply 6 Lovbtory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment. 4 Cleaning of Utensils 6 Bactericidal Trea tment of Utensils 4 Storage and Handling of Utensils oo 6 Disposal of Wastes 6 Refrigeration V_ # 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 holesomenesi of Shellfish Storage,,of Food and Drink �oc)c T, PAIR, vk44 6" isplay and Serving of Food and Drink CLZAo-Imb AP, , 4 Rodent.Control C4 D .60 6 Cleanliness of Employees 0 DC;K 6 Miscellaneou's ............................. .............................. .... ........... ............................ ( (/r ................... Per- ns Interviewed) (Inspector) TOWN OF BARNSTABLE t BOARD OF HEALTH Date ...... ..:..�.5................. Food Handling Establishments ,r J Time ........ A.M.f........c Name ......�...... �, 'f�...:.... ............ f. ......... Address Owner .................... ........................................................... No. of Food Handlers ...............<--".`-. ................................... Compliance Point Remarks Remarks or Recommendations YES NO .r 2 Floors _ 2 Walls and Ceilings Pik : 2 Doors and Windows 2 Lighting rrr' 2 Ventilation ' w 2 Toilet Facilities ,yya 6 Water Supply 6 Lavatory Facilities ' 2 Construction of Utensils & Equipment �Zt ' 4 Cleaning of Equipment Z 4 Cleaning of Utensils C) L-u 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils K, 6 Disposal of Wastes h r 6 Refrigeration T ` 6 Wholesomeness of Food rje~ 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 4 Rodent Control h t. 6 Cleanliness of Employees 6 Mis�llaneo ti ................................................................. ........................... ............................. a (Persons Interviewed) (Inspector) LJ�{L k..,.1-j 11 t"l"A t-"A'i, Ui L1r Y� �r•u�_ ..�...�_..���.� DEPARTMENT OF PUBLIC HEALTH 4 J- DIVISION OF FOOD AND DRUGS . 527 State House r Boston, Massachusetts 02133 APPLICATION FOR REGISTRATION by RETAIL FOOD ESTABLISHMENT In accordance Kith the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the Commonwealth of Massachusetts application for Registration is hereby MAIL TO made by: Board of Health (Print or type) Town of Barnstable �- f �� oD v «' P.O. Box 534 FIRM NAME lIt - ris "assachusufts 02601 FIRM ADDRESS 3 �f4 /)`'I D U 4fN&Z 6210 0/ . Street city or town Zip Code STORE ADDRESS Street - City or town Zip Code (Each store must be registered individually.) Type of Business (check one) CORPORATION . PARTNERSHIP SOLE ONVNER Date of Application J City or Town where filed Name of Corporate OfEcers: (to be signed b each)' President: ? v U 2.G�.•� i Treasurer: �'� d U f N.me Address Al Clerk: �C"�-�Gt. �� - •�--.,..--,-- 2�`—���� �:� �-�8'�-��� . Nuns. ' Add`rra Nate of Partners: (to be signed by each) Ne 9s Addre" Name Address Name of Sole Owner: (to be signed) Name Address Person Preparing Application!�y Title STORE SELLS: Meat �roduce ✓Dry Groceries Dairy Frozen Foods e (Duplicate copies of application should be filed with local Board of .Health or Health Department.) Form PH-F-70 30M.748-84778E J r 5 TOWN OF BARNST�BLE 1 BOARD OF HEALTH Date ..................................... Food Handling Establishments AM: Time ' 'r•, � .........P.m J Name .................. "~ ......:. ...... .... .: ....... Address ................................................................................... Owner .................................. No. of Food Handlers ............................................................... ................................................ Compliance Points/Iltem TES NO Remarks or Recommendations 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting ; 2 Ventilation -- 2 Toilet Facilitie$ 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment � ' 4 Cleaning of Equipment fir-. 4 . Cleaning of Utensils 6 Bactericidal Treatment of Utensils- - �} 4 Storage and Handling of Utensils. 6 Disposal of Wastes I 6 Refrigeration / 6 Wholesomeness--of•Food 6 Wholesomeness of Milk Products .� I 4 Wholesomeness of Shellfish .......... i 6 Storage_of Food and Drink . 1 6 Display and Serving of Food and Drink 6vi1t�u' ,rV) . C Jil At 4 Rodent ControlC�r� ;��: b Cleanliness of Employees `41PA5 6 Miscellaneous - -TA L ............. l 1 .. \ I �1 f� .. i r . (Persons Internew (inspector) w r of Tommonwralt4 of Massar4luirtts DEPARTMENT OF PUBLIC HEALTH DIVISION OF FOOD AND DRUGS SERIAL N° 796 ANNUAL FEE: $100.00 FOOD PROCESSING REGISTRATION REGISTRATION NO............faS.2...................... Date of Registration............APFUL....1..1....................................19 .8.5...... REGISTERED UNDER HIE PROVISIONS OF Section 305C Chapter 94 OF THE GENERAL LAWS CERTIFICATE OF REGISTRATION NAME OF FIRM ............... ................:..................................... ............. LOCATION.........7.. FALMOUTH...ROAD,.,..ROUTE........�.......:.....Ii�fl�t�t�S.,.........................MAS.S,A.CHU.SETT..S....................:.....................(1260.1............... .. STREET CITY OR TOWN STATE ZIP CODE TYPE OF BUSINESS.........PROCESSING,....HANDLING,... ........................... ..........................................................................................:................................................................................................................................................................................................................ r .. ................................. .. ... .... .... ..... ............... - r Commissioner of Publif Heal 4, THIS REGISTRATION IS NOT TRANSFERABLE 7 ' �ti � a�S � �"1� �'�`-•mom"�" APR 1 61985 �' * — DEPARTMENT OF PUBLIC HEALTH t. DIVISION OF FOOD AND DRUGS SERIAL N_0 174 FEE: $100.00 FOOD PROCESSING ° REGISTRATION REGISTJ:ATION NO.........23..l.................,........ Date of Registration..........JUNE 30 Yy .8.3..... g ....:............................ REG.t 'TERED UNDER THE PROVISIONS OF Section 305C Chapter 94 OF THE GENERAL LAWS CERTIFICATE OF REGISTRATION NAME OF FIRM: .............Z1ARF.IY....F.Q.Q.D....S. .R.11 .G. ......INCORFORATED................................................................................................................................... f LOCATION.........73...FALMOUTH...ROAD,......ROUTE...28.........................:.....HYANNI$.............................IIASSAG IUS T. .S.................................Q.2.C.Q.1......... STREET CITY OR TOWN STATE ZIP CODE TYPE OF BUSINESS............PROCESSING, PREPARING,,...DISTRIBUTING...,,WHO.I,_ESALE...................................... ................. ...................................................................................................... ..................................................................... 1 /Xub.] on, issioner ofa h THIS REGISTRATION IS NOT TRANSFERABLE S —` DEPARTMENT OF PUBLIC HEALTH DIVISION OF FOOD AND DRUGS 527 State House Boston, Massachusetts 02133 APPLICATION FOR REGISTRATION by RETAIL FOOD ESTABLISHMENT In accordance with the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the . Commonwealth of Massachusetts application for Registration is hereby made by: (Print or type) FIRM NAME / FIRM ADDRESS Street City or jtwn zip Code STORE ADDRESS Street City or town Zip Code (Each store must be registered individually.) Type of Business check one _ /RPORATION PARTNERSHIP SOLE OWNER . ( ) Date of Application City* or Town where filed Name of Corporate Offic r : (to be signed by each) President: - Name Address r G Treasurer: ` Nam Address Clerk: ' Name ddresa Name of Partners: (to be signed by each) Name Address Name Address Name of Sole Owner: (to be signed) Name Address Person Preparing Applicatio Title Gam^ STORE SELLS: Meat Produce Dry Groceries Dairy Frozen Foods 8 (Duplicate copies of application should be Sled with local Board of Health or Health Department.) Form PH-F-70 30M-7-88-947708 T01,1N OF BARNSTABLE APPLICATION FOR REGISTRATION by WHOLESALE FOOD ESTABLISHMENT In accordance with the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the Commonwealth of Massachusetts application for Registration is hereby made by (Print or type) FIRM NAME FIRM ADDRESS Street City or town . Zip Code STORE ADDRESS re et City or tom Zip Code (each store must be Registered individually) TYPE OF BUSINESS (check one) CORPORATION PARTNERSHIP SOLE OWNER Date of Application City or Tom where filed NAME OF CORPORATE OFFICE S : (to be s ned by each) President : N :e Addlr es s 7� Treasurer: Name Addre s Clerk: im Name Address , NAME OF PARTNERS : (to be signed by each Name Address Name Address NAME OF SOLE OWNER: (to be signed) Name Address Pe Pre pax ng A lication Title STORE SELLS : Meat Produce Dry Groceries V Dairy Frozen Foods t Gz- -AL 1 APPLICATION FOR REGISTRATION by RETAIL- FOOD ESTABLISHMENT DIVISION OF FOOD& DRUGS In accordance with the provisions of the Regulation promul- gated under authority of Section 305-A of Chapter 94 of the General Laws of the Commonwealth of Massachusetts application for Registration is hereby made by: (Print or type) FIRM NAME FIRM ADDRESS City or own Code STORE ADDRESS treet ty or town Z p o (each store must be Registered individually) Type of Business (check one) CORPORATION PARTNERSHIP SOLE OWNER Date of Application ���pl �-� �� City or Town where filed a '. l'� - Name of Corporate Officers: (to be signed by each) President: (2e,Q-0!qe Na me ress Treasurer: 0 l( �� ameI Address Clerk: ' Name of Partners: (to be signed by each Name Address Name of So Owner: (to be signed) e or 7 V, Ad ess Person Preparing Applicat 121hvzj 14 Title STORE SELLS: Meat Produce Dry Groceries Dairy Frozen Foods ORIGINAL FOR LOCAL DEPARTMENT OF HEALTH COPY FOR STATE DEPARTMENT OF PUBLIC HEALTH December -2,. 1983` Manager Cape Food Service d/b/, Madan , 73 Falmouth Road' Hyannis, Ma'. 02601 ; 'Dear Sir/Madarids Your current Wholesa�E rlgrket Registratipn will' expire Decembers 31, 1,983, and must be renewed- by,,',januq;y ,: I98t4 :The , fee ,,for T984', , Will be,$30.00 ":PIe' s'e make checks payable to ttie Towp of ;tlarnotabae Please complete and 'return the'.-enclosed form to,.the,$oard 4f '(Hr.+eaLt��h,, V. 'b: Box 534,, 1�y f an Ls r 26U1.,` a �,i ,tl} your c iec�C;for, 6. if yau have anY 9-ue , e�Ct7trision' 182.ator�s lee eal :P -Very, truly yours, ' r 4 .lohn M. Kelly,,'. �f r 'Director of Public Healthz JMt/mm r encl. .1 c, "• A t ,_,t s ; , �. } , }, + ' ` TOWN OF BARNSTABLE BOARD OF HEALTH Date ..' �......`................. Food Handling Establishments Time A.M. + P.M. Nam ..................... .......r..................................... Address ................................................................................... Owner .................................................................................. No. of Food Handlers ............................................................... Compliance Points/Item YES a Remarks or Recommendations T-142 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities n�Ti 6 Water Supply �t..v 6 Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes 6 Refrigeration ' 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 4 Rodent Control 6 Cleanliness of Employees M 6 Miscellaneous � . .......................... ..................... .............. ................... (Persons Interviewed) (Inspector) TOWN OF BARNSTABLE BOARD OF HEALTH Date Food Handling Establishments Time .................................. A.M. P.M. Name ..................................................... Address OwnerI .................................................................................. No. of Food Handlers ............................................................... I Compliance Points/item Remarks or Recommendations YES NO 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils. 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes 6 ,Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of, Food and Drink -4 Rodent Control 6 Cleanliness of Employees 6 , Miscellaneous ................................ .................... (Persons Interviewed) (Inspector) -",-,.-TOWN OF BARNSTABLE BOARD OF HEALTH Date 1.v4` .... Food Handling Establishments A.M. Time ....................................... P.M. Name . .....�7`............................................ ...... Address .Owner .................................................................................. No. of Food Handlers ............................................................... Compliance points/Item I Remarks or Recommendations YES NO 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning.of Equipment 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes 6 Refrigeration Ij 6 Wholesomeness of Food Z. V-1 0-4-0--pt- 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink �4 Rodent Control 6 Cleanliness of Employees 6 Miscellaneous .................... ....... .... �.....:.....................:.. .... (inspector) (PesoZn-sl ..�ie,�ed N OF BAR1V ► B � BOARD OF HEALTH Date ..::`. Food Handling Establishments Time .............A.M. Name ..... vti. ,,.:}................................................ Address ...............................................................:.:................. Owner ..................................... ......................................... . No. of Food Handlers .................. ......... ,.....:.......... ��. Compliance Points/item YES NO Remarks or Recommendations',, 2 Floors 2 Walls and Ceilings 2 Doors and Windows l `. 2 Lighting 2 Ventilation 2 Toilet Facilities "�`" ? 6 .Water Supply t 6 Lavatory Facilities 7' 2 Construction of Utensils & EquipmentIV 4 ;{leaning of Equipment 4 Cleaning of Utensils �'�" . -,.• `'°`"�"'` 1 6 Bactericidal Treatment of Utensils 4Storage and Handliq oflFUtensils x` 6 Disposal of Wastes 6 . Refrigeration a N 6 Wholesomeness of Food 6 Wholesomeness of Milk Products:. ¢; t 4 Wholesomeness of Shellfish "V 6 Storage of Food and Drink 6 Display andfServing of Food and Drink. 4 Rodent Control ' 6 Cleanliness of'Employees • x _ 6 � 'Miscellaneous .... .(Persons I nteruiewed) ....o,....... - . t' ,ram. _ ....... ......... .... ector) TOWNOFB`AR°NSTAB�L'E? 6 ' `t6 '6RI . p BOARD OF HEALTH Date:.. �� ....�. .� .`�. _ .. Food Handling Establishments Time A.M. ................................... 1 P.M. Name1 p,..�� �..�, ....�...:....l o ,.,..... r :>............... Address ..... ....... ....�"�^: Owner .................................................................................. No. of Food Handlers ................. Compliance Points/Item YES NO Remarks or Recommendations 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities Cr C Z-; �•. 6 Water Supply 6 Lavatory Facilities t2 Construction of Utensils & Equipment V u 1..4 Cleaning of Equipment 4 Cleaning of Utensils . :� . b Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes b Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink ' 4 Rodent Control 6 Cleanliness of Employees E 6 Miscellaneous T-T .4.. . ; ........ ...................... ?........ ............................... ..... . z. , . (Persons Interviewed) spector) l TOWN OF BARNSTABLE . BOARD OF HEALTH Date ....... Food Handling Establishments Time A.M. Name ........ Address ..... ........ , Owner .................................................:....................I........... No. of Food Handlers ............................. ............................... Compliance Points/Item YES a Remarks or Recommendations 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting - 2 Ventilation 2 Toilet Facilities . 6 Water Supply - E " 6 Lavatory Facilities 2 Construction of Utensils & Equipment , ; 4 Cleaning of Equipment 4 Cleaning of Utensils 6 Bactericidal Treatment-of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products ',} 4 Wholesomeness of ShellfishF z 6 Storage of Food and Drink 6 Display and Serving of Food and Drink f_ 4' Rodent Control 6 Cleanliness of Employees '' 6 Miscellaneous Per Interviewed).................... Inspector) ......... TOWN OF BARNSTABLE BOARD OF HEALTH Date Food Handling Establishments Time 6.�,................................A.M. P.M. ..................... Name .......... .................. Address ... . ............................................. Owner ....................................................................................... NO. of Food Handlers ............................................................... Compliance Points/item Remarks or Recommendations YES NO 2 Floors 2 Walls and Ceilings --7- 2 Doors and Windows 2 Lighting -A 2 Ventilation 2 Toilet Facilities 6 Water Supply Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils j ej QL", 4 Storage and Handling of Utensils 6 Disposal of Wastes 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 4 Rodent Control 6 Cleanliness of Employees '6 Miscellaneous .................... .................................... s interviewed) (Inspector) IMPORTANT MESSAGE FOR A.M. DATE _TIME P.M. OF- PHONE Dj ► --i 46 C ARE COD NU ER EXTENSION TEE PHONED PLEASE CAL CAM"E TO SEE YOU WI L CALL AGAIN WANTS TO SEE YOU d RUSH RETURNED YOUR CALL SPECIAL ATTENTION MESSAGE SIGNED LITHO IN U.S.A. TOPS 3002-P CAPE OFFICE PRODUCTS INC. (617) 775-6000 145 BARNSTABLE RD.. HYANNIS, MA 02601 e �4Qi.�;yu9'1;1�k11 L'ni+4R � � 4 .tOWN OF BAR�NST�BLE BOARD OF HEALTH Cf� .7.,.�.. . : .. Date- ...... ....... . Food Handling Establishments -Time .......................................A.M. s P.M. Name .... :.. .." ... ...... Address Z-. ! .................................... .................................... Owner ................................................. ............................... No. of Food Handlers ............................................................... Compliance Points/Item YES NO Remarks or Recommendations 2 Floors 2 Walls and Ceilings r� 2 Doors and Windows a 21 Lighting 2_ -Ventilation , 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils �6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes ` 6 Refrigeration f 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food'and Drink 4 Rodent Control 6 Cleanliness of Employees 6 Miscellaneous r .,�-� ........... .......................... (Persons Interviewed) (Inspector) -CAPE TOOD SERVICE d/b/a MARKEN 73 -Falmouth Rd. Hyannis 02601 4/3/7.5 12/31/83 r A 1 : Town of Barnstabl e' Date 312,� Type Time Inspection Form for Food Handling Establishments Town of BARNSTABLE Name� '�°� � ��_ jroo/) SeT t/l4 . Address L X Licensee Owner Item Regulation Item Yes .No Remarks 1 14 Floors—Construction,clean,good repair 3 2 15 Walls&Ceilings—Good repair,cleaning methods 3 3 14 Doors&Windows—Screened,self-closing 2 4 16 Lighting—Adequate,fixtures shielded 2 5 17 Ventilation—Adequate,systems maintained 3 6 8 Water source—Safe,hot& cold under pressure 6* 7 11 Toilet Facilities—Self-closing door, clean,good repair,waste cans 3 8 12 Lavatories—Hot&cold water,signs, soap,drying devise 3 9 6 Construction of utensils&equipment 2 10 7 Cleaning of equipment 4 11 7 Cleaning of utensils 4 12 7 Bactericidal treatment of utensils 6* 13 7 Storage&hand-ling of utensils 4 14 13 Disposal of waste—Covered,adequate,vermin proof 5* �j �tZ Qffl, 15 3 Refrigeration—Temp.off floor,food covered 5* 15a 3 Thermometers present 2 16 2 Wholesomeness of food 6* 17 2 Wholesomeness of milk products 5* 18 2 Wholesomeness of shellfish 5* 19 3 Storage of food&drink 5* 20 3 Display/serving of food&drink 5* 21 14 Vermin control 4* 22 5 Cleanliness of employees 4* 23 3 Storage of toxic chemicals 4 24 Miscellaneous 5 1 Total out of possible 100 *Critical Items require immediate attention— Reasons for compliance on reverse Received by? } Inspector/ ' I .k Health Department Regulations Require Conspicuous Posting of the most Recent Inspection Report AREAS OF CONTROL FOR,FOODBORNE ILLNESS Reason numbers refer to item numbers. #16 Wholesomeness of Food:To control foodborne illness and food spoilage,which may result from improperly processed or handled food,the food service establishment must be concerned with the sources of food which are to be used. The safety and wholesomeness of food is a basic requirement for the protection of the consumer's health. Accordingly,the provisions listed under Compliance are intended to insure that food in general,as well as certain food which may be potentially hazardous, is obtained from sources which have been approved or are considered satisfactory by the health authority. #15 Refrigeration: Wholesome food, if mishandled, can become contaminated from a number of sources. Food protection measures are designed to eliminate the contamination of food from any source within the establishment, and to prevent the growth of disease-producing organisms,and the production of bacterial toxins,in the event that pathogens are present in the food.Proper food-protection measures should include(1)strict observation ofpersonal hygiene by all food-service employees;(2)keeping potentially hazardous food refrigerated or heated at all times to temperatures which preclude the growth of any pathogenic organisms which may be present; (3) application of good sanitation practices in the storage,preparation,display,and service of food; (4)adequate cooking of certain food of animal origin to assure destruction of pathogenic organisms which may be present;(5)thorough washing of fruits and vegetables; and (6) the provision of adequate equipment and facilities for the proper conduct of operations. In addition, food must be protected against accidental contamination with any toxic substance. All food, while being stored, prepared, displayed, served, or sold in food-service establishments, or transported between such establishments,shall be protected against contamir ation from dust,flies,rodents,and other vermin; unclean utensils and work surfaces;unnecessary handling; coughs and sneezes;flooding,drainage,and overhead leakage;and any other source.Conveniently located refrigeration facilities,het food storage and display facilities, and effective insulated facilities, shall be provided as needed to assure the maintenance of all food at required temperatures during storage,preparation,display,and service.Each cold-storage facility used for the storage of perishable food in non-frozen state shall be provided with an indicating thermometer accurate to—20F.,located in the warmest part of the facility in which food is stored,and of such type and so situated that the thermometer can be easily and readily observed for reading. b. Temperatures:All perishable food shall be stored at such temperatures as will protect against spoilage.All potentially hazardous food shall,except when being prepared and served,and when being displayed for service,be kept at 45°F. or below, or 150°F. or above. Frozen food shall be kept as such temperatures as to remain frozen, except when being thawed for preparation or use.Potentially hazardous frozen food shall be thawed at refrigerator temperatures of 45°F.or below;or under cool,potable running water(70°F.or below);or quick-thawed as part of the cooking process; or by any other method satisfactory to the health authority. #22 Cleanliness of Employees: Disease transmitted through food frequently originates from an infected food handler. A wide range of communicable diseases and infections may be transmitted by food handlers to other employees and customers through contaminated food and careless food-handling practices.Boils and sore throats are sources of organisms which cause staphylococcal food intoxication, the most frequently reported type of foodborne disease in the United States.It is the responsibility of both management and employees to see that no person who is affected with any disease in a communicable form works in any area of a food-service establishment where there is likelihood of disease transmission.Clean personnel with clean habits are essential to sanitary food preparation and service.Clean hands,clean clothing,and hygienic practices reduce the likelihood of contaminat- ing food, drink, and food-contact surfaces of equipment, utensils, or single-service articles. Hand-washing is necessary not only before starting work and after visiting the toilet,but also at any other times when the hands have become soiled or contaminated.It must be recognized that hands often become soiled in the performances of routine duties in and about the establishment. The use of tobacco while preparing food or serving food may contaminate the fingers and hands with saliva, and may promote spitting, thereby permitting transmission of disease organisms present in the saliva to food or food-contact surfaces. #12 Bactericidal Treatment of Utensils:Regular,effective cleaning and sanitizing of equipment,utensils,and work surfaces minimizes the chances for contaminating food during preparation,storage,and serving,and for the transmission of disease organisms to customers and employees.Effective cleaning will remove soil and prevent the accumulation of food residues which may decompose or support the rapid development of food-poisoning organisms or toxins.Application of effective sanitizing procedures destroys those disease organisms which may be present on equipment and utensils after cleaning, and thus prevents the transfer of such organisms to customers or employees,either directly through tableware,such as glasses,cups,and flatware,or indirectly through the food. Improper storage of equipment and utensils,subsequent to cleaning and sanitizing,exposes them to contamination and can nulify the benefits of these operations. Accordingly, storage and handling of cleaned or sanitized equipment and utensils,and single-service articles,must be such as to adequately protect these items from splash, dust, and other contaminatingmaterial.- - #21 Vermin Control: Insects and rodents are capable of transmitting a number of diseases to man through contamination of food and food contact surfaces. Accordingly, their presence in a food-service establishment creates a potential health hazard which can be guarded against only by effective control of such vermin. Since vermin require food, water, and shelter, control measures should be designed to deprive them of these require- ments. #23 Storage of Toxic Chemicals:Only those poisonous and toxic materials required to maintain the establish- ment in a sanitary condition,and for sanitization of equipment and utensils,shall be present in any area used in connection with food-service establishments.All containers of poisonous and toxic materials shall be prominently and distinctively marked or labeled for easy identification as to contents. When not in use,poisonous and toxic materials shall be stored in cabinets which are used for no other purpose, or in a place which is outside the food-storage, food preparation, and cleaned equipment and utensil storage rooms. Bactericides and cleaning compound shall not be stored in the same cabinet or area of the room with insecticides, rodenticides, or other poisonous materials. Poisonous materials shall not be used in anyway as to contaminate food, equipment, or utensils, not to constitute other hazards to employees or customers. Cape Food Service d/b/a MARKEN Perserverance Way Hyannis 02601 f April 3; 1975 . . December 31, 1982 11/81 8/JJ Barnstable own o Date Type Time Inspection Form for Food Handling Establishments Town of BARNSTABLE Name Address Licensee Owner Item Regulation Item Yes .No Remarks 1 14 Floors—Construction,clean,good repair 3 2 15 Walls&Ceilings—Good repair,cleaning methods 3 3 14 Doors&Windows—Screened,self-closing 2 4 16 Lighting—Adequate,fixtures shielded 2 5 17 Ventilation—Adequate,systems maintained 3 6 8 Water source—Safe,hot&cold under pressure 6* _ l 7 11 Toilet Facilities—Self-closing door, clean,good repair,waste cans 3 � 8 12 Lavatories—Hot&cold water,signs, soap,drying devise 3 9 6 Construction of utensils&equipment 2 10 7 Cleaning of equipment 4 11 7 Cleaning of utensils 4 12 7 Bactericidal treatment of utensils 6* 13 7 Storage&handling of utensils 4 14 13 Disposal of waste—Covered,adequate,vermin proof 5* 15 3 Refrigeration—Temp.off floor,food covered 5* 15a 3 Thermometers present 2 16 2 Wholesomeness of food 6* 17 2 Wholesomeness of milk products 5* 18 2 Wholesomeness of shellfish 5* / 19 3 Storage of food&drink 5* 20 3 Display/serving of food&drink 5* 21 14 Vermin control 4* 22 5 Cleanliness of employees 4* 23 3 Storage of toxic chemicals 4 24 Miscellaneous 5 Total out of possible 100 *Critical Items require immediate attention— Reasons for compliance on reverse Received by �f Inspector/ Health Department Regulations Require Conspicuous Posting of the most Recent Inspection Report ,r AREAS OF CONTROL FOR FOODBORNE ILLNESS Reason numbers refer to item numbers. #16 Wholesomeness of Food:To control foodborne illness and food spoilage,which may result from improperly processed or handled food,the food service establishment must be concerned with the sources of food which are to be used. The safety and wholesomeness of food is a basic requirement for the protection of the consumer's health. Accordingly,the provisions listed under Compliance are intended to insure that food in general,as well as certain food which may be potentially hazardous, is obtained from sources which have been approved or are considered satisfactory by the health authority. #15 Refrigeration: Wholesome food, if mishandled, can become contaminated from a number of sources. Food protection measures are designed to eliminate the contamination of food from any source within the establishment, h and to prevent the growth of disease-producing organisms,and the production of bacterial toxins,in the event that pathogens are present in the food.Proper food-protection measures should include(1)strict observation of personal hygiene by all food-service employees;(2)keeping potentially hazardous food refrigerated or heated at all times to temperatures which preclude the growth of any pathogenic organisms which may be present; (3) application of good sanitation practices in the storage,preparation,display,and service of food; (4)adequate cooking of certain food of animal origin to assure destruction of pathogenic organisms which may be present;(5)thorough washing of fruits, and vegetables; and (6) the provision of adequate equipment and facilities for the proper conduct of operations. In addition, food must be protected against accidental contamination with any toxic substance. All food, while being stored, prepared, displayed, served, or sold in food-service establishments, or transported between such establishments,shall be protected against contamir ation from dust,flies,rodents,and other vermin; unclean utensils and work surfaces;unnecessary handling;coughs and sneezes;flooding,drainage,and overhead leakage;and any other source.Conveniently located refrigeration facilities,het food storage and display facilities, and effective insulated facilities, shall be provided as needed to assure the maintenance of all food at required temperatures during storage,preparation,display,and service. Each cold-storage facility used for the storage of perishable food in non-frozen state shall be provided with an indicating thermometer accurate to—21F.,located in the warmest part of the facility in which food is stored,and of such type and so situated that the thermometer can be easily and readily observed for reading. b. Temperatures:All perishable food shall be stored at such temperatures as will protect against spoilage.All potentially hazardous food shall,except when being prepared and served,and when being displayed for service,be kept at 45°F. or below, or 150°F. or above. Frozen food shall be kept as such temperatures as to remain frozen, except when being thawed for preparation or use.Potentially hazardous frozen food shall be thawed at refrigerator temperatures of 45°F.or below; or under cool,potable running water(70°F.or below);or quick-thawed as part of the cooking process; or by any other method satisfactory to the health authority. #22 Cleanliness of Employees: Disease transmitted through food frequently originates from an infected food handler. A wide range of communicable diseases and infections may be transmitted by food handlers to other employees and customers through contaminated food and careless food-handling practices.Boils and sore throats are sources of organisms which cause staphylococcal food intoxication, the most frequently reported type of foodborne disease in the United States.It is the responsibility of both management and employees to see that no person who is affected with any disease in a communicable form works in any area of a food-service establishment where there is likelihood of disease transmission.Clean personnel with clean habits are essential to sanitary food preparation and service.Clean hands,clean clothing,and hygienic practices reduce the likelihood of contaminat- ing food, drink, and food-contact surfaces of equipment, utensils, or single-service articles. Hand-washing is necessary not only before starting work and after visiting the toilet,but also at any other times when the hands have become soiled or contaminated.It must be recognized that hands often become soiled in the performances of routine duties in and about the establishment. The use of tobacco while preparing food or serving food may contaminate the fingers and hands with saliva, and may promote spitting, thereby permitting transmission of disease organisms present in the saliva to food or food-contact surfaces. #12 Bactericidal Treatment of Utensils:Regular,effective cleaning and sanitizing of equipment,utensils,and work surfaces minimizes the chances for contaminating food during preparation,storage,and serving,and for the transmission of disease organisms to customers and employees.Effective cleaning will remove soil and prevent the accumulation of food residues which may decompose or support the rapid development of food-poisoning organisms or toxins.Application of effective sanitizing procedures destroys those disease organisms which may be present on equipment and utensils after cleaning, and thus prevents the transfer of such organisms to customers or employees,either directly through tableware,such as glasses,cups,and flatware,or indirectly through the food. Improper storage of equipment and utensils,subsequent to cleaning and sanitizing,exposes them to contamination and can nulify the benefits of these operations. Accordingly, storage and handling of cleaned or sanitized equipment and utensils,and single-service articles,must be such as to adequately protect these items from splash, dust, and other contaminating material. #21 Vermin Control: Insects and rodents are capable of transmitting a number of diseases to man through contamination of food and food contact surfaces. Accordingly, their presence in a food-service establishment creates a potential health hazard which can be guarded against only by effective control of such vermin. Since vermin require food, water, and shelter, control measures should be designed to deprive them of these require- ments. #23 Storage of Toxic Chemicals:Only those poisonous and toxic materials required to maintain the establish- ment in a sanitary condition,and for sanitization of equipment and utensils,shall be present in any area used in connection with food-service establishments.All containers of poisonous and toxic materials shall be prominently and distinctively marked or labeled for easy identification as to contents. When not in use, poisonous and toxic materials shall be stored in cabinets which are used for no other purpose, or in a place which is outside the food-storage, food preparation, and cleaned equipment and utensil storage rooms. Bactericides and cleaning compound shall not be stored in the same cabinet or area of the room with insecticides, rodenticides, or other poisonous materials. Poisonous materials shall not be used in anyway as to contaminate food, equipment, or utensils, not to constitute other hazards to employees or customers. TOWN OF BARNSTABLE BOARD OF HEALTH Date //... ... . ....................... Food Handling Establishments Time ............. � P.M. Name ............................................... Address ....................................................................................44a�. .. . ��Owner .................................................................................. No. of Food Handlers ................................................................. t Points/Item Compliance Remarks or Recommendations YES NO 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting .00 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 49f) 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils /j 6 Bactericidal Treatment of Utensils V 4 Storage and Handling of,'Utensils 6 Disposal of Wastes 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish V 6 Storage of Food and Drink � 6 Display and Serving of Food and Drink 4 Rodent Control 6 Cleanliness of Employees 6 Miscellaneous .......... . ....................................................... (Persons Interviewed) (inspector) YYi Inspectrom of f U f ' /r�,.a-�/r =�� 'Date r' ��, ; Name A-� Y - -.Address QwRei( '�/`"% +l r� }f -il✓/CJ vc¢- ,/�/� ( hl( 'i %�1/,r�/1/Sf r1� ���<)•✓iYJ; L ev Type of Busrr►ess .;/r/�L �' i)1 �n,,,�rf ";' / ;" 2 t �:J " ;InspectorJ'��i ( *) Rerriarks' - � ✓,-,��., i;=:; ��!�; r= ~/���1 �%/�ry.=�:L fly ":� IA- >/�i y"?//%/_..i./ ' �l/%S✓`f/ ; ..�/1��.r rf)1�::;�� 16'.%'/)Il��if/ ci Gt/.y't`�� t/t�+`1. .;L:�'//(%r.;�C) .�`.f.a �=�L �)/,�! I�'1/(/I/ ;�/1st ifi✓ �"� '/7�11//%Y:��. >.JJ/rf:� %I;i`� `/i�.1li,-e'"%illt/ C:� /". 71�t'~ Gi;lc`',�.r✓/%/f�"- '/� /��d�/,�'✓,I�, 'J� /� %� '!��r//� d•ly.G_/lJ^/J•✓ 1'•'=7 f� 69 ��'') �i;1.7 �'u( . /.�i)al.' •/'•�/ iJ/�/"�. ,!l Y': �j+'.I�L` .` ���/�//.J�'./c -'�l.�tm_�'.� �,�,♦✓d�[/ i� �1-.� �,;1/ U /jl'J+ 1' �r n /✓ .. /��' �5.���yIL L .•�. jY:/' /✓� U. 1 .f t j l /.�i,i t r i t �1 r I �r r ..v//✓L/ r l.J,�•: J c ? , r X. I INSPECTOR , � r Form &PH F 78-20M 1 70337409 a" Drvrsrori of Food&Drugs, i 1 �F (" / JERRY OLWELL RESIDENCE DIRECTOR,MARKETING G SALES 394-5721 r CAPE ISLANDS FRUIT b PRODUCE INC. 73 FALMOUTH RD. (RTE. 28) HYANNIS, MA. 02601 771-0992 Cape Food Service d/b/a MARKEN Perserverance Way Hyannis 02601 April 30 1975 December 31, 1981 Town of Barnstable- Date Type �• Time Inspection Form for Food Handling Establishments Town of BARNSTABLE n Name !�, ' G {J ,:' i7ti , � Address Licensee Owner Item Regulation Item Yes .No Remarks 1 14 Floors—Construction,clean,good repair 3 2 15 Walls&Ceilings—Good repair,cleaning methods 3 ,4 3 14 Doors&Windows—Screened,self-closing 2 4 16 Lighting—Adequate,fixtures shielded 2 5 17 Ventilation—Adequate,systems maintained 3 .6 8 Water source—Safe,hot&cold under pressure 6* 7 11 Toilet Facilities—Self-closing door, clean,good repair,waste cans 3 8 12 Lavatories—Hot&cold water,signs, soap,drying devise 3 ; 9 6 Construction of utensils&equipment 2 10 7 Cleaning of equipment 4 11 7 Cleaning of utensils 4 12 7 Bactericidal treatment of utensils 6* 13 7 Storage&handling of utensils 4 14 13 Disposal of waste—Covered,adequate,vermin proof 5* L r 15 3 Refrigeration—Temp.off floor,food covered 5' 15a 3 Thermometers present 2 16 2 Wholesomeness of food 6* 17 2 Wholesomeness of milk products 5* 18 2 Wholesomeness of shellfish 5* �m4rk 19 3 Storage of food&drink 5* 20 3 Display/serving of food&drink 5' 21 14 Vermin control 4' , 22 5 Cleanliness of employees 4' r.��:. 23 3 Storage of toxic chemicals 4 24 Miscellaneous 5 Total out of possible 100 'Critical Items require immediate attention— Reasons for compliance on reverse Received byX I Inspector =a Health Department Regulations Require Conspicuous Posting of the most Recent Inspection Report AREAS OF CONTROL FOR FOODBORNE ILLNESS Reason numbers refer to item numbers. #16 Wholesomeness of Food:To control foodborne illness and food spoilage,which may result from improperly processed or handled food,the food service establishment must be concerned with the sources of food which are to be used. The safety and wholesomeness of food is a basic requirement for the protection of the consumer's health. Accordingly,the provisions listed under Compliance are intended to insure that food in general,as well as certain food which may be potentially hazardous, is obtained from sources which have been approved or are considered satisfactory by the health authority. #15 Refrigeration: Wholesome food, if mishandled, can become contaminated from a number of sources. Food protection measures are designed to eliminate the contamination of food from any source within the establishment, and to prevent the growth of disease-producing organisms,and the production of bacterial toxins,in the event that pathogens are present in the food.Proper food-protection measures should include(1)strict observation of personal hygiene by all food-service employees;(2)keeping potentially hazardous food refrigerated or heated at all times to temperatures which preclude the growth of any pathogenic organisms which may be present; (3) application of good sanitation practices in the storage,preparation,display,and service of food; (4)adequate cooking of certain food of animal origin to assure destruction of pathogenic organisms which may be present;(5)thorough washing of fruits and vegetables; and .(6) the provision of adequate equipment and facilities for the proper conduct of operations. In addition, food must be protected against accidental contamination with any toxic substance. All food, while being stored, prepared, displayed, served, or sold in food-service establishments, or transported between such establishments,shall be protected against contamin ation from dust,flies,rodents,and other vermin; unclean utensils and work surfaces;unnecessary handling;coughs and sneezes;flooding,drainage,and overhead leakage;and any other source.Conveniently located refrigeration facilities,he t food storage and display facilities, and effective insulated facilities, shall be provided as needed to assure the maintenance of all food at required temperatures during storage,preparation,display,and service. Each cold-storage facility used for the storage of perishable food in non-frozen state shall be provided with an indicating thermometer accurate to—20F.,located in the warmest part of the facility in which food is stored,and of such type and so situated that the thermometer can be easily and readily observed for reading. b. Temperatures:All perishable food shall be stored at such temperatures as will protect against spoilage.All potentially hazardous food shall,except when being prepared and served,and when being displayed for service,be kept at 45°F. or below, or 150°F. or above. Frozen food shall be kept as such temperatures as to remain frozen, except when being thawed for preparation or use.Potentially hazardous frozen food shall be thawed at refrigerator temperatures of 45°F.or below;or under cool,potable running water(70°F.or below);or quick-thawed as part of the cooking process; or by any other method satisfactory to the health authority. #22 Cleanliness of Employees: Disease transmitted through food frequently originates from an infected food handler. A wide.,range.,of communicable diseases and infections may be transmitted by food handlers to other employees and customers through contaminated food and careless food-handling practices.Boils,and sore throats are sources of organisms which cause staphylococcal food intoxication, the most frequently reported type of foodborne disease in the United States.It is the responsibility of both management and employees to see that no person who is affected with any disease in a communicable form works in any area of a food-service establishment where there is likelihood of disease transmission.Clean personnel with clean habits are essential to sanitary food preparation and service.Clean hands,clean clothing,and hygienic practices reduce the likelihood of contaminat- ing food, drink, and food-contact surfaces of equipment, utensils, or single-service articles. Hand-washing is necessary not only before starting work and after visiting the toilet,but also at any other times when the hands have become soiled or contaminated.It must be recognized that hands often become soiled in the performances of routine duties in and about the establishment. The use of tobacco while preparing food or serving food may contaminate the fingers and hands with saliva, and may promote spitting, thereby permitting transmission of disease organisms present in the saliva to food or food-contact surfaces. #12 Bactericidal Treatment of Utensils:Regular,effective cleaning and sanitizing of equipment,utensils,and work surfaces minimizes the chances for contaminating food during preparation,storage,and serving,and for the transmission of disease organisms to customers and employees.Effective cleaning will remove soil and prevent the accumulation of food residues which may decompose or support the rapid development of food=poisoning organisms - or toxins.Application of effective sanitizing procedures destroys those disease organisms which may be present on equipment and utensils after cleaning, and thus prevents the transfer of such organisms to customers or employees,either directly through tableware,such as glasses,cups,and flatware,or indirectly through the food. Improper storage of equipment and utensils,subsequent to cleaning and sanitizing,exposes them to contamination and can nulify the benefits of these operations. Accordingly, storage and handling of cleaned or sanitized equipment and utensils,and single-service articles,must be such as to adequately protect these items from splash, dust, and other.contaminating material. #21 Vermin Control: Insects and rodents are capable of transmitting a number of diseases to man through contamination of food and food contact surfaces. Accordingly, their presence in a food-service establishment creates a potential health hazard which can be guarded against only by effective control of such vermin. Since vermin require food, water, and shelter, control measures should be designed to deprive them of these require- ments. #23 Storage of Toxic Chemicals:Only those poisonous and toxic materials required to maintain the establish- ment in a sanitary condition,and for sanitization of equipment and utensils,shall be present in any area used in connection with food-service establishments.All containers of poisonous and toxic materials shall be prominently and distinctively marked or labeled for easy identification as to contents. When not in use, poisonous and toxic materials shall be stored in cabinets which are used for no other purpose, or in a place which is outside the food-storage, food preparation, and cleaned equipment and utensil storage rooms. Bactericides and cleaning compound shall not be stored in the same cabinet or area of the room with insecticides, rodenticides, or other poisonous materials. Poisonous materials shall not be used in anyway as to contaminate food, equipment, or utensils, not to constitute other hazards to employees or customers. • r, s a CADE FOOD .SERVICE" d/b/a `MARKEN .perserverance .Dr ve - <Hyannis 02601' April emb 1�, R r• Dec er .`3 ].980 1975: , BOARD =OF HEALTH r T©WN BARNSTABLE Join M ;Keliy s 'Agent 11/2/79 a F, y x. e e , - MA RKEN BROTHERS _ Thornton`-Park Hyannis,,' Ma.02601 7 April 3; -1975 f `December '31', �979 x . • ` x • BOARD OF HEALTH r r MTO WN :OF•�BARNS TABLE y -JOHN' M. KELL ;`, AGENT' . � . . �,�'_ '� 7:.!-. . .. •. -- a ,. � .. S •`*+ . - �� d a .jMa k .i ,y r ,.r x y 'A. vy .^ r .� ry � r Y• .,,' k ��' •' �r. py� �p /�� �'�0.,n S�+a ,fit •y A ,� '� : ' ARKE `17�V i H13R t +. � a {tb n:. �, � •�. 1 N'' F£ ¢... �t- ^S. i ;rx� a � r .. " Thornton Park ✓ Hyannis t 4 Mass. .`0260. rya ' - s me • - ,. �` W t f�� r *may e• j "•w 4 ,a- t�,� r , • _ V Agir '1 1975 :x _ , £ �~y :' December' 31, 19.78 Lr �•,. s9 a '^''tea.,_q •�t .e+.� �b>-w R '• - - f` v' T' r �5 178, r r •x -. 4i.Z a ! 'f �'f y•� �•�'. s.p �. .y �.�, t rW� 3 .', xr;. t t'*rya � �• •� � .r+. v 41 v. �';.. � r r - � nee:}t t•� r e tv Fnri FH-F-71. 304-9-63->47d50 1. - v _ ,0,�°9 tllxit DIVISION OF FOOD h DRUGS - RETAIL FOOD ESTABLISHMENT CERTIFICATE OF REGISTRATION (must be posted, in retail establislLment) N.&14Z OF FIRM M,RKEN B OTHERS LOCATION OF FIRi4 PerseXyeftnc_e Ss.i� teec eL STORE ADDRESS same Street —City or town REGISTERED UNDER THE PROVISIONS OF SECTION 305A, CHAPTER 94 OF Thy: GENERAL LATHS DATE OF REGISTRATION April 31 1975 EXPIRATION DATE December 310 107 Registration shall not ,e transferred, assigned, or conveyedo 17o Retail Food Establisbment shall process, prepare for sale, or sell, -any food product unless Registered. Issued by U. AAS°E!AAt.F R()ARfl nF 7Y,t�Y� City or town Hyannis,, Pass Title John N. Kelly - Agent Date of Inspection: Agent: Date of Temporary Revocation,. Date Reinstated: 11/76 �/ RAC _ I . e (Copies of CeKrificate Must be filed C:Lt I _ jiv.ision of Food and Drugs, y I ® BARNSTALLE, a° MASS. ®pA 1639. �� POST OFFI r�0 MAY�'� HYANNIS, MASS Dear You were not at home` by to examine the conditi Please call our offi� appointment as it is esse°` be made. ' F-- P-t-F-71. 30.4-8-93-947d50wa- a/Y., al QQ :. 919 DIVISION OF FDDD & OR S - - - RETAIL. FOOD ESTABLISHMENT CERTIFICATE OF REGISTRATION (must be posted in retail establishment 11-A1,1Z OF FIRM Marken Kash & Karry LOCATION OF FIP.M Trqqp9nde 99,Parka yanr�is, Masse 0?EO] LreeT UICY or town ZzP code STORE ADDRESS Same Street City or town Zip Code REGISTERED UNDER THE PROVISIONS OF SECTION 305A, CH.APMR 94 OF THE GENERAL LAYS DATE OF REGISTRATION Agril .1975 EXPIRATION DATE, Registration shall not be transferred, assignedi, or conveyed. No Retail Food Establishment shall process, prepare for sale, or sell, any food product unless Registered. Issued by, .Tovm of Barnstable Board of Health. : City or town` Tittles„ Date of Inspection: Agent: Date of Temporary Revocation: Date Reinstated: (Copies of Cei:tificate must be filed with Division of Food and Drugs, -AL 7k- APPLICATION FOR REGISTRATION by DIVISION OF FOOD& DRUGS RETAIL FOOD ESTABLISHMENT In accordance with the provisions of the Regulation promul- gated under authority of Section 305-A of Chapter 94 of the General Laws of the Commonwealth of Massachusetts application for Registration is hereby made by: (Print or type) J ) FIRM NAME FIRM ADDRESS ty or own Code STORE ADDRESS treet City o V town Zip cor, .(each store must be Registered individually) Type of Business (check one) __ CORPORATION PARTNERSHIP SOLE OWNER Date of Application Cam' City or Town where filed Aall"per(/! Name of Corporate Officers: (to be signed by each), President: oeo�` V i ame res s Treasurer: ar� E ame Address' Clerk: Acaress r Name of Partners: (to be signed by each Name Address Name Address Name of Sc `Owner: (to be signed) ame AdIress f Person PreparinglApplicat � r' /1 Title ' STORE SELLS: Meat Produce Dry Groceries Dairy Frozen Foods ORIGINAL FOR LOCAL DEPARTMENT OF HEALTH COPY FOR STATE DEPARTMENT OF PUBLIC HEALTH T0VIN OF BARNSTABLE APPLICATION FOR REGISTRATION by WHOLESALE FOOD ESTABLISHMENT In accordance with the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the Commonwealth of Massachusetts application for Registration is . hereby made by (Print. or type) IV FIRM NAME ��� '�5 / 71 FIRM ADDRESS Street City or "town Zip Code STOk;,�D S �Regi�stert�edindivi�dual�ly) pCo(each store must be TYPE OF BUSINESS (check one) lt"' CORPORt�TION PARTNERSHIP SOLE OWINTER Date of Application City or Town where filed N_�1IE OF CORPORATE OFFICERS : (to be signed by each) _ President : �.., 3 �, . Name Add ss Treasurer : a - / `�. ��27 Name Add ss Clerk: Name Address ` F P_ RAL3 32S : Ll tGo s�y;�ea each 1 Name I Address Name Address NA*ME OF SOLE OWNER: be pl-g�ned) Name Address Person Preparing T Dlication n/ Title STORE SELLS : Meat Produce v Dry Groceries Dair Frozen Foods CL c/�CGP/�I�OLCdPi, e/UGlt07L DIVISION OF FOOD & DRUGS - tA't*'0�I2 91L FOOD ESTABLISHMENT CERTIFICATE OF REGISTRATION (must be .posted in retail establishment) NAME OF FIRM � _ k MAY* V' �1f�` L,.a'i' d-44A i:`�4�W.3 f4✓V*90 i LOCATION OF FIRI-1 ' : ' 3F! ? ,� ; tt_ +w ' ---Srreer °icy or town �Co`Fc e STORE ADDRESS eftCity or town Zip Code REGISTERED UNDER THE PROVISIONS OF SECTION 305A, CHAPTER 94 OF THE GENERAL LAWS DATE OF REGISTRATION ,� , EXPIRATION .DATE-DDg� gr �1. Registration shall not be transferred, assigned, or conveyed,. No Retail Food Establishment shall process, prepare for sale, or sell, any food product unless Registered. Issued by City or town (Mmm ) Title1fi. .P..aa.�. ...�»w.....re .rX'�W w.. �n..,s .�w.c�.an ed,w <.r«a«.•.ram s Date of Inspection: Agent: Date of Temporary Revocation: - Date Reinstated: April 1. 1975 A LaUd t (Copies of Certificate must be filed with Division of Food and Drugs, Department of Public Health, .to validate.) , TOWN OF BARNSTABLE BOARD OF HEALTH Date ..................................... Food Handling Establi ts 7 7 I -- O Z f �{�, r) A.M. - 2 1 _ Time ; ........................ �— .. . 'cl2r...........ddress ....: . �....... .r ?r .� .................Na,me ,... I' r . .`�...... % ....... A Owner .................................................................................. No. of Food Handlers ............................................................... Points/Item Compliance Remarks or Recommendations YES NO 2 Floors 2- Wails and Ceilings / �. o �, I' 2 Doors and Windows / 2 Lighting j 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils / 6 Disposal of Wastes 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage.of Food and Drink C r � 6 Display and Serving of Food and Drink ,, V' �✓ r' �` J� -r :� %� '=� f-' % �_� 4 Rodent Control r t/ 6 Cleanliness of Employees 6 MiscellaneousX 1r)l ..............?"....... ..:....�............................. - f /�} :.... ... (/Persons Interviewed) (Inspector) J DATE January 30, 1985 ❑ URGENT TOWN OF BARNSTABLE ❑SOON AS POSSIBLE BOARD of HEALTH FILE NO. ❑ NO REPLY NEEDED 367 Main Street P. 0. Box 534 HYANNIS, MASSACHUSEM 02601 ATTENTION TO SUBJECT Manager Cape & Islands Produce 73 Falmouth Road HYANNIS NIA 02601 � i MESSAGE Rear Sir: In order to bring our records up to date, please fill in the enclosed forms and return to us at your earliest convenience. Upon the receipt of $60.00, we will send your Retail and Wholesale Registrations for 1985. Please make your check payable to the Town of Barnstable. Very truly yours, SIGNED John M. Kelly REPLY y- iiiretor gf Pn He alth ealth DATE OF REPLY SIGNED SENDER., DETACH THIS YELLOW COPY FOR YOUR FILE. MAIL WHITE AND PINK COPIES WITH CARBONS ATTACHED. , CAPE & ISLANDS FRUIT AND PRODUCE, INC. Wholesale & Retail 73 Falmouth Rd., (Route 28) Hyannis, MA 02601 771-0992 A SPECIAL MESSAGE TO EVERY RESTAURANT OWNER-OPERATOR: TO EVERY CHEF, EVERY COOK: TO ANYONE RESPONSIBLE FOR PURCHASING FRUITS AND PRODUCE. We're brand new! All-new management from top to bottom. The best management team on the Cape. No question. Years of management, marketing, sales and administrative experience. Years of institutional food experience. Two of our top executives owned and operated their own restaurants. Our purchasing, warehouse and ship- ping personnel have many years in the fruit and produce business. I can make this promise to you: no other fruit and produce company, on Cape or off, will deliver any fresher produce, at any better value, than we will. This is my committment to you. AL COSTA President & General Manager IF YOU ARE RESPONSIBLE FOR PURCHASING apples, tomatoes, squash, asparagus, spinach, avocados, grapefruit, peppers, scallions, oranges, celery, egg- plant, cucumbers, pears, parsnips, blueberries, artichokes, beets, broccoli, corn, carrots, garlic, escarole, lettuce, mushrooms, onions, green beans, strawberries, raspberries, watermelons, plums, lemons, parsley, shallots, nectarines, bananas, limes, or grapes or any other fruit or produce — YOU'LL WANT TO REMEMBER THIS PHONE NUMBER: 771-0992. One phone call to 771-0992 gets you a delivery of the freshest, the highest quality fruits and produce at the very best price . . . and you get your order fast — — — real FAST! CAPE D ISLANDS FRUIT AND PRODUCE, INC. Wholesale & Retail 73 Falmouth Rd., (Route 28) Hyannis, MA 02601 771-0992 DEPARTMENT OF PUBLIC HEALTH APPLICATION FOR LICENSE TO MANUFACTURE FROZEN. DESSERTS AND/OR ICE CREAM MIX e_ To the Board of Health of6 �/U -5..'.�.. ./....................................................................... In accordance with the provisions of section 65H of Chapter 94 of the General Laws, as most recently WHOLESALE amended,.and the regulations made thereunder, the undersigned hereby applies for a license for the RETAIL manufacture of frozen desserts and or ice cream mix and submits the following information:— ....................... 1. Full name of applicant .......CA !�.:'../ L..NC�.SS........F L! / I . f P/Z0'b U . ............................................. .l' C....................................................................................................................................................... 2. Business address :.- .. .....r/1:..�./"1 a..U.7 Z` . !�/ /? f1/ /(// $ .......................................................................................................................................................................................................... • r 3. If applicant is 1 Full name ......................................................................................................:........................... an individual .. Residence .................................................................................................................................. 3a. If applicant is a partnership, full name and residence of all partners. ......................................................................................................................................................................................................:.. .......................................................................................................................................................................................................... .................................................................................................................................................................................................... ..... .............................:............................................................................................................................................................................ .......................................................................................................................................................................................................... Stateof incorporation .................. !� S........................................................................... 3b. If applicant is /......... a corporation Date of incorporation................ C � Prinicpal office ........................ `7.�............................................ .............................. This copy is to be mailed by the applicant to the Massachusetts Department of Public Health, 527 State .House, Boston, Mass. Form PH-F-17. 5M(3)-6-63-935600 Full name and address of President ........... ......�:f..S T AI ............................................................................................................................ e- ....... Z............ tz_-7 1--S �9 U I " .. ........ ........ ................................................................................. ............................. Treasurer .......................".g./.L..................................................................................................................................................... ......................................................................................................................................................................................................... Clerk .............. .4 ........... 46r..e.le............................................................................ /-V b ep ................................................................................................................... ............................ ....Z�....... 4. Location of Plants ................................................................................................................................................................. .......................................................................................................................................................................................................... .......................................................................................................................................................................................................... 5. Names of brands and trade or corporation name, if any, under which the products are to be sold. ...... .... ................. .... .... .................................................................................. ......................................................................................................................................................................................................... ................................................................................................................................................................................................ . ...... 6. Number and capacity of freezers .............1101'!�................................................................................................................ 7. Is the mix purchased? ...... ........'Y.....e.. ................................................................If so, from whom purchased? .......... ...... ..................................................................................... ....... . ... ... .... ....... .......... 8. Is the mix pasteurized or not? .............X........................................................................................................................... 9. Number of gallons.of frozen desserts and/or ice cream mix sold as such, manufactured during last calendar -AJ o year ........................ ... ... .... ......... 10. Is the water supply public or not? .................... ..... .... 6.. .....6....c................................................................................ 11. Is the plant constructed and equipped as provided in the regulations? ..............Y.......S.—.......................................... 12. Have you received a copy of the regulations? ....................... ........................................................................................... I hereby certify that I will manufacture frozen desserts and/or ice cream mix in compliance with all laws of the Commonwealth of Massachusetts pertaining thereto and all rules and regulations promulagted by the Massachusetts Department of Public Health made threunder and only under sanitary conditions. Signature .............. ................................................................ Cityor town ....... ................................. Date ...... Z4t Comuxon,luicalt4 of Cassar4uutts DEPARTMENT OF PUBLIC HEALTH APPLICATION FOR LICENSE TO MANUFACTURE FROZEN DESSERTS AND/OR ICE CREAM MIX To the Board of Health of „%Z/L, ! ....4./Q In accordance with the provisions of section 65H of Chapter 94 of the General Laws, as most recently WHOLESALE amended, and the regulations made thereunder, the undersigned hereby applies for a license for the RETAIL manufacture of frozen desserts and or ice cream mix %and submits the following information:- 1-7-1. Full name of applicant ......C�.l �J.e. f—'� /�,/v b s . C f.. �/2 d A �' C.......... ..................... ............................................... ................. 4- YV ......................................................................................................................................................................................................... / � s 2. Business address .. ... ....... i9..1........ .. :T"........ ........................................✓� s� dj .ee .......................................................................................................................................................................................................... 3. If applicant is Full name ......................................................................:....:...................................................... an individual Residence .................................................................................................................................. 3a. If applicant is a partnership, full name and residence of all partners. ................................................................................................................................................................................................... ..... ......................................................................................................................................................................................................... .......................................................................................................................................................................................................... ........................................................................................................................................................................................................ ............................................................................................................................................................................................................ Stateof incorporation S"S............................................................................................................ 3b. If applicant is C._ a corporation Date of incorporation.................. ................ ......t... ./................................ Prinicpal office ...........................................................: This copy with the necessary fee is to be delivered to the board of health of the town where the establishment is located. Form PH-F-17. 5M(3)-6-63-935800 Full name and address of President ........... ....................................................................................11............. ........................................................................ CU �e- ................................ .......A.)...................................... ........... -1...................... ............... Treasurer ...................... . ...0-7 -C A'5 /-2 D 0 '/ . ................................................................................................................................................... ..........................................................I............................................................................................................................................... .............................................................................................................. Clerk .......... j(�:q. ......... 15 JY /I I/ .... ...... .................... .............. ..,............ ......... 4. Location of Plants ................................................................................................................................................................ .......................................................................................................................................................................................................... ......................................................................................................................................................................................................... 5. Names of brands and trade or corporation name, if any, under which the products are to be sold. /16 lltrb-s — L/-/'7- ?1,- P/L a A) �r C Q. — - ......................................................................................................................................................................... ...................... .......................................................................................................................................................................................................... ............................................................:.................................................................................................................................... . ...... 6. Number and capacity of freezers ......4........................................................................................................................... 7. Is the mix purchased? ...............XVII—IS...................................................................If so, from whom purchased? s -i L Y fiv/V of t "7 ........................................................................................................................................................................................................ - 8. Is the mix pasteurized or not? ..............................S ................................................................................................................ 9. Number of gallons of frozen desserts and/or ice cream mix sold as such, manufactured during last calendar /L, o N -e- year .............:............................................I............................................................................................................................... 10. Is the water supply public or not? .................. ..........................................................................I...... 11. Is the plant constructed and equipped as provided in the regulations? ........................................................................... Cam' S 12. Have you received a copy of the regulations? .................................................................................................................... I hereby certify that I will manufacture frozen desserts and/or ice cream mix in compliance with all laws of the Commonwealth of Massachusetts pertaining thereto and all rules and regulations promulagted by the Massachusetts Department of Public Health made reu er, an under sanitary conditions. Sinature .......... .................. ..................................................................... Cityor town ..... ...... .. ................ Date .. . .. ........ Zh�e Gruntonfuraffil of Aassarfluutto DEPARTMENT OF PUBLIC HEALTH APPLICATION FOR LICENSE TO MANUFACTURE FROZEN DESSERTS AND/OR ICE CREAM MIX i To the Board of Health of �� ��' ..................' ...................................................................................................................... In accordance with the provisions of section 65H of Chapter 94 of the General Laws, as most recently WHOLESALE amended, and the regulations'made thereunder, the undersigned hereby applies for a license for the RETAIL i manufacture of frozen desserts and or ice cream mix and submits the following information:— 1. Full name of applicant .................. ...................................... . . .................... ..... .............. ......................... (.G:.�..�.......... -a f� G. ........................................................................................................................................................................................................ 3 ��...�.....7.a..�?... ..... ... �J �'..*VV V, .....: s S 2. Business address ............................ ..................1. 1... ? ............................................:............................................................................................................................................................. 3. If applicant is Full name ....................................................................:............................................................. an individual Residence .................................................................................................................................. 3a. If applicant is a partnership,full name and residence of all partners. ....................................................................................................:.......................................................................................... .... . ..................................................................................................................................................................:...:....:.............................. .......................................................................................................................................................................................................... ......................................................................................................................................................................................................... .......................................................................... 1�1 State of incorporation ..................C.....�... .:5.................................................................. 3b. If applicant is a corporation Date of incorporation........ / y Prinicpaloffice ............:... .. ...................................................................: (This copy to be retained for the applicant's file.) Form PH-F-17. 5M(3)-6-63-935800 i Full name and address of President ................. Z............... ...........�W........................................................................................... 0001 U 12--7- I 'S '0 �y/.�::11a:r�........................... ...................................................... .......... ............. .... ... Treasurer .................. ..... ............................................................................................................................. ....................................................................................................................................................................................................... Clerk .... ........ ...... ........................... .................................................................. eOoeL1,ou e— //Y .5 ....................... ..... ....... .................. ............................................................. ................... ........... 4. Location of Plants ............... ................... ....................................................................................................... .................... ......................................................................................................................................................................................................... ........................................................................................................................................................................................... ........... 5. Names of brands and trade or corporation name,if any, under which the products are to be sold. .......... ....................... .................................�&................. e- 7— .......... ........................ ...................................... .......................................................................................................................................... ................................................................................................................................................................................................ . ...... 6. Number and capacity of freezers .........4...................................................................................................................... 7. Is the mix purchased? ...............I.Y.. ..................................................................If so, from whom purchased? 4-,es r ................ ....... .................... ......... ................................. 8. Is the mix pasteurized or not?, ............... ....... .................................................................................................................. 9. Number of gallons of frozen desserts and/or ice cream mix sold as such, manufactured during last calendar /U.......................e,.. .I year .................. ........................... ................................................................................................................... 10. Is the water supply public or not? ........... .............. ........................................... 11. Is the plant constructed and equipped as provided in the regulations? ...........IV ...........5............................................. 12. Have you received a copy of the regulations? .................y: r-.s.................................................................................. I hereby certify that I will manufacture frozen desserts and/or ice cream mix in compliance with all laws of the Commonwealth of Massachusetts pertaining thereto and all rules and regulations promulagted by the Massachusetts Department of Public Health made threunder, and only under sanitary conditions. Signature...............djz�'�........ ............................................... City or town ...... Date ........ /7............... 7 �y. • D�THE TO TOWN OF BARNSTABLE Ire I OFFICE OF oBaaASS. M BOAR© OF HEALT j3 MASS. O i639• �� iDtEa MAC 397 MAIN STREET HYANNIS, MASS. 02601 Date 19 �S I agree as a condition of my Frozen Dessert License . to have my products tested bacteriologically on a monthly basis by an approved laboratory. I understand that if my products have a standard o. plate count_ in excess of 50,000 bacteria or exceed 0 for. Coliform, I must obtain a re-test within seventy-two (72 ) hours. If the count exceeds 501000 on the standard plate count or over 0 on the Coliform, I will stop the sale of the contaminated product until counts are obtained that fall within the prescribed limits. In addition, I agree to conform to all of the State Health regulations contained in Article X, of the State Sanitary Code, and Town of Barnstable Health regulations and understand that failure to do so will result in the closing of my establishment. Signature -�2 Name of Establishment - 4- _ Witnessed: TKE=o TOWN OF BARNSTABLE � � "• OFFICE OF BAHESTAM i Mesa BOARD OF HEALTH o°p '6}q• `0� 397 MAIN STREET HYANNIS. MASS.'026ot - o Date 19 + • I agree as a condition of my Frozen Dessert License to have my products tested bacteriologically on a monthly basis by an' approved laboratory. I understand that if my products have a standard plate count in excess of 50, 000 bacteria or exceed 0 for Coliform, I must obtain a re-test within seventy-two (72 ) hours. If the count exceeds 5.01000 on the standard plate count or over 0 on the Coliform, I will stop the sale of the contaminated product until counts are obtained that fall within the prescribed limits. In addition, I agree to conform to all of the State Health regulations contained in Article X, of the State Sanitary Code, and Town of Barnstable Health regulations and understand that failure to do so will result in` the closing of my establishment. Signature Name of Establishment 641& T Witnessed: Ir C�f2� Axe�1e CA ol A4 m r w Jewv� r �1 �y� 9eAa�&wxt of�u�Ce 4Cea" Bailus Walker, Jr., Ph.D., M.P.H. a� _qM Commissioner 1� of 305 'A"d Axeet e Telephone �amaica ��izarc, rss. 02�30 (617) 727-2670 August 26, 1985 -'�--= - -- --- AUG Z 7 f 985 [ Carl Cooper, Manager Cape & Island Co., Inc, Barnstable County Dapt 73 Falmouth Rd. Hyannis, 14A 02601 F. Dear Mr. Cooper: On August 209 1985 an inspector from this Division made a sanitary inspection of your establishment. The inspectional report listed numerous un- sanitary conditions. A copy of the report is enclosed. Please notify this Division in writing within five working days of the measures you have taken to eliminate these conditions. An inspector from this Division will make a re-.inspection after that time to determine if any further action is necessary. Sincerely ours, J hn O'Brien Chief Inspector .__.. Division of Food and Drugs JOB/cac enclosure , CC: Hyannis Board of Health DEPT. OF HEALTH, EDUCATION,AND WELFARE PUBLIC HEALTH SERVICE FOOD AND DRUG ADMINISTRATION FOOD GMP INSPECTION REPORT (Submit completed forms FD 481 and 481a,as.instructed) 1. ESTABLISHMENT NAME AND ADDRESS (Include ZIP codeJ_ 2. DATE INSPECTED G 3. PRODUCT(S) INSPECTED 73 �j e 4. STATE LICENSE OR PERMIT NO. t 5. NAME AND TITLE OF RESPONSIBLE PLANT OFFICIAL 6. TELEPHONE NO.(Include Area Code)`- - 4. 7. NAME AND TITLE OF RESP NSIBLE CORPORATE OFFICIAL 8. TELEPHONE N0.(Include Area Code) a INSTRUCTIONS: Answer the following questions by checking the appropriate box. Explain No, answers on continuation � sheet(s). Precede each explanation with" the item number. Use N/A where questions Not Applicable. ' The sections herein are based on and follow the format of FDA's Part 128 regulations —"Human Foods; ^Current Good Manufacturing Practice (Sanitation) in Manufacture,Processing,Packing,or Holding(GMP)": -- -� The form is designed to be used in conjunction with these regulations and Chapter 6 of the State Inspectors Manual which furnishes details on points to cover in the various industries. INSPECTION CRITERIA = NO. PLANT AND GROUNDS (Sec. 128.3) YES NO 1. Are premises free of harborages and/or breeding places for rodents, insects and other pests f - 2. Is adequate drainage provided to avoid contamination of facilities and products 3. Is sufficient space provided for placement of equipment,storage of materials and for production operations 4. Are floors, walls and ceilings constructed of easily cleanable materials and kept clean and in good repair ' ps 5. Are food and food contact surfaces protected from contamination from pipes, etc.; over working areas Are food processing areas effectively separated-from other operations which may cause contamination'of 6• food being processed Are food products and processing areas protected against contamination from breakage of light bulbs and 7' other glass fixtures i 8. Is.air quality and ventilation adequate to prevent contamination by dust,and/or other airborne substances40 9. Are doors; windows and other openings protected to eliminate entry by insects, rodents and other pests EQUIPMENT AND UTENSILS(Sec. 128A " Are all utensils and equipment constructed of adequately cleanable materials and suitable for their intended 10. uses Is the equipment designed and used in a manner that precludes contamination with lubricants, contami- nated water, metal fragments, etc. 12. Is the equipment installed and maintained so as to facilitate the cleaning of equipment and adjacent areas (� FORM FD 2966 (8-76) PAGE 1 OF 5 zt INSPECTION CRITERIA NO. SANITARY FACILITIES AND CONTROLS (Sec. ]28.5) YES NO 13. Is the water supply adequate in quantity and quality for its intended uses 14. .Are the water temperatures and pressures maintained at suitable levels for its intended use 15. Is the sewage disposal system adequate u 16. Is the plumbing adequately sized, designed,installed and maintained in a manner to prevent contamination i — W Y;' 17: Are adequate toilet rooms provided, equipped and maintained clean and in good repair 18. Are adequate handwashing and/or sanitizing facilities provided where appropriate } 1 19. Is all refuse properly stored and protected where necessary from insects, rodents and other pests and disposed of in an adequate manner JC SANITARY OPERATIONS (Sec. 128.6) 20. Is the facility kept clean and in good physical repair x 21 Is cleaning of facilities and equipment conducted in such a manner as.to avoid contamination of food products, 7 k t •. 22. Are detergents, sanitizers, hazardous materials and other supplies used. in a'safe'and effective manner.. 4` 23 Are cleaning compounds and hazardous materials kept in original containers, stored separate from raw X materials r 24. Are the processing areas maintained free of insects, rodents and other pests 25. Are insecticides and rodenti'ides used and stored so as to prevent contamination of food r i Are all utensils and equipment cleaned and sanitized at intervals frequent enough to avoid contamination 26. of food products 27 Are single service articles stored, handled, dispensed, used and disposed of in a manner that prevents '. contamination Are utensils and portable equipment stored so as to protect them from splash, dust and other contami- 4- s��'kJ _ 28. nation t.•Y `i_. PROCESSES AND CONTROLS (Sec. 128.7) s3 ,_• 29. Is responsibility for over plant sanitation specifically assigned to an individual t/ 30. Are raw-materials and ingredients adequately inspected, processed as necessary and stored to-assure.that ' r only clean, wholesome materials are used ::' .•s:_: 31. Is ice (where used) manufactured from potable water and stored and handled in a sanitary manner ,l Is food processing conducted in a manner to prevent contamination and minimize harmful microbiological 32. growth 33. Are chemical microbiological or extraneous material testing procedures used where necessary to identify ✓� r-:;-?=.:,r;:_•-. sanitation failures or food contamination 34. Are packaging processes and materials adequate to prevent contamination 35. Are only approved food and/or color additives used ✓ 4 rn 36. Are products coded to enable positive lot identification, and are records maintained in excess of expected shelf-life , Tr. 37. Are weighing and measuring practices adequate to insure the declared quantity of contents FORM FO 2966(8-76) PAGE 2 OF 5 4J INSPECTION CRITERIA [38. PROCESSES AND CONTROLS(Sec. 128.7) h YES NO Are labels of products.covered during inspection in compliance (submit violative labels as exhibits) Are finish 39ed products stored and shipped under conditions which will avoid contamination and deteriora- lion DETAILS OF MANUFACTURING PROCEDURES AND CONTROLS Provide brief description of manufacturing processes and controls for product(s) inspected. Where appro- � � priate, report times, temperatures, and other critical processing steps. If microbiological or any other type of contamination is suspected or encountered, fully describe the relationship between the routes of con- _ tamination and the process. Use flow charts where appropriate. If more space is needed,use continuation sheet. Z. A , 5 — k� r,}Mi9i u NO. PERSONNEL (Sec. 128.8) YES NO 40. Are personnel with sores, infections, etc., restricted from handling food products Do employees wear clean-outer garments, use adequate hair restraints and remove excess jewelry when 41. handling food t 42. Do employees thoroughly wash and sanitize hands as necessary 43. Do employees refrain from 'eating, drinking and smoking and observe good food handling techniques in processing areas FORM FD 2966 JB-76) PAGE 3 OF S 7-1-KoT - - Y LT CORRECTIONS AND SAMPLES If any corrections were made during this inspection or made as a result of a previous inspection (including volun- tary destructions,capital improvements,etc.), complete Form FD 2473, Industry Corrective Action Report. If any samples were collected, list sample numbers and briefly describe samples: Cape and Islands Co. Inc. J Fruit and. Produce Frozen Food k Box 366, Hyannis, MA 02601 ' 771-0992 v DISCUSSION WITH MANAGEMENT r Indicate individual with whom inspection was discussed. Identify official(name and title) having authority to authorize corrections. Record any recommendations/warnings given,and management's response. =•sr• 1 x f y i;: r �.(' 1:a✓��7G./ •ram. 1 i- �r.• .41.i .y. �� ��y�R r:-4 • FORM FD 2966(8-76) PAGE 4.0E 5 , a L tr} l r } rY 1'•fir ... ���°��: All t i CONTINUATION SHEET i m Z1j x a 1 e` 4' ea� ,r. M - 3 L .t d ` 1, �y s� lx, SIGNATURE OF INSPECTOR < pq 40 FORM F0,?96618 761 onrc nor ]BARNSTA LE COUNTY HEALTH DEPARTMENT BARNSTABLE, MASS. 02630 . T[i[M/ONti 362-2511 Ext. 331 Date: October 1, 1980 To: Father & Son's Produce 73 Falmouth Road Hyannis, Mass. 02601 The results of laboratory examination on a sample of milk located on the premises of Father & Son's Produce located at Rte 28, Osterville on Q�rtpmhar 29, LC are as follows: Sample Standard Plate Count Coliform Count gallon West Lynn Milk 0 0 I The bacteriological maximum allowable limits for milk and cream are as follows: Coliform... . ... . . . .0.. ... .. . ..... ..... .3 Standard Plate Count.. . .. . ....... ......5,000 If you wish further information regarding these tests, please contact this office at the Superior Court House, Barnstable, Massachusetts and we will be glad to assist you in any way possible. Public Health Sanitarian ce Mr. John Kelly, Director Barnstable Board of Health y, ®�!y/'J" - ce West Lynn Creamery Q9d�c c= 9�slG' W West Lynn, Mass. G�' z ,Town " of Barnstable Date Type Time 0 Inspection Form for Food Handling Establishments Town of BARNSTABLE e_ Name Address Licensee Owner Item Regulation Item Yes No Remarks 1 14 Floors—Construction,clean,good repair 3 2 15 Walls&Ceilings—Good repair,cleaning methods 3 3 14 Doors&Windows—Screened,self-closing 2 4 16 Lighting—Adequate,fixtures shielded 2 5 17 Ventilation—Adequate,systems maintained 3 6 8 Water source—Safe,hot& cold under pressure 6* 7 11 Toilet Facilities—Self-closing door, clean,good repair,waste cans 3 8 12 Lavatories—Hot&cold water,signs, soap,drying devise 3 9 6 Construction of utensils&equipment 2 10 7 Cleaning of equipment 4 11 7 Cleaning of utensils 4 12 7 Bactericidal treatment of utensils 6* 13 7 Storage&handling of utensils 4 14 13 Disposal of waste—Covered,adequate,vermin proof 5* 15 3 Refrigeration—Temp.off floor,food covered 5* 15a 3 Thermometers present 2 16 2 Wholesomeness of food 6* 17 2 Wholesomeness of milk products 5* 18 2 Wholesomeness of shellfish 5* 19 3 Storage of food&drink 5 20 3 Display/serving of food&drink .5* 21 14 Vermin control 4* 22 5 Cleanliness of employees 4* A? 23 3 Storage of toxic chemicals 4 24 Miscellaneous 5 Total out of possible 100 Critical Items require immediate attention— Reasons for compliance on reverse Received by A Inspector Health Department Regulations Require Conspicuous Posting of the most Recent Inspection Report AREAS OF CONTROL FOR FOODBORNE ILLNESS Reason numbers refer to item numbers. #16 Wholesomeness of Food:To control foodborne illness and food spoilage,which may result from improperly processed or handled food,the food service establishment must be concerned with the sources of food which are to be used. The safety and wholesomeness of food is a basic requirement for the protection of the consumer's health. Accordingly,the provisions listed under Compliance are intended to insure that food in general,as well as certain food which may be potentially hazardous, is obtairied from sources which have been approved or are considered satisfactory by the health authority. #15 Refrigeration: Wholesome food,if mishandled, can become contaminated from a number of sources. Food protection measures are designed to eliminate the contamination of food from any source within the establishment, and to prevent the growth of disease-producing organisms,and the production of bacterial toxins,in the event that pathogens are present in the food.Proper food-protection measures should include(1)strict observation of personal hygiene by all food-service employees;(2)keeping potentially hazardous food refrigerated or heated at all times to temperatures which preclude the growth of any pathogenic organisms which may be present; (3) application of good sanitation practices in the storage,preparation,display,and service of food; (4)adequate cooking of certain food of animal origin to assure destruction of pathogenic organisms which may be present;(5)thorough washing of fruits and vegetables; and (6) the provision of adequate equipment and facilities for the proper conduct of operations. In addition, food must be protected against accidental contamination with any toxic substance. All food, while being stored, prepared, displayed, served, or sold in food-service establishments, or transported between such establishments,shall be protected against contamir ation from dust,flies,rodents,and other vermin; unclean utensils and work surfaces;unnecessary handling;coughs and sneezes;flooding,drainage,and overhead leakage;and any other source.Conveniently located refrigeration facilities,h(t food storage and display facilities, and effective insulated facilities, shall be provided as needed to assure the maintenance of all food at required temperatures during storage,preparation,display,and service. Each cold-storage facility used for the storage of perishable food in non-frozen state shall be provided with an indicating thermometer accurate to—20F.,located in the warmest part of the facility in which food is stored,and of such type and so situated that the thermometer can be easily and readily observed for reading. b. Temperatures:All perishable food shall be stored at such temperatures as will protect against spoilage.All potentially hazardous food shall,except when being prepared and served,and when being displayed for service,be kept at 45°F. or below, or 150°F. or above. Frozen food shall be kept as such temperatures as to remain frozen, except when being thawed for preparation or use.Potentially hazardous frozen food shall be thawed at refrigerator temperatures of 45°F.or below; or under cool,potable running water(70°F.or below);or quick-thawed as part of the cooking process; or by any other method satisfactory to the health authority. #22 Cleanliness of Employees:Disease transmitted through food frequently originates from an infected food handler. A wide range of communicable diseases and infections may be transmitted by food handlers to other employees and customers through contaminated food and careless food-handling practices.Boils and sore throats are sources of organisms which cause staphylococcal food intoxication, the most frequently reported type of foodborne disease in the United States.It is the responsibility of both management and employees to see that no person who,is affected with any disease in a communicable form works in any area of a food-service establishment where there is likelihood of disease transmission.Clean personnel with clean habits are essential to sanitary food preparation and service.Clean hands,clean clothing,and hygienic practices reduce the likelihood of contaminat- ing food, drink, and food-contact surfaces of equipment, utensils, or single-service articles. Hand-washing is necessary not only before starting work and after visiting the toilet,but also at any other times when the hands have become soiled or contaminated. It must be recognized that hands often become soiled in the performances of routine duties in and about the establishment. The use of tobacco while preparing food or serving food may contaminate the fingers and hands with saliva, and may promote spitting, thereby permitting transmission of disease organisms present in the saliva to food or food-contact surfaces. #12 Bactericidal Treatment of Utensils:Regular,effective cleaning and sanitizing of equipment,utensils,and work surfaces minimizes the chances for contaminating food during preparation,storage,and serving,and for the transmission of disease organisms to customers and employees.Effective cleaning will remove soil and prevent the accumulation of food residues which may decompose or support the rapid development of food-poisoning organisms or toxins.Application of effective sanitizing procedures destroys those disease organisms which may be present on equipment and utensils after cleaning, and thus prevents the transfer of such organisms to customers or employees,either directly through tableware,such as glasses,cups,and flatware,or indirectly through the food. Improper storage of equipment and utensils,subsequent to cleaning and sanitizing,exposes them to contamination and can nulify the benefits of these operations. Accordingly, storage and handling of cleaned or sanitized equipment and utensils,and single-service articles,must be such as to adequately protect these items from splash, dust, and other contaminating material. #21 Vermin Control: Insects and rodents are capable of transmitting a number of diseases to man through contamination of food and food contact surfaces. Accordingly, their presence in a food-service establishment creates a potential health hazard which can be guarded against only by effective control of such vermin. Since vermin require food, water, and shelter, control measures should be designed to deprive them of these require- ments. #23 Storage of Toxic Chemicals:Only those poisonous and toxic materials required to maintain the establish- ment in a'sanitary condition,and for sanitization of equipment and utensils,shall be present in any area used in connection with food-service establishments.All containers of poisonous and toxic materials shall be prominently and distinctively marked or labeled for easy identification as to contents. When not in use,poisonous and toxic materials shall be stored in cabinets which are used for no other purpose, or in a place which is outside the food-storage, food preparation, and cleaned equipment and utensil storage rooms. Bactericides and cleaning compound shall not be stored in the same cabinet or area of the room with insecticides, rodenticides, or other poisonous materials. Poisonous materials shall not be used in anyway as to contaminate food, equipment, or utensils, not to constitute other hazards to employees or customers. 0 SENDER: Complete items t,2,and 3. r Add your address in the"RETURN TO"space on 3 T r reverse. w . 1. The following service is requested (check one). D ?NX4how to whom and date delivered. . . .. .. . . . n Show to whom,date,and address of delivery. ._¢ RESTRICTED DELIVERY Show to whom and date delivered. . . .. RESTRICTED DELIVERY. Show to whom,date,and address of delivery.$_ (CONSLTLT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: Mr. Alan J. Simmons Father & Son' s Fruit & Produ C 73 Falmouth Rd. , HYANNIS,Ma.O 601 W Z 3. ARTICLE DESCRIPTION: x n REGISTERED NO. CERTIFIED NO. INSURED NO. :-I I4435499 I� m I (Always obtain signature of addressee or agent) c) W4. art described above. mssee ❑ uthorized agent x m t7 y -MMARK mI�P o5. ADDRESS (Complete only if requestedi• Q� 0 m li 6. UNABLE TO DELIVER BECAUSE: CLERK'S C /4NITIAI1 ° 3 \\ D i= GPO: 1978-272-382 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS PENALTY FOR PRIVATEUSE TO AVOID PAYMENT M Print your name,address,and ZIP Code in the space below. OF POSTAGE,5300 • Complete items t,2,and 3 on the reverse. • Attach to front of article if space permits.Otherwise LMMAIL affix to back of article. O • Endorse article"Return Receipt Requested"adja- cent to number. RETURN TO BOARD OF HEALTH TOW14'biPt b'XMgSTABLE P. 0. Box 534 (Street or P.O.Box) HYANNIS MA 02601 (City.State,and ZIP Code) F r J'x ti`Y rY i7 , ♦ en n��;.. x Y t y;t F r a'`� " �':. .$� _ , '�.� � ,� r y t F*>?'';.. �. .:wed�, � ,. � r �,y [� * :� •.'. a t,9 t " "f t P•i+ ; � .X '• � s -e e.+ nF a 4t,} (•� ,>4 � �[ t •F s � �'' rdar4 N ,�]> P � t r t t'�.'�{te fit• '.1 .J„ . r � .r .�• .. Ia- f't;:"'�� '� tk �r � I $,t. �;y `. i 'dcr.•, a v M x "a�'4 it t,-3 •. iS. �7 h •t 1 ^ e 1 980 iFF April 101s -1iw r . E G , s 3 !a,� • ; .r. . y.} ; '� t, Y'.; F a v+ 1 "`'"' i 7 - r.,`, Mr. Alan J,p Simmons ' .Fattier:'& ,'Son`'s 'Fruit & Produce A 73 .,Falmouth Road x:Y. HYANY7IS r E, '. ,',MA, s y;tea ' {i'y 4.• t i yy4r - NOTICE TO, ABATE .A 'PUBLIC,HEALTH "NUISANCE 0 •The .. . fi property owed by you at 73'Falmouth Road.,.=Hjiannia ,y wasp ;. spected on Aprl4. r 1980, by`Ronald,'Gifford, Health.;,I .' _ nspec�tor for` •. the' Towr F,cif Barnstable,•, beca�ase�of 'a complaint. The fo Llo'wing.' - t r. violation of' Massachusetts' enaral .Laws€`"Chapter 111L . and 310 CMR` 15.00 •State`',Env ronmentalCode,.'Title 5; were, found: r ,� ,�� �: . , .-,.. .• ,Yf .;'' .,x �: :, •ham" r'r ". :, t �41�IA5SACHUuETT504, ,GENERAL" LAWS 'ANv '310 CMR 5:02(2,0 i ) TITLE 5: t1 a t Pipe from potato ,peel` ng machine .discharging 'putrescible r p, mate`rial• directly onto :ground.f , No .�sanitiary'4 sewage;.sha1X be allowed to' 'discharge .or spill „onto. the. surfaceYJ`of the ground. °• t, D , r -This practice must ,be immediately discontin_ued`4nd putrescible uiy } material removed• rj+•t s �+ M f k . _ ��t,. T r,�^y �,.t '•p.i.: d Y`� j:,;,, :»,. , Via, ar�`•'s*�, �, ��. � t� r1,'Y.� r` *:.'" � �'.: r „You may .request' a hear n .•beforeF.the-'Hoard -of Health, if written ' _ t .petzton= requesting °same~.is..receive- d seven (7) days: .after the',date,`i : order served: _; `rt r *.e. • 5�:: ,i� j.:,. 4 _,r, a� .. "tt , $�4> >y.. '*. l r, 3t y . a: r `,� Non compli.ance.;could resul rF n aR{'fine of up to .$500. k Rach day s `falue to .complywtti C,an�yorder 'shall corist .tute a 'separates 4 , z. tr violaition. t t iY '� P pi .;i. '* t t *'1:9 *' '< t [:.a QY sq �` rr• �..y � I.PTR BORDER 'OF THE BOARD' OF HEALTH` :`x }� §k, R =John M. Kel 1y 6F Director'-of `Public,Health r� S il• tF \-a���-j .-• i e ea sv - 26 � .,1 ; ,':t t e +. 't. r •'t, L(.•. ..�:, t r f.•'yy ., �y , a_.<•✓ *,,G+Sr. �Fe• .e>'• + x, ,y r0 + _ " �} » tN r 's.'- fay. r t. §,t t' yt '�7`'r` �� s t•*. 3. re a `• - J c+^ Jy, e .- - -.-�--. - . -.- ✓�-�,�. .- .ate-.-�-a�� _ _..�-.��,,8•�_.��.�-�.O-�-a-e� �`o . _ _per-_ �_ _ _-- ._. - - - -- - - - - - -_S. -- i I II �� i i I i � i i� � II II II � I ' i �� � � � i � i � li I � i i � i i iI iI � i I � i. j II I i � i i III I j I, I � , I�� i I I I , I I �� I � i i � ' I '� 7 . . . . . . . . . . . . . . . . . . . TOWN OF BARNSTABLE. . . . . . . . BOARD OF HEALTH Date ... ....... Food Handling Establishments Time ....././...............................A.M. P.M. Name ........................ ........Address ................................ Owner ........ ......................................................................... No. of Food Handlers ............................................................... Points/item Compliance Remarks or Recommendations YES NO 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 4 Rodent Control 6 Cleanliness of Employees 6 Miscellaneous ........ .......... ............. ............................ .........K........I................... (Persons Interviewed) .0 su r s • , �#� i 4'�r x'.. yv;.. r s .J~ f'.��{ t". #� e.'b�� w +xr ."a" ? '.. � •b{ f..1 y,, 4 { WyiryK. ,Jt ry Jr r.,sa •,y> F~-.a "w' t* ..�` Pi trtt y.ar ^iL:" �. � ° w:( y €!a A� F s N � t 'Li i r 1 P• "JRT: � � p+; =Fattier rand Son'S 'FrUlt & Produce S ya YY•>< f .;sry e J , 7.;r P�:, ktl ..�ir *F,4� - �' a 13 FalmouthORoad £ .r Hyannis 4A; 02601: rp h ,{x ,..• _t... +a.. & t � ,� a a ,e• { �,w fU 't December, ~19,15: '° T"; December 31, 1980 ��ti'�S. -"� 4 fir•, {{i .as tly t rg„� { � E. .:.i a .i�' r . . t '� t- } .+t ryP x°.}r - 4aF J�a •�#rr r '€.k� ?c+, ,.i ^,r/ *- {_a T, b_; Y 44�b, .{a. 4 (r .# n. A.. `a • pf . All , �r Y - �Y •S r, i b , '�`"r`� t •r�-ia♦ .+r4 r �# i.. ti'. ; �d st p, z." � x -.: c - y `�, gra a�: }. ,'yam f�-i y'F�•:r'at 3. t 4 ..�� a�- a �a...•?� . y { X .. } >, " e. , t � •`� iS Cxl /r•,r '_+. ,,.,5 ;..iy4 Ia r t l Y• p 5 i'•" 4 !• ' g{ •�. i t i.,'-fix s.r` - t`.- & + t., „ w ~, ` J :29=79 a• ' SIRAG ! P . r d1'� 5s 6 , 5 '$. _S:av •+.' h t r x L ^�i yri+ryfi....y^ �] a-. b €4 }4d •t' { r - i- 41 "Gt. 4C F :� K i 4, i a { r I S - •k, (q b . 'Q: J• b r -`S 6' t `�r, ,w s t t. •,yP4 r 1 ..a . ."4 F .. -! n�F t _ s*. .... {s ;ey i rr fi` b;e x,' #. ` ' fir. 'ax +•�� �c x� :` 6"i �� t. r •'� !`A,� ♦ i5 'R� ° S"�.,, j." , ,: aF`i r 1'�F r�r` ,#�. RETAIL & WHOLESALE MARKETS Name: Father. -and Son' s Fruit & Produce Address: 73 Falmouth Road Village: Hyannis Tel. No.': 771-1502 (Home) Alan J. Simmons, Owner see reverse for earlier info Date Inspection Registered 8 31/77 x JNK-HLW x ia3o � G- X c- x y 12/75 Reg. for 1975 f 12/31/75 for 1976 1/21/77 Reg. N Q SENDER: 4?61nplete items 1,2,end 3. o 'Add your address in the"RETURN TO"space on reverse. m 1. h'ie following service is requested(check one.) ® Show to whom and date.delivered............_4 ❑ Show to whom,date and address of delivery...._4 ❑ RESTRICTED DELIVERY Show to.whom and date delivered............_4 ❑ RESTRICTED DELIVERY. Show to whom;date,and address of delivery.$_ (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: M Mr. Al Simmons Father and Son' s Produce a 73 Falmouth Rd. ,HYANNI.G;,MA. 3. ARTICLE DESCRIPTION: 02601 m REGISTERED NO. CERTIFIED NO. INSURED NO. m I 6127366 m 0 (Always obtain signature of addressee or agent) W -1 I have received the article described above. m m SIGNATU OAdj4ressee ElAutho a nt Z H C Y�D y VOFIRY O$i1�1pRK D Z S. ADDRESS(Complete only if requested) O 44�D dam,; m 6. UNABLE TO DELIVER BECAUSE: CLERK'S p INITIALS 3 D *GP0:1979-288848 ti UNITED STATES POSTAL SERVICE n, OFFICIAL BUSINESS PENALTY FOR PRIVATE . SENDER INSTRUCTIONS USE TO AVOID PAYMENT Rr OF POSTAGE,$300 aa® Print your name;address,and ZIP Code in the space below. U.SS.mAIL o • Complete items 1,2,and 3 on the reverse. ��® c Attach to front of article if space permits, d otherwise affix to back of article. • Endorse article"Return Receipt Requested" adjacent to number. RETURN TO d, BOARD OF HEALTH (Nazne of Sender) TOWN OF BARNSTABLE P`:O.Box 534 (Street or P.O.Box) HYANNIS MA 02601 3 (City,State,and ZIP Code) a+P n"xc �/.? "e .. k.s �y t^, ., $� .+ + �, 3,e y. ,.e a - •� ny-^r- �, ,. C A � �` * rr, _ . . ry r"''x �r •;"e{ ; ..,5.5 a .✓ee 1 i ,r'_ ;, July 22, 11 10w .,`e ' -Mr. Al,_Simmons t s _Father ands Son s ^Produce �l Dad.4 'G7 3,Falttiou, h_ . _.;, � °_'- .��- ` r- •, ,,• -s Hyannis, .Ma.` 0246 Ol _� jv, Ate ¢ " 5^K� � 'r�' 9 f �•rx *�:; TICE 'ABATE PUBI;IC TMEALTI� - , ,,'.The Stoi e, owned°'by you-an,Taimouth Road'4,; Hy$nn s', y,htao einrspected on- Alll .21 1980` p b nald Gifaard Head Yt , - , Y RO, , th Inspector for the Town of nstable, because of a complaint. The follow ng �iolataon: of h General`;I,aiqs Chapter 111, 'sectlon 1`22 :andTown of Barnstable N dts.ance" Control Regulation No« 1 e C$ eSources° of Filth) was ,fqund•' `~ GENERAL LAWS.?CHAPTER- 111. section �.22. and xNtiis `' anc Contr 1 'R elation -No. 1.. s Ovdiflowdng,;dumpsters:.w < ,n 'accumulation of: plesticr.bags o.f :rubbish;,stor`ed around,.them. .''Aso. an :accumulatYon=of;^wooden ; vegetable 'crates along,-East -property.'line in' the:`rear of the .e 3 s ' . buirding. `Both of the c es'en a potent al ha q, se onditions pr t rborage a . - ou pare directed :to correct' ,th s -v blation swith-in two t 2);.,'days of j 4Y eceipt of `"this` order }r x Xou may request a:;hearing.'kaefore the 'Bcaard'of Health' if written ` pe,"titzor requesting same is re�exved to thin; seven k('1:-) °days-after .the r �;date• :order .served; ,4 t - t on-•compliance could resul:t�in atfne o ! up to S5b0. Each"day a° as.lur`a to comp!4,' itY pan order 6Y All constitute ` a :separate,`. Y v .ol ati" h: 7 f t ' + - 3 PER OR_ DER OF ,THE °BOARD• OF ,HEALTH{ t r yy �,• •,,' ,e` '+.t A'' t L ,{ ' • s t ,.. s 1 4 John`M',il.Ke11y r' Dikector of 4Public rHealth r= �, >F " 'JMK/mm r,* encl N '# ' de x Control F R uisan egulat� 4 r . •YS` .. S", r'. ae +... i a.�sk . r ka ;y -A� .a _ - "' F._ Cis' a � -- 'S• fy'S'� �+y _ ,; s A ° a ro.A +, ttr,7r4. .. L �«�,O'I - , "�..:_ ` 5 A Inspection of Date Name (Ile Address ,-� �' !': �,.�e-�'✓�✓ %�' ,�'/� Owner mil%/ff /��/Gili' S r crj � ►/ % tr' % Type of Business �1' ,% / Inspector G` ' ,•�' ! ) ( *) Remarks: `/ ayf1 �rr• � /-'/.-r'��`�',f':�f'-.p� �'��J" �d',y/'� 7`"O r'L.�t�f rl f����k�� �`��"tl;./1 f.!tr' ra'��./.,'r'.�f.6'r`�:-'.):,'ice,t� Lf/_.�..J f�(G-'r!��/°%�� /'s-� ��C.��%•'✓:N'y r/-r�/A/� :�`Jf` �.Rf/',.�' �1`�:<'/`�r',�i .' .:3,��,1 fa'✓ 7..3.��f ✓•-y'�f",/�G �.�r3.��/ d f" ./?/i-L/.. �9 F°p/'� lr,�l✓`�` ,.�' :i i /'1 11""l n !f Li:.a'/:i�.-�S_j . �'''�, °.ft '�1.✓.�- ...%}�t:`CJ , :"! r� r'/ ,,410 <N , Iry U,¢f Ff %,% f-' ].v� %. `` ✓ �M y 7 t j,'_ ,A�fJ� >�i%.. `% rJs' 7 J, - L ` R1 f� e� :.: /''eJ'"t%�:� r�`�-f,i''fir>'l f! ,Y.>%✓),LJ%`'.��J Grp . ,:;-- : _+•�/�. r�.� `'� �:< G � � ?1�;r'% �..�,�'/.ud� ,,�.A-::r j���-��fr-r • r , , ,��.i 11/E m' .s`a �� t`r.� .,mac i ' -,li !� �> �',/,_�'t.. /„i ,�✓%�1 r'rs-��L i�.. r� �;�-r�l f��i°' ��''� ,�'��''i�`��( �.r�=.�.jc��.t-;ai:y�.'� .��� .� ou ,r���G~/��""UG-r'} I�'!.s:ti 4'"r, t.J�r� ���:i,,t� ,.SC:•'J'�'%?'!. r'.f�`rr:tr'ia��`'�'"�''.��6-G.�`�.�- INSPECTOR 'Form PH-F-78-20M-1-78-o337409 Division of Food&Drugs r _ • r FATHER AND SON'S FRUIT &4'PRODUCE; . 7'3' FalmouttCRd,. Hyannis' Ma,026.01 . b , r f beceinber, 1975 f December -31, 1979 M• :BOARD OF .HEALTH .TOWN. ry + ,•. � ' OF BARNSTABLE ` JOHN. M. KELLY AGENT C TOWN OF BARNSTABLE 1 i _ 7 BOARD OF HEALTH Date .......................'...__.._...... Food Handling Establishments Time A.M. �w �,, �( P.M. �G� r l Name Address ............................. a........................... ................................................................................... Owner .................................................................................. No. of Food Handlers ............................................................... Compliance Points/Item YES NO Remarks or Recommendations 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipments 4 Cleaning of Equipment 4 Cleaning of Utensils (.M ✓` . 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 4 Rodent Control 6 Cleanliness of Employees 6 Miscellaneoul r� ..........�. ................................................. ............ ................................................. (Persons Interviewed) (Inspector) TOWN OF BARNSTABLE BOARD OF HEALTH Date .........e'r.:.rj..�.y.......... Food Handling Establishments Time .......................................A.M. /- �w_ P.M. / t n... / Name ....Cu.7. -c " - d.n4 J..�w� .. Ue ���i/o - / 7�j,�u ✓ f� ��c1 �d �iLt 12�5 .............. �`................ Address ................... .. .. ............................... Owner .................................................................................. No. of Food Handlers ............................................................... Points/Item Compliance Remarks or Recommendations YES NO 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment n��, ,��„� _ 3:�;�/_ (� 3G: -/� 7,f 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils T,4 6 Disposal of Wastes C All, 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 7 4 Rodent Control 6 Cleanliness of Employees 6 Miscellaneous r ...../... w� .......................................... ... . ..................... . (Persons Interviewed) (Inspector) TOWN OF BARNSTABLE BOARD OF HEALTH Date ....... Food Handling Establishments - Time .............. ....Us...............A-W P.M. Name .... ....... Address ........... 4kkz.5................ Owner .................................................................................. No. of Food Handlers ................................................................ Points/item Compliance Remarks or Recommendations YES NO 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment A 4 Cleaning of Equipment Al 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils ao;ze,,I-Z� 4 Storage and Handling of Utensils T .4 h le- 6 Disposal of Wastes e Z7S-e Well-I;? C' 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 4 Rodent Control 6 Cleanliness of Employees 6 Miscellaneous G%? ........... ..... ..... ..................... (Persons Interviewed)' *''' (inspector)�7— r - r.:-, '-._. 3CH-9-59-947259 r,,t .-:': _.r C.J1l�/ ����Jl:��I/�t!-�i�✓r.G�i'� �/ �X�i,,�--;�z���f�.-..�.-._�.il.L lUe_K1--fill . ea Gll�%'��Gllc�t'; ✓JG;Ef��l1' �' �i D 1v1370N OF FOOD G DPoLGS RETAIL FOOD ES T AZL7SH.HENT CEiiTIFICAT;_. OF REGISTS�T IOV (must ba posted. in retail est.abl ish—E! t) Mk2,4::. OF FIFM FATHER. AND SON r S FRUIT & PRODUCE LO .TION Or FIR! 73 Falmouth Rd. Hyannis, Mass. 02601 JLreac 'l y or co;rt STORE ADDRESS same St eat Zity or to-ant G7 C.0 REGISTERED UNDER TIE PROVISIONS OF SECTION 305A'O CFLN. IER 94 0 T1 . DATE OF REGISTRATION December, 1975 EXPIRATION DATE Deckmber 3i: 1978 Registration shall not be transferred, assi ;red, or conveyed. No Retail Food Es tabl ish=s.emt shall process, prepare for sal a, or sell, -any food product unless Registered. Issued by TOTVIN. OF BARNSTABLE BOARD OF HEALTH City or to,.ra TOVIN OF BARNSTABLE Title JoM.M Kelly - Agent Date of Inspection: Agent: Date of Temporary Ievocatioa: Date R`instatec!:. e; icare r.:u>r h filr_ct !:h I) -vi.s .on aE i'000_ Mu_ Fo!-a F6-F-71. 30.4-9-59-S47850 [4 �:...i,- —c�-- ��, � h��LfZi/V C_�/��j � J ZiLL��`Y�"vth✓'• . four• e2 3 D1V15;ION OF FOOD 4 DRUGS - RETAIL. FOOTS ESTABLISHMENT CERTIFICATE OF REGISTRATION (must - (must be posted in retail establishment) I�. OF FIRM _iFATHER AND SOMI S FRUT"LAt1�17 E100UCE LOCATION or FIP.�I 73 Falmouth Road Hyannis, Mass.-_02 0`a1 SET eec 4,1LY or r.b n 41P o e STORE ADDRESS � same _ tS rest ].ty Oi town • ip Code REGISTERED UNDER THE PROVISIONS OF SECTION 305A, CHAPTER 94 OF THE GENERAL LAMS DATE OF REGISTRATION AUgust .31. 1972 EXPIRATION DATE_ ;�p,mbPr 1 177 Reisration shall not be transferred, assigned, .or conveyed. No Retail Food Establishment shall process, prepare for sale, or sell, "any food product unless Registered. Issued by TOWN: OF BARNSTAB,L,E BOARD OF F3EALTH r City or tmm Town Of Barnstable Title John M. Kelly -- Agent Date of Inspection: Agent: Date of Temporary Revocation: Date Reinstated 8/30/77 (Copies of certificate must be filed with Division of Food and Drugs, SC DEPARTMENT OF, PUBLIC HEALTH �. pV� DIVISION OF FOOD AND DRUGS C,�r\;,c,��\:�`�'� 527 State House Boston, Massachusetts 02133 APPLICATION FOR REGISTRATION by FdMIL FOOD ESTABLISHMENT. In accordance with the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the ._ Commonwealth of Massachusetts application for Registration is hereby ; made by: 211—. (Print or type) f FIR M NAME /VIA U 1 .L ,1,4 FIRM ADDRESS -73 FK ED c)z(,o� Street City or town Zip Code STORE ADDRESS Street City or town Zip Coda (Each store must be registered individually.) Type of Business (check one) CORPORATION PARTNERSHIP J_ SOLE OWNER fl Date, of Application 7 7 City or Town where filed `' `'�SGIh/P Name of Corporate Offic s: (to be signed y each) President: w C . 1 0 U Nam Address Treasurer: Name Address Clerk: Name Address Name of Partners: (to be signed by each) Name Address Name Address Name of So er: o be sign ) i ame Address Person Preparing Application Titled—� r . STORE-SELLS: Meat Produce Dry Groceries V Dairy Frozen Foods (Duplicate copies of application should be filed with local Board'( Health or Health Department.) B o Form PH-F-70 30M-7-68-947768 TOWN-,,QF.-j)B.ARNSTABLE BOARD OF HEALTH Date ......... . .................... Food Handling Establishments A A.M. Time ..... P.M. Name ................ ......... ........haw ..... Address ...:n�l-... ........ Owner .................................................................................. No. of Food Handlers ............................................................... Compliance Points/Item Remarks or Recommendations YES NO., IrIz- 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities kd A(j 2 Construction of Utensils & Equipment 4 Cleaning of Equipment ypC LX4 61k-, t,C) 161 1 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils r tu 1 6 Disposal of Wastes Ko A- 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 4 Rodent Control 6 Cleanliness of Employees '6 Miscellaneous ....... . . ... ........ .......................... ......... ................. (Pe ?o 9 Intervi ed) (Inspector) -04 August 9 . .a977 k r z Mr• •Alan:%Tones( L' +. '` mot. . •p �' , �q .,. - g . , Iyanough �Hilis Golf Course.. RE a 'Father. and 'Sign e Route l32 Produce; Airport Plaza Hyainnis, Massachusetts Hiannis ' Mass. Dear' Mr. t ,. Th e property. rt owned A�-b -ou• A . P Pe Y . - y � at irport Plaza and leased; by . . Father and .Soria' Produce - was : respected in ',July ', 1.97T by Janet Grant•. �Ass'iatarit Health. mna0ector and'<.found i6 be" in -violation of�the,.$tate' MifiJx m -Sinitdilon -Standardsfor '• Retail Food�4Establishments` as promulgated. u-I der- authority-,of ; Chapter '94 ' sect,ion 305&, of the 'Mass•.1 General••saws� , .{ s • a . a 43n`a • . ... . a ` S� .. "Regulation ,lS*.l; . .,The floors, wal is,, and ceiling "surfaces in 4.3.;1 food storage,ra food ,process3.rig= anc equipment gashing as►e shad r©©pis ;shall the s�mooih and .non--abe©rbent end so'`+ onstznetedv : ..r . - as to be::dasilY .cleanable. -The "fib,6k was found ,to have 'u lazg@ ;areas of..worn. and`b=oken ,tale with, wood surface nderneath exposed.. • r Recqulation 15g 3` Ail floors;',�,ha :l- be kept clean and, _,..,. in good repair1 . y The condition must be. correeted before.new regi4strat on is 3.esuecl't© any food,°establfshient n,':this buil`dt�g. :If present ccqupant, leaves prior' to December 31 a t1911-" 4iolations must; r .be correct®d before further renta1�46 a food service estakil.3sh- z : vent, , You may request a hearing before the Boaid "of Health' if written *� p net_�t.ion requesting &am@ y . . . ay received semen '7 d s afte th • dateorder served' N®n-»compliance• could. result in •a fine of up to $100• ° Each failure t4 comply wt2i an order. a sha . eonsttute'a E aeparate;:violation. r " P ERORDRR OF THE' Bfl_ARD 4F HEALTH ` John,,M.!,yKelly Director .of 'Public Health THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH NOTICE TO ABATE A NUISANCE 19 ------ -------------- ( e ............0e. J...r W— ....... .......... ------------------------------------------------------------------------------------------------------------------ 0 , Asof -------------------------------------------------------------------------------------------------------- you-�.'R. ,— are hereby notified to remedy the conditions named below within ____days days of the service of this notice, Sundays and legal holidays excepted, or to show cause why you should not be required so to do: ------------------------------------------ ------------------------------------------------------- �. �--------------------------- -------------------------------------------------------------------------------------------------------- /yew'- ----------- ---------------------------------------------- ---------------- ------------------------------------------------- -------------------- ---------- �---------- ---------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------- --------------:�------------------------------------------------------------------- ------------------------------ ----------------------------------------------------------- ...................................................... ------------------------------------------------------------------------------------------------------------------ ---------------------------------------------- ------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------ If at the expiration of time allowed these conditions have not been remedied and no cause aforesaid be shown, such further action will be taken as the law requires. By order of the Board of Health. A Inspector. -- .. �- Mail ----- -----------Personal Servi;�? --- -'Ll--- - .-------------- Any objection or inquiry in reference to this notice should be filed before the expiration of the time allowed for the abatement of the nuisance. Address all communications,"Board of Health_._______________.._______________________________It -- ----- 'ce-- ------------------------Mass. -------40.....:00 FORM 0 HOBBS WARREN, INC. r -.i M-P-71. 304-8-53-347d50 DIVISION OF FOOD & DRUGS RETAIL FOOD ESTABLISHMENT CERTIFICATE OF REGISTRATION" {must be posted in retail establ islLmen.t} -NLA241E OF FIRM FATHER AND SON.'S FRUIT & PRODUCE LOCATION OF FIP-M Airport Plaza , Hyannis, Mass.02601 . L eec icy or Town 4- p -STORE ADDRESS same Street wit or town zip CoJe a REGISTEP.ED _Ui`"DER THE PROVISIONS OF SECTION 305A, CHAPTER 94 OF THv GE11ERAL IP.45 DATE OF REGISTRATION ' December, 1975 EXPIRATION DATE Deee*ber 310 1977 Registration shall not be transferred., assigned, or conveyed No'Re'tail Food Establishment shall process, prepare for sale, '-or sell, any food product unless Registered.' Issued by TOE' N OF BARNSTABLE SOARS OF HEALTH. City, or to,, Hyannis, Mass. Title _. John • age , Date of Inspection: Agent: Date of Temporary Revocation: Date Reinstated: 12/75 $/ JMx 11/15/76 s/ RAG r {Copies of Certificate must be filed with Division of food and Drugs, TOWN OF BARNSTABLE Date .......Ylf�]A........ BOARD OF HEALTH Food Handling Establishments Time .......................................A.M. Name I ...PAX.r4t�Q..................... Address .............................................. . Owner .................................................................................. No. of Food Handlers ............................................................... Points/item Compliance Remarks or Recommendations YES NO 2 Floors 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 2 Toilet Facilities 6 Water Supply 6 Lavatory Facilities 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils 6 Bactericidal Treatment of Utensils 4 Storage and Handling of Utensils 6 Disposal of Wastes 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products 4 Wholesomeness of Shellfish 6 Storage of Food and Drink 6 Display and Serving of Food and Drink 4 Rodent Control 6 Cleanliness of Employees LI/ 6 Miscellaneous ..... .. ...... ' AW*� ** .. ........... . ...a- ...... (Persons Interviewed) . (Inspector) TOWN OF BA"-T LEi BOARD OF HEALTH Date Food Handling Establishments Time .......................................A.M. P.M. Name ........f..11.. ...... ....... x.................................. Address ................................................................................... Owner ...... No. of Food Handlers ............................................................... Points/Item Compliance Remarks or Recommendations YES NO 2 Floors /1L ;r r 2 Walls and Ceilings 2 Doors and Windows 2 Lighting 2 Ventilation 0 �7�o p�/,L -7'u a,t- S 2 Toilet Facilities 6 Water Supply IL L X 6 Lavatory Facilities x— 14 2 Construction of Utensils & Equipment 4 Cleaning of Equipment 4 Cleaning of Utensils J 6 Bactericidal Treatment of Utensils A L/4 b z,S rj -A/11-6 4 Storage and Handling of Utensils -P�- p r 6 Disposal of Wastes V7� c) a oc c C) 6 Refrigeration 6 Wholesomeness of Food 6 Wholesomeness of Milk Products c- 4 Wholesomeness of Shellfish 6 Storage of FQod and Jldak PO Pt /Z C,t" I 00 6 Display and Serving of Food and Drink r- 4 Rodent Control -7 kA 6 Cleanliness of Employees 6 Miscellaneous 74 P A hu A ............ .........(Persons Interviewed) I nspector)......................................... ........ . ...:......... ...................................... Fora. F4-F-71. 309-8-59-947030 t5 - a eJ/L/ CID�i�i7�2���1/Zt��������"t/ . ci����������'L�Cv��' •. _ = =17 Q wlty 7tailel Maje, c/✓a1tOlL r?/. 3 "DIVISION OF FOOD G DRUGS RETAIL FOOD ESTABLISM4ENT CERTIFICATE OF REGISTRATION (must be posted in retail establishment) JL.�24E OF FIRM "`HER AND SOW S FRUIT & PRODUCE LOC&TION OF FIRM Ai rt Plana. � a►ans�4 et iala"z _ Yth6tlt " Stree y o o z`rp"Lo STORE ADDRESS Same . Street ___City or town Zip Code REGISTERED UNDER THE PROVISIONS OF SECTION 305A, CHAPTER 94 OF THE GENERAL LAWS DATE OF REGISTRATION Derember 8, 1975 EXPIRATION DATE .. 76 Registration shall not be transferred, assigned, or conveyed. No Retail Food Establishment shall process, prepare for sale," or sell, any food peoduct unless Registered." Issued by TOWN OF BARNSSTABLE BOX, rmu City or town Hyannis, mass Title John M Kelly o Agent Date of Inspection: Agent: Date of Temporary Revocation: Date Reinstated: 12/75 PC (Copies of Ceztificate must be filed with Division of Food and Drugs, Porn PH-F-71. 30H-8-68-847850 G _ - elL2�P/�%I�4lldP/, eJUGz1t4Ili �.2�3� DIVISION OF FOOD & DRUGS RETAIL FOOD ESTABLISHMENT CERTIFICATE OF REGISTRATION (must be posted in retail establishment) NAME OF FIRM Father and Son's Fruit and Produce LOCATION OF FIRM Airport Plaza F.Xannis Mass. 02601 ---=eet City or Eown ztp Coue. STORE ADDRESS Same Street City or town Zip Code REGISTERED UNDER THE PROVISIONS. OF .SECTION 305A, CHAPTER 94 OF THE . GENERAL LAWS DATE OF REGISTRATION December 8. 197S EXPIRATION DATE December 31, .1975 Registration shall not be transferred, assigned, or conveyed. No Retail Food Establishment shall process, prepare for sale, or sell, any food product unless Registered. Issued by Town of Barnstable Board' of Health City or town (Hyannis) Town of Barnstable Title Jo Jolan N. Kelly _ Agent Date of Inspection: Agent: -Date of Temporary Revocation: Date Reinstated: 12/75 C (Copies of Certificate must Abe filed with Division of ,Food -and Drugs, of U„l,lir uanith . to -ialidate-) , DEPARTMENT OF. PUBLIC HEALTH _ t _v DIVISION OF FOOD AND DRUGS 527 State House Boston, Massachusetts 02133 APPLICATION FOR .`REGISTRATION by RETAIL ]FOOD ESTABLISHMlENT In accordance with the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the Commonwealth of Massachusetts application for Registration is hereby made by: (Print or type) / FIRM NAME er GUb C1/ �0& i4prdUC c� FIRM ADDRESS 1 /Q Z f4 S . Street City or town Zip Code STORE ADDRESS Street City or town Zip Code (Each store must be registered individually.) Type of Business (check one) CORPORATION PARTNERSHIP SOLE OWNER Date of Application City or Town where filed Name of Corporate Officers: (to be signed by each) President: Name Address Treasurer: Name Address Clerk: Name Address Name of Partners: (to be signed by each) Name Address Name Address Name of caner: (to be signed) / Name ' Address Person Preparing Application Title STORE SELLS: Meat Produce Dry Groceries Dairy Frozen Foods (Duplicate copies of application should be filed with local Board of Health or Health Department.) Form PH-F-70 30M-7-88-947788 f; f DEPARTMENT OF PUBLIC HEALTH DIVISION OF FOOD AND DRUGS 527 State House Boston, Massachusetts 02133 APPLICATION FOR REGISTRATION by RETAIL FOOD. ESTABLISHMENT, In accordance with the provisions of the Regulation promulgated under authority of Section 305-A of Chapter 94 of the General Laws of the Commonwealth of Massachusetts application for Registration is hereby made by: (Print or type) FIRM NAME `"' '0� �� S Ci s f cat ck—A P'J U FIRM ADDRESS Street City or town Zip Code STORE ADDRESS Street City or town Zip Code (Each store must be registered individually.) Type of Business (check one) CORPORATION PARTNERSHIP SOLE OWNER Date of Application City or Town where filed �� Name of Corporate Officers: (to be signed by each) President: Name Address Treasurer: Name Address Clerk: Name Address Name of Partners: (to be signed by each) Name Address Name Address Name of Sol Owner: to b signed) c ct,t /cam Name Address Person Preparing Application Title STORE SELLS: Meat Produce Dry Groceries Dairy Frozen Foods (Duplicate copies of application should be filed with local Board of Health or Health Department). Form PH-F-70 30M-7-88-947788 a br � 4 . Ff- � C R`- C 0 U 2 (9 m � � x z � n LA A �c a� X o � ' gNVI -� 0 �� f Z . a ti m 1 40 G C� Mo 710 n a m c � I \ / I J Ai rl Co Zp- m� z o m ( 0 I 4 1 � fe , Ids o.N. Daa1Z I\ z I 0 a b b O n Z - a • y m 401 all 70 ------------- t7 � ch i ct, s r ! 0 s z \o O � a Ole%/ ri -. .._moo- -- T o O o = o � m + o m d / - 1, \ s f .- id'-- r 4 i i a b 6 b O ' Z a m - � i 4 If i I I • G � i o° r N a m m a i r i rl r I rl Od � I d ( i o + o m d � 1 � � �•� G i 3 rx iol o.H. Dook s �, o b Iz, k • I o I n r �� r ,i r/ r a �1 r— c )RC L Z� n a l TAN r , t I : i i co LEGEND EXISTING SPOT ELEVATION 0,0 OF. �� CERTIFIED PLOT PLAN EXISTING CONTOUR --- O - - - c F{NISHED SPOT ELEVATION K:9 ROBERT FM SHED CONTOUR 0 BRUCE �, /• 29 �+ '? 5, T r1l t`� ELDREDGE h IN APPROVED = BOARD OF HEALTH FcsT R��a o e sucri DATE AGENT SCALE: /".z/p` DATE= 7 I.3 7? LDREDGE ENGINEERING CO. INO CLIENT/" `C6gTHY I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO.ZE /Q&7 BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.BY: :5J OF BARNSTABL , MASS. 33. NO. MAIN ST. 712 MAIN ST. CH. BY: R C� .. �ZSo YARMOUTHMASS. HYANNIS, MASS. -"SHEET— OF D E EG. AND SURVEYOR : r" I GvJS (Z) to= A•t- v"¢�� x[�c Tao�xs, "Ic%'r:�.L.. _�T' 42E4 SCo.2cO s.f \.?�f •, �Gt�c ; 2• �t� • (1 1 �L 11 V ttJ 45�. �•J r J Ci.:. 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