HomeMy WebLinkAbout0055 IYANNOUGH ROAD/RTE 28 (4) Town of B4rnstable
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a Regulator Services
M'S Thomas F.Geiler,Director
2 abyq. ,�Po� -
�� Building Division _E
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Tom Perry,.Building Commissioner
200 Main Street,Hyannis,KA 02601
www.towu.barnstable uxa,us
Office: 508.-562-4038
Fax: 508-790-62,30
Property Owner Mz�st _
Complete and Sign-This Section.
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�f�T� A Pii der
as Owfler of the subject p roperty
hereby a.utlaorize_--, (_.�/�� to act ozi`ny behalf,
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' in all ruatters relative to work:authorized by this bi.zil.di.n.g pelrtmi.
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Pool fences and alarms are the re'sponsibuity of the applicant. Pools
are `rot to be filled before fence is installed and pools are not.to be
ut- 'ed zlntil all final inspections are perfor.. ed and ece�ted.
S.tgnature of )tvr.
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t, 'Post,Th�s Card So That rt i` Visible From the„Street :�A rgved�Plans�Must:be Retarned.<on- ob and this Catd Must.be Ke t�
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Posted Untll Final Inspection�HasaBeen�Made
36gp r � Perm
' :ModR WhereCertificate ofOccu anc �s;Re u�red such Buld�n shall Nata`be Occu 'ied-unt�la �nal,=Ins .ett�on has.beenmad 1 ei Jlijl 1
Permit NO. B-18-2367. Applicant Name: Bryce Roberts Approvals
Date Issued: 09/14/2018 Current Use: Structure
Permit Type: .Building-Addition/Alteration-Commercial Expiration Date: 03/14/2019 Foundation:
Location: 55 IYANNOUGH ROAD/RTE 28,.HYANNIS Map/Lot 343 005 Zoning District: GM Sheathing:
W-V
Owner on Record: DOLIMPIO,VINCENT P JR TR 4 Contractor'Name CHRIS YOCUM Framing: 1
Address: P O BOX 843 Contrbetor;L�cense CS-097788 2
HYANNIS PORT, MA 02647 Est ProJect Cost: $25,000.00 Chimney:
Description: The Addition of two ADA restrooms and the remodelof athird Permit Fee: $327.50
�: Insulation:
standard restroom.The work shall be constructed on/in existing
Fee Paid`* $327.50
storage area of the already existing building.The work shall include, X
new foundation at two new ADA restrooms,new fl*oo�rfand wall Date 9/14/2018 anal.
F'
framing at the existing storage area space,newiplumbmg reato F `
s r Plumbing/Gas
be tied into existing line,and new electrical/ventmgto bwired�for .�r wG
new ADA restrooms. Rough Plumbing:
.• •.,� Building Official
Project Review Req: Bathrooms only,in existing footprint Final Plumbing:
Rough Gas:
Final Gas:
Electrical
� ,;> Service:
This permit shall be deemed abandoned and invalid unless the work authorzed by this permit i5 commenced within sik monthsFafter issuance.
� � i .
All work authorized by this permit shall conform to the approved application-and the approved;construction documents.forwhich this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be n compliance:wi. he I ca zoning by-laws and codes. Rough:
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final:
work until.the completion of the same.
Low Voltage Rough:
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Final:
1.Foundation or Footing
2.Sheathing Inspection Health
3.All Fireplaces must be inspected at the throat level before firest flue lining is installed R�
4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection — Final:
5.Prior to Covering Structural Members(Frame Inspection) > Fire Department
6.Insulation C�
7.Final Inspection before Occupancy _ Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.
Work shall not proceed until the Inspector has approved the various stages of construction.
ter.
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Mckechnie, Robert
From: Bryce Roberts <broberts@ryftdesigns.com>
Sent: Monday, September10, 2018 11:04 AM
To: Mckechnie, Robert
Subject: Fwd: appplication #TB-18-2367, 55 Iyannough Road, Hyannis
Attachments: 55 ILYANNOUGH RD_ADA RESTROOM ADDTION_PERMIT SET.pdf
Update on this/Anything I needed to do more?
---------- Forwarded message ---------
From: Bryce Roberts <brobertskIyftdesi ns.com>
Date: Thu, Sep 6, 2018 at 8:49 PM
Subject: Re: appplication#TB-18-2367, 55 Iyannough Road, Hyannis
To: Mckechnie, Robert<Robert.Mckechniektown.barnstable.ma.us>
Work Description
The Addition of two ADA restrooms and the remodel of a third standard restroom. The work shall be constructed on/in exi!
existing building. The
._. .._..__. _......._...___... _........_.__...______..._ _..._.____ .___.. ___._.___._..m ._. _._____ __. ._._,_�__
work shall include; new foundation at two new ADA restrooms, new floor and wall framing at the exi:
...... ......
plumbing in area to be tied into existing line, and new electrical/venting to be wired for new ADA restrooms.:;
see attached New Plans to reflect just the ADA restrooms.
- .. ........... .....
Sorry 1 added the plans to the online permit but I do not know how to edit the work description but I promised yo torn
Please let me know any concerns, as you can tell I am on top of it and will do anything you need in a timely manner to get
._ _.._.__. ..... _........ .. ......... .._.... ........
thank you for responding.'
On Thu, Sep 6, 2018 at 10:07 AM Mckechnie, Robert<Robert.McKechniega,town.barnstable.ma.us>wrote:
Good Morning,
i
i
There is confusion regarding your application for the subject property. You have applied for the AAB
compliant bathrooms, remodel of the third bathroom and the renovations to the structure to allow the
1 expansion of the restaurant. The only work that can be approved at this time is the addition of two AAB
restrooms and the remodel of the third bathroom. The work to alter or renovate the interior to expand the
.1 existing restaurant cannot be approved or performed until the site plan review requirements are satisfied.
Therefore, you will need to change the description of work to reflect the work that can be permitted at this
time. The future work to alter or renovate the interior will have to be permitted separately after the approvals
{ have been obtained.
Please contact me with any concerns or questions.
Thank you,
i
Robert McKechnie
Local Inspector
Building Department
Town of Barnstable
200 Main Street
I
Hyannis, MA 02601
508-862-4033
Bryce Roberts
Architectural/Interior/Graphic Designer
RYFT Designs LLC
(603)277-3212
broberts(cr�,RYFTdesipns.com
www.RYFTdesig,ns.com
Bryce Roberts
Architectural/Interior/Graphic Designer
RYFT Designs LLC
(603)277-3212
brobertsnRYFTdesi n
www.RYFTdesip_ns.com
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Hyannis, MA 02601
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2/5/03
Brazilian Bakery
39 Iyannough Rd
AKA 41 Iyannough
Hyannis
Formerly Anthony's, Delaney's Sweet Shoppe, Emmie.'s Bakery
Research established that previous`uses had 15 seats and is typical of this type of use.
Y
Approved by BC 2/5/03:
No more than 15 seats allowed
Applicant must provide a floor plan.
Applicant must satisfy BOH and obtain all necessary Licenses.
IKE
* BARNSTABLE, +
MASS.
9 f679
Town of Barnstable
Zoning Board of Appeals
Decision and Notice
Appeal 2002-67- Rainbow Trading International
Special Permit- Section 373.6(3) Conditional Uses
Summary: Granted with Conditions
Petitioner. Rainbow Trading International
Property Address: 55 Iyannough Rd.,Hyannis,MA
Assessors Map/Parcel: Map 343,Parcels 005,020&008
Zoning: Highway Business/Professional Residential&Wellhead Protection Overlay Districts
Background&Review:
The applicant seeks to establish a Brazilian specialty retail food market inclusive of a retail butcher and retail
bakery shops within a unit previously used as a restaurant/deli. The previous use of the unit was a
bagel/sandwich shop and prior to that it was D'Olimpio's Restaurant&Deli. The unit is Number 5 of the five-
unit commercial structure. The unit is 5,634 sq.ft.in area. The building fronts on Route 28 (Iyannough Road).
However,the property also has frontage on Cedar Street and Mederior's Way.
According to the application submitted and the Assessor's records,the site is composed of three lots totaling
1.34 acres. The three lots support four buildings totaling some 11,064 sq.ft. of commercial space. All of the
commercial structures are located within the Highway Business Zone and only a small portion of the total site is
within the Professional Residential Zoning District(PRD). That area that is within the PRD appears to'not be
in use for commercial purposes.
According to plans presented,the site is to be reused and remain,for the most part,as it exists today. The retail
section of the market,including the retail butcher and retail bakery shops is limited to the front area measuring
60'by60'or 3,600 sq.ft.It appears the remaining 2,034 sq.ft.that was previously the kitchen,is to be reused as
the bakery and/or accessory storage.
Procedural&Hearing Summary:
This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on April 12,
2002. An extension of time for holding the hearing and for filing of the decision was executed between the
applicant and the Board. A public hearing before the Zoning Board of Appeals was duly advertised and notice
PP P g g PP Y
sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 12,2002,continued to
July 10,2002,August 21,2002,and October 09,2002,at which time the Board found to grant the Conditional
Use Special Permit with conditions. Board Members deciding this appeal were;Gail Nightingale,Thomas A.
DeRiemer,Ralph Copeland,Randolph Childs and Acting Chairman,Ron S.Jansson.
Attorney Patrick M.Butler represented the applicant. The hearing was opened on June 12,2002. No testimony
was taken at that time and it was continued to July 10,2002. At that continuance,Mr.Butler presented-his case
before the Board. Initially he presented an argument with regards to the change in use as not being an
intensification.
x
' r
Attorney Eliza Z. Cox then addressed the issue of a Special Permit requested under Section 3-3-6 as a
Conditional Use and 4-4-5 as a Non-conforming Use. Ms. Cox noted that retail grocery would be permitted in
the FIB district as a conditional use and that the proposed change does not adversely effect the neighborhood.
Figures related to traffic generation,required parking,and hours of operation were presented.
Questions were raised as to the nature of the store as an impulse verses a destination place and the traffic
generated. It was determined that more information is needed on trip generation and traffic flow in and out on
the site. The Board noted that there is a lawsuit pending against the applicant initiated by Mr. Michael S.
Valentine with regards to the sale of the property. Mr.Butler was asked to provide clarification of status of this
suit.
Public comment was requested and no one spoke in favor or in opposition to the appeal.
At the August continuance,Mr.Butler informed the board that he had discussed the traffic and site
improvements with the Town Engineer,Robert Burgmann. It was noted that Mass Highway would be
improving Route 28 in this area and that the curb cuts would be realigned. Copies of the Superior Court
Complaint of Michael S.Valentine"Bagelport" v.Vincent P.D'Olimpio,Jr. as Trustee of D'Olimpio Realty
Trust,and a copy of the Agreement for Stipulation of Dismissal were submitted. Mr.Butter also provided a
copy of the Lease Agreement between D'Olimpio Realty Trust and Joao Araujo d/b/a Rainbow Trading
International.
Mr.Michael Hall of Rizzo Associates,discussed the traffic that would be generated by the proposed retail use.
The hearing was continued to October 9th 2002. At that continuance,Mr.Butler summarized the proposal and
information submitted to date.
Findings of Fact:
At the hearing of October 09,2002,the Board unanimously made the following findings of fact:
1. In this petition,Appeal Number 2002-67,Rainbow Trading International has applied for a special
permit under section 3-3.6(3) "Conditional Uses" and,alternatively,under section 4-4.5(1) "Change of a
Non-Conforming Use. The applicant proposes to change the use of one unit in a multi-unit
development from a restaurant to a specialty Brazilian market.
2. The property is shown on Town of Barnstable Assessor's Map 343 as Parcels 5,8 and 20,and is
commonly addressed 43-551yannough Road,Hyannis.The majority of the property,and the unit
affected,are located within the Highway Business (HB) zoning district.A small portion of southwesterly
comer of the lot is located within the Professional Residential District (PRD),however that portion of
the property is not being utilized for commercial purposes.The locus is also wholly located within the
Wellhead Protection(WP) Overlay District.
3. The property is owned by the D'Olimpio Realty Trust,Vincent P.D'Olimpio,Sr.,as Trustee.The
applicant has submitted both a signed lease agreement for the unit as well as an affidavit signed by Mr.
D'Olimpio as Trustee giving the applicant percussion to appear before the Zoning Board of Appeals.
As such,the Board finds that the applicant has standing to bring this petition.
4. The locus is approximately 1.34 acres,and contains a 5 unit multi-unit commercial shopping plaza with
frontage on lyannough Road and Medeiro's Way.The locus currently has two large curb cuts onto
lyannough Road.The applicant proposes to lease and utilize the westerly end-unit designated as Unit 5
containing 5,634 square feet on the site plan.
5. The applicant has submitted an affidavit signed by Vincent D'Olimpio,Sr.,as Trustee describing the
history of the plaza and Unit 5.Since the late 1950s,the plaza has contained an assortment of
commercial uses that predate the HB zoning district.
2 '
y
6. Unit 5 has been utilized as a restaurant since at least 1978.Prior restaurants include D'Olimpio's,a 150-
160 seat restaurant,and Bagelport,a sit-down restaurant,deli,take-out of bagels and sandwiches,and
bakery.
7. The applicant is proposing to convert unit 5 into a specialty Brazilian retail market,which includes a
butcher shop and bakery.The applicant is not proposing to increase the footprint of the unit.
8. The Site Plan Review Committee issued its approval of the site plan on May 30,2002.
9. The proposed use is a conditional use in the Highway Business District pursuant to section 3-3.6(3) of
the Zoning Ordinances. ,
10. The proposed use will not substantially adversely affect the public health,safety,welfare,comfort or
convenience of the community.The proposed use will not be more intense than the prior use of Unit 5.
For example,there will be a 22 space reduction in the number of parking spaces required by the new
use.In addition,the applicant is enclosing the existing dumpsters with a 6-foot stockade fence.
11. As required by site plan review,the applicant is also improving the storm water drainage on the site.
Additionally,it is anticipated that the proposed use will result in a reduction of water usage as compared
to the previous restaurant use.
12. The applicant has submitted a letter agreement signed by the property owner agreeing to close one curb
cut and realign the other Route 28 curb cut.These changes are based upon Massachusetts Highway
Department plans for future changes to the Route 28 corridor. The closing of the curb-cut together
with the realignment of the other Route 28 curb-cut w ill result in significantly improved traffic flow in
the site.In addition,it is anticipated that these changes will improve traffic and pedestrian safety.
13. The applicant has submitted substantial information on anticipated traffic generation,all of which
predicts that the proposed new use will not result in a significant increase of trips to the site
14. as compared to the previous restaurant use.The ITE Trip Generation guidelines do not have a use code
that corresponds directly to the proposed new use.The applicant's traffic engineer submitted figures
based upon classification of the use as a "specialty retail center" and as a "supermarket." It is anticipated
that,as compared to the prior restaurant as well as ITE's rates for a 150 seat restaurant,the proposed
new use under either ITE designation(supermarket or specialty retail) would result in a net decrease of
weekday and morning and morning and evening peak hour trips.
15. There is a pending in Superior Court an action relating to the property which was filed by the former
tenant in Unit 5,Michael Valentine and his company,Bagelport,Ltd.
16. Based on all the information submitted on trip generation,when compared with the existing use,it is
anticipated that the traffic generation to the site will be decreased as a result of the proposed new use.
17. After evaluation of all the evidence presented,the proposed new use fulfills the spirit and intent of the
Zoning Ordinances and does not represent a substantial detriment to the public good or the
neighborhood affected.
Decision:
Based on the findings of fact,a motion was duly made and seconded to grant a conditional use special permit to
allow an existing 5,634 sq.ft.known as Unit 5 and addressed 55 Iyannough Rd.,Hyannis,MA.to be used as a
retail food specialty market,bakery,retail bakery and a butcher shop subject to the following conditions:
1. All of the businesses are to be operated and owned by one entity and not to be separate enterprises.
2. The retail portion of the store,that is open to the public,shall not exceed 3,600 sq.ft.
3. The remaining 2,034 sq.ft.,is limited to use as a bakery and accessory to the retail use (storage/office).
4. The operation of the entire space shall comply with all Health,Building and Fire requirements.
3
5. This permit is being issued to the applicant,Rainbow Trading International for the locus addressed as
55 Iyannough Rd.,Hyannis,MA. It is to run with the applicant and not the land and it is not
transferable to another location.
6. All site work shall comply with the approved site plan entitled"Site Plan of Land in Hyannis
(Barnstable),MA prepared for John Araujo/Rainbow Trading#55 Iyannough Road" dated 3-25-02 last
revised 5-22-02 and drawn byDown Cape Engineering,Inc. (SPR# 023-02). Except that the entrances
to the site shall be redesigned and built as per the October 02,2002 Agreement and its attached Exhibit
that requires the closing and realignment of curb cuts fronting on Route 28. A copy of both the
agreement and exhibit are attached to this decision and made a part of. Those entrances and exits to the
site shall further be designed for right in and right out only and shall be so marked. The improvements
to the site including the intersections along Route 28 shall be implemented before the issuance of any
occupancy permit for Rainbow Trading International at this site.
The vote was as follows:
AYE: Gail Nightingale,Thomas A.DeRiemer,Ralph Copeland,Randolph Childs and Ron S.Jansson
NAY: None
Ordered:
Conditional Use Special Permit 2002-067 is granted with conditions. This decision must be recorded at the
Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised in one year.
Appeals of this decision,if any,shall be made pursuant to MGL Chapter 40A,Section 17,within twenty(20)
days after the date of the filing of this decision. A copy of which must be filed in the office of the Town Clerk
Ron S.Janss on,Acting Chairman Date Signed
I,Linda Hutchenrider,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that
twenty(20) days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the
decision has been filed in the office of the Town Clerk
Signed and sealed this day of under the pains and penalties of perjury.
Linda Hutchenrider,Town Clerk
4
THE -FOLLOWING '
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M / X L
DATA
I -
HEALTH INSPECTOR'S
ae 1 TOWN OF BARNSTABLE OFFICE HOURS:
s:00-9:30 A.M.
PUBLIC HEALTH DIVISION ,:oo-
2:00 P.M.
367 MAIN STREET MON.-FRI.
• • r -" _ -'� HYANNIS,MA 02601 862-4644
ESTABLISHMENT INSPECTION REPORT
t a of Operation(g)
�of Inspection
a
-jl Name _ ood Service 0 Routine
Address Risk Retail ❑ Re-inspection
Level ❑ Residential Kitchen Previous Inspection
Telephone ❑ Mobile Date:
❑ Pre-operation
Owner HACCP Y/N ❑Temporary i Caterer ❑ Suspect Illness
i
Time ❑ General Complaint
i Person in Charge(PIC) ❑ Bed&Breakfast 1771 ACCP
Inspector Permit No. Other
Each violation checked requires an explanation on the narrative page(s)and a 'Nation of specific provisions)violated. Non compliance with:
® r Violations Related to Foodborne Illness Interventions and Risk Factors(Red items) Anti-Choking Tobacco
o d A'i
o y Violations marked may pose an imminent health hazard and require immediate corre6tive 590.009(E) ❑ 590.009(F)❑
zi Action as determined by the Board of Health.
Zj FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands
y, ❑ 1.PIC Assigned/Knowledgeable/Duties ❑ 13. Handwash Facilities
8 vi EMPLOYEE HEALTH PROTECTION FROM CHEMICALS
m i ❑ 2.Reporting of Diseases by Food Employees and PIC ❑ 14. Approved Food or Color Additives
n.
g mi 113.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals
70 FOOD FROM APPROVED SOURCE TIMEJTEMPERATURE CONTROLS(Potentially Hazardous Foods)
a_ ❑4.Food and Water from Approved Source ❑ 18• Cooking Temperatures
m
o 01 ❑ 5.Receiving/Condition ❑ 17. Reheating
>: ❑ 6.Tags/Records/Accuracy of Ingredient Statements
40 18. Cooling
o ❑7.Conformance with Approved PrccedureS/HACCP Plans ❑ 19 Hot and Cold Holding
zl, PROTECTION FROM CONTAMINATION
v ❑ 8.Separation/Segregation/Protection ❑ 20. Time As a Public Health Control
< ❑ 9.Food Contact Surfaces Cleaning and Sanitizing REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP)
rn ❑ 10.Proper Adequate Handwashing ❑ 21. Food and Food Preparation for HSP
01 ❑ 11.Good Hygienic Practices CONSUMER ADVISORY
Z ❑ 22. Posting of Consumer Advisories
Violations Related to Good Retail Practices(Blue Items)
Critical(C)violations marked must be corrected immediately. Number of Violated Provisions Related
Non-critical(N)violations must be corrected immediately or To Foodborne Illnesses Interventions
within 90 days as determined by the Board of Health. and Risk Factors(Red Items 1-22):
Official Order for Correction: Based on an inspection today,
23. Management and Personnel (FG2)(590.003) the items checked indicate violations of 105 CMR 590.000/federe
1711 d Z FG3 Food Code.This report,when signed below by a Board of Health
pi 24. Food and Food Protection ( )(590.004) member or its agent constitutes an order of the Board of Health.
a sso 005
Utensils (FG )( ) report may result in sus-
25. Equipment and correct violations cited in this po y
� C oFailure to co
v n = 26. Water,Plumbing and Waste (FG5)(590.006) pension or revocation of the food establishment permit and ces-
rn N.
9
b this or-
'^ �' '-' . •i (FGs)(s9o.om) sation of food establishment operations. If aggneved y
27. Physical Facility
O der,you have a right to a hearing. Your request must be in writ-
28. Poisonous or Toxic Materials (FG7)(590.008) Y
ing and submitted to the Board of
29. Special Requirements (sso.00s) Health at the above address
within 1.0 days of receipt of this order.
r 30. Other DATE OF RE-INSPECTION:
0 i Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered? Y N
#Seats Observed Frozen Dessert Machines: Outside Dining Y N
Z N
Self Service Wait Service Provided Grease Trap Size
O N
z
i
�OFNNE 1p Town of Barnstable Tobacco Control Program
Regulatory Services
BAMMBLE, •
MASS. �,� Public Health Division
f
D MA
367 Main Street,Hyannis,MA 02601
Office: 508-862-4644
Fax: 508-790-6304 Samuel H.White
E-mail: Samuel.white@town.barnstable.ma.us Tobacco Compliance/Coordinator
ETS
INSPECTION REPORT
Board of Health: I Village of Barnstable:
Date: 'C2,./_L9:/..:� Hyannis ❑Centerville ❑Osterville ❑Cotuit ❑.Marston Mills ❑West Barnstable ❑Barnstable
Establishment Name: �rp A� Purpose of Check:
Address: I Routine
Telephone: 72 7— 3 20 Follow-up
Owner's Name: C .,.los a c s Complaint
Person in Charge: Initial
'Other
TYPE OF BUSINESS OR PUBLIC PLACE
❑ Cigar club/bar ❑ Office
❑ Bar ❑ Retail store
: Restaurant-3 ❑ Public place
❑ Bar area of restaurant ❑ Indoor sports arena
❑ Retail food establishment ❑ Public transportation vehicle
❑ School
Based on an inspection today, the items checked below indicate the violated provisions of Board of Health
REGULATIONS AFFECTING SMOKING IN CERTAIN PLACES:
❑Smoking in public places ❑ Smoking area enclosed No signage
❑Outdoor smoking area less than 10'from
door,window,or ventilation intake
I ❑ On this day,the above listed establishment, business,or public place is in compliance with BOH tobacco regulations.
� I
Comments: '
/I I?S Y ri Il SS k4. Ail e se 1
Inspected by: "�Iolk�e7
Q:\HEALTH\T0BA000\WP Files\Tobacco Forms\ETS INSPECTION.doc
PERMIT NO
TOWN OF BARNSTABLE !JANUARY 1 2
629 001
BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENTA !
In accordance with regulations promulgated under,authority of Chapter 94,, 11Y
l::
Section 395A and Chapter 111,Section 5 of the Gefierai Laws a permit is hereby gradted to:
' MARY ELLEN DELMAN
F �
D/B/A' EIVIMIE`$
Whose place of business is: 9 lYANb.l�GH ROAD , HYANNIS,MA 0260'l,
Type of business and any restrictlonsi F607/IETAIIFOOD ES1�ABISHMENT
To operate a food establishmerit in they` TOWN qBLE
RESTRICTIONS IF ANY: � -
SEATING: ANNIJAL YES, y
SEASONAL: TEMPORARY:
5 .
E E s BOARD OF HEALTH
RETAIL FOOD STORE: _ z A
FOOD SERVICE ESTABLISHMENT15q
Susan G. Rask, R.S., Chairperson
RESIDENTIAL KITCHEN FOR RETAIL SALE
RESIDENTIAL KITCHEN FOR BED+BREAKFAST Ralph A. Murphy, M.D.
MOBILE FOOD UNIT Sumner Kaufman, M.S.P.H.
pe�mif:elres '`
TOBACCO SALES:
FROZEN DESSERT: QeCEmbQr"3'[� 2001+
MILK: Thomas A. McKean, RS, CHO
CATERER:
Director of Public Health
PERMIT NO TOWN-OF BARNSTABLE
648 BOARD'OF HEALTH
PERMIT TO OPER.AT-EA�FOO.0 ESTABLISHMENT
In accordance wit re tiFin `andec uthority of Chapter 94,
4-1
Section 395A and Chapter S hoi 5 0 G.dner La aapermit is hereby granted to:
CARLO`S EDUARDO GONGALY �
_ c� �B1A; BRA
4 f �$ 17 Gx3'.gg kk C{
Whose place of business is- NOUr,;k�TJ� YAN IIS MA 02601 �h.
,s� - e
Type of business and any restrrctior FQ �� ESABLISFIMENTIL I
' T01NI1�S8
T.9 operate a food establlshipe, t rp:t-e ARNS' ABLE
p 2 a Oxi3+ oh ILk of S G 4y 11
RESTRICTIONS IF ANY
:$Yv2 .�,,s `� � � � 32
LSEATING: =AMNUAL..X1 % IMI VI
>M ,� .�. � .,:. �a. IN
110
SEASONAL: TEMPORARI �x �� j
� P$OAIS
RO OF HEALTH
RETAIL FOOD STORE: a ��
FOOD.•SEAVICE ESTABLISHMENT 3 akRas� S jh A.Murphy,
R.n DChairperson
RESIDENTIAL KITCHEN FOR RETAIL SALE p y
RESIDENTIAL KrrCHEN.FOR BED BREAKFAST
� umner Kaufman, M.S.P.H.
MOBILE FOOD UNIT: e`momeXil•E � �
. naxs 1
TOBACCO SALES: �Q,�,,.QC�,�`-l:�k`Zd��
FROZEN DESSERT: �" Thomas A. McKear;_RS CHO
MILK:
CATEREA: Director of Public Health .
• s
MIT NO TOWN OF BARNSTABLE JANUARY 1, 2000
218 BOARD OF HEALTH
PERMIT TO OPERATE A FOOD ESTABLISHMENT
In accordance with regulations promulgated under authority of Chapter 94,
Section 395A and Chapter 111,Section 5 of the General Laws,a permit is hereby granted to:
JENNIFER W.ELDRIDGE D/B/A: DELANEY'S SWEET SHOPPE
)se place of business is: 39 IYANOUGH ROAD , HYANNIS,MA 02601
e of business and any restrictions: FOOD SERVICE ESTABLISHMENT
)perate a food establishment in the TOWN OF BARNSTABLE
rRICTIONS IF ANY:
TING: 15 ANNUAL: YES
SONAL: TEMPORARY:
FEES BOARD OF HEALTH
11L FOOD STORE:
SERVICE ESTABLISHMENT: $150.00 Susan G. Rask, R.S.,Chairperson
DENTIAL KITCHEN FOR RETAIL SALE: Ralph A. Murphy, M.D.
DENTIAL KITCHEN FOR BED f BREAKFAST: Sumner Kaufman, M.S.P.H.
ILE FOOD UNIT: Permit expires:
►CCOSALES: December 31, 2000 �
!EN DESSERT: Thomas A. McKean, RS, CHO
cRER: Director of Public Health
VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALERS LICENSE
J ^
q � - - �- - -
Y
° TOWN OF BARNSTABLE j, HEALTH INSPECTOR'S
Z OFFICE HOURS: Item No. In the space below describe all violations checked. Page of
BOARD OF HEALTH 8:00-9:30 A.M.
'�yE �••� 367 MAIN STREET MON.-FRI.
HYANNIS, MA 02601 790-6265
FOOD ESTABLISHMENT INSPECTION REPORT
Establishment Name V Cv u, e..A-K jD
Date C Gd t/rJ
OV
Address lfj'
Telephone Type of Establishment Purpose
Owners Name Food service w Routine
(Retail-Food= =' Follow-up
Residential Kitchen Complaint c /l
Person In Charge Mobile Unit )? Investigation
• Temporary Food Service Other
Inspector's Name /jam/ �.S, Caterer
3ased on an inspection today,the items checked below indicate thifviolated provisions of 105 CMR 590.000.Each item is followed by the applicable section of the Massachusetts
egulation.Non-critical violations are marked under column'N'and critical violations are marked under column'C".Descriptions of each item appear on the back of this form.
_ach violation checked requires an explanation on the narrative page(s).This report serves as official notice of violated provisions and official notice to correct said violations.
=ood N C WT Sanitary Facilities N C WT
1. Food Supply .002 � 4 29. Water Source .015 4
2. Food Containers .002 1 30. Sewerage .016 4
=ood Protection 31. Cross Connections .017 .4
3. PHF Temperatures .004 4 32. Toilets/Handwashing .018&.019 4
4. Facilities,Hot&Cold Storage .004 2 33. Insects/Rodents .021 4
5. PHF Re-service .006 4 34. Plumbing .017 1
6. Spoiled/Damaged Foods .003 1 35. Toilet Rooms i 018 2
7. Food Protected .003 4 36. Handwashing Areas .019 2
8. Food Thermometers .004 2 37. Garbage/Refuse .020 2
9. Cross Contamination .005 2 38. Outside Disposal .021 1
0. PHF's thawed,cooked&cooled .005 2 39. Outer Openings .021 2
1. Food Handling .005 2 40. Pesticide/Rodenticide Application^}, .021 1
2. Dispensing Utensils .006 1 Physical facilities `C/!
'ersonnel 41. Floors .022 2
3. Employee Infections .008 4 42. Walls,Ceiling .022 2
4. Employee Hygiene .009. 4 43. Lighting .023 1
5. Employee Clothing- �I✓� 006 1 44. Ventilation .024 2
Vj_ 45. Dressing Rooms .025 1:quipment&Utensils C �
_ 9
6. Equipment/Utensil Clean&Sanitized .013 2 Other
7. Food Contact Surfaces .013 1 46. Toxics .026 4
8. Non-Food Contact Surfaces .013 1. 47. Premises ' .027 1 tL
9. Food Contact Surfaces Clean 013 1 48: Living Areas .027 1
0. Non-Food Contact Surfaces Clean .013 1 49. Linen .027 1
1. Wiping Cloths .013 1 50. Pets .027 1 DlscUssio with 9 agement . {� hL - �. } w"�vk
2. Dish/Warewashing Facilities .013 1 51. Bulk Foods 031 1 U� � /�
3 Pre-Scraped, Soaked .013 1 52. Salad Bars 0 1 T S .
4. Wash/Rince Water .013 1 �� t�S L, ,�
5. Thermometerslrest Kits .013 1 No.of 13 Critical Items Violated A+
6. Equipment/Utensil Storage 014 1 These items require immediate attention.
7. Single Service Articles .014 1
B. Single Service Re-Use / 012 1 SCORE
ermit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered? N
Seats Observe ?_� Frozen Desert Machines:
�- Outside Dining Y N
elf Service 'Wait Service Provided Al Variance Granted Y /N Variance Letter Posted Y �N Inspected by Received b Aga Aret,
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1'FL., 367
Main Street, Hyannis, MA 02601 (Town Hall)
m�a F. �
DATE: z 1 b
Fill in please:
APPLICANT'S YOUR NAME: a b t�� O rrosGt
' " .
BUSINESS Y R HOME ADDRESS:
TELEPHONE # Hom Telephone Number g3 6 �?
NAME OF NEW BUSINESS ,:a o c e' Fr d
TYPE OF BUS.11 INESS
I;S THIS A HOME OCCUPATIONS ` YES NO
Have you been given approvalrotn the: wilding div ion? YES NO
n��
ADDRESS OF:BUSINESS I --� hnu MAP/PI RCEL NUMBER 6 d'
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. -You MUST GO TO 200 Main St. - (corner of Yarmouth
Rd. &Main Street) to make sure you have the appropriate permits and licenses.required to legally operate your business in this town.
1. BUILDING COMMISSIONER'S lCE
This individual has be ed'of n permit requirements that pertain to this type of business.
Authori d Signature*
COMMENTS:
2. BOARD OF HEALTH
This individual h s bee infor ed the permit r ui ments that pertain to this type of business.
Aflorized Signature**
COMMENTS:
41/
3. CONSUMER AFFAIRS I(CENSING AUTHORITY)
This individual ha n inf ed of the Vn n aru
rements that pertain to this type of business.
Au�j orized Signaturg** '-/ / I
COMMENTS: ( ��Y�2_-wig ViCGtZ( Ll [--/
TO ALL E BUSINESS OWNERS
DATE: CP sq O
Fill in plea e:
a.
APPLICANT'S YOUR NAME: -5; A6C K-'o
BUSINESS .�3� YOUR HOME ADDRESSS7- A L i C fV A 2 cQ
�`o�- izS'-o �'o-5'� ,�[vim¢ A vl� S A&A.
TELEPHONE Telephone Number Home
NAME OF NEWBUSINESS EST 'l� 12` Yl a !O K c TYPE OF BUSINESS o ,Se
IS THIS A;HOME OCCUPATION? YES NO
Have you been given approval from the building d;wision? YES NO
ADDRESS O O NF BUSESS
When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures,
listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall) or if you get the business certificate first
you MUST go to the following office to make sure you have all the required permits and licenses..
GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) and you will find the following offices:
1. BUILDING COMMISSION 'S OFFICE
This individual has been infor a of any permit requirements that pertain to this type of business.
Authorized Signature** -
COMMENTS:
2. BOARD OPt '
TH
This individualen inf f the ements that pertain to this type of business.
zed Signat "
COMMENTS:
3. CONSUMER AFFAIRS (LICENSING AUTHORITY)
This individual t een inf rmed of li n 'ng requirements that pertain to this type of business.
A( thorized Si nature** r ( /
COMMENTS: �1 r LM On V tc+t ja L S!/?eSS t-I'U•�IS�C.� l�� ` ' ��
is ro
Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must
do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various
departments involved.
"SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY.
THE HEALTH INSPECTOR'S s
OF BARNSTABLE OFFICE HOURS.
VVV PUBLIC HEALTH DIVISION Estapllshment Name Date Page: of
8:04-9:30 A.M. 9
R i 367 MAIN STREET t Mo?-FRi.
M.
> HYANNIS,MA 02601 862-4644 �
9.
�. ¢ 5�l . � ' � �� hk �18t"`tff6
ran� �r. ly1 a �.
FOOD STABLISHME T INS CTION REPORT : ..._� . . q .. y. _
y c�
Name 1 at a of 0 eration s Type of Inspection
Address ' ood Service ❑ Routine A
a
Risk
Level Retail ❑ Re-inspection - >
Telephone ❑ Residential Kitchen Previous Inspections
❑ Mobile Date: ` �
Owner HACCP Y ❑Temporary ❑ Pre-operation
s ❑ Caterer ❑ Suspect Illness
J,
Person in Charge(PIC) Time ❑ General Complaint (� y
❑ Bed 8 Breakfastr J cf
I j
Inspector t ) Permit No. Other _
Each violation dtecked requees an explanation an the narrative page(s)and aAbdon of specific provision(s)violated. Non-compfiance with: _
Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking Tobacco
Violations marked may pose an imminent health hazard and require immediate corrective 590.009(E) ❑ 590.009(F)❑
Action as determined by the Board of Health. .
FOOD PROTECTION MANAGEMENT ❑ 12. Prevention of Contamination from Hands
❑ 1.PIC Assigned/Knowledgeable/Duties ❑ 13. Handwash Facilities )
EMPLOYEE HEALTH PROTECTION FROM CHEMICALS
❑2.Reporting of Diseases by Food Employees and PIC ?,
❑ 14. Approved Food or Color Additives
O 3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals ? -
E FOOD FROM APPROVED SOURCE -,.
TIME/TEMPERATURE CONTROLS Potential) Hazardous Foods 3 r -,
❑4.Food and Water from Approved Source (Potentially ) l � � � J�-
❑ 5.Receiving/Condition ❑ 16. Cooking Temperatures ' r ,`
❑ 6.T ags/Records/Accuracy of Ingredient Statements ❑ 17• Reheating ,
❑7.Conformance with Approved Procedures/HACCP Plans ❑ 18. Cooling !,
PROTECTION FROM CONTAMINATION ❑ 19. Hot and Cold Holding
❑ 8.Separation/Segregation/Protection ❑ 20. Time As a Public Health Control
❑,%Food Contact Surfaces Cleaning and Sanitizing REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP)
❑ 11.Good H
❑ 10.Proper Adequate Handwashing ❑ 21. Food and Food Preparation for HSP ® /
genic Practices
Y9 CONSUMER ADVISORY
Violations Related to Good Retail Practices(Blue Items) ❑ 22• Posting of Consumer Advisories
Critical(C)violations marked must be corrected immediately. Number of Violated Provisions RelatedCne
Non-critical(N)violations must be corrected immediately or
To Foodborne Illnesses Interventions � r
within 90 days as determined by the Board of Health. and Risk Factors(Red Items 1-22):
Official Order for Correction: Based on an inspection today, ?' _
23. Management and Personnel (FC-2)(590.003) the items checked indicate violations of 105 CMR 590.000/federal
24._Food and Food Protection (FC-3)(590.004> Food Code.This report,when signed below by a Board of Health _
25. Equipment and Utensils (FC-4)(590.005) member or its agent constitutes an order of the Board of Health.
Failure to correct violations cited in this report may result in sus - n ,, • ;;,,;, -„ z m, r,.._::
26. Water,Plumbing and Waste (FGs)(590.006)' :ry Y .z �c .. ryas. x. ,.
pension or revocation of the food establishment permit and ces
27. Physical Facility F ;.: .. ..... a _a.. r: aN;:. : � r r1
Y ty ( c s)(sso.007) sation of food establishment operations. If aggrieved by this or ':
28. Poisonous or Toxic Materials (FG7)(590.009) der,you have a right to a hearing. Your request must be in writ- ❑ Voluntary Co npl)ance Q Employee Restriction/Exclusion El Re-inspection SChedul'ecl [] Emergency Suspension
29. Special Requirements (590.009) ing and submitted to the Board of Health at the above address
30. Other within 10 days of receipt of this order. E argo m enc Closure ❑ Voluntary Disposal Q Usher:
DATE OF RE-INSPECTION:
Ins for Si na rg :• y O. n
Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N ' ` 'FVl
��g/� ;f
#Seats Observed
Frozen Dessert Machines: Outside Dining Y N IC's Signature - f Print:
Self Service -; Wait Service Provided Grease Trap Size Variance Letter Posted Y N v c +
r Vic.,g,6ons Related to Foodbome///ness 3-501.14(C) PHFs Received at Temperatures
r Interventions and R/sk Factors(Red Reins 1-22) Violations Related to Foodbome Illness Interventions and Risk According to Law Cooled to
PROTECTION FROM CONTAMINATION Factors(Red Items 1-22) (Cont.) 41°F/45°F Within 4 Hours.+
FOOD PROTECTION MANAGEMENT 8. CrDss-contamination 3-501.15 Cooling Methods for PHFs
1 590.003 A Assi ent of R nsibili + 3-302.11(AX1) Raw Animal Foods Separated front PROTECTION FROM CHEMICALS 19 PHF Hot and Cold Holding
590.003 Demonstration of Knowl e* Cooked and RTE Foods* 14 Food or Color Additives
Contamination Irom R I ` 3-20.2.12 Additives* 3-501.16(B) Cold PHFs Maintained at or below
2-103.11 Person in charge-duties Raw 590.004(F) 41°/45°F*
Separated from Each - .
3-302.11(Ax2) Raw Animal Foods 330214 Protection from Unapproved Additives* 3 501.16 A Hot PHFs Maintained at or above
+ IS Poisonous or Toxic Substances
EMPLOYEE HEALTH Other 140°F.
2 590.003(C) Responsibility of the person in charge to
Contamination from the Environment 7-101.11 Identifying Information-Original
require reporting by food employees and 3-302.11 A Food Protection* 20 Time as a Public Health Coontnt
Containers* 3-501.16(A) Roasts Held at or above 13
applicants* 3-302.15 Was Fruits and V eta es 7-102.11 Common Name-Working Containers" Control
590.003(F) Responsibility Of A Food Employee Or An 3-304.11 Food Contact with Equipment and 7-201.1 I Separation-Storage+ 3-501. Time as a Public Health Control'
590.004(
Applicant To Report To The Person In Utensils* 7-202.11 Restriction-Presence and Use* H) Variance Requirement
Char e• Contamrnation from the Consumer 7-202.12 Conditions of Use* " REQUIREMENTS FOR HIGHLY.SUSCEPTIBLE
590.003 G R b Person in Charge* 3-306.14 A B Returned Food and Reservice of Food* 7-203.1 1 Toxic Containers-Prohibitions
3 590.003D Exclusions and Restrictions* Dispostionof Adulterated orContaminated 7-204.11 Sanitizers,Criteria-Chemicals* POPULATIONS(HSiz
590.003 Removal of Exclusions and Restrictions
Food 7-204.12 Chemicals for Washing Produce,Criteria• 21 3-801.1 I(A) Unpasteurized Pre-packaged Juices and
3-701.11 Discarding or Reconditioning Unsafe 7-204.14 Drying Agents,Criteria* Beverages with Warning Labels*
FOOD FROM APPROVED SOURCE Food` 7-205.1 l Incidental Food Contact,Lubricants*
3-801.1 I(B) Use of Pasteurized Eggs"
4. Food Contact Surfaces 3-801 A 1(D) Raw or Partially Cooked Animal Food and
Food and Water From Regulated Sources 9 7-206.11 Restricted Use Pesticides,Criteria*
590. A-B Compliance with Food Law* 4-501.111 Manual Warewashing-Hot Water 7-206.12 Rodent Bait Stations* Raw Seed Sprouts Not Served.* +
Sanitization Temperatures* 3-801.11(C) Unopened Food Package Not Re-served.
3-201.12 Food in a HermeticallySealed Container* 7-206.13 Tracking Powders,Pest Control and
3-201.13 Fluid Milk and Milk Products* 4 501.112 Mechanical Wazewaatur Hot Water Monitoring*
Sanitization Temperatures* CONSUMER ADVISORY
3-202.13 Shell Eggs* 4-501.114 Chemical Sanitization-temp.,pH, 22 3-603.11 Consumer Advisory Posted for Consumption of
3-202.14 E * v TIME/TEMPERATURE CONTROLS
3-202.16 Ice Made From Potable Water* 16 Proper Cooking Temperatures for Animal Foods That are Raw,Undercooked or
Not Otherwise Processed to Eliminate
5-101.11 Drinking Water from an 4-601.11(A) Equipment Food Contact Surfaces and PHFs Approved stem` Utensils Clean` 3-401.11A(1)(2) Eggs- 155°F 15 Sec.
Pathogens.•Edac ""rrr0°'
590. A Bottled Drinking Water* 4-602.11 CleaningFrequency of Equipment Food- * 3-302.13 Pasteurized Eggs Substitute for Raw.Shell Eggs*
590.0 Water Meets Standards in 310 CMR 22.0*. y Eggs-Immediate Service 1 Gamesec
She9tish and Fish From an Approved Source Contact Surfaces and Utensils 3-401.I I(A)(2) Comminuted Fish,Meats&Game
4-702.11 Frequency of Sanitization of Utensils and Animals-155°F 15 sec.* SPECIAL REQUIREMENTS
3-201.14 Fish and Recreationally Caught Molluscan Food Contact Surfaces of Equipment* 590.009(A)-(D) Violations of Section 590.009(A)-(D)in
Shellfish* 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 min*
4-703.11 Methods of Sanitization-Hot Water and 3-401.11(A)(2) Ratites,Injected Meats-155°F 15 sec. catering,mobile food,temporary and
3-201.15 Molluscan Shellfish from NSSP Listed Chemical• ' residential kitchen operations should be
Sources* 10 Proper,Adequate Handwashing debited under the appropriate sections
Game and W®d Mushrooms Approved by 2-301.11 Clean Condition-Hands and Arms• ) 3-401.1 1(A)(3) Poultry,Wild Game,Stuffed PHFs,
Re ula A above if related to foodborne illness
2-301.12 Cl Procedure- Stuffing Containing Fish,Meat,
3-202.18 Shellstock Identification Present Poultry or Ratites-165'F 15 sec.+ interventions and risk factors. Other
• 2-301.14 When to Wash* 590.009 violations relating to good retail
590. C Wild Mushrooms 11 Good Hygienic Practices 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks g g
3-201.17 Game Animals* 145°F" practices should be debited under#29-
"5 ReceivirglCondition 2401.11 Ea or Using Tobacco•
3-401.12 Raw Animal Foods Cooked in a Special Requirements.
2401.12 Discharges From the Eyes,Nose and
3-202.11 PHFs Received at Temperatures* • _ Microwave 165°F
3-202.15 Package In * Mouth* . t 3-401. ( )(1)(b) Atl Other PHFs-145 I sec.* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES
3-101.11 Food Safe and Unadulterated• Reheating for Hot Holding
3-301.12 Prevent Contamination When T 11A °F5
i (Blue Items 23-30)
12 .; Prevention of Contarnation from Hands 17
6' TagslRecords:Shdlstock ( � 3-403.11 A&D Critical and non-critical violations,which do not relate to the
3-202.18 Shellstock Identification, 590.004(E) Preventing Contamination from ( ) ( ) PHFs 165°F 15 sec.
Em to ees• 3-403,11(B) Microwave-165°F 2 Minute Standing Ioodborne illness interventions and riskjactors fisted above;can be
3-203.12 Shellstock Identification Maintained* 13.. Hamby sh Facilities Time' found in the following sections of the Food Code and 105 CMR
Tags/Records:Fish Products Handwa590.000.
Conveniently Located and Accessible 3403.11(C) Commercially Processed RTE Food- Item Good Retail Practices FC 590.000
3402.11 Parasite Destruction* 5-203.11 Numbers and cities` 140°F* 23. Management and Personnel FC-2 .003
3402.12 Records,Creation and Retention* 5-204.11 Location and Placement* 3403.11(E) Remaining Unsliced Portions of Beef 24. - Food and Food Protection FC-3 .004
590.004 Labeling of Ingredients* 5-205.11 Accessibili lion and Maintenance Roasts* 25. Equipment and Utensils FC-4 .005
7. CaHorrnance with Approved Procedures 26. Water,Plumbing and Waste FC-5 .006
Suppled with Soap and Hand Drying 18 Proper Cooling of PHFs 9
MACCP Plans 27. Physical FacilityFC-6 .007
Devices 3-501.1.4(A) Cooling Cooked PHFs from 140°F to y
3-502.11 Specialized Methods•. 28. Poisonous or Toxic Materials FC-7 .008
6-301.11 Handwashin Cleanser,Availability 70°F Within 2 Hours and From 70°F
3-502.12 Reduced oxygen ,criteria �. 29. Special Requirements .009
8-103.12 Conformance with Approved Procedures* 6-301.12 Hand Provision to 41°F/45°F Within 4 Hours.' 30. Other
3-501.14(B) Cooling PHFs Made From Ambient ssvmoa�:.ao�
Temperature Ingredients to 41°F/45°F
�. Within 4 Hours*
*Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. 6 'Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000.
6
°FINE 1pk� Town of Barnstable Tobacco Control Program
Regulatory Services
* BARNKrABM *'
'SASS � Public Health Division
s6;9• ♦0
ATFe r��A 367 Main Street,Hyannis,MA 02601
Office: 508-862-4644
Samuel H.White
Fax: 508-790-6304
Tobacco Compliance/Coordinator
E-mail: Samuel.white@town.barnstab le.ma.us
ETS
INSPECTION REPORT
Board of Health: Village of Barnstable:
Date: 2— / 19 / 02 Hyannis ❑Centerville ❑Osterville ❑Cotuit ❑Marstons Mills ❑West Barnstable ❑Barnstable
pp a a Purpose of Check:
Establishment Name: Routine
Address: Follow-up
Telephone: YL s Complaint
Owner's Name: os a
Initial'
Person in Charge: Other
❑ Cigar club/bar ❑ Office
❑ Bar ❑ Retail store
Restaurant ❑ Public place
❑ Bar area of restaurant ❑ Indoor sports arena
❑ Retail food establishment ❑ Public transportation vehicle
❑ School
Based on an inspection today,the items checked below indicate the violated provisions of Board of Health
REGULATIONS AFFECTING SMOKING IN CERTAIN PLACES:
❑Smoking in public places ❑ Smoking area enclosed No signage
❑Outdoor smoking area less than 10'from
door,window,or ventilation intake
❑ On this day,the above listed establishment, business,or public place is in compliance with BOH tobacco regulations.
Comments:
X7
Inspected by:
QAHEALTHUOBACCOMP Files\Tobacco Forms\ETS INSPECTION.doc
n
TOWN O� �BARNSTABL E
MASSACHU
SETTS
;
BUSINESS CERTIFICATE F
DATE RENEWED:
s .
DATE ISSUED: 08/24/2001 RENEWAL PAGE:
RENEWAL BOOK:
BOOK 187
DATE DISCONTINUED:
PAGE: 01-193 DISCONTINUED PAGE:
CERTIFICATE EXPIRES: 08/24/2005
DISCONTINUED BOOK:
provisions of Chapter One Hundred and Ten(110),Section Five(she following General
n enama personpersons,
pes one s ended e undersigned
conformity with thep
own,by t
hereby declare(s)that a business is conducted under the title below,located as sh
or corporation:
_BItAZILIAN BAKERY
MAILING ADDRESS: 41 IYANOUGH RD HYANNIS,MA 02601
800 BEARSES WAY 2NB HYANNIS,MA 02601
CRLO.S E GONSALVES
S'gnatures:
NAMED PERSON(S)PERSONALLY APPE/ BEFORE ME AND MADE OATH THAT THE FOREGOING STATEMENT
THE ABOVE NAM
IS TRUE.
V. T TLE
Identification Presented:
:
CONDITIONS: NONE LISTED
Section 5 of the
ass
usiness
In accordance with the provisions of Chapter 337 of the of issue cts of S85 and and shall beareneweter d each four years thereafternA General
stat Laws,ement under oath must
Certificates shall be in effect for four years from the date
be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership.
ducted and shall be furnished on request during regular
Copies of such certificates shall be available at the address at whit from u such b sines is con
business hours to any person who has purchased goods or serve
cess.
than three hundred dollars($300)for each month during which such violation con
Violations are subject to a fine of not moretinues.
----------------------------------------
------------------------------------------------------------------------------------------ ----------------------------
CERTIFICATION CLA SE
I certify under the enalties of perjury that 1,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes
required under laws
�' /✓
By: Corporate Officer(Mandatory if applicable)
* Signatu orporate Name(Mandatory)
** or Federal ID Number
* This license will not be issued unless this certification clause is signed by the applicant.
enue to determine whether you have** Your social security number will be furnished the
Maheirssachunon-fisetts
or delinquency Department
of will be subject to license suspension or re ocationlin�;s
tax payment obligations. Licensees who fail to correct
request is made under the authority of Mass.G.L.Cha 62C,S.49A.
Town of Barnstable Assessors Division Page 1 of 3
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Town Departments
•AII Departments Data is based on Fiscal Year 2002 Assessor's database and is provided for infc
*Town Council purposes only.
*Town Manager
*Administrative Services 43 IY TE 8
•Regulatory Services Map/ Parcel/Parcel Extension: Mailing Address:
*Community Services 343/020/ DOLIMPIO, VINCENT P SR TRS
*Public Works Owner of Record: DOLIMPIO REALTY TRUST
*Police Department DOLIMPIO, VINCENT P SR TRS 75 POWDER HILL RD
Property Location: BARNSTABLE, MA 02630
Town Information 43 IYANNOUGH ROAD/RTE28 Parcel ID:343020
•AII Information
*Agendas
*Annual Report
•Committees
•Employment Fiscal Year 2002 Assessed Values
•FAA's Appraised Value Assessed Value
*Forms and Applications Building Value: $ 98,900 $98,900
*Hearing Schedules
•News/Press Links Extra Features: $0 $0
*Operating Budget Outbuildings: $7,700 $ 7,700
*Ordinances
•Property Assessments Land Value: $97,300 $ 97,300
•Regulations Totals: $203,900 $ 203,900
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Town Newsletter
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DOLIMPIO, VINCENT P SR TRS 7/15/1985 C102534 $ 750,
Contact Town Hail TUCKER TOWN OF HYANNIS INC C67839 $0
Town Hall -
367 Main Street
r Hyannis, MA 02601
Phone Land and Building Description
508-862-4000 E-mail Land Building
Contact Town Hall
Lot Size (Acres): Year Built:
0.44 1971
Appraised Value: Living Area:
$ 97,300 912
http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative_Services/Finance... 3/7/2002
Town of Barnstable Assessors Division Page 2 of 3
i
Assessed Value: Replacement Cost:
$ 97,300 $ 66,485
Depreciation:
25
Building Value:
$ 98,900
Construction Details
Style: Interior Wails:
Store Drywall
Model:
Ind/Comm Interior Floors:
Grade: CarpetConcr-Finished
Average Grade
Stories: Heat Fuel:
1 Story Gas
Exterior Walls Heat Type;
Wood Shingle Hot Air
Roof Structure: AC Type:
Gable/Hip None
Roof Cover: Bedrooms:
Asph/F GIs/Cmp Zero Bedrooms
Bathrooms:
Zero Bathrms
Total Rooms:
Outbuildings & Extra Features
Code Description Units/SQ FT Appraised Value Assessed Ni
PAV1 PAVING-ASPHALT 8500 $ 7,700 $7,700
Building Sketch
htt ://www.town.barnstable.ma.us/ComeOnIn/De artments/Administrative Services/Finance... 3/7/2002
P P _
Town of Barnstable Assessors Division Page 3 of 3
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http://www.town.barnstable.ma.us/ComeOnIn/Departments/Administrative_Services/Financ,... 3/7/2002