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HomeMy WebLinkAbout0027 RACE LANE - Health 27 RACE' LANE; MARSTONS MILLS A=150.015. THE FEES RETAIL FOOD STORE: FOOD SERVICE ESTABLISHMENT RESIDENTIAL KITCHEN FOR RETAIL SALE RESIDENTIAL KITCHEN FOR BED+BREAKFAST $30.00 SEATING: MOBILE FOOD UNIT: ANNUAL: TOBACCO SALES: SEASONAL: YES CATERER: TEMPORARY: FROZEN DESSERT: MILK: TOWN OF`BARNSTA,BLE ;. Ni; OF HEALTH ?. PERMIT TO OPERATE°A.F00D ESTABLISHMENT a PERMIT NO: 450 Mi r In accordance with regulations prainulgated u'rider authority of Chapter 94, Section 395A anti Chapter 111, Section 5'of the;General Laws, a;permit is hereby granted to r , FRANCIS AND BARBARA DOREY , 3 D/B/A: GAZEBO, THE Whose place of business is 27 RACE LANE , 'MARST,O,NS„MILLS,,,MA 02648 Type of business and any restrictions: CONTINENTAL BREAKFAST ESTABLISHME To operate a food establis'3 ment in he TOWN OF OARNSTABLE : 3 Permit expires: Decem''beFr31'; 199b�.I v. BOARD OF HEALTH :. 3Y.. � fJP a x Susan G. Rask, R.S., Chairperson Ralph A. Murphy, M.D. RESTRICTIONS IF ANY: Sumner Kaufman, M.S.P.H Thomas A. McKean, RS, CHO Director of Public Health FEES RETAIL FOOD STORE: FOOD SERVICE ESTABLISHMENT RESIDENTIAL KITCHEN FOR RETAIL SALE SEATING: RESIDENTIAL KITCHEN FOR BED+BREAKFAST $30.00 MOBILE FOOD UNIT: ANNUAL: TOBACCO SALES: SEASONAL: YES CATERER: TEMPORARY: FROZEN DESSERT: MILK: a��dKTQWN�QF�BARNST�BLE°• 11 SOARQ-OF HEALTki H PERMITVTO OPERATENA FOOD-°ESTABLISHMENT PERMIT NO: 450 � ; � ,a MARCH 1, 1998 In accordanceywith regula tons proMUIQ[ to vnder authority of Chapter 94, Section 395A and`Chapter 16 .gSechor» 5 of#the General Laws,`a permit is hereby granted to: FRANCIS AND BARBARA DAOREYN � ,. { D/B/A: GAZEBO, THE ." J, ' Whose place of business is '27 RACE LANE, :IVU�RSTONS MILLS r MA 62648 %Type of business and any-restrictions: CONTINENT L BREAKFAST ESTABLISHME To operate a food establishment`m" "-TOWN OF BARNSTABLE h Permit expires: December 31r1998 D.1 BOARD OF HEALTH Susan G. Rask, R.S., Chairperson Ralph A. Murphy, M.D. RESTRICTIONS IF ANY: Sumner Kaufman, M.S.P '-:�= Thomas A. McKean, RS, CHO Director of Public Health FEES RETAIL FOOD STORE: FOOD SERVICE ESTABLISHMENT RESIDENTIAL KITCHEN FOR RETAIL SALE RESIDENTIAL KITCHEN FOR BED+BREAKFAST $30.00 SEATING: MOBILE FOOD UNIT: _ - ANNUAL: TOBACCO SALES: SEASONAL: YES CATERER: TEMPORARY: FROZEN DESSERT: MILK: TOWN OF BARNSTI A LEA ABOARD-�OF HEALT.H PERMIT TO`OPERATEA FOOD>ES'CABLISHMENT PERMIT NO: 450 �" �. ° '�' -JUN 4 1997 Ai > n p ,� In accordance with regulations promulgate4under authority of Chapter 94, Section 395A and Chapter 11�1 S�SbdJdn &'Mhe General Laws,"a permit is hereby granted to: a FRANCIS AND BARBAR'A DOREY � L # : D/B/A: GAZEBO, THE II 1 Whose place of business ism R:RACE LANE , III RSTONS MILLS, IIl�A 02648 Type of business and any,rest dons: CO, ITAL B R I F,$ ES�TABLISHME ' ,. 'S To operate a food establis m� �y� T01NIOF BRNS B , ,.V Permit expires: December 31.,t997. X `' x BOARD OF HEALTH F Susan G. Rask,R.S.,Chairperson of Brian R. Grady;R.S.RESTRICTIONS IF ANY: Ralph A. Murphy;M:D" s xr Thomas`A IVCcKean,R.S .!'fig � ..r�� � �..� .. „k -: 'f•r v, 'tir:iL�- s'`�r�r:N�� } ra�v tf""�fin. S.. Director of Public Health � , oTOWN OF BARNSTABLE `t BOARD OF HEALTH ARTICLE 11:MINIMUM STANDARDS FOR HUMAN HABITATION Date /� 1! 6Ceik" � Owner s11— 9dc�r Address Compliance Remarks or Regulation# Yes , No Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities I b. Heating Facilities i / 7. Lighting and Electrical Facilities v 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal V I 'P�Y< yy�6 16. Sewage Disposal 7f6c s MAC-Offl'b�x 00� 17. Temporary Housing �/ f PART II � 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition d 8 Person(s)Interviewed Inspector dk- If Public Building such as Store or Hotel/Motel specify here HOBBs&WARREN,INC. oFt"E'ati Town of Barnstable C� Board of Health BMWSTABLE, v� MASS. $ 367 Main Street,Hyannis MA 02601 16gq. �0 prED MA'S A , CERTIFICATION OF ATTENDANCE Safe Food Handling Training Name: ,r-/? {�dl please print Name of Food Establishment: i Today's Date: r ---------------------------------------------------------------------------- This certificate of attendance expires two years after the date of attendance. f Verficad TOXIC AND HAZARDOUS MATERI LS R STRATION FORM Mail To: NAME OF BUSINESS: F ell h Board of Health MAILING ADDRESS: °2 MA de LAhel� r rn9- Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: - Hyannis, MA 02601 CONTACT PERSON: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totallin , at any time; more than 50 gallons liquid volume or 25 pounds dry weight? YES NO 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 Fj id 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 Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants 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 FEES RETAIL FOOD STORE: FOOD SERVICE ESTABLISHMENT: RESIDENTIAL KITCHEN FOR RETAIL SALE: SEATING: RESIDENTIAL KITCHEN FOR BED+BREAKFAST: $25.00 ANNUAL: MOBILE FOOD UNIT: TEMPORARY FOOD ESTABLISHMENT: SEASONAL: YES CATERER: TEMPORARY: FROZEN DESSERT: MILK: TOWN OF BARNSTABLE BOARD OF HEALTH PERMIT TO OPERATE A FOOD ESTABLISHMENT PERMIT NO: 450 JANUARY 1, 1996 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: FRANCIS AND BARBARA DOREY D/B/A: GAZEBO, THE Whose place of business is: 27 RACE LANE , MARSTONS MILLS, MA 02648 Type of business and any restrictions: CONT. BREAKFAST ESTABLISHMENT To operate a food establishment in the TOWN OF BARNSTABLE Permit expires: December 31, 1996 BOARD OF HEALTH Susan G. Rask, R.S., Chairperson Brian R. Grady, R.S. RESTRICTIONS IF ANY: Ralph A. Murphy, M.D. Thomas A. McKean, R.S., CHO Director of Public Health .w.. .ti...�.rt,,.>r-,.�.r h..-.a . ..�• -r ry .'i�. ..voa�.«..w.. ��'u. r.-:.f �.�rP'��,�•;r.y.it�`�R'M i�'f�:'�`'�` �'�",f-'`. ..,kk rty„ � ,`y CV'r 1� X, 14.,t' � TOWN OF BARNSTABLE n (� 1(J , BOARD OF HEALTH G►� 1� " ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner Chn J � Tenant Address Al Address it II Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilities 00 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities X 6. Heating Facilities ` 7. Lighting and Electrical Facilities 8. Ventilation ~* 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits l 13. Installation and Maintenance of Structural Elements j 14. Insects and Rodents ` 15. Garbage and Rubbish Storage and Disposal / 16. Sewage Disposal 17. Temporary Housing PART 11 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition ,off ac.t Person(s)Interviewed �A' Inspector If Public Building such as Store or Hotel/Motel specify here HoBBs&WARREN.INC. t NUMBER FEE THE COMMONWEALTH OF MASSACHUSETTS 44 40,00 T010 of BARNSTABLE Board of Health of PERMIT TO OPERATE A FOOD ESTABLISHMENT Permit No. 44 Tu E 1, 19 9 5 In accordance with Regulations promulgated under authority of Chapter 94, Section 305A and Chapter 111, Section 5 of the General Laws a Permit is hereby granted to: FT'ANCIS AND BARBARA DO_�*Y D/BJA THE GAZEBO Whose place of business is 27 RACE L.41,E, M-kRSTOj7S MILLS Type of business and any restrictions CO'KIVINE`!"1TA?_ BREAKFAST/BED To operate a food establishment in TOWIT OF BARNSTABLE (City or Town) Permit Expires DECEEBER 31, 19 95 Copy Board This Copy To Be Retained By Local of Board of Health Health FORM 738 Re,1986 AU3.N 1 r TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II:MINIMUM STANDARDS FOR HUMAN HABITATION Date Owner IA..iAA_ Zcr" - Tenant Address �. [�•P9-c_�� a/ Address Compliance Remarks or Regulation# Yes No Recommendations 2. Kitchen Facilitieso' 3. Bathroom Facilities i 4. Water Supply 5. Hot Water Facilities �© 6. Heating Facilities 7. Lighting and Electrical Facilities / 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Person(s) Interviewed' & " Inspector f If Public Building such as Store or Hotel/Motel specify here HOBBS✓Ir WARREN.INC. i f � I; LQCATION SEWAGE PERMIT NO. Vf`,L L AG'E INSTALLER'S NAME i ADDRESS C� c' B U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1 � {No....................... }� ���Yt7LM, �Ri - � 7Ct�T �iGA ` °' F.s..... :......... I THE COMMONWEALTH O��SACH SETTS BOAR® OF HEALTH 0GtSn.................OF..........6X 67N.6 �...--•--•---..........--------- Applirafte c for Dispniial Workii Tnnitrnrtinn ramit Application is hereby made for a Permit to Construct (N or Repair ( ) an Individual Sewage Disposal System at: r ................_........f�&lc. ..,C.. 1 ` = or ..... ...--- -....- t r/a/! ....a I _.....Loc :Address ....or Lot No. ................................ Address � Installer Address i t` < Type of Building Size Lot.11��..�':_'-'. ., Dwelling—No. of Bedrooms........... ...........................Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q, Other fixtu s -----------------------------------•---••---------- .-- W Design Flow............. ...................gallons per person ESr,day. Total da y flow.........43X....... bons. WSeptic Tank—Liquid capacity-1 ..gallons �ength.._. _....... Widt r7....... Diameter________________ DGGe th_... ..._...__. x Disposal Trench—No._._.._�...._._...._ Width..... ..._._._.. Total Length.._............. Total leaching area.. :_.3-_aq--fT. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................sq. ft. Z Other Distribution box ( ) Dosing tan�k,��, ) s Percolation Test Result Performed by ..ev_y 1!(JG ------ Date----c.-.�... ..... a - Test Pit No. 1...............minutes per inch Depth of Test Pit...110......... Depth to ground water.4_ ...!C f3, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water. . __...._._._ . �•( ..................... ....... .... ODescription of Soil........... --_---- ...................................................................................................! ---------•-----------------------------•----------•----•--------------------------•---------•...--- U -------------•--....---•---•--•---••-----••-----......_...--------•--•-•-.........•--••-•-••--------••--•----•--------......-----•----•----••-----•--•-----•--•----•----•------------•.........---•-•--- w x •-•--------------------------------•--••---••---------•--------•---------••---•--------•----•----------•----------._...------------------------------------•----...................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ------. - .... ..........•--......--------•----•---------------------------•------------------------•-----------............---•--.. Agreement: The undersigned agrees to install the a oredescribed Individual Sewage Disposal System in accordance with g P Y the provisions of TI'i U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bbegn issue the board of h . Date ----------------------------X -•- Application Approved By._._._._ ---------------...!�M&-------------- Date Application Disapproved for the following reasons:................................................................:.............................................. --•----•-------------•----.......--•--•--.........--•---------.....---•---•--•---•--•--••---•-------••--•---•-•--..........------------------------°.................................................... Date PermitNo......................................................... Issued...................: ------------ t AJ ..... c.+Hr�r r —1�- rV! = Wit, � 1r � ... THE COMt BkWEALTH OF MASSACHUSETTS �.>"1 jt BOARD Off` HEALTH - '` �'} OF.........:j: i',c�.S.T1r Appliration fur BigpuuFal Work.6 Tonutrurtion Frrmi# Application is hereby made for a Permit to Construct (/,� or .:Repair ( ) an":Individual Sewage Disposal System at: iil.................................... 'r,, .- ................................ o ......... ----•-.......""" - - Lo Addres or Lot No. ........... —p ... .............................• 7 .-• Address Installer Address Type of Building Size Lot__/_r __�«:-:-.-:..-'9 f Dwelling—No. of Bedrooms...............!............................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building .............. No. of persons...._...................--.. Showers — Cafeteria Q' Other fixt s '.............................. .. W P qp Y /rrl.. P pe Pe„ , Y daffy flow----------" --.......-•--•--•••-•..I , s. G4 Septic Tank—I_I uid ca acit ....'....... allons Len th n er da Width l.............. Diameter...-............ Depth-....-.......... Design Flow................. W Disposal Trench—No...--..�............ Width..•.................. Total Length...i(I._........ Total leaching area..�r.�%._-.. .sq'f� x Seepage Pit No------------_------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( x) Dosing tank ( ) _ ~' Percolation Test Results, Performed by--.......r1q'r.7 __.7_....!�J.............UL........ Date....- ...�L. .............. ,aa Test Pit No. l...._€'.......minutes per inch Depth of Test Pit...�61' .......... Depth to ground water------------------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..-.:'..:_-u - ---- ----------- ------= : ------------------••---•-•---••......-----_-•----•._:.-----•.......----•-•---••......--••----.._............-----•-•-....-- ODescription of Soil--..........?:.)�......... /�-' ^= —J""---"-""•----------------------""----""----"---"-----------------------------"----•-"-"--""------ x _x ---•-•---------------------•-•--•-•-•-•••-•--•-•--••-•-•------------•-----------------••-•-••••••••----••----••----------------------••--...-•••-••--------••-------------•-----••..................... U Nature of Repairs or Alterations—"�''Answer w en applicable...................................................•.......................-----............... ................................. •--• t�.;c �------- .......-....... Agreement: The undersigned agrees to install the aforedescribed Individtal Sewage Disposal System in accordance with. the provisions of TIT112 5 of the State Sanitary Code—T e undersigned fur .er agrees not to place the system in operation until a Certificate of Compliance_ has ue he boar 4 1 ✓ Signed....:.:- ......... ----- ... ••............... Date Application Approved BY•---••--�` .0 ................... .........:.._.. -•------ ........... Date Application Disapproved for the following reasons:----------"---------------------"-----...------........----------"---"-"-"-•--------•-•---••--••----•--••....._ ....................:......""-"--"------------------------""-....."-"--""-•------------"--""------..."-- •----------•--...... - • Date Permit No......................................................._ Issued-------------------------------------- ----- ---------- Date THE COMMM�ONWEALTH OF MASSACHUSETTS ARD OF rr=ALT ..........................................OF....................................................................................... ry. 'Trrfif iratr of Toutpliatnrr THIS LS.,To CER Y That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -.» " Installer at..................................................................................................................................................................................................... has been installed in accordance with the provisions of TITTEE;5a Tlbj�tle Sanitary Codg y s ri , the application for Disposal Works Construction Permit No......................................... dated_--------------------------I.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. j DATE..............� .: ....................................... Inspector....-----''..!....=............................................................. e j�:I(VNi��� THE COMMONWEALTH OF MASSACHUSETTS-�- /N.150l¢ M ro BOARD OF EALTH Wv1ZCVUT QUPI r �. : �1 No...._.. .......... FEE.................... Ru11ou01 Irodo nu�il n rrmit Permission is hereby granted......................... ....................... UI......................................�' } , 1• / - to Constr ct ) R ' i �. ) a 1 Sewage Disposal System , atNo..............................•-••---•-•••••-•---•.___._.......-•-----•-•-••-----•---•-........-------•-•--•-------�---------------------------------- as - ;��:. •��is�' . Street `.�" shown on the a plication for Disposal Works Construc ipn Pe xr t o'. � Dated .......................:.�, ....`.. .-.--.--- ----- Bo---------Health ------------ •------------- DATE.........------•• and of- �" FORA 1255�/}iOBBS & WARREN. INC:. PUBLISHERS y • � __tom. . ,... �`. -_.4.. _... __ LOW & WELLER, INC. "Fiddler's Green Plaza" 714 Main Street, P.Q Box 119 Yarmouth Port, Massachusetts 02675 362-6868 362-8131 Registered: George Low, Jr., R.L.S. Land Surveyors A. Paul Simard, P.E. Professional Engineers William G. Weller, Consultant January 27, 1986 BOARD OF HEALTH Town of Barnstable Town Hall Hyannis, MA 02601 RE: Lot "B" - Race Lane, Centerville Job # 85-057 Dear Board of Health: Please be advised that we have supervised and inspected the in- stallation and construction of the new sewage system for the above referenced location. We find that the system has been installed and completed in accordance with the approved plan. If you have any questions, please do not hesitate to contact US. Very truly yours, C r ;A. imard, P.E. APS:dlw i cc LOCATION : SENAJW:,E PERMIT UO. - - — — — — — — - - IMSTQLLER�5 ► WE e ADDRESS BUILDER ' Q &MF- �, ADDRESS DATE PER"lT ISSUED '- - — — — — — — D ATE COKAPLI WACE ISSUED : — — — ail r 1400 9 n I� C 81g' cO Certified Mail Fee Er Extra Services&Fees(check box, dYee as approµn�te Pq ❑Return Receipt(hardcopy) r7Y ❑Return Recelpt(electronic) POStrt1.8rr O ❑Certified Mail Resiricted.Dellve ON� O ❑Adult Signature Required \]l []Adult Signature Restdcted Del iv rc$ t F (J�'t U j N r �� o _ r o 1p BARBAR54Ln wDO�RY r-q 27 RACE-LAN P- MARSTONS MILLS, MA 02648 Certified Mail service provides the following benefits: ■A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail r A unique identifier for your mailpiece. associate for assistance.To receive a duplicate ■Electronic verification of delivery or attempted return receipt for no additional fee,present this ri delivery. 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Adult signature restricted delivery service,which e Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified.; ■Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent 5 with Certified Mail service.However,the purchase (not available at retail). to of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a 7 certain Priority Mail items. USPS postmark.If you would like a postmark on Ir ■For an additional fee,and with a proper this,Certified Mail receipt,please present your 'i endorsement on the mailpiece,you may request Certified Mail item at a Post Office".fd ,,, I the following services: postmarking.If you don't need a posbnaik.on this Return receipt service,which provides a record. 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