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Home My WebLink AboutDUNKIN DONUTS - FOOD Dunkin Donuts-s" i + 156 Iyannough Rd Hy<ww;s r pt � Tt Town of Barnstable BOARD OF HEALTH G John T. Norman Board of Health Donald A.Gaudagnoli,M.D. aAn.`srABLF,:= F.P.(Thomas)Lee,. yea , 200 Main Street, Hyannis, MA 02601 Daniel Luczkow,M.D. Alt. Phone: (508) 862-4644 Fax: (508)790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 305B, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 846 Issue Date: 01/01/2022 DBA: DUNKIN DONUTS #846 OWNER: CAPE COD ENTERPRISES LLC Location of Establishment: 156 IYANNOUGH ROAD HYANNIS„ MA 02601 Type of Business Permit: FOOD SERVICE Annual: YES Seasonal: Indoor5eating: 0 OutdoorSeatin : 0 Total Seating: 0 g FEES FOOD SERVICE ESTABLISHMENT: $250.00 YEAR. 2022 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2022 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: MOBILE. FOOD: MOBILE-ICE CREAM: QA FROZEN DESSERT: Thomas A. McKean, IRS, CHO, Health Agent FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE i Restrictions: DIKE Tp� Initials: ti Town of Barnstable For Office Us nlyi LE, : Inspectional ServicesMASS. l 1639. �� Public Health Division Check# CEO MAy Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT DATE 12/27/21 NEW OWNERSHIP RENEWAL NAME OF FOOD ESTABLISHMENT: Cape Management Team, LLC DBA Dunkin' ADDRESS OF FOOD ESTABLISHMENT: 156 Iyannough Road, Hyannis, MA 02601 MAILING ADDRESS(IF DIFFERENT FROM ABOVE): Go Couto Management Group,169 Main St,Stoneham,MA 02180 v E-MAIL ADDRESS:_office@coutomanagement.com TELEPHONE NUMBER OF FOOD ESTABLISHMENT: 5( O8 ) 778 - 6453 °X TOTAL NUMBER OF BATHROOMS: 1 WELL WATER: YES NO V ... (ANNUAL WATER ANALYSIS REQUIRED) ANNUAL: V SEASONAL: DATES OF OPERATION:_/ /_ TO NUMBER OF SEATS: INSIDE: 0 OUTSIDE: NA TOTAL: 0 SEATING: MUST OBTAIN A COMMON VICTUALLER'S LICENSE FROM LICENSING DIV. ***OUTSIDE DINING REMINDER*** OUTSIDE DINING MUST BE APPROVED BY THE HEALTH DIV.AND LICENSING,AND MEET OUTSIDE DINING REQUIREMENTS. IS WAIT STAFF PROVIDED FOR OUTSIDE DINING? IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVICE DOOR(S)? TYPE OF ESTABLISHMENT: (PLEASE CHECK ALL THAT APPLY BELOW) FOOD SERVICE _RETAIL FOOD-ONLY required for TCS foods(foods requiring refrigeration%freezer) _BED&BREAKFAST _CONTINENTAL BREAKFAST _COTTAGE FOOD INDUSTRY(formerly residential kitchen) _MOBILE FOOD _FROZEN DAIRY DESSERT MACHINES ... (MONTHLY LAB ANALYSIS REQUIRED) _CATERING ... (CATERING NOTICE REQUIRED BEFORE EVENT(SEE PAGE ta) *** SEASONAL,MOBILE &NEW FOOD ONLY*** REQUIRED TO CALL HEALTH DIV.FOR INSPECTION PRIOR TO PERMIT BEING ISSUED PLEASE CALL 508-862-4644 QA1Apphcation FormsTOODAPP 2020.doc t I OWNER INFORMATION: FULL NAME OF APPLICANT Salvi Couto SOLE OWNER: YES 0 D.O.B 3/7/1979 OWNER PHONE# 781-279-0290 kly ADDRESS 169 Main St, Stoneham, Ma 02180 CORPORATE OWNER: Cape Cod Enterprises, LLC CORPORATE ADDRESS: 169 Main St, Stoneham, Ma 02180 1 PERSON IN CHARGE OF DAILY OPERATIONS: Jennifer Silva List(2) Certified Food Protection Managers AND at least(1)Allergen Awareness Certified Staff All FOOD ESTABLISHMENTS must have 1 Certified Food Protection Manager PER SHIFT. **ATTACH COPIES OF CERTIFICATES** The Health Div. will NOT use past years' records.You must provide new copies and POST THE CERTIFICATES at your food establishment. Certified Food Managers Expiration Date Allergen Awareness Expiration Date (,,cLrc oCo7t� 'U3J Za�Z-(, n 1, Dawn Connelly 07/ 24 /2023 1,P!m 2, Rosalia Ballerin 12/ 6 /2023 <47V 3 vc-x- b Cg -CC.4C- V.Z �- I 2-OZ5 I I Te 12 /27 / 21 SIGNATURE OF APPLICANT DATE ***FOOD POLICY INFORMATION*** SEASONAL FOOD SERVICE: All seasonal food establishments,including mobile trucks must be inspected by the Health Div. , prior to opening!! Please call Health Div,at 508-862-4644 to schedule your inspection. Please call at least(7)days in advance, i FROZEN DAIRY DESSERTS: Frozen desserts must be tested by a State Certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Div. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit until the above terms are met. CATERING POLICY: Anyone who caters within the Town of Barnstable must notify theTown by fax or mail prior to catering event. You must complete a catering notice found at http://www.townofbarnstable.us/healthdivisioii/applicationS.asp. OUTDOOR COOKING: Outdoor cooking,preparation,or display of any food product by a food establishment is prohibited. NOTICE: Permits run annually from January 1 st to Dec.3151 each calendar year. IT IS YOUR RESPONSIBILITY TO RETURN THE COMPLETED APPLICATION(S)AND REQUIRED FEES BY DEC 1st. QApplication FormsTOODAPP REV3-2019.doc I r , _ Og�11 Town of Barnstable BOARD OF HEALTH John T.Norman Board of Health Donald A.Gaudagnoli,M.D. •' �+asrABt� Paul J.Canniff,D.M.D. MAM 200 Main Street, Hyannis, MA 02601 F.P. Thomas Lee Alternate Phone: (508) 862-4644 Fax: (508)790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 3056, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 846 Issue Date: 01/01/2021 DBA: DUNKIN DONUTS #846 OWNER: CAPE COD ENTERPRISES LLC Location of Establishment: 156 IYANNOUGH ROAD HYANNIS„ MA 02601 Type of Business Permit: FOOD SERVICE Annual: YES Seasonal: IndoorSeating: 0 OutdoorSeating: 0 Total Seating: 0 FEES FOOD SERVICE ESTABLISHMENT: $250.00 YEAR. 2021 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2021 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: MOBILE-FOOD: MOBILE-ICE CREAM: Q./r FROZEN DESSERT: Thomas A. McKean, IRS, CHO, Health Agent FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE Restrictions: f L-)(�, c)K-- Initials:. i For Office • Town of Barnstable ^ � Date Paid(1 3D � Amt Pd S .ONIJ �STABM Inspectional ServicesCheck# �- '�Eo►+�+& Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,:MA 02601 Office: 508-862-4644 Fax: 508-790=6304 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT DATE 11/16/20 NEW OWNERSHIP RENEWAL NAME OF FOOD ESTABLISHMENT: Cape Management Team, LLC DBA Dunkin' 4 E ADDRESS OF FOOD ESTABLISHMENT: 156 Iyannough Road, Hyannis, MA 02601 i MAILING ADDRESS(IF.DIFFERENT FROM ABOVE): c/o Couto Management Group,169 Main St,Stoneham,MA 02180 r .E-MAIL ADDRESS: office@coutomanagement.com j TELEPHONE NUMBER OF FOOD ESTABLISHMENT: 5( O8 l 778 - 6453 TOTAL NUMBER OF BATHROOMS: 1 WELL WATER:YES—NO V ... (ANNUAL.WATER ANALYSIS REQUIRED) ANNUAL: V _ SEASONAL: DATES:OF OPERATION: /_7_ TO NUMBER OF SEATS: INSIDE: 0 OUTSIDE: NA TOTAL: 0 SEATING: MUST OBTAIN A COMMON:VICTUALLER'S LICENSE FROM LICENSING DIV. I i ***OUTSIDE DINING REMINDER*** t OUTSIDE DINING MUST BE APPROVED BY THE HEALTH DIV..AND LICENSING,AND MEET OUTSIDE DINING i REQUIREMENTS. j i IS WAIT STAFF PROVIDED FOR OUTSIDE DINING? g IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVICE DOOR(S)? TYPE OF ESTABLISHMENT: (PLEASE CHECK ALL THAT APPLY BELOW) m FOOD SERVICE _RETAIL FOOD-ONLY required.for TCS foods(foods requiring refrigeration/freezer). _BED&BREAKFAST _CONTINENTAL BREAKFAST E _COTTAGE FOOD INDUSTRY.(formerly residential kitchen) _MOBILE FOOD. _FROZEN DAIRY DESSERT MACHINES... (MONTHLY LAB ANALYSIS REQUIRED) _CATERING... (CATERING NOTICE REQUIRED BEFORE EVENT(SEE PAGE#2) *** SEASONAL,MOBILE &NEW FOOD ONLY*** REQUIRED TO CALL HEALTH DIV.FOR INSPECTION PRIOR TO PERMIT BEING ISSUED PLEASE CALL 508-862-4644 Q;Wpplication ForinsTOODAPP 2020.doc j l � OWNER INFORMATION: FULL NAME OF APPLICANT Salvi Couto SOLE OWNER: YES NO D.O.B 3/7/1979 OWNER PHONE# 781-279-0290 :ADDRESS 169 Main St, Stoneham, Ma 02180 i CORPORATE OWNER: Cape Cod Enterprises, LLC CORPORATE ADDRESS: 169 Main St, Stoneham, Ma 02180 PERSON IN'CHARGE OF DAILY OPERATIONS: Jennifer Silva List(2) Certified Food Protection Managers AND at least(1)Allergen Awareness Certified Staff All FOOD ESTABLISHMENTS must have 1 Certified Food Protection Manager PER SHIFT. **ATTACH COPIES OF CERTIFICATES** The Health Div. will NOT use past years' records. You must provide new copies and POST THE CERTIFICATES at your food establishment. Certified Food Managers Expiration Date Allergen Awareness Expiration Date { I i 1. Jennifer Silva 11/ 16 /2021 1. Jennifer Silva 10/ 4 /2022 2, Rosalia Ballerin 12/ 6 /2023 11 ,/16 / 20 SIGNATURE OF APPLICANT DATE **'*FOOD POLICY INFORMATION"* SEASONAL FOOD SERVICE: All seasonal food establishments,including mobile trucks must be inspected by the Health Div. prior to openine!! Please call Health Div.at 508-8624644 to schedule your inspection. Please call at least(7)days in advance. i FROZEN.DAIRY DESSERTS: Frozen desserts must.be tested by a State Certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Div. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit.until_the above terms are met. t CATERING POLICY: .Anyone who caters within the Town of Barnstable must notify theTown by fax or mail prior to catering event. You must complete a catering notice found at.http://www.towaofbarnstable.us/heaIthdivision/applications.ast). i l OUTDOOR COOKING: Outdoor cooking,preparation,or display of any food product by a food establishment is prohibited. I NOTICE: Permits run`annually from January l st to Dec.3151 each calendar year. IT IS YOUR RESPONSIBILITY TO RETURN THE COMPLETED APPLICATION(S)AND REQUIRED FEES BY DEC 1st. t 1 Q:1Applicatim FormsTOODAPP REV3-2010.doc K Town of Barnstable BOARD OF HEALTH John T.Norman Board of Health Donald A.Gaudagnoli,M.D. R&A AMF Paul J.Canniff,D.M.D. 1639. ,� 200 Main Street, Hyannis, MA 02601 F.P. Thomas Lee Alternate � Phone: (508) 862-4644 Fax: (508)790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 30513, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 846 Issue Date: 12/10/2019 DBA: DUNKIN DONUTS #846 OWNER: CAPE COD ENTERPRISES LLC Location of Establishment: 156 IYANNOUGH ROAD HYANNIS, MA 02601 Type of Business Permit: FOOD SERVICE Annual: YES Seasonal: IndoorSeating: 0 OutdoorSeating: 0 Total Seating: 0 FEES FOOD SERVICE ESTABLISHMENT: $250.00 YEAR. 2020 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2020 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: MOBILE-FOOD: MOBILE-ICE CREAM: CQ/� FROZEN DESSERT: Thomas A. McKean, RS, CHO, Health Agent TOBACCO SALES: FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE Restrictions: i Op N. THE, y For O • Initials: Town of Barnstable �$ - `. Date Paid t``` ,( qAmt 9ARSL MA99. $ Inspectional Services �p i63g• s�6 ''4 rEnMv� Check# �� 'y�--� .Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 r: Office: 508-862.-4644 Fax: 508-790-6304 s APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT DATE 11/14/19 NEW OWNERSHIP RENEWAL NAME OF FOOD ESTABLISHMENT: Cape Management Team, LLC DBA Dunkin' Donuts ADDRESS OF FOOD ESTABLISHMENT: 156 lyannough Rd., Hyannis, MA 02601 MAILING ADDRESS(IF DIFFERENT FROM ABOVE): c/o Couto Management Group, 169 Main St., Stoneham, MA 02180 E-MAIL ADDRESS: office@coutomanagement.com TELEPHONE NUMBER OF FOOD ESTABLISHMENT: 5( 08 ") 778 - 6453 TOTAL NUMBER OF BATHROOMS: 1 WELL.WATER:YES NO V ... (ANNUAL WATER ANALYSIS REQUIRED) ANNUAL: V SEASONAL: DATES OF OPERATION: / ! TO 1 / NUMBER OF SEATS: INSIDE: 0 OUTSIDE: N/A TOTAL: 0 SEATING: MUST OBTAIN A COMMON VICTUALLER'S LICENSE FROM LICENSING DIV. ***OUTSIDE DINING REMINDER*** OUTSIDE DINING,MUST BE APPROVED BY THE HEALTH DIV.AND LICENSING..AND MEET OUTSIDE DINING REQUIREMENTS. IS WAIT STAFF PROVIDED FOR OUTSIDE DINING? IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVICE DOOR(S)? TYPE OF ESTABLISHMENT: (PLEASE CHECK ALL THAT APPLY BELOW) FOOD SERVICE RETAIL FOOD-ONLY required for TCS foods(foods requiring refrigeration/freezer) BED&BREAKFAST .CONTINENTAL BREAKFAST COTTAGE FOOD INDUSTRY(formerly residential kitchen) MOBILE FOOD FROZEN DAIRY DESSERT MACHINES...(MONTHLY LAB ANALYSIS REQUIRED) CATERING... (CATERING NOTICE REQUIRED BEFORE EVENT(SEE PAGE#2) TOBACCO SALES .. (ANNUAL TOBACCO SALES APPLICATION REQUIRED) *** SEASONAL,MOBILE&NEW FOOD ONLY*** REQUIRED TO CALL HEALTH DIV.FOR INSPECTION PRIOR TO PERMIT BEING ISSUED Q:Wpplication FormsTOODAPPREV2018.doc r ^ et PLEASE CALL 508-8624644 OWNER INFORMATION: FULL NAME OF APPLICANT Salvi Couto SOLE OWNER: YES NO D.O.B 3/7/1979 OWNER PHONE# 781-279-0290 ADDRESS 169 Main Street, Stoneham, MA 02180 CORPORATE OWNER:Cape Management Team,LLC FEDERAL ID NO. : 01-0769146 CORPORATE ADDRESS: 169 Main Street, Stoneham, MA 02180 PERSON IN CHARGE OF DAILY OPERATIONS: Jennifer Silva List(2) Certified Food Protection Managers AND at least(1)Allergen Awareness Certified Staff All FOOD ESTABLISHMENTS must have 1 Certified Food Protection Manager PER SHIFT. **ATTACH COPIES OF CERTIFICATES**The Health Div..will NOT use past years' records. You must provide.new copies and POST THE CERTIFICATES at your food establishment. Certified Food Managers Expiration Date Allergen Awareness Expiration Date 1.Jennifer Silva 11 / 16 /2021 1, Jennifer Silva 10/ 4 6/2022 2,Rosalia Ballerin 12/ 6 /2023 a 11 / 14 /2019 SIGNATURE OF APPLICANT DATE ***FOOD POLICY INFORMATION*** SEASONAL FOOD SERVICE:All seasonal food establishments,including mobile trucks must be inspected by the Health Div. prior to openin¢!! Please call Health Div.at 508-86..2-4644 to schedule your inspection. Please call at least(7)days in advance. FROZEN DAIRY DESSERTS: Frozen desserts must be tested by a State Certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Div. Failure to do so;will result in the suspension or revocation of.your Frozen Dessert Permit.until the above terms are met. CATERING POLICY: Anyone who caters within the Town of Barnstable.must notify theTown by fax or mail prior to catering event. You must complete a catering notice found at http://www.town6fbarnstable:us/boalthdivision/anplications.asp. OUTDOOR COOKING: Outdoor cooking,preparation,or display of any food product by a food establishment is prohibited. TOBACCO ESTABLISHMENTS: All tobacco establishments must complete an Application for Tobacco Sales Permit and Employee Signature Form. NOTICE: Permits run annually from January 1st to Dec.31 s`each calendar year. IT IS YOUR RESPONSIBILITY TO RETURN THE COMPLETED APPLICATION(S)AND REQUIRED FEES BY DEC 1st. Q:1Application FounsTOODAPPREV2018.doc a . HEALTH INSPECTOR'S Establishment Name: � ��ti� Date: I Page: of `°p THE rpk� TOWN OF BARNSTABLE - OFFICE HOURS - nn E. PUBL 0 MA N IC HEALTH RETSION 8:00-9:30 A.M. ST 3:30-4:30 P.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified MAC, p MON.-FRI. ,679.per• HYANNIS, MA 02601 508-862-4644 No Reference R-Red Item PLEASE PRINT CLEARLY 'FDN1�` FOOD ESTABLISHMENT INSPECTION REPORT Name ` Date i 1><s a of a Inspection -cam �l p out eO Address /.` Risk Food Servi Me-inspection o S �"t`�Q� Level � Previous Inspection Telephone Residential Kitchen Date: Mobile Pre-operation Owner HACCP Y/N Temporary Suspect Illness Caterer General Complaint Person in Charge(PIC) Time Bed&Breakfast HACCP -� In: Other Inspector Out: Each violation checked requires an explanation on the narrative page(s)and a citation of specific provision(s)violated. Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking 590.009(E) ❑ Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ Action as determined by the Board of Health. Allergen Awareness 590.009(G) ❑ LG 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 ❑3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIMErrEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑4.Food and Water from Approved Source ❑ 16.Cooking Temperatures ❑ 5.Receiving/Condition ❑ 17.Reheating ❑6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ❑7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑ 20.Time As a Public Health Control ❑ 8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑ 9.Food Contact Surfaces Cleaning and Sanitizing ❑21.Food and Food Preparation for HSP ❑ 10.Proper Adequate Handwashing CONSUMER ADVISORY ❑ 11.Good Hygienic Practices ❑ 22.Posting of Consumer Advisoriestlu, Violations Related to Good Retail Practices(Blue Items) Total Number of Critical Violations Critical(C)violations marked must be corrected immediately. (blue&red items) ^"1 u Corrective Action Required: No EEO] Yes Non-critical(N)violations must be corrected immediately or Overall Rating �l. within 90 days as determined by the Board of Health. ❑ Voluntary Compliance ❑ Employee Restriction/Exclusion ❑ Re-inspection Scheduled ❑ Emergency Suspension C N Official Order for Correction:Based on an inspection today,t e items checked indicate violations of 105 CMR 590.000/Federal Food Code. ❑ Embargo Other: Emergency Closure Voluntary Disposal ❑ 23.Management and Personnel (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations.9 or more non-critical violations, 24.Food and Food Preparation (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations B=One critical violation and less than 4 non-critical violations regardless of the number of critical,results in an F. 25.Equipment and Utensils (FC-4)(590.005) cited in this report may result in suspension or revocation of the food if no critical violations observed,4 to 6von-critical violations=B. 26.Water,Plumbing and Waste (FC-5)(590.006) establishment permit and cessation of food establishment operations. If Seriously Critical Violation=F is scored automatically if: no hot 27.Physical Facility (FC-6)(590.007) aggrieved by this order,you have a right to a hearing. Your request must C=2 critical violations and less than 9 non-critical. If no critical water,sewage back-up,infestation of rodents or insects,or lack of violations observed,7 to anon-critical violations. If 1 critical refrigeration. 28.Poisonous or Toxic Materials (FC-7)(590.008) be in writing and submitted to the Board of Health at the above address 29.SpeciaUkequirements (590.009) within 10 days of receipt of this order. violation,4 to Snon-critical violations=C. 30.Other,00 DATE OF RE-INSPECTION: o s Print: 31.Durr> ster screened from public view u M l 1 Permit Posted? 1V/ Y N Grease Trap Previous Pumping Date Grease Rendered Y N #Seats Observed Frozen Dessert Machines: Outside Dining Y N PIC's Si ature Print: / Self Service Wait Service Provided Grease Trap Size Variance Letter Posted Y N Dumpster Screen? Y Nl7- Violations related to Foodborne Illness Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont.) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) Assignment of Responsibility* 8 Cross-contamination L14 Food or Color Additives Law Cooled to 41°F/45°F Within 4 Hours* 590.003(B) Demonstration of Knowledge* 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12• Additives* 3-501.15 Cooling Methods for PHFs Cooked and RTE Foods.* * 19 PHF Hot and Cold Holding 2-103.11 Person-in-Charge Duties 3-302.14 Protection from Unapproved Additives Contamination from Raw Ingredients 15 Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41°F/45°F EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* 590.004(F) 2 590.003(C) Responsibility of the Person-in-Charge to Other* * 3-501.16(A) Hot PHFs Maintained At or Above 140°F* 7-102.11 Common Name-Working Containers Require Reporting by Food Employees and Contamination from the Environment 3-501.16(A) Roasts Held At or Above 130°F* * 7-201.11 Separation-Storage* Applicants 3-302.11(A) Food Protection* 20 Time as a Public Health Control 590.003(F) Responsibility of A Food Employee or An 3-302.15 Washing Fruits and Vegetables 7-202.11 Restriction-Presence and Use* 3-501.19 Time as a Public Health Control* * Applicant To Report To The Person In Charge* 7.202.12 Conditions of Use 3-304.11 Food Contact with Equipment and Utensils* 590.004(11) Variance Requirements 590.003(G) Reporting by Person in Charge* 7-203.11 Toxic Containers-Prohibitions* Contamination from the Consumer 3 590.003 D Exclusions and Restrictions* 7-204.11 Sanitizers,Criteria-Chemicals* ( ) REQUIREMENTS FOR 3-306.14(A)(B)Returned Food and Reared orce,of Food* 7-204.12 Chemicals for WashingProduce,Criteria* HIGHLY SUSCEPTIBLE POPULATIONS HSP 590.003(E) Removal of Exclusions and Restrictions Disposition of Adulterated or Contaminated � ) Food 7.204.14 Drying Agents,Criteria* 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* 4 Food and Water From Regulated Sources 9 Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004(A-B) Compliance with Food Law* 4-501.111 Manual Warewashing-Hot Water 7.206.12 Rodent Bait Stations* 3-801.11(D) Raw or Partially Cooked Animal Food and 3-201.12 Food in a Hermetically Sealed Container* Sanitization Temperatures* Raw Seed Sprouts Not Served* 7-206.13 Tracking Powders,Pest Control and 3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashing-Hot Water Monitoring* 3-801.1](C) Unopened Food Package Not Re-Served* 3-202.13 Shell Eggs* Sanitization Temperatures* TIME/TEMPERATURE CONTROLS 3-202.14 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-Temp.,pH. 16 Proper Cooking Temperatures for PHFs CONSUMER ADVISORY 3-202.16 Ice Made From Potable Drinking Water* Concentration and Hardness* 3-401.11A(1)(2) Eggs-155°F 15 sec 22 3-603.11 Consumer Advisory Posted for Consumption of 4-601.11(A) Clean Utensils and Food Contact Surfaces of Eggs-Immediate Service 145°F 15 sec* Animal Foods That are Raw,Undercooked or 5-101.11 Drinking Water from an Approved System* gg Equipment* Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* 3-401.11(A)(2) Comminuted Fish,Meats&Game Pathogens* Effective 1112001 4-602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* 590.006(B) Water Meets Standards in 310 CMR 22.0* Contact Surfaces of Equipment* * 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 min Eggs* 4-702.11 Frequency of Sanitization of Utensils and Food 3-401.11(A)(2) Ratites,Injected Meats-155°F 15 sec* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surfaces of Equipment* Shellfish* 4-703.11 Methods of Sanitization-Hat Water and 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS Stuffing Containing Fish,Meat,Poultry or 3-201.15 Molluscan Shellfish from NSSP Listed Chemical* g g �' 590.009(A)-(D) Violations of Section 590.009(A)-(D)in cater- Ratites-165°F 15 sec* Sources* 10 Proper,Adequate Handwashing ing,mobile food,temporary and residential Game and Wild Mushrooms Approved By 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Regulatory Authority 2-301.11 Clean Condition-Hands and Arms* 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to 3-202.18 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodborne illness interventions and risk factors. 2-301.14 When to Wash* * Other 590.009 violations relating to good retail 590.004(C) Wild Mushrooms* 3-401.11(A)(1)(b) All Other PHFs-145°F 15 sec practices should be debited under#29-Special * 11 Good Hygienic Practices 17 Reheating for Hot Holding P P 3-201.17 Game Animals 9 g Requirements. 5 Receiving/Condition 2-401.11 Eating,Drinking or Using Tobacco* 3-403.11(A)&(D) PHFs 165*17 15 sec* 3-202.11 PHF's Received at Proper Temperatures* 2-401.12 Discharges From the Eyes,Nose and Mouth* 3-403.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES 3-202.15 Package Integrity* 3-301.12 Preventing Contamination When Tasting* 3-403.11(C) Commercially Processed RTE Food-140°F* Blue Items 23-30) 1y Prevention of Contamination from Hands Critical and non-critical violations,which do not relate to the foodborne 3-101.11 Food Safe and Unadulterated* 3-403.11(E) Remaining Unsliced Portions of Beef Roasts* illness interventions and risk factors listed above,can be found in the 6 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 18 Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 3-202.18 Shellstock Identification* 13 Handwashing Facilities 3-501.14(A) Cooling Cooked PHFs from 140°F to 70°F * Conveniently Located and Accessible Within 2 Hours and From 70°F to 41°F/45°F Item Good Retail Practices FC 590.000 3-203.12 Shellstock Identification Maintained Tags/Records:Fish Products 5-203.11 Numbers and Capacities* Within 4 Hours* 23. Management and Personnel FC-2 .003 3-402.11 Parasite Destruction* 5-204.11 Location and Placement* 3-501.14(B) Cooling PHFs Made from Ambient 24. Food and Food Protection FC-3 .004 Temperature Ingredients to 41 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention* 5-205.11 Accessibility,Operation and Maintenance Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 590.004(J) Labeling of Ingredients* Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 7 Conformance with Approved Procedures/ 6-301.11 Handwashing Cleanser,Availability 28. Poisonous or Toxic Materials FC-7 .008 HACCP Plans 6-301.12 Hand Drying Provision 129. 1 Special Requirements .009 3-502.11 Specialized Processing Methods* 130. 1 Other 3-502.12 Reduced-Oxygen Packaging Criteria* 8-103.12 Conformance with Approved Procedures* S:590Formback6-2doc *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. °p IHE r TOWN OF BARNSTABLE HEALTH INSPECTOR'S Establishment Name: D yrU ll nonvrs Date: lh i l Page:.= of _ ,�yyam q, OFFICE HOURS enae. PUBLIC 0 MAIN STREET DIEVTSION - - e:00-9:30A.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified 3:30-4:30 P.M. p39:n�0� HYANNIS,MA 02601 M -FRI. No Reference R-Red Item PLEASE PRINT CLEARLY rFo MPS 508-8-862-4644 FOOD ESTABLISHMENT INSPECTION REPORT Name �O �� ot?t,( S Date Iq ape of T o Inspection ' .�� •. dl O e a ion outine Address �iy � d Risk ervlce Re- ection L' 156 -T 9 h Level Previous Inspection i Telephone Residential Kitchen Date: Mobile Pre-operation Owner HACCP Y/N Temporary Suspect Illness Caterer General Complaint _ Person in Charge(PIC) Time Bed&Breakfast HACCP - r i - 00 In: Other 0 Inspector P.Mo or Out: In L,oQ wr _ 14Ol Each violation checked requires an explanation on the narrative page(s)and a citation of specific provision(s)violated. ✓L Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking 590.009(E) ❑ (Vail e Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ " h,n �� Action as determined by the Board of Health. Allergen Awareness 590.009(G) ❑ -S Oat, (G1 _ 'l"o, r l� 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 ra i ❑ 3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals . FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑4.Food and Water from Approved Source ❑ 16.Cooking Temperatures ❑ 5.Receiving/Condition ❑ 17.Reheating ❑ 6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ❑ 7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑ 20.Time As a Public Health Control ❑ 8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑ 9.Food Contact Surfaces Cleaning and Sanitizing ❑21.Food and Food Preparation for HS ❑ 10.Proper Adequate Handwashing CONSUMER ADVISORY y',\ 1� I� ❑ 11.Good Hygienic Practices ❑ 22.Posting of Consumer Advisories t V Violations Related to Good Retail Practices(Blue Items) Total Number of Critical Violations ��JJ Critical(C)violations marked must be corrected immediately. (blue&red items) Corrective Action Required: LA No ❑ Yes Non-critical(N)violations must be corrected immediately or Overall Rating within 90 days as determined by the Board of Health., ❑ Voluntary Compliance ❑ Employee Restriction/Exclusion ❑ Re-inspection Scheduled ❑ Emergency Suspension C N Official Order for Correction:Based on an inspection today,the items checked indicate violations of 105 CMR 590.000/Federal Food Code. ❑ Embargo Emergency Closure ❑ Voluntary Disposal ❑.Other: 23.Management and Personnel (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations.9 or more non-critical violations, 24.Food and Food Preparation (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations regardless of the number of critical,results in an F. 25.Equipment and Utensils (FC 4)(590.005) cited in this report may result in suspension or revocation of the food B=One critical violation and less than 4 non-critical violations 25.Water,Plumbing and Waste (FC-5)(590.005) establishment permit and cessation of food establishment operations. d if no critical violations observed,4 to 6 non-critical violations=B. Seriously Critical Violation=F is scored automatically if: no hot 27.Physical Facility (FC-6)(590.007) aggrieved by this order,you have a right to a hearing. Your request must C=2 critical violations and less than i non-critical- . f critical ' water,sewage back-up;infestation of rodents or insects;or lack of be in writing and submitted to the Board of Health at the above address violations observed,7 to anon-critical violations. If 1 critical refrigeration. 28.Poisonous or Toxic Materials (FC-7)(590.008) 9 violation,4 to 8non-critical violations=C. 29.Special Requirements (590.009) within 10 days of receipt of this order. 30.Other DATE OF RE-INSPECTION: Inspector's Signature Print: 31.Dumpster screened from public view Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N #Seats Observed Frozen Dessert Machines: Outside Dining Y N PIC's Signature Print: Self Service Wait Service Provided Grease Trap Size Variance Letter Posted. Y N Dumpster Screen? Y N Violations related to Foodborne Illness Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) Assignment of Responsibility* F 8 Cross-contamination 14 Food or Color Additives Law Cooled to 41`F/45°F Within 4 Hours* 590.003(B) Demonstration of Knowledge* 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12._._ Additives* 3-501.15 Cooling Methods for PHFs 2-103.11 Person-in-Charge Duties Cooked and RTE Foods.* 3-302.14 Protection from Unapproved Additives* 19 PHF Hot and Cold Holding Contamination from Raw Ingredients 15 Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41°F/45°F 590.004(F) EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* 2 590.003(C) Responsibility of the Person-in-Charge to Other* 7-102.11 Common N e-Working Containers* 3-501.16(A) Hot PHFs Maintained At or Above 140°F* am Require Reporting by Food Employees and Contamination from the Environment 3-501.16(A) Roasts Held At or Above 130°F* PP * A licants 7-201.11 Separation-Storage*3-302.11(A) Food Protection* 20 Time as a Public Health Control 590.003(F) Responsibility of A Food Employee or An 7-202.11 Restriction-Presence and Use* * 3-302.15 Washing Fruits and Vegetables 3-501.19 Time as a Public Health Control Applicant To Report To The Person In Charge* 7.202.12 Conditions of Use* 3-304.11 Food Contact with Equipment and Utensils* 590.004(11) Variance Requirements 590.003(G) Reporting by Person in Charge* Contamination from the Consumer 7-203.11 Toxic Containers-Prohibitions* 3 590.003(D) Exclusions and Restrictions* 3-306.14(A)(B)Returned Food and Reservice of Food* 7-204.11 Sanitizers,Criteria-Chemicals* REQUIREMENTS FOR.. 590.003(E) Removal of Exclusions and Restrictions Disposition of Adulterated or Contaminated 7-204.12 Chemicals for Washing Produce,Criteria* HIGHLY SUSCEPTIBLE POPULATIONS(HSP) Food 7.204.14 Drying Agents,Criteria* 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* 4 Food and Water From Regulated Sources 9 Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004(A-B) Compliance with Food Law* 4-501.111 Manual Warewashing-Hot Water 7.206.12 Rodent Bait Stations* 3-801.11(D) Raw or Partially Cooked Animal Food and 3-201.12 Food in a Hermetically Sealed Container* Sanitization Temperatures* 7-206.13 Tracking Powders,Pest Control and Raw Seed Sprouts Not Served* 3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashing-Hot Water Monitoring* 3-801.11(C) Unopened Food Package Not Re-Served* 3-202.13 Shell Eggs* Sanitization Temperatures* TIME/TEMPERATURE CONTROLS 3-202.14 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-Temp.,pH. 16 Proper Cooking Temperatures for PHFs - CONSUMER ADVISORY 3-202.16 Ice Made From Potable Drinking Water* Concentration and Hardness* 3-401.11A(1)(2) Eggs-155°F 15 sec 22 3-603.11 Consumer Advisory Posted for Consumption of 4-601.11(A) Clean Utensils and Food Contact Surfaces of Eggs-Immediate Service 145*F 15 sec* Animal Foods That are Raw,Undercooked or Equipment 5-101.11 Drinking Water from an Approved System* * gg Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* 3-001.11(A)(2) Comminuted Fish,Meats&Game Pathogens* Effective 1112001 4-602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* 590.006(B) Water Meets Standards in 310 CMR.22.0* Contact Surfaces of Equipment* * 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 min Eggs* 4-702.11 Frequency rf ces Sanitization of Utensils and Food 3-40L11(A)(2) Ratites,Injected Meats-155°F 15 sec* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surfaces of Equipment* Shellfish* 4-703.11 Methods of Sanitization-Hot Water and 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS _ 3-201.15 Molluscan Shellfish from NSSP Listed * Stuffing Containing Fish,Meat,Poultry or 590.009 A D Violations of Section 590.009(A)-(D)in cater- Chemical ( )-( ) Sources* Ratites-165°F 15 sec* ing,mobile food,temporary and residential 10 Proper,Adequate Handwashing Game and Wild Mushrooms Approved By 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Regulatory Authority 2-301.11 Clean Condition-Hands and Arms* 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to 3-202.18 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodbome illness interventions and risk factors. 590.004(C) Wild Mushrooms* 2-301.14 When to Wash* 3-401.11(A)(1)(b)All Other PHFs-145°F 15 sec* Other 590.009 violations relating to good retail 3-201.17 Game Animals* 11 Good Hygienic Practices 17 Reheating for Hot Holding practices should be debited under 929-Special 2-401.11 Eating,Drinking or Using Tobacco* * Requirements. 5 Receiving/Condition g� g g 3-403.11(A)&(D) PHFs 165°F 15 sec 3-202.11 PHF's Received at Proper Temperatures* 2-401.12 Discharges From the Eyes,Nose and Mouth* 3 403.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES 3-202.15 Package Integrity* 3-301.12 Preventing Contamination When Tasting* 3-403.11(C) Commercially Processed RTE Food-140°F* Blue Items 23-30) 12 Prevention of Contamination from Hands Critical and non-critical violations,which do not relate to the'foodbome 3-101.11 Food Safe and Unadulterated* 3-403.11(E) Remaining Unsliced Portions of Beef Roasts* illness interventions and risk factors listed above,can be found in the 8 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 18 Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 3-202.18 Shellstock Identification* 13 Handwashing Facilities 3-501.14(A) Cooling Cooked PHFs from 140°F to 70°F 3-203.12 Shellstock Identification Maintained* Conveniently Located and Accessible Within 2 Hours and From 70°F to 41°F/45°F Item Good Retail Practices FC 590.000 Tags/Records:Fish Products 5-203.11 Numbers and Capacities* Within 4 Hours* 23. Management and Personnel FC-2 .003 3-501.14(B) Cooling PHFs Made from Ambient 24. Food and Food Protection FC-3 .004 3-402.11 Parasite Destruction* 5-204.11 Location and Placement* s 5-205.11 Accessibility,Operation and Maintenance Temperature Ingredients to 41°F/45°F 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 590.004(J) Labeling of Ingredients* Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 7 Conformance with Approved Procedures I 6-301.11 Handwashing Cleanser,Availability 28. Poisonous or Toxic Materials I FC-7 1.008 HACCP Plans 6-301.12 Hand Drying Provision 29. Special Requirements 1.009 3-502.11 Specialized Processing Methods* 30. Other 3-502.12 Reduced-Oxygen Packaging Criteria* _ 8-103.12 Conformance with Approved Procedures* S:590Formback6-2doc *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000'. HEALTH INSPECTOR'S Establishment Name: 1 Date: Pa e: oFTHE rok TOWN OF BARNSTABLE 9. . of 1 OFFICE HOURS P ° PUBLIC HEALTH DIVISION 8:00-9:30 A.M. BARNS7'ABLE. • 200 MAIN STREET 3:30-4:30 P.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified ,639.a 0� HYANNIS, MA 02601 MON.-FRI. No Reference R-.Red Item PLEASE PRINT CLEARLY. rFPA'� - 508-862-4644 M FOOD E TA LISHMENT INSP CT ON REPORT Name IN Date. Rlype of sec ion Routine.= Address �'&TpBIVINisk Food Servi specti n -J "Level DaZi I tMobile �r Telephone Residential Kitchen Date'Pre-0 n Owner HACCP Y/N Temporary Suspe Illness Caterer General Complaint Person in Charge(PIC) Time Bed 8 Breakfast HACCP Other Inspector OIZ2ay kW12 C' "% - -- 1�'21VA IN Each violation'checked requires explanation on the narrative pa (1)an- a citation of specific provision(s)violated. Violations Related to Foodborne Illness Interventions and Risk actors(Red Items) Anti-Choking 590.009(E) ❑ Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ Action.as determined by the Board of Health. Allergen Awareness 590.009(G) ❑ FOOD PROTECTION MANAGEMENT ❑ 12.Prevention of Contamination from Hands ❑ 1.PIC Assigned/,Knowledgeable/Duties ❑ 13.Handwash Facilities EMPLOYEE HEALTH PROTECTION FROM.CHEMICALS yw ❑ 2.Reporting of Diseases by Food Employees and PIC ❑ 14.Approved Food or Color Additives ❑ 3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIMEITEMPERATURE CONTROLS(Potentially Hazardous Foods) - ❑4.Food and Water from Approved Source ❑ 1.6.Cooking Temperatures ❑ 5.Receiving/Condition ❑ 17.Reheating ❑ 6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ❑ 7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑20.Time As a Public Health Control ❑8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) Air ❑ 9.Food Contact Surfaces Cleaning and Sanitizing ❑ 21.Food and Food Preparation for HSP ❑ 10.Proper Adequate Handwashing CONSUMER ADVISORY LD ❑ 11.Good Hygienic Practices ❑22.Posting of Consumer Advisories Violations Related to Good Retail Practices(Blue Items) Total Number of Critical Violations Critical(C)violations marked must be corrected immediately. (blue&red items) Corrective Action Required: ❑ o ❑ Yes /�J Non-critical(N)violations must be corrected immediately or 77 within 90 days as determined b the Board of Health. Overall Rating ry p ❑ p y ❑ P ❑ g y p y y F�M ❑ Voluntary Compliance Em to ee Restriction/Exclusion Re-inspection Scheduled Emergency Suspension C N Official Order for Correction:Based on an inspection today,t ite s ❑ Embargo Emergency Closure ❑ Voluntary Disposal Other: checked indicate violations of 105 CMR 590.000/Federal Food Cod . 23.Management and Personnel (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations.9 or more non-critical violations, 24.Food and Food Preparation_ (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations regardless of the number of critical,results in an F. 25.Equipment and Utensils FC-4 590.005 6=One critical violation and less than 4 non-critical violations 9 ( )( ) cited in this report may result in suspension or revocation of the food if no critical violations observed,4 to 6von-critical violations=B. Seriously Critical Violation=F is scored automatically if: no hot 26.Water,Plumbing and Waste (FC-5)(590.006) establishment permit and cessation'of food establishment operations. If 27.Physical Facility (FC-6)(590.007) aggrieved by this order,you have a right to a hearing. Your request must C=2 critical violations and,less than 9 non-critical. If no critical water,sewage back-up,infestation'of rodents or insects,or lack of 28.Poisonous or Toxic Materials (FC-7)(590.008) be in writing and submitted to the Board of Health at the above address violations observed,7 to 8 non- ritica i ations. If 1 critical refrigeration. 29.Special"Requirements - (590.009) within 10 days of receipt of this order. n,4 to 8non-critical vi lion 30.Other DATE OF RE-INSPECTION: In re t: - 31.Dumpster screened from public view Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N #Seats Observed Frozen Dessert Machines: Outside Dining Y N P C' Signa re Print: Self Service Wait Service Provided Grease Trap Size. Variance Letter Posted Y N Dumpster Screen? Y N l Violations related to Foodborne Illness Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) Assignment of Responsibility* 8 Cross-contamination L14 Food or Color Additives Law Cooled to 41°F/45°F Within 4 Hours* 590.003(B) Demonstration of Knowledge* 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12 Additives* 3-501.15 Cooling Methods for PHFs Cooked and RTE Foods.* * 19 PHF Hot and Cold Holding i 2-103.11 Person-in-Charge Duties 3-302.14 Protection from Unapproved Additives Contamination from Raw ingredients 15 Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41°F/45°F 590.004(F) EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* Other* 83-501.16(A) Hot PHFs Maintained At or Above 140°F* 2 590.003(C) Responsibility in the Person-in-Charge to 7-102.11 Common Name-Working Containers* * Require Reporting by Food Employees and Contamination from the Environment 3-501.16(A) Roasts Held At or Above 130°F Applicants* 3-302.11(A) Food Protection* 7-201.11 Separation-Storage*7-202.11 Restriction-Presence and Use* 20 Time as a Public Health Control 590.003(F) Responsibility of A Food Employee or An 3-302.15 Washing Fruits and Vegetables 3-501.19 Time as a Public Health Control* Applicant To Report To The Person In Charge* * 7.202.12 Conditions of Use* 590.004 11 Variance R uirements * 3-304.11 Food Contact with Equipment and Utensils 7-203.11 Toxic Containers-Prohibitions* ( ) � 590.003(G) Reporting by Person in Charge Contamination from the Consumer 3 590.003(D) Exclusions and Restrictions* 7-204.11 Sanitizers,Criteria-Chemicals* REQUIREMENTS FOR 3-306.14(A)(B)Returned Food and Rrated or of Food* 7-204.12 Chemicals for WashingProduce,Criteria* HIGHLY SUSCEPTIBLE POPULATIONS HSP 590.003(E) Removal of Exclusions and Restrictions Disposition of Adulterated or Contaminated ( ) Food 7.204.14 Drying Agents,Criteria* 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* 4 Food and Water From Regulated Sources 9 Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004(A-B) Compliance with Food Law* [4-501.114 01.111 Manual Warewashin Hot Water 7.206.12 Rodent Bait Stations* 3-801.11(3) Raw or Partially Cooked Animal Food and 3-201.12 Food in a Hermetical] Sealed Container* Sanitization Temperatures* Raw Seed Sprouts Not Served* Y P 7-206.13 Tracking Powders,Pest Control and * 3-201.13 Fluid Milk and Milk Products* 01.112 Mechanical Warewashing-Hot Water Monitoring* 3-801.11(C) Unopened Food Package Not Re-Served 3-202.13 Shell Eggs* Sanitization Temperatures* TIMEITEMPERATURE CONTROLS 3-202.14 Eggs and Milk Products,Pasteurized* Chemical Sanitization-Temp.,pH. 1 g Proper Cooking Temperatures for PHFs - CONSUMER ADVISORY Concentration and Hardness* 22 3-603.11 Consumer Advisory Posted for Consumption of 3-202.16 Ice Made From Potable Drinking Water* 3-401.11A(1)(2) Eggs-155°F 15 sec Animal Foods That are Raw,Undercooked or 5-101.11 Drinking Water from an Approved System* 4-601.11(A) Clean Utensils and Food Contact Surfaces of Eggs-Immediate Service 145°F 15 sec* Equipment* Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* 3-401.11(A)(2) Comminuted Fish,Meats&Game Pathogens* Eg cdw 11112001 4-602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* R 590.006(B) Water Meets Standards in 310 CM 22.0* Contact Surfaces of Equipment* * 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 min Eggs* 4-702.11 Frequency rf ces of Equipment* of Utensils and Food 3-401.11(A)(2) Ratites,Injected Meats-155°F 15 sec* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surfaces of Equipment* Shellfish* 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS 4-703.11 Methods of Sanitization-Hot Water and Stuffing Containing Fish,Meat,Poultry or 590.009(A)-(D) Violations of Section 590.009(A)-(D)in cater- 3-201.15 Molluscan Shellfish from NSSP Listed Chemical* Ratites-165°F 15 sec* Sources* ing,mobile food,temporary and residential 10 Proper,Adequate Handwashing 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Game and Wild Mushrooms Approved By 2-301.11 Clean Condition-Hands and Arms* Regulatory Authority 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to 3-202.18 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodbome illness interventions and risk factors. 590.004(C) Wild Mushrooms* 2-301.14 When to Wash* 3-401.11(A)(1)(b) All Other PHFs-145°F 15 sec* Other 590.009 violations relating to good retail 3-201.17 Game Animals* 11 Good Hygienic Practices -17 Reheating for Hot Holding practices should be debited under#29-Special Requirements. 5 Receiving/Condition 2-401.11 Eating,Drinking or Using Tobacco* 3-403.11(A)&(D) PHFs 165°F 15 sec* 3-202.11 PHF's Received at Proper Temperatures* 2 401.12 Discharges From the Eyes,Nose and Mouth* 3-403.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES * 3-301.12 Preventing Contamination When Tasting* 3-403.11 C Commercial] Processed RTE Food-140°F* Blue Items 23-30) 3-202.15 Package Integrity ( ) y Critical and non-critical violations,which do not relate to the foodborne 3-101.11 Food Safe and Unadulterated* 12 Prevention of Contamination from Hands 3-403.11(E) Remaining Unsliced Portions of Beef Roasts* illness interventions and risk factors listed above,can be found in the 8 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 18 Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 * 13 Handwashing Facilities 3-501.14(A) Cooling Cooked PHFs from 140°F to 70°F 3-202.18 Shellstock Identification g 3-203.12 Shellstock Identification Maintained* Conveniently Located and Accessible Within 2 Hours and From 70°F to 41°F/45°F Item Good Retail Practices FC 590.000 Tags/Records:Fish Products 5-203.11 Numbers and Capacities* Within 4 Hours* 23. Management and Personnel FC-2 .003 s 3-501.14 Coolin PHFs Made from Ambient 24. Food and Food Protection FC-3 .004 3-402.11 Parasite Destruction* 5-204.11 Location and Placement B) g Temperature Ingredients to 41°F/45°F 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention* 5-205.11 Accessibility,Operation and Maintenance Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 590.004(J) Labeling of Ingredients' Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 7 Conformance with Approved Procedures/ 6-301.11 Handwashing Cleanser,Availability 28. 1 Poisonous or Toxic Materials I FC-7 1.008 HACCP Plans 6-301.12 Hand Drying Provision 129. 1 Special Requirements 1.009 3-502.11 Specialized Processing Methods* 130. 1 Other 3-502.12 Reduced-Oxygen Packaging Criteria* 8-103.12 Conformance with Approved Procedures* S:590Fonnback6-2doc *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. SHE TpN, TOWN OF BARNSTABLE HEALTH INSPECTOR,s Establishment Name: 0 tJ n Yl�n lJt s Date: Ca Page: of ti OFFICE HOURS PUBLIC HEALTH DIVISION 8:00-9:30A.M. BARNSfABLE. • 200 MAIN STREET 3:30-4:30 P.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified HYANNIS,MA 02601 M-8 -FRI. No Reference R-Red Item PLEASE PRINT CLEARLY 508-862 4644 FOOD ESTABLISHMENT INSPECT OhtREPORT t i Name D u 4�� Dat /27N Type of Tvoe of Inspection - Operation(s) Routine V ct 12 I% ✓ Address Risk Food Servicev Re-inspection 16U Uany)00 On C' Level Retail Previous Inspection Telephone i Residential Kitchen Date: Mobile Pre-operation CA1 n e n s Owner HACCP Y/N Temporary Suspect Illness s(,00 nee G I G C-4 ✓ L Caterer General Complaint Person in Charge(PIC) Time Bed&Breakfast HACCP S m I ( r 44 � O In:fb*,15 Other Inspector st efip n i e Out: d ,, ,/ it • Ul I o jj r C4 ec, Cut 3 cv Each violation checked requires an explanatioq4 the narrative page(s)and a citation of specific provision(s)violated. Violations Related to Foodborne Illness Interventions and Risk Factors Red Items L7 t WOO I ( ) Anti-Choking 590.009(E) ❑ V- ,c v o Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ t I Action as determined by the Board of Health. Allergen Awareness 590.009(G) ❑ J ✓ f FOOD PROTECTION MANAGEMENT ❑ (r t 12.Prevention of Contamination from Hands L, ❑ 1.PIC Assigned/Knowledgeable/Duties ❑ 13.Handwash Facilities EMPLOYEE HEALTH PROTECTION FROM CHEMICALS Q e ❑ 2.Reporting of Diseases by Food Employees and PIC ❑ 14.Approved Food or Color Additives _ V ❑ 3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals ✓ FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑4.Food and Water from Approved Source ❑ 16.Cooking Temperatures i ❑ 5.Receiving/Condition ❑ 17.Reheating C.t C ❑6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ❑ 7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding ( eill OCA LK O^ PROTECTION FROM CONTAMINATION ❑ 20.Time Asa Public Health Control a ( rj- cA� cA vi ❑ 8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑ 9.Food Contact Surfaces Cleaning and Sanitizing ❑21.Food and Food Preparation for HSP ❑ 10.Proper Adequate Handwashing CONSUMER ADVISORY ❑ 11.Good Hygienic Practices ❑22.Posting of Consumer Advisories ` 'l � aViolations Related to Good Retail Practices(Blue Items) Total Number of Critical Violations�X 1 Critical(C)violations marked must be corrected immediately. (blue&red items) 6 �hQ�j Overall Rating �`^'(I Corrective Action Required: No ❑ Yes Non-critical(N)violations must be corrected immediately or within 90 days as determined by the Board of Health. ® ❑ Voluntary Compliance ❑ Employee Restriction/Exclusion ❑ Re-inspection Scheduled ❑ Emergency Suspension C N Official Order for Correction: Based on an-inspection today,the items checked indicate violations of 105 CMR 590.000/Federal Food Code I❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other: 23.Management and Personnel (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations.9 or more non-critical violations, 24.Food and Food Preparation (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations regardless of the number of critical,results in an F. 25.Equipment and Utensils (FC-4 590.005 6=One critical violation and less than 4non-critical violations 9 )( ) cited in this report may result in suspension or revocation er the food if no critical violations observed,4 to 6 non-critical violations=B. Seriously Critical Violation=F is scored automatically if: no hot 26.Water;Plumbing and Waste (FC-5)(590.006) establishment permit and cessation of food establishment operations. If 27-Physical Facility (FC-6)(590.007) aggrieved by this order,you have a right to a hearing. Your request must C=2 critical violations and less than 9 non-critical. If no Critical ' water,sewage back-up,infestation of rodents or insects,or lack of 28.Poisonous or Toxic Materials (FC-7)(590.008) be in writing and submitted to the Board of Health at the above address violations observed,7 to anon-critical violations. If 1 critical refrigeration. within 10 days of receipt of this order. violation,4 to 8non-critical violations=C. 29.Special Requirements (590.009) y p 30.Other DATE OF RE-INSPECTION: Inspector's Signature Print: 31.Dumpster screened from public view Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N ��✓✓ #Seats Observed Frozen Dessert Machines: Outside Dining Y N PIC's Signature Print: Self Service Wait Service Provided Grease.Trap Size Variance Letter Posted Y N G Dumpster Screen? Y N � C G C21 I V Violations related to Foodborne Illness' - - - Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont.) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) 4D-e., ssignment of Responsibility* 8 Cross-contamination 14 Food or Color Additives Law Cooled to 41°F/45°F Within 4 Hours* 590.003(B) nstration of Knowledge* 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12 Additives* 3:501.15 Cooling Methods for PHFs Cooked and RTE Foods.* - 19 PHF Hot and Cold Holding 2-103.11 Person-in-Charge Duties - - - - 3-302.14 Protection from Unapproved Additives* - - Contamination from Raw Ingredients 15 Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41°F/45°F EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* 590.064(F). * - 2 590: Other* 3-50I.16(A) Hot PHFs Maintained At or Above 140°F003(C) Responsibility of the Person-in-Charge to - 7-102.11 Common Name-Working Containers* Require Reporting by Food Employees and Contamination from the Environment * 3-501.16(A) Roasts Held At or Above 130`F* 7-201.11 Separation-Storage* Applicants* 3-302.11(A) Food Protection* P g 20 Time as a Public Health Control 7-202.11 Restriction-Presence and Use* 590.003(F) Responsibility of A Food Employee or An 3-302.15 Washing Fruits and Vegetables * 3-501.19 Time as a Public Health Control* Applicant To Report To The Person In Charge* * 7.202.12 Conditions of Use 590.004 11 Variance Requirements 3-304.11 Food Contact with Equipment and Utensils * ( ) 9 590.003(G) Reporting by Person in Charge*- 7-203.11 Toxic Containers-Prohibitions Contamination from the Consumer 3 590.003(D) Exclusions and Restrictions* 7-204.11 Sanitizers,Criteria-Chemicals* _ -REQUIREMENTS REQUIREMENTS FOR 3-306.14(A)(B)Returned Food and Rrated or of Food* 7-204.12 Chemicals for Washing Produce,Criteria* HIGHLY SUSCEPTIBLE POPULATIONS HSP 590.003(E) Removal of Exclusions and Restrictions g � ) Disposition ofAdulterated or Contaminated Food 7.204.14 Drying Agents,Criteria* 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* 4 Food-and Water From Regulated Sources 9 Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004(A-B) Compliance with Food Law* * 3-801.11(D) Raw or Partially Cooked Animal Food and P * - 4-501.111 Manual Wazewashing-Hot Water 7.206.12 Rodent Bait Stations 3-201.12 Food in a Hermetically Sealed Container Sanitization Temperatures 7-206.13 Tracking Powders,Pest Control and Raw Seed Sprouts Not Served* 3-201.13 Fluid Milk and Milk Products* - 4-501.112 Mechanical Wazewashing-Hot Water Monitoring* 3-801.11(C) Unopened Food Package Not Re-Served* 3-202.13 Shell Eggs*- _ Sanitization Temperatures* TIME/TEMPERATURE CONTROLS 3-202.14 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-Temp.,pH. L16 Proper Cooking Temperatures for PHFs - CONSUMER ADVISORY 3-202.16 Ice Made From Potable Drinking Water* Concentration and Hardness* 3-401.1]A(1)(2) Eggs-155°F 15 sec 22 3-603.11 Consumer Advisory Posted for Consumption of 4-601.11(A) Clean Eggs mme Utensils and Food Contact Surfaces of E s-Immediate Service 145°F 15 sec* Animal Foods That are Raw,Undercooked or Equipment 5-101.11 Drinking Water from an Approved System* * Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* 3-401.11(A)(2) Comminuted Fish,Meats&Game Pathogens* Effective 11112001 4602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* 590.006(B) Water Meets Standards in 310 CMR 22.0* Contact Surfaces of Equipment* * 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork and Beef Roast-130'F 121 min Eggs* 4=702:11 Frequency of Sanitization of Utensils and Food 3-401.11(A)(2) Ratites,Injected Meats-155°F 15 sec* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surfaces of Equipment* Shellfish* 4-703.11 Methods of Sanitization-Hot Water and 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS 3-201.15 Molluscan Shellfish from NSSP Listed Chemical* Stuffing Containing Fish,Meat,Poultry or 590.009(A)-(D) Violations of Section 590.009(A)-(D)in cater- * ' Ratites-165°F 15 sec* in mobile food,temporary and residential Sources 10 Proper,Adequate Handwashing g' PY Game and Wild Mushrooms Approved By 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Regulatory Authority 2-301.11 Clean Condition-Hands and Arms* 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to 3-202.18 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodbome illness interventions and risk factors. 590.004(C) Wild Mushrooms* 3-401.11 2-301.14 When to Wash* A 1 All Other PHFs-145`F 15 sec* Other 590.009 violations relating to good retail ( )( )�) 3-201.17 Game Animals* 11 Good Hygienic Practices 17 Reheating for Hot Holding practices should be debited under#29-Special Requirements. 5 Receiving/Condition 2-401.11 Eating,Drinking or Using Tobacco* 3-403.11(A)&(D) PHFs 165`F 15 sec* 3-202.11 PHF's Received at Proper Temperatures* 2-401.12 Discharges From the Eyes,Nose and Mouth* 3A03.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES * 3-301.12 Preventing Contamination When Tasting* 3-003.11 C Commercial] Processed RTE Food-140`F* Blue Items 23-30) 3-202.15 Package Integrity ( ) y Critical and non-critical violations,which do not relate to the foodborne 3-101.11 Food Safe and Unadulterated* 12 Prevention of Contamination from Hands 3-403.1I(E) Remaining Unsliced Portions of Beef Roasts* illness interventions and risk factors listed above,can be found in the 6 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 1 g Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 3-202.18 Shellstock Identification* 13 Handwashing Facilities 3-501.14 Cooling Cooked PHFs from 140°F to 70°F (A) g 3-203.12 Shellstock Identification Maintained* Conveniently Located and Accessible Within 2 Hours and From 70°F to 41°F/45°F Item Good Retail Practices FC 590.000 Tags/Records:Fish Products 5-203.11 Numbers and Capacities* Within 4 Hours* 23. Management and Personnel FC-2 .003 * 5-204.11 Location and Placement* 3-501.14(B) Cooling PHFs Made from Ambient 24. Food and Food Protection FC-3 .004 3-402.11 Parasite Destruction Temperature Ingredients to 41'F/45`F 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention* 5-205.11 Accessibility,Operation and Maintenance Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 590.004(J) Labeling of Ingredients` Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 7 Conformance with Approved Procedures/ 6-301.11 1 Handwashing Cleanser,Availability 28. Poisonous or Toxic Materials FC-7 .008 HACCP Plans 6-301.12 1 Hand Drying Provision 29. 1 Special Requirements 1.009 3-502.11 Specialized Processing Methods* 130. 1 Other 3-502.12 Reduced-Oxygen Packaging Criteria* _ _ 8-103.12 1 Conformance with Approved Procedures* S.,.59oFormback6-2doc *Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. *Denotes critical item in the federal 1999 Food Code or 105 CMR 590:000. r7°F�NF ro TOWN OF BARNSTABLE HEALTH INSPECTOR'S Establishment Name: / Date: U Page: of OFFICE HOURS PUBLIC HEALTH DIVISION 8:00-9:30A.M. 200 MAIN STREET 3:30-4:30 P.M. Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date Verified BARMASS. E. ` MON.-FRI. No Reference R Red Item PLEASE PRINT CLEARLY 039 HYANNIS,MA 02601 �A ,a3y. �e 508-862-4644 ` FOOD ESTA13LISHMENT INSP aTION REPORT Name DateqVI) I Tvue of f ns ection O s Routine Address isk ood Seri pec on evel Retail Previo- I Ipg i�r Telephone ential Kitchen Date: I� Mobile Pre-o a Suspect Illness - HACCP Y/N Temporary P Owner P �' Caterer General Complaint Person in Charge(PIC) Time Bed&Breakfast HACCP 1 IWLN-An Other - Inspector O. IV ( i % - 1 * Each violation checked requires an explanation on the narra Ive p ge(s)and a citation of specific provision(s)violated. Q Violations Related to Foodborne Illness Interventions and Risk Factors(Red Items) Anti-Choking 590.009(E) ❑ Violations marked may pose an imminent health hazard and require immediate corrective Tobacco 590.009(F) ❑ Action as determined by the Board of Health. Allergen Awareness 590.009(G) ❑ FOOD PROTECTION MANAGEMENT 12.Prevention of Contamination from Hands ❑ 1.PIC Assigned/Knowledgeable/Duties 13. 23 Handwash Facilities EMPLOYEE HEALTH TECTION FROM CHEMICALS ❑ 2.Reporting of Diseases by Food,Employees and PIC ❑ 14.Approved Food or Color Additives ❑ 3.Personnel with Infectious Restricted/Excluded ❑ 15. Toxic Chemicals FOOD FROM APPROVED SOURCE TIME/TEMPERATURE CONTROLS(Potentially Hazardous Foods) ❑4.Food and Water from Approved Source ❑ 16.Cooking Temperatures ❑ 5.Receiving/Condition ❑ 17.Reheating / ❑ 6.Tags/Records/Accuracy of Ingredient Statements ❑ 18.Cooling ..". ❑ 7.Conformance with Approved Procedures/HACCP Plans ❑ 19.Hot and Cold Holding PROTECTION FROM CONTAMINATION ❑20.Time As a Public Health Control O ❑ 8.Separation/Segregation/Protection REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS(HSP) ❑ 9.Food Contact Surfaces Cleaning and Sanitizing ❑ 21.Food and Food Preparation for HSP r ❑ 10.Proper Adequate Handwashing CONSUMER ADVISORY ❑ 11.Good Hygienic Practices ❑22.Posting of Consumer Advisories _ Violations Related to Good Retail Practices(Blue Items) Total Number of Critical Violations Critical(C)violations marked must be corrected immediately. (blue&red items) Corrective Action Required: ❑ No ❑ Yes Non-critical(N)violations must be corrected immediately or R in Overall at �A within 90 days as determined by the Board of Health. g ❑ Voluntary Compliance ❑ Employee Restriction/Exclusion ❑ Re-inspection Scheduled ❑ Emergency Suspension C N Official Order for Correction:.Based on an inspection today,Lgtlwa- ms ❑ Embargo ❑ Emergency Closure ❑ Voluntary Disposal ❑ Other: checked indicate violations of 105 CMR 590.000/Federal Food Code. 23.Management and Personnel (FC-2)(590.003) This report,when signed below by a Board of Health member or its agent A=Zero critical violations and no more than 3 non-critical violations. F=3 or more critical violations.9 or more non-critical violations, 24.Food and Food Preparation (FC-3)(590.004) constitutes an order of the Board of Health. Failure to correct violations regardless of the number of critical,results in an F. E� 25.Equipment and Utensils FC-4 590.005 B=One critical violation and less than 4non-critical violations 9 ( )( ) cited in this report may result in suspension or revocation of the food if no critical violations observed,4 to 6 non-critical violations=B. Seriously Critical Violation=F is scored automatically if: no hot 26.Water,Plumbing and Waste (FC-5)(590.006) establishment permit and cessation of food establishment operations. If C=2 critical violations and less than 9 non-critical. If no critical water,sewage back-up,infestation of rodents or insects,or lack of 27.Physical Facility (FC-6)(590.007) aggrieved by this order,you have a right to a hearing. Your request must 28.Poisonous or Toxic Materials (FC-7)(590.008) be in writing and submitted to the Board of Health at the above address violations observed,7 to 8 non-criti al viol ions. If 1 critical refrigeration. 29.Special Requirements (590.009) within 10 days of receipt of this order. vi tion,4 to 8 non-critical violat' s 30.Other DATE OF RE-INSPECTION: In tor' Signature Y �'�, t: a 31.Dumpster screened from public view . Permit Posted? Y N Grease Trap Previous Pumping Date Grease Rendered Y N #Seats Observed Frozen Dessert Machines: Outside Dining Y N ;�1L,,- Sgriatuire Print: Self Service Wait Service Provided Grease Trap Size - Variance Letter Posted Y N Dumpster Screen? Y N -e (y Violations related to Foodborne Illness Violations Related to Foodborne Illness Interventions Interventions and Risk Factors(Red Items 1-22) and Risk Factors(Red Items 1-22) (Cont.) FOOD PROTECTION MANAGEMENT PROTECTION FROM CONTAMINATION PROTECTION FROM CHEMICALS 3-501.14(C) PHFs Received at Temperatures According to 1 590.003(A) Assignment of Responsibility* 8 Cross-contamination 14 Food or Color Additives Law Cooled to 41°F/45°F Within 4 Hours* 590.003(B) Demonstration of Knowledge* 3-302.11(A)(1) Raw Animal Foods Separated from 3-202.12 Additives* 3-501.15 Cooling Methods for PHFs Cooked and RTE Foods.* * 19 PHF Hot and Cold Holding 2-103.11 Person-in-Charge Duties � � 3-302.14 Protection from Unapproved Additives - Contamination from Raw Ingredients 15 Poisonous or Toxic Substances 3-501.16(B) Cold PHFs Maintained At or Below 41°F/45°F 590.004(F) EMPLOYEE HEALTH 3-302.11(A)(2) Raw Animal Foods Separated from Each 7-101.11 Identifying Information-Original Containers* Other* g g 3-501.16(A) Hot PHFs Maintained At or Above 140°F* 2 590.003(C) Responsibility of the Person-in-Charge[o - - 7-102.11 Common Name-Working Containers* * Require Reporting by Food Employees and Contamination from the Environment 3-501.16(A) Roasts Held At or Above 130°F 7-201.11 Separation-Storage* Applicants* 3-302.11(A) Food Protection* P g 20 Time as a Public Health Control 7-202.11 Restriction-Presence and Use* 590.003(F) Responsibility of A Food Employee or An 3-302.15 Washing Fruits and Vegetables * 3-501.19 Time as a Public Health Control* Applicant To Report To The Person In Charge* * 7.202.12 Conditions of Use 590.004 11 Variance Requirements 3-304.11 Food Contact with Equipment and Utensils * ( ) 9 590.003(G) Reporting by Person in Charge* 7-203.11 Toxic Containers-Prohibitions Contamination from the Consumer 3 590.003(D) Exclusions and Restrictions*590.003(E)' Removal of Exclusions and Restrictions Disposition of Adulterated or g 7-204.11 Sanitizers,Criteria-Chemicals* REQUIREMENTS FOR„ 3-306.14(A)(B)Returned Food and Reted of Food* 7-204.12 Chemicals for Washing Produce,Criteria* HIGHLY SUSCEPTIBLE POPULATIONS HSP or Contaminated Food 7.204.14 Drying Agents,Criteria*' 21 3-801.11(A) Unpasteurized Pre-Packaged Juices and FOOD FROM APPROVED SOURCE 3-701.11 Discarding or Reconditioning Unsafe Food* 7-205.11 Incidental Food Contact,Lubricants* Beverages with Warning Labels* q Food and Water From Regulated Sources 9 Food Contact Surfaces 7-206.11 Restricted Use Pesticides,Criteria* 3-801.11(B) Use of Pasteurized Eggs* 590.004(A-B) Compliance with Food Law* 4-501.111 Manual Warewashing-Hot Water 7.206.12 Rodent Bait Stations* 3-801.11(D) Raw or Partially Cooked Animal Food and 3-201.12 Food in a Hermetical] Sealed Container* Sanitization Temperatures* Raw Seed Sprouts Not Served y Pe 7-206.13 Tracking Powders,Pest Control and 3-201.13 Fluid Milk and Milk Products* 4-501.112 Mechanical Warewashing-Hot Water Monitoring* 3-801.11(C) Unopened Food Package Not Re-Served* 3-202.13 Shell Eggs* Sanitization Temperatures* TIME/TEMPERATURE CONTROLS 3-202.14 Eggs and Milk Products,Pasteurized* 4-501.114 Chemical Sanitization-Temp.,pH. 16 Proper Cooking Temperatures for PHFs CONSUMER ADVISORY 3-202.16 Ice Made From Potable Drinking Water* Concentration and Hardness* 3-401.11A(1)(2) Eggs-155°F 15 sec 22 3-603.11 Consumer Advisory Posted for Consumption of 4-601.11(A) Clean Utensils and Food Contact Surfaces of Eggs-Immediate Service 145°F 15 sec* Animal Foods That are Raw,Undercooked or 5-101.11 Drinking Water from an Approved System* gg Equipment* Not Otherwise Processed to Eliminate 590.006(A) Bottled Drinking Water* 3-401.11(A)(2) Comminuted Fish,Meats&Game Pathogens* Eg i-1112001 4-602.11 Cleaning Frequency of Utensils and Food Animals-155°F 15 sec* 590.006(B) Water Meets Standards in 310 CMR 22.0* Contact Surfaces of Equipment* * 3-302.13 Pasteurized Eggs Substitute for Raw Shell Shellfish and Fish From an Approved Source 3-401.11(B)(1)(2) Pork and Beef Roast-130°F 121 min Eggs* 4-702.11 Frequency of Sanitization of Utensils and Food 3-401.11(A)(2) I Ratites,Injected Meats-155°F 15 sec* 3-201.14 Fish and Recreationally Caught Molluscan Contact Surfaces of Equipment* Shellfish* 3-401.11(A)(3) Poultry,Wild Game,Stuffed PHFs SPECIAL REQUIREMENTS 4-703.11 Methods of Sanitization-Hot Water and Stuffing Containing Fish,Meat,Poultry or 590.009(A)-(D) Violations of Section 590.009(A)-(D)in cater- s Molluscan Shellfish from NSSP Listed Chemical* Ratites-165°F 15 sec* Sources* ing,mobile food,temporary and residential 1 p Proper,Adequate Handwashing 3-401.11(C)(3) Whole-muscle,Intact Beef Steaks 145°F* kitchen operations should be debited under Game and Wild Mushrooms Approved By 2-301.11 Clean Condition-Hands and Arms* Regulatory Authority 3-401.12 Raw Animal Foods Cooked in a Microwave the appropriate sections above if related to 3-202.18 Shellstock Identification Present* 2-301.12 Cleaning Procedure* 165°F* foodborne illness interventions and risk factors. 590.004(C) Wild Mushrooms* 3-401.11 2-301.14 When to Wash* A 1 b All Other PHFs-145°F 15 sec* Other 590.009 violations relating to good retail ( )( )( ) 3-201.17 Game Animals* 11 Good Hygienic Practices -17 Reheating for Hot Holding practices should be debited under#29-Special Requirements. 5 Receiving/Condition 2-401.11 Eating,Drinking or Using Tobacco* 3-403.11(A)&(D) PHFs 165°F 15 sec* 3-202.11 PHF's Received at Proper Temperatures* 2-401.12 Discharges From the Eyes,Nose and Mouth* 3-403.11(B) Microwave-165°F 2 Minute Standing Time* VIOLATIONS RELATED TO GOOD RETAIL PRACTICES . 3-301.12 Preventing Contamination When Tasting* 3-403.11 C CommerciallyProcessed RTE Food-140°F* (Blue Items non-critical 23-30) 3-202.15 Package Integrity ( ) Critical and non-critical violations,which do not relate to the foodborne 12 Prevention of Contamination from Hands 3-403.11 Remaining Unsliced Portions of Beef Roasts* 3-101.11 Food Safe and Unadulterated* �) g illness interventions and risk factors listed above,can be found in the 6 Tags/Records:Shellstock 590.004(E) Preventing Contamination from Employees* 18 Proper Cooling of PHFs following sections of the Food Code and 105 CMR 590.000 * 13 Handwashing Facilities 3-501.14 A CoolingCooked PHFs from 140°F to 70°F 3-202.18 Shellstock Identification ( ) Item Good Retail Practices FC 590.000 3-203.12 Shellstock Identification Maintained* Conveniently Located and Accessible Within 2 Hours and From 70°F to 41°F/45°F Tags/Records:Fish Products 5-203.11 Numbers and Capacities* Within 4 Hours* 23. Management and Personnel FC-2 .003 * 5-204.11 Location and Placement* 3-501.14(B) Cooling PHFs Made from Ambient 24. Food and Food Protection FC-3 .004 3-402.11 Parasite Destruction Temperature Ingredients to 41°F/45°F 25. Equipment and Utensils FC-4 .005 3-402.12 Records,Creation and Retention* 5-205.11 Accessibility,Operation and Maintenance Within 4 Hours* 26. Water,Plumbing and Waste FC-5 .006 590.004(J) Labeling of Ingredients' Supplied with Soap and hand Drying Devices 27. Physical Facility FC-6 .007 7 Conformance with Approved Procedures/ 6-301.11 Handwashing Cleanser,Availability 28. 1 Poisonous or Toxic Materials FC-7 .008 HACCP Plans 6-301.12 Hand Drying Provision 129. 1 Special Requirements 009 3-502.11 Specialized Processing Methods* 130. 1 Other 3-502.12 Reduced-Oxygen Packaging Criteria* 8-103.12 Conformance with Approved Procedures* S:590Formback6-2doc 'Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. `Denotes critical item in the federal 1999 Food Code or 105 CMR 590.000. pF�ME rpy, Town of Barnstable . tip Regulatory Services * &UMST"LE. w v MAW. g Thomas F.Geiler,Director 1639. 16. Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 15, 2002 Mr. Brian Perry Airport Mobil 156 Iyanough Road Hyannis, MA 02601 Dear Mr. Perry: The retail food establishment operated by you and located at 156 Iyanough Road, Hyannis was inspected on November 26, 2001 by Donna Miorandi, RS, Health Inspector for the Town of Barnstable. The following violation was found: Food Code 4-301.12: Manual Warewashing, Sink Compartment Requirements : A sink with at least 3 compartments shall be provided for manually washing, rinsing, and sanitizing equipment and utensils. No sinks are provided for the washing of your coffee pots. The sink that is utilized is the service sink in the service bay. You are hereby ordered to install a 3 bay sink or to cease and desist the service of coffee. You are ordered to notify this department in writing of your intentions within 3 days of receipt of this letter. You may request a hearing before the Board of Health if written petition requesting same is received within seven(7) days after the date the order is received. PER ORDER OF THE BOARD OF HEALTH Thomas A. McKean, R.S. C.H.O. Health Agent �R P 0 Mobil P T M® Blk- 156 IYANOUGH ROAD • ROUTE 28 • HYANNIS, MA 02601 (508) 771-3808 loci Town of Barnstable Board of Health 3Z5-/s� 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,P-S. FAX ,508-790-6304 Sumner Kaufman,MSPH Wayne Miller,M.D. Mr. Patrick M. Butler July 11, 2005 Nutter, McClennen, and Fish LLP 1513 lyannough Road, P.O. Box 1630 Hyannis, MA 02601 Dear Mr. Butler: You are granted a conditional variance, on behalf of your client Chrisco Realty, LLC, from Section 322-4 of the Town of Barnstable Code, which requires a minimum of two separate restroom facilties at each food establishment. This variance will allow you to operate a food establishment at 156 lyannough Road Hyannis with one restroom with the following conditions: (1) No more than four employees shall be onsite any time. (2) Seating is not authorized at this food establishment. (3) The onsite restroom shall be conveniently located and made easily available for employees. This restroom shall be kept free of boxes, mops, brooms and any other large obstructions inconsistent with restroom use. (4) The restroom(s) shall be constructed in compliance with the MA Plumbing Code. (5) All other regulations of the Board of Health, the Federal Food Code, and the State Sanitary Code for Food Establishments, shall be strictly adhered to. (6) This variance is not transferable to another operator of this food establishment. (7) This variance decision letter shall be posted on the wall adjacent to the food establishment permit in an area that is easily accessible for viewing by a health inspector. This variance is granted because the applicant's attorney testified that the bathrooms will not be pen to the public and only four employees would be using the restroom. Sin r ly y u s, Wayn Miller, M.D. 1 �� -� :y �" `�� Nutter Y MEMORANDiJ,1V� a U May 31, 2005 100848-14 :, �0—tv TO: Tom McKeon, Board of Health Agent Town of Barnstable FROM: Patrick M. Butler RE: 156 Iyannough Road (Route 28) Hyannis - Variance Request Tom, In accordance with our discussions and correspondence last week, I enclose Variance Request form, together with attached narrative addendum, as well as four sets of 11 x 17 copies of the floor plan and one full set of plumbing plans. Kindly confirm that this matter has been placed on the next Board of Health Agenda for hearing and consideration. Thank you for your courtesy in this regard. cc cc: ChrisCo 1434507.1 Nutter McClennen & Fish LLP a Attorneys at Law 1513 lyannough Road, P.O. Box 1630 a Hyannis, MA 02601-1630 a 508-790-5400 a Fax:508-771-8079 a www.nutter.com THE t DATE: • FEE: IAWMAIM x y KAS& i63% � REC. BY Town of Barnstable SCHED. DATE: �Q> Board of Health 200 Main Street,Hyannis MA 02601 Office: 508-862-4644 Susan G.Rask,R.S. FAX: 508-790-6304 Sumner Kaufman,M.S.P.H. Wayne A.Miller,M.D. VARIANCE REQUEST FORM LOCATION Property Address: 156 Iyanough Road (Route 28), Hyannis Assessor's Map and Parcel Number: 328/151 Size of Lot: Approx. 0.96 acres Wetlands Within 300 Ft. Yes Business Name: No X Subdivision Name: APPLICANT'SNAME: ChrisCo Realty,LLC Phone Did the owner of the property authorize you to represent him or her? Yes X No PROPERTY OWNER'S NAME CONTACT PERSON Name: Chrisco Realty, LLC Name: Patrick M. Butler, Attorney for Applicant Nutter, McClennen & Fish, LLP Address: 105 Pleasant Street Address:P.O. Box 1630 Hyannis, MA 02601 Hyannis, MA 02601 Phone: Phone: 508-790-5407 VARIANCE FROM REGULATION(List Res.) REASON FOR VARIANCE(May attach if more space needed) Section 322-4 Toilet Facilities see attached narrative) NATURE OF WORK House Addition 0 ????? House Renovation 0 Repair of Failed Septic System 0 Reonstnr-tion and reds'velaprent of gas station with camrenience area and coffee donut drive tv and camter Checklist (to be completed by office staff-person receiving variance request application) area. Please submit copies in 4 separate completed sets. Four(4)copies of the completed variance request form Four(4)copies of engineered plan submitted(e.g.septic system plans) Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans) Signed letter stating that the property owner authorized you to represent him/her for this request Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense (for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) C:\Documents and Settings\decollik\Local Settings\Temporary Internet Fi1es\0LK3\VARIREQ.D0C Y CHRISCO REALTY, LLC Addendum to Board of Health Variance Request ChrisCo Realty, LLC (the "Applicant"), owner of the property located at 156 Iyannough Road (Route 28) in Hyannis (the "Properly') has applied for a variance from § 322-4 (Toilet Facilities) of Code of the Town of Barnstable (the"Code') to allow for the utilization of one (1) unisex, handicap-accessible employee toilet facility. Permitting Background In October of 2004, the Applicant received the requisite zoning relief from the Town of Barnstable Zoning Board of Appeals (see ZBA decisions 2004-89 and 2004-87) to allow for the redevelopment of the Property. The redeveloped site will include a reduced-sized Christy's Convenience Store (approx. 1,341 square feet) with a Dunkin- Donuts take-out only coffee/donut counter, a Dunkin-Donuts drive-thru window and six gasoline fueling positions. In addition, as part of the ZBA decisions, the Applicant is proposing substantial landscaping and site layout improvements. The ZBA decisions noted that the building redevelopment is severally limited due to the setback limitation of the site. This requires that the building be rebuilt substantially in the same footprint. Variance Request As a condition of the Zoning Board of Appeals approval, the Applicant will not be providing any seating or public eating areas within the redeveloped structure. The Dunkin Donuts counter will only be utilized for take-out service. As such and in compliance with the State Plumbing Code, the Applicant is proposing to construct only one (1) unisex employee restroom within the building. This restroom would be restricted to employees-only and would not be available to the general public. In reviewing 248 CMR 2.10(19)(i)(3) (copy attached) unisex toilets are permissible provided that they meet the handicap requirements. The proposed restroom will comply with the applicable handicap requirements. In addition, 248 CMR 2.10(19)Table 1 (attached) also indicates that a single, employee only unisex bathroom could be allowed.since the Applicant anticipates a maximum of 4 employees within the building at any one time. Accordingly, we believe that the single, handicap-accessible unisex restroom complies with the State Plumbing Code. A copy of an email from Thomas Perry, Building Commissioner, confirming the same is attached. Since no seating is provided and there is not sufficient standing capacity for 50 patrons within the structure, pursuant to section 322-4 of the Code, the Applicant is not required to provide separate toilet facilities for its patrons. Relief, is however, sought from the portion of section 322-4 which requires separate male and female employee restrooms. Due to the limited number of employees on the site at any one time (probably no more than two on average) and given compliance with the Commonwealth's regulations, the Applicant respectfully requests relief from this section of the Code. This relief is required in light of the hardships presented by the site limitations noted above, which confines the redevelopment essentially to the existing footprint. 1433734.1 S 04OrCT 21 Ali 9: 49 : g � ' f,� � r CLERK' Town of R instable - - Zoning Board of Appeals Decision and Notice Appeal 2004.087- ChrisCo Special Permit Section 4.4.4(2)Non-conforming Structures/Buildings To permit redevelopment and expansion of an existing gas station Summary: Granted with Conditions Petitioner: ChrisCo.LLP Property Address: 156 Iyannough Road/Route 28,Hyannis,MA Assessor's Map/Parcel: Map 328,Parcel 151 Zoning: Highway Business Zoning District Relief Requested&Background: The subject property is situated on the northeast corner of Route 28 and Yarmouth Road and is zoned Highway Business and is in a Wellhead Protection Overlay Zoning District. The parcel is a 0.96-acre lot as shown on Assessor's Map 328 as Parcel 151,addressed 156 Iyannough Road/Route 28,Hyannis,MA. The lot is developed with a 1,388 sq.ft.building built in 1975 and two pump islands capable of 8 fueling positions. The applicant, ChrisCo.LLP,is seeking to redevelop and expand the use of the site. The site has the benefit of Special Permit Number 1991-7 issued for the development of the overhead gas canopy structure and allowing 630 sq.ft. of the building to be used for retail sales. The remainder of the building consists of two auto service bays. According to the files, use of the site as a gas service station dates to 1953 and the location of the pumps was established in 1983. The applicant is proposing to redevelop the existing site,remodel the building,replace the underground fuel tanks, and install new service pumps and canopy. The auto service is to be eliminated and the retail convenience use expanded to include a coffee and donut shop with a drive-up window service. In order to accomplish the proposed changes and improvement, the applicant has submitted four applications to the Board. They were: • Appeal 2004-087 for a Special Permit in accordance with Section 4-4.4(2)Non-conforming Structures/Buildings; • Appeal 2004-088 for a Modification of Special Permit Number 1991-7; •- Appeal 2004-089 for a Special Permit in accordance with Section 3-3.6(3),Highway Business Conditional Use, and • Appeal 2004-090 that requested Variances to Sections 3-3.6(5); Bulk Regulations,Minimum Lot Area,Front&Side Yard Setback,Front Yard Landscape, 3-5.2(7)(C) &((D);WP,Lot Coverage & Site Clearing, and 4-2.6(2)(B)Landscape Perimeter Buffer Procedural &Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 20, 2004, An Extension of Time for holding the hearing and for filing of the decision was executed between the applicant and Board Chairman. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened June 23,2004; continued to July 21,2004; September 01, 2004; and to October 13, 2004; at Now which time the Board found to grant the appeal. Board Members deciding this appeal were,Richard L. Boy,Ralph Copeland,Jeremy Gilmore,Gail Nightingale,and Chairman Daniel M. Creedon III. Attorney Patrick M. Butler represented the applicant before the Board. Also present were Christy Mihos, Rick Bryant, and Dave Albrecht. Testimony was taken on this appeal at the hearings of September 01, 2004 and October 13,2004. Plans for the proposal were reviewed and modified to reduce traffic impacts and to address concerns for the drive-thru car stacking area. Mr. Butler reviewed the locus and existing conditions noting that the property is a pre-existing non- conforming use and non-conforming building in that through subsequent zoning amendments certain non- conformities have been establish with respect to the use of the property and the building setbacks. Mr. Butler submitted extensive information on the proposed changes to the site to document the reduction in the gas and service station use and the proposed redevelopment of the site into more conformity with the zoning requirements of today. Mr. Rick Bryant,P.E. of Rizzo Associates addressed traffic concerns and the proposed plans for roadway improvements in the area. Public comment was requested and no one spoke in favor or in opposition to the request. The Chairman Noted that several letters of support have been submitted to the file. They are from: Rick Sigel of Highway Pegs,business and property owner located across from the proposed site;Town Councilor, Gary R.Brown,President; and Cynthia Cole,Executive Director of Hyannis Main Street Business Improvement District. At the October 13,2004 hearing Mr.Butler.discussed the changes that had been made to the plan. The Board and Mr.Butler agreed that the proposal before the Board can be permitted with the grant of two Special Permits: one for the expansion of the non-conforming building and structure as requested in Appeal 2004-87; and another for a conditional use permit as requested in Appeal 2004-89. Findings of Fact: At the hearing of October 13, 2004,the Board unanimously made the following findings of fact: 1. ChrisCo,LLP(the"Applicant")has applied for special permit relief pursuant to section 4-4.4(2), Nonconforming Building/Structure not used as a single or two-family dwelling to allow for the redevelopment of an existing gas,convenience store and car service station(Appeal No. 2004-87). In addition,the Applicant has also submitted a special permit petition pursuant to section 3-3.6(3), Conditional Use in the Highway Business District(Appeal No. 2004-89). 2. The property is commonly addressed 156 Iyannough Road(Route 28)in Hyannis. The property is shown on Town of Barnstable Assessor's Map 328 as Lot 151. The property consists of 39,183 square feet and is located in the Highway Business zoning district and the Wellhead Protection ("WP")Groundwater Overlay District. 3. The property is owned by the Leonard M.Rumpler Revocable Trust. The Applicant has submitted a correspondence to the Board dated July 21, 2004 signed by Robert Berkelhammer and Bruce R. Ruttenberg,Trustees of the Leonard M. Rumpler Revocable Trust indicating the Applicant has entered into an agreement to purchase the subject property. In addition, the correspondence serves as authorization allowing the Applicant to proceed with the above referenced petitions before this Board and therefore has standing to seek the special permits. 2 4. As presently configured,the property contains an approximately 1,200 square foot structure housing a gasoline service station, a car-service bay and approximately 630 square feet of retail sales of convenience store type products. In addition, the property currently contains 4 fueling`stations covered with an overhead,flat canopy which consists of approximately 1,767 square feet, and three curb cuts into the site. 5. The existing site,located in the WP district and in close proximity to several public drinking water wells,contains two(2) 10,000 gallon underground fiberglass gasoline tanks and one(1) 12,000 gallon underground fiberglass gasoline tank. In addition,the site also contains a 1,000 gallon waste oil tank and a 1,000 gallon heating oil tank. Accordingly the site is grand-fathered for a total of 34,000 gallons of hazardous materials in underground tanks. 6. The existing structures (gas station and canopy)are pre-existing,non-conforming structures. In addition, the existing uses (gasoline sales,including underground tanks,convenience store and car servicing)are pre-existing,non-conforming uses which are legally grand-fathered. 7. There is an existing zoning decision, special permit No. 1991-07, granted to the subject property which allowed for site improvements in 1991. That decision further confirms that the gas station use on this property dates back to approximately 1951 8. The Applicant is proposing to redevelop the existing property as follows: a. Renovating and remodeling the existing structure by transforming it into a more traditionally styled structure. Proposed changes include adding siding to the store,creating a peaked roof, adding a dormer over the proposed front entrance,as well as a cupola. b. Remodeling the interior of the proposed structure to accommodate a takeout only Dunkin Donuts coffee counter, as well as a reduced sized Christy's Convenience Store. The Applicant has clarified that there will be no seating provided within the redesigned structure and all of the bathrooms will be limited to employee use only. c. Construction of a drive-thru coffee/donut pickup lane and window located behind the. existing building and to the north of the subject property. d. Demolish the existing fuel canopy and reconstruct a new canopy reoriented on the property. The new canopy will be an improvement by approximately 5.5 feet above and beyond the current canopy set back distance. The proposed canopy will represent a reduction from the existing canopy of 487 feet. The proposed canopy will also be designed with a peaked roof which, at its peak, will measure 17' 6"in height. e. The redeveloped site includes reconfiguring and reducing the number of fueling stations to only three and the installation of a new state of the art fire suppression system. 9. In terms of hazardous materials in the WP District, the Applicant will be removing all of the existing underground gasoline and oil tanks and installing only two(2) 10,000 gallon double walled gasoline underground tanks for a total gallonage of 20,000 gallons of underground gasoline. This represents a reduction of approximately 14,000 gallons of hazardous materials stored in underground tanks on the Property. In addition, the Applicant will be converting the existing structure from heating oil to natural gas, thereby further reducing the amount of hazardous materials associated with the site. 3 Lastly, the existing car service bay will be eliminated entirely from the proposal to allow for the redesign of the interior of the proposed store. 10. As described in the materials submitted by the Applicant to the Board as well as the traffic memorandum prepared by Rizzo Associates dated July 15,2004, the Applicant is also proposing to change the curb cut configurations on the subject property. The Applicant has also agreed to provide all curb-cuts on Route 28 as right-in and right-out only. 1 L.As shown on the proposed site plans, the Massachusetts Highway Department(MHD)is proposing to widen Route 28 in front of the property and will be taking by eminent domain a portion of the subject property. The proposed redevelopment plan has been provided to MHD to review, and MHD has no objections to the relocation and narrowing of the Route 28 curb cuts. 12. At the Board's request,the Applicant relocated the proposed Dunkin Donuts order window closer to the drive-thru pick-up window. This will assist in reducing the queueing to the pick-up window by bringing the cars from the outset closer to the building(and away from the road). 13. The Applicant is proposing to substantially improve the aesthetics of the property by adding significant amounts of new vegetation including bushes and trees to improve the visual aesthetics of the site. 14. The Applicant obtained site plan review approval from the Barnstable Site Plan Review Committee on July 21, 2004 for this redevelopment proposal. The latest Plans have also been submit ted to the Building Commissioner and he has found that the changes did not need a g full site plan review and has approved those latest revised plans as per his Memorandum to the Board dated.October 13,2004. 15. The redeveloped site will result in substantial benefits to the Town of Barnstable,including a significant reduction in the amount of hazardous materials stored in underground tanks in close proximity to public wells,improved aesthetics, a reduction of the number of fueling positions on the site, a reduction in the size of the canopy on the site,elimination of a non-conforming car servicing use on the site, and improved internal traffic circulation patterns within the subject property. 16. The special permit applications (Appeal Nos. 2004-87 and 2004-89)fall within a category specifically permitted in the Zoning Ordinances for a grant of a special permit. 17. After evaluation of all of the evidence presented, the proposed redevelopment project fulfills the spirit and intent of the Zoning Ordinances and would not represent a substantial detriment to the public good or neighborhood affected. Decision: Based on the findings of fact,a motion was duly made and seconded to grant a Special Permit in accordance with Section 4-4.4(2)for the expansion and alteration of a non-conforming building and structure as being requested in Appeal 2004-087 subject to the following conditions: 1. The site shall be developed in accordance with the plans submitted entitled"Christy's of Hyannis, MA"as drawn by Rizzo Associates dated 04/15/04 with a last revision date of 10/01/04. Said plans consist of nine sheets titled: Cover Sheet,Existing Conditions Plan, Site Layout and Materials Plan, Grading and Drainage Plan,Landscape Plan, Construction Details and Legend, Construction Details, Proposed Floor Plan, and Building Elevations. Except that the plans shall be modified as follows: 4 • The curb-cut onto Route 28 farthest from Yarmouth Road shall be reconfigured to provide for right in and right out only. • The applicant shall petition to Mass Highway to extend the proposed center median on Route 28 south easterly to the end of the applicant's property to prevent left turning movements onto Route 28. • A"Caution—Crossing Traffic"sign shall be posted on the inside of the right-turn lane into the property from the Yarmouth Road curb-cut to alert motorist to the criss-crossing traffic movements in that location. • All curb-cuts shall be required to conform to all standards and conditions imposed by Mass Highway. 2. A new plan showing the changes required in this decision shall be drawn to the standards of the Town of Barnstable and presented to the Town Engineering Division and to Site Plan Review Committee for review and approval. 3. All lighting shall conform to the requirements of the Cape Cod Commission, and shall be directed onto the site and not into the street or neighboring properties so that it does not cause a nuisance. 4. Landscaping shall be installed in accordance with the plans presented. The applicant shall nurture all plantings to maturity and maintain all landscaping provisions as shown on the plan. 5. There shall be no trailers or storage containers permitted on the site. The permitted buildings and lot coverage shall be considered full build out and no added building or pavement shall be permitted without permission from the Zoning Board of Appeals. 6. The height of the canopy to the ridge line shall not exceed 22 feet. The height of the building to ridge shall not exceed 19 feet,excluding cupolas. The vote was as follows: AYE: Richard L. Boy,Ralph Copeland ,Jeremy Gilmore, Gail Nightingale,Daniel M. Creedon NAY: None Ordered: Special Permit 2004-87 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 r e M. CreedojJ I I, Chairman Date Signed 5 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 be led in e office of the Town Clerk. Signed and sealed this__l [l� ,'day of �C� under •he p aim anti nalties of perjury. Li Hutchenrider,Town Clerk 6 L I , TOWN OF BARNSTABLIF ziDIMI"RQARW OF 01PEALS NOTICE OF PUOLIC WiEjUtDN> !1®E'i311E ZO111INC ORDINANCE JU14E 23,2064 To all persons interested in,or affected by the Zotiing Board of Appeals under Section 11, of Chapter 40A of the General Laws of the Commonwealth of Massachusetts, and all amendments thereto you are hereby notified that 7:p0 P A Y. Shields Robert M"SRields has a i YleP]f 'S ia1 pemifl i5n lh�s U'iia r Im 408 6 forthe demolitiorrof an exists dwell ng mg on a nonconforming kib�d fo:}�ebyiltif a riew and garage The property is located as-shown on Assessors.Map ISO,addressed as 110 Crystal Lake Road Osterville MA in a Residence F-1 Zoning District l , AT �1'rt ataapp#ie+l'ftira i3ncev�ith .Section 4 4 3(2)talon corafprarung,gt�fld�tt9e,or Strv��reg Uset as Sj�eand Two-Family Residences and.fndings;Lnde s ly1GL �haptpr 4p/t, t$ection"8 fpr t}►e demolition and reconstruction of a single-fam7y c(welitr?g aria nprY pgnfornjing lot. The property is shown on Assessor's Map 337,Parcel 014 addressed'as i gorse Hil(Road,Bamstable,MA in a Residence F-1 Zoning District, 7s30 P.M. Couture Appeal 2004-084 Edmond A. Couture has applied for a Special Permit in accordance with Section 44.3 Nonconforming Buildings or Structures and findings under MGL Ch.40A,Section iS for the demolition and reconstruction of a single family dwelling on a nonconforming lot. The property is shown on Assessor's Map 287,Parcel015 addressed as.554 Scudder Avenue, Hyannis,MA in a Residence F-1 Zoning District. 8:00.P.M. Boa/Tong Appeal 206"85 Lede Bao and Dian Tong,Trustees have applied for a Special'Perrrrlt in ackortfance with Section 4-4.5(2)Nonconforming Uses,Expansion of a Pr e-existing Nonconforming Use to re-establish an accessory residence building. The property Is shown ori,Assessor s Map ; 216, Parcel 038 addressed as 1989 Main St/Route 6A,West Bamstable.'MA in a =, ,.. . 8:30 P.M. Pesflsra i .. ApPeaI 2004-086 Lente Festina, LLC has applied for a Vhftnce tb"Section 3-0(6i tulk Regulations . minimum 1ot-stie ars7 mlriffnum loYvlo allow°fair#te c op}yjgte fang' dwelling on an undersized nonconforming tot: The property is shown on Assessor's Map .287,Parcel 123 addressed b§-W Hyannis Xvenue,Hyannis,MA in a Residence F-1 Zoning District. 8::45 P.M. ChrisCo. Appeal 2004-087 ChrisCo.LLP has applied to the Zoning Board of Appeals fora Spepal Permit in accordance with Section 44.4(2)Non-conforming Structure§arad BuAdings r it l)secl as Stele or Two Family Dwellings to permit the redevelopment acid j4b'gltera0ori9'6f the.eldst rig gas and service station: The applicant intends to`tembve the 3 service bayst and ie:leuel$p the site including the fuel pumps and canopy,remodel existing struccre tQ,er►large rgtGsales/ convenience store including coffee and doughndt'sales%4ith a ifrfve thxo plcfc iiP iitrrdow. The applicant also requested'any other Special Permit relief as'needad is shown on Assessor's Map.328,Parcel 151 addressed ad 156 .. Hyannis,MA in a'Hi �'a"^off28, HYan ghway Business Zoning District. 8:45 P.M. Chrisco. ChrisCo.LLP has applied to the Zon'. Board of Aih-406 .2004-088 m9- Appeals foral�fificati�iolSpecialPermk Number 1991-7 issued to Mobile Oil Corporation to allow for the redevelopment and site alterations of the existing gas and service station including the fuel.pumps and canopy, remodel existing structure to enlarge retail sales/convenience store hseluding coffee and doughnuts with a drive-thru pick-up window.The prcipertyis shown on Assessors MSP 3^e8, O Parcel 151 addressed as .156 lyannough Road/Route 28, Hyannis, MA In a Highway- Business Zoning District. , 8.45 P.M. ChrisCA. Appeal 2oo"eq wM ChrisCo.LLP has applied to the Zoning Board of Appeals fora Special Permit in accordance V with Section 3.3.6t3,Con�rtional Use inthe HighwayB6Aness b stinot to permit retai sales; including coffee and,dodghnuts Wo'i dAve-thru pick-up ndotyr wi . The property is shown on •f Assessor's Map 328,Parcel 15 i addressed as 156,lyarinough Road/fj ute 28,Hyannis,MA in a Highway Business Zoning District* 8.45 P.M. Chrisco. Appeal 2004.OW ChrisCo. LLP has applied to the Zoning Board of Appeals for Variances to dimensional requirements of the,Zoning Ordinances;specificatiy;'woection 3:8.$(5)"Bulk FWguiatibns, Minimum Lot Area,'Minlmum;Front.-Yard Setback,Minimum Side1YardSetb80 and 45-foot Minimum Front Yard tandseape SetbacloSections 3-5.2(7XC)and•((D)1r 6Qhjad Protec- tion, ` !� Lot Coverage and Sfte' Gleafsng Requirements; Section 4-2.6(2)(B)i landscape . OPerimeter Buffer,and any other dimensional requirement as may be needed to permit the Proposed redevelopment of the site as per plans submitted.The,property is shown on 4* Assessor's Map 328,Parcel 151 addressed as 1561y4nnough Road/Route 28,Hyannis,MA in a Highway Business Zoning District. ; Q These Public Hearings will be held at the.Barnstable Town Hall,367 Main Street,Hyannis, MA,Hearing Room,2nd Floor,Wednesday,June 23,2004. Plans and applications maybe t reviewed at the Planning Division,Zoning Board of Appeals Office,Town Offices,200 Main . �^ Street,Hyannis,MA. Daniel M.Creedon 01,Chairman Zoning Board of Appeals Parcels Within 300' of Map 328 Parcel 151 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from the Town of Barnstable Assessor's database on 5/23/2004 Mappar Owned Owner2 Address 1 Address 2 ' City State Zip Country 327156002 MASS,COMMONWEALTH OF ]C/O EXECUTIVE OFFICE OF TRANSPORTATI 10 PARK BOSTON IMA 102116 ON& PLAZA-SUITE CONSTRUCTIO 3170 N 328131 NELSON COAL&OIL CO INC OIL CO INC NELSON 180 IYANOUGH HYANNIS MA 02601 USA V ROAD 32813200A JBAKER,ROBERT E&WHITE, 62 W YARMOUTH IMA 102673 USA ROBERT E JR TR TANGLEWOOD DR 32813200B BAKER,ROBERT E&WHITE, 62 W YARMOUTH MA 02673 JUSA ,L/ ROBERT E JR TR TANGLEWOOD DR 32813200C BAKER,ROBERT E&WHTTE, 62 W YARMOUTH MA 02673 USA ROBERT E JR TR TANGLEWOOD DR 32813200D BAKER,ROBERT E&WHITE, 62 W YARMOUTH IMA 102673 USA ✓ ROBERT E JR TANGLEWOOD DR 328137 GEMAC INC 201 7HYANNIS MA �02601 USA YARMOUTH RD 328138 GMAC,INC 201 HYANNS MA 02601 JUSA YARMOUTH RD F I 328142001 IBARNSTABLE.WATER CO PO BOX 326 HYANNIS MA 02601 USA 328142002 1BARLACOINC %BARNSTABLE WATER CO PO BOX 326 HYANNIS MA 02601 USA ✓ 328143 KORPELA,WILLIAM A& KORPELA,TOM TAM ESTER 114 IYANOUGH HYANNIS MA 02601 USA IRD 328144 KORPELA,KATRI K 23 NEW HAVEN MARSTONS MILLS MA 02648 / AVE V 328145 KORPELA,TOM TAIMI ESTER 114 IYANOUGH HYANNIS MA 02601 USA IRD 328146 :rG!,7RAYMONDH PO BOX 1135 BOSTON IMA 102103 USA 328147 KORPELA,WILLIAM A& KORPELA TOINI TAIMI ESTER 11114 IYANOUGH HYANNIS MA 02601 JUSA / Monday,May 24,2004 Page 1 of 3 Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country 328148 BABCOCK,MILTON M&ANN B PVA�NDERBILT 14ORWOOD MA 02062 USA AVE#210 328149 MACDONALD,DOUGLAS E TRS D AND S MACDONALD FAMILY TR 191 WATERS MARSTONS MILLS IMA �02648 USA EDGE 328151 RUMPLER,LEONARD M ETALS TR %CHACE,RUTTENBERG& ONE PARK _ PROVIDENCE JR1 102903 USA ✓ FREEDMAN ROW SUITE 300 32815200A jrvEs,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD I STOUGHTON MA 102072 JUSA ✓ 32815200B JIVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON IMA 102072 USA 32815201Z�,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD I STOUGHTON IMA 102072 USA ✓ 32815200D IVES,DAVID U %BELLIVEAU,CHARLES J TREAS 7146 GOLDEN RD STOUGHTON IMA 102072 JUSA ✓ 32815200E JIVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON MA 02072 USA 32815200E IVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON MA 02072 USA f 3281520OG IVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON MA 102072. USA �/✓ 32815200H JIVES,DAVID U %BELLIVEAU,CHARLES J TREAS 1142 GOLDEN RD I STOUGHTON IMA 102072 USA ,l 32815200I IrvEs,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD I STOUGHTON IMA 102072 JUSA 32815200J NES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD I STOUGHTON IMA 02072 USA 32815200K JIVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD I STOUGHTON IMA 102072 JUSA 32815200E JIVES,DAVID U %BELLI NEAU,CHARLES J TREAS 146 GOLDEN RD I STOUGHTON IMA 10207i-7SA ✓ 32815200M JfVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RDJ STOUGHTON IMA 102072 JUSA 32815200N IrvEs,DAVID U j0/.BELLrvEAu,CHARLES J TREAS 142 GOLDEN RD STOUGHTON IMA 102072 JUSA ✓ 32815400A INARBONNE,LEON D TRS TRIPLE N REALTY TR P O BOX 2910 HYANNIS IMA 102601 USA 32815400B NARBONE,LEON D TRS TRIPLE N REALTY TRUST P O BOX 2911 HYANNIS MA 02601 USA I __] V 32815400C NARBONNE,LEON D TRS TRIPLE N REALTY TRUST P O BOX 2910 HYANNIS MA 02601 Monday,May 24,2004 Page 2 of 3 a Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country 32815400D NARBONNE,LEON D TR ::7TRIPLE N REALTY TRUST P O BOX 2910 HYANNIs MA 102601. *, 328155 ECAL,MICHAEL J TR GREENWOOD NOMINEE TRUST 34 CIRCUIT AVE HYANNIS IMA 102601 (/ I- 328156001 TRACY,JAY TRS WERE HERE REALTY TRUST 83 BLANTYRE CENTERVILLE IMA 102612 USA AVE 328156002 TRACY,CONSTANCE 83 BLANTYRE ICENTERVILLE �MA 102632 JUSA AVE 328157 SIGEL,ERIC J TR TRALEE REALTY TRUST P O BOX 504 HYANNIS MA 102601 USA 328158 SIGEL,�ERICJ TR TRALEE REALTY TRUST P O BOX 504 HYANNIS IMA 102601 JUSA ✓ 328159 FINKEL,MICHAEL %FINKEL,MICHAEL&PAMELA J 126 CAMP ST HYANNIS IMA 102601 USA 328160 CICCARELLI1 EUGENE C 58 HATHAWAY OSTERVILLE IMA 102655 JUSA f RD 328162 TRACY,JAY H TRS WERE HERE REALTY TRUST 83.BLANTYRE CENTERVILLE MA 02632 USA ✓ AVE . 328182 TRACY,JAY H TRS WERE HERE REALTY TRUST 83 BLANTYRE CENTERVILLE IMA 102632 JUSA AVE 328183 MASS,COMMONWEALTH OF C/O EXECUTIVE OFFICE OF TRANSPORTATI 10 PARK 1BOSTON MA 02116 ON& PLAZA-SUITE CONSTRUCTIO 3170 N 328195 HAZARD,GERALD W JILSON,H %HY BLDG ASSOC 140 HYANNIS IMA 02601 USA �YARMOUTH RD 328200 GAS INC AMERIGAS PROPANE LP P O BOX 798 VALLEY FORGE PA 119482-9908 JUSA ✓ 328202 GAS INC AMERIGAS PROPANE LP P O BOX 798 VALLEY FORGE PA 19482-9908 JUSA V 328203 AMERIGAS PROPANE LP P O BOX 798 VALLEY FORGE PA 19482-9908 USA 328231 FINKEL,WILLIAM&LORRAINE PO BOX 1998 MASHPEE MA 02649 USA 328238 CHRISTMAS CROSSING INC C/O MILL LANE MGMT INC 923 ROUTE 6A PiuMOUTHPORT IMA 102675 JUSA UNIT Y Monday,May 24,2004 Page 3 of 3 OW .1�6�p�,..� xb� Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2004.089- ChrisCo Special Permit Section 3-3.6(3), Highway Business Conditional Use To permit redevelopment and expansion of an existing gas station Summary: Granted with Conditions Petitioner: ChrisCo.LLP Property Address: 156 Iyannough Road/Route 28,Hyannis,MA Assessor's Map/Parcel: Map 328,Parcel 151 Zoning: Highway Business Zoning District Relief Requested &Background: The subject property is situated on the northeast corner of Route 28 and Yarmouth Road and is zoned Highway Business and is in a Wellhead Protection Overlay Zoning District. The parcel is a 0.96-acre lot as shown on Assessor's Map 328 as Parcel 151, addressed 156 Iyannough Road/Route 28, Hyannis,MA. The lot is developed with a 1,388 sq.ft. building built in 1975 and two pump islands capable of 8 fueling positions. The applicant, ChrisCo. LLP, is seeking to redevelop and expand the use of the site. The site has the benefit of Special Permit Number 1991-7 issued for the development of the overhead gas canopy structure and allowing 630 sq.ft. of the building to be used for retail sales. The remainde r of the building consists of two auto service bays. According to the files use of the site as a gas service station dates back to 1953 and the location of the were established in 1983. pumps The applicant is proposing to redevelop the existing site,remodel the building,replace the underground fuel tanks and install new service pumps and canopy. The auto service is to be eliminated and the retail convenience use expanded and is to include a coffee and donut shop with a drive-up window service. In order to accomplish the proposed changes and improvement,the applicant has submitted four applications to the Board. They were: • Appeal 2004-087 for a Special Permit in accordance with Section 4-4.4(2)Non-conforming Structures/Buildings • Appeal 2004-088 for a Modification of Special Permit Number 1991-7, 0 Appeal 2004-089 for a Special Permit in accordance with Section 3-3.6(3),Highway Business Conditional Use, and • Appeal 2004-090 that requested Variances to Sections 3-3.6(5);Bulk Regulations, Minimum Lot Area,Front&Side Yard Setback,Front Yard Landscape, 3-5.2(7)(C) &((D); WP,Lot Coverage &Site Clearing,and 4-2.6(2)(B)Landscape Perimeter Buffer Procedural &Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 20,2004. An Extension of Time for holding the hearing and for filing of the decision was executed between the applicant and Board Chairman, A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was I d r opened June 23, 2004; continued to July 21,2004; September 01, 2004; and to October 13, 2004 at which time the Board found to grant the appeal. Board Members deciding this appeal were,Richard L. Boy,Ralph Copeland,Jeremy Gilmore, Gail Nightingale, and Chairman Daniel M. Creedon M. Attorney Patrick M. Butler represented the applicant before the Board.Also present were Christy Mihos, Rick Bryant, and Dave Albrecht. Testimony was taken on this appeal at the hearings of September 01, 2004 and October 13,2004. Plans for the proposal were reviewed and modified to reduce traffic impacts and to address concerns for the drive-thru car stacking area. Mr.Butler reviewed the locus and existing condition noting that the property is a pre-existing non- conforming use and building in that through subsequent zoning amendments certain non-conformities have been established with respect to the building setbacks and the use of the property. He submitted extensive information on the proposed changes to the site to document the reduction in the gas and service station use and the proposed redevelopment of the site into more conformity with the zoning requirements of today. Mr.Rick Bryant of Rizzo Associates addressed traffic concerns and the proposed plans for roadway improvements in the area. Public comment was requested and no one spoke in favor or in opposition to the request. The Chairman Noted that several letters of support have been submitted to the file. They are from: Rick Sigel of Highway Pegs,business and property owner located across from the proposed site; Town Councilor, Gary R. Brown,President; and Cynthia Cole, Executive Director of Hyannis Main Street Business Improvement District. At the October 13, 2004 hearing the Mr.Butler discussed the changes that had been made to the plan. The Board and Mr. Butler agreed that the proposal before the Board can be permitted with the grant of two Special Permits,one for the expansion of the non-conformity in building and structure as requested in Appeal 2004-87 and another for a conditional use permit as requested in Appeal 2004-89. Findings of Fact: At the hearing of October 13, 2004, the Board unanimously made the following findings of fact: 1. ChrisCo,LLP (the"Applicant")has applied for special permit relief pursuant to section 4-4.4(2), Nonconforming Building/Structure not used as a single or two-family dwelling to allow for the redevelopment of an existing gas,convenience store and car service station(Appeal No. 2004-87). In addition, the Applicant has also submitted a special permit petition pursuant to section 3-3.6(3), Conditional Use in the Highway Business District(Appeal No. 2004-89). 2. The property is commonly addressed 156 Iyannough Road(Route 28) in Hyannis. The property is shown on Town of Barnstable Assessor's Map 328 as Lot 151. The property consists of 39,183 square feet and is located in the Highway Business zoning district and the Wellhead Protection ("WP") Groundwater Overlay District. 3. The property is owned by the Leonard M. Rumpler Revocable Trust. The Applicant has submitted a correspondence to the Board dated July 21,2004 signed by Robert Berkelhammer and Bruce R. Ruttenberg,Trustees of the Leonard M. Rumpler Revocable Trust indicating the Applicant has entered into an agreement to purchase the subject property. In addition, the correspondence serves as 2 authorization allowing the Applicant to proceed with the above referenced petitions before this Board and therefore has standing to seek the special permits. 4. As presently configured, the property contains an approximately 1,200 square foot structure housing a gasoline service station, a car-service bay and approximately 630 square feet of retail sales of convenience store type products. In addition,the property currently contains 4 fueling stations covered with an overhead, flat canopy which consists of approximately 1,767 square feet, and three curb cuts into the site. 5. The existing site,located in the WP district and in close proximity to several public drinking water wells,contains two(2) 10,000 gallon underground fiberglass gasoline tanks and one(1) 12,000 gallon underground fiberglass gasoline tank. In addition,the site also contains a 1,000 gallon waste oil tank and a 1,000 gallon heating oil tank. Accordingly the site is grand-fathered for a total of 34,000 gallons of hazardous materials in underground tanks. 6. The existing structures (gas station and canopy)are pre-existing, non-conforming structures. In addition, the existing uses (gasoline sales, including underground tanks, convenience store and car servicing) are pre-existing,non-conforming uses which are legally grand-fathered. 7. There is an existing zoning decision, special permit No. 1991-07,granted to the subject property which allowed for site improvements in 1991. That decision further confirms that the gas station use on this property dates back to approximately 1953. 8. The Applicant is proposing to redevelop the existing property as follows: a. Renovating and remodeling the existing structure by transforming it into a more traditionally styled structure. Proposed changes include adding siding to the store, creating a peaked roof, adding a dormer over the proposed front entrance, as well as a cupola. b. Remodeling the interior of the proposed structure to accommodate a takeout only Dunkin Donuts coffee counter, as well as a reduced sized Christy's Convenience Store. The Applicant has clarified that there will be no seating provided within the redesigned structure and all of the bathrooms will be limited to employee use only. c. Construction of a drive-thru coffee/donut pickup lane and window located behind the existing building and to the north of the subject property. d. Demolish the existing fuel canopy and reconstruct a new canopy reoriented on the property. The new canopy will be an improvement by approximately 5.5 feet above and beyond the current canopy set back distance. The proposed canopy will represent a reduction from the existing canopy of 487 feet. The proposed canopy will also be designed with a peaked roof which,at its peak, will measure 17' 6"in height. e. The redeveloped site includes reconfiguring and reducing the number of fueling stations to only three and the installation of a new state of the art fire suppression system. 9. In terms of hazardous materials in the WP District, the Applicant will be removing all of the existing underground gasoline and oil tanks and installing only two (2) 10,000 gallon double walled gasoline underground tanks for a total gallonage of 20,000 gallons of underground gasoline. This represents a reduction of approximately 14,000 gallons of hazardous materials stored in underground tanks on the 3 Property. In addition, the Applicant will be converting the existing structure from heating oil to natural gas, thereby further reducing the amount of hazardous materials associated with the site. Lastly, the existing car service bay will be eliminated entirely from the proposal to allow for the redesign of the interior of the proposed store. 10. As described in the materials submitted by the Applicant to the Board as well as the traffic memorandum prepared by Rizzo Associates dated July 15, 2004, the Applicant is also proposing to change the curb cut configurations on the subject property. The Applicant has also agreed to provide all curb-cuts on Route 28 as right-in and right-out only. 11. As shown on the proposed site plans,the Massachusetts Highway Department(MHD)is proposing to widen Route 28 in front of the property and will be taking by eminent domain a portion of the subject property. The proposed redevelopment plan has been provided to MHD to review, and MHD has no objections to the relocation and narrowing of the Route 28 curb cuts. 12. At the Board's request, the Applicant relocated the proposed Dunkin Donuts order window closer to the drive-thru pick-up window. This will assist in reducing the queuing to the pick-up window by bringing the cars from the outset closer to the building(and away from the road). 13. The Applicant is proposing to substantially improve the aesthetics of the property by adding significant amounts of new vegetation including bushes and trees to improve the visual aesthetics of the site. 14. The Applicant obtained site plan review approval from the Barnstable Site Plan Review Committee on July 21, 2004 for this redevelopment proposal. The latest Plans have also been submitted to the Building Commissioner and he has found that the changes did not need a full site plan review and has approved those latest revised plans as per his Memorandum to the Board dated October 13,2004. 15. The redeveloped site will result in substantial benefits to the Town of Barnstable, including a significant reduction in the amount of hazardous materials stored in underground tanks in close proximity to public wells, improved aesthetics, a reduction of the number of fueling positions on the site,a reduction in the size of the canopy on the site, elimination of a non-conforming car servicing use on the site, and improved internal traffic circulation patterns within the subject property. 16. The special permit applications (Appeal Nos. 2004-87 and 2004-89) fall within a category specifically permitted in the Zoning Ordinances for a grant of a special permit. 17. After evaluation of all of the evidence presented, the proposed redevelopment project fulfills the spirit and intent of the Zoning Ordinances and would not represent a substantial detriment to the public good or neighborhood affected, Decision: Based on the findings of fact, a motion was duly made and seconded to grant a Special Permit in accordance with Section 3-3.6(3), Highway Business Conditional Use as being requested in Appeal 2004-089 subject to the following conditions: 1. The site shall be developed in accordance with the plans submitted entitled "Christy's of Hyannis, MA" as drawn by Rizzo Associates dated 04/15/04 with a last revision date of 10/01/04, consisting of nine sheets titled: Cover Sheet,Existing Conditions Plan, Site Layout and Materials Plan, Grading 4 and Drainage Plan,Landscape Plan, Construction Details and Legend, Construction Details, Proposed Floor Plan, and Building Elevations. Except that the plans shall be modified as follows: • The curb-cut on to Route 28 farthest from Yarmouth Road shall be reconfigured to provide for right-in and right-out only. • The applicant shall petition to Mass Highway to extend the proposed center median on Route 28 southeasterly to the end of the applicant's property to prevent left turning movements onto Route 28. • A"Caution—Crossing Traffic"sign shall be posted on the inside of the right turn lane into the property from the Yarmouth Road curb-cut to alert motorist to the criss-crossing traffic movements in that location. • All curb-cuts shall be required to conform to all standards and conditions imposed by Mass Highway. 2. Use of the site is limited to that of the existing non-conforming gas service, a retail store not to exceed 1,341 sq.ft. in gross area, including the coffee shop and a drive-up pick-up window. 3. The number of fueling positions (total number of cars that can be fueling at any one time) shall be reduced to no more than 6. 4. The retail area of 1,341 sq.ft. in gross area shall not include customer seating. 5. The site shall be developed and buildings built consistent with all applicable Health,Building and Fire codes. All signage shall conform to the sign regulation without varaince from this board. 6. One drive-up window shall be permitted only to be used be in connection with the coffee shop. 7. All fuel deliveries shall be made during hours of off-peak traffic. That is no fuel deliveries from 7:00 AM to 9:00 AM and from 3:00 PM to 6:OOPM weekdays. 8. The gas station,retail store, and coffee shop shall be required to close between the hours of 1:00 A.M. to 4:00 A.M every day. 9. There shall not be any accessory auto inspection and no accessory auto repairs at this site or accessory to this station,nor shall any auto sales or leasing occur. The vote was as follows: AYE: Richard L. Boy,Ralph Copeland , Jeremy Gilmore, Gail Nightingale, Daniel M. Creedon NAY: None Ordered: Special Permit 2004-87 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. 5 .t AanielM. on III, 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 fi the office of the Town Clerk. Signed and sealed this day of c un "— t el,pains acid penal ties of pekj.�ry. Linda Hutchenrider,Town Clerk 6 2i LEGAL NOTICES TOM o0 ' AR1r 10 r�►'1 VALS • `NOTICE��►�:�--�t��r ,� i `'�'�t1��1NG To all persons interested m dr affec#ed6y't6 aing BbaM'gf Appeals hd0r Section 11, of Chapter 40A of ti a Gen Fal Laws of the Gornmonwealth #'Ma55aehttsetts, and all amendments thereto_yq.u.arp hergl)y notikipd.that: 7z00�<P M;3��igz ��,$ ' �ds�i��t �>a+s� �t ti : ,r,��►pea1 20l��"A � . i Robert i` fiieldsTia a die s �u o'a t e n lih�if"i s`t3)i� r iL h� 1A,t e t,h 6 ittit'fhe derho�ifion-ofari'�xisting�ell:r` � a noni�nfot�tiiilglbt.aJ�G �t�hi{t�sa ndw(1 till g 9e {�. Pity .s.oc$ted-as shown an°As$essors,,Map 1!�J, �arc�3 addressed as 110 Crystal Lake Road,Osterville,MA m a Residence F�1 Zoning District DaA. .,a'rre a dyr�tf��-4��`e�iaia �ap��ie��i§r�i• �it#i Section 4-4.3(2) orrcprtarnain Bid Idl+: or as I a d Two-Family ,$Y '' t G A,i Y- ,, 4 1v 'J Residences and And6dg ,a berg t ��zc� p � emolition and + z -„ ,. p pw rty reconstruction of single fafflily dva 7l n�a��gA 0 -0-4ning 18t The Fo a is shown on Assessor's Map 337,Parcel 0 i4'add�essec as Bbii>?Hilt 13oad,Bamstable,MA in a Residence F-1 Zoning District. 7:3t1 PsM: Couture Appeal 2004-11W Edmond A. Couture has applied for a Special Permit in accordance with.Section 4,43 Nonconforming Buildings or Structures and findings unddf MdLC}i'A0i"# Section iG`fof the demolition and reconstruction of a single family dwelling on a`MiidbMormirig lot- The ' property is shown on Assessor's Map 287,Parcel 015 addressed as 554 Scudder Avenue, Hyannis,MA in a Residence F-1 Zoning District. 8:601P W. 1l3baRong Appeal .i 04085 Lede Sao and Dian Tong Trustees have applied"for a Speda1 Parm:l in accordance with Section 4 4.5(2)Nonconform1.in`g U§es Expansion of a Pre e�Cisti filonconformmg Use to re estabhsta an accessory residencg hui ing T}e property 1, shown on}assessor s N1ap 216, Parcel 038 addressed as i913�9�vlain 5r/RouthA +Jest Bamstatle` MA in a U`� : Yak Vi ,..��1 ,a n .� ..ra,x7:.?t.,.-, y:•<,,:,.s R n3:E�d� i..,. i Fiesidehce`F'Zo`fling Distnct;"" 8 30 'P.M. fFest,na , ppa`I 2004 086 � ion W hsLehl U kg , min:inum lot"size ahsl tnlnimutrrlat ivit3Eti5�kcf a11oi�fi F tfi r ot�sliuc�'tl- of '`smgl'a`=family° chvelhng on an undersized nonconforming Sot T}ie' roperfy is'Shov✓n on`Asses"s'or's Map 287 Pafci?t i23'addressed as'8t7 Hyanni Djst, s A�+ riiie;llyanri MA in`a'Resider ce F=1'Zonurg 8:0 P.M. Chri6Co Ap,ea12p04 08T Chris Co LLP has applied to the Zonng Board of Appeais#grySfal-Perfnitin�ccorc]ance vatti`Sectfoi 4 4 4t231+1on conformirig Structures ah8 BC11jrings notst7sed a"§ Ingle 15 ' Family redevelopment and 6j- bt rAdAVbfthe-W06img gas'and service statioh 7 he applicantlntends toremove fhL e bays artdtte�develcipha site including the fuel pumps and canopy re,(nodi9Ik xis�#rtlg sYiiact i t ��afges teta��a lest corn enience''stt�re rricluding coffee afid"rioughhut"salestihadrlve.= Pu pick=gip vuinlbw. The applicant also requested"any other Special Permit reiief as needed,° Xlig perty is shown on Assessors Ma 328;Parcel 151 addressed ad 156 p odd gh Ye'28, Hydhhis,MA in a Highway Business Zoning District. 8.45 P.M. ChrisCo /� . :a13�iQ0 '086. ChrisCo.LLP has applied tc.the Z�ninp$.oard ofAppeals fo7aipdi f icatl2ofpeta}Per[nit Number 1991-7 issued to Mobile Oil'Corporation to allow for the redevelopmentand site alterations of the existing gas and service station including the.:fuel pumps and canopy, remodel existing structure to enlarge retail'sales/oanvenience store including coffee and doughnuts with a'drive-thin pick=Up MMdoW: -ie'prfipeftyls ttiti i'tSriAmnor s Map 328, O P4cel 151 addressed ab,l 561yagnaugh Road/Route 28,Hyannis, MA in.a Highway- Business Zoning District .� 8 45 P M "Gh�i$Co 400all 2004-089 ChrisCo LLP has applied tothe Zoning Board ofAppeaisfor AS ecial ermrj in accordance; wiSectaon9-36(3) Conrit�opatUsei �t1ie.Highvvayius�rle" sistrri to permitretailsai>fis U including coffee and,douhnutsllh�; d eve thru pick up winrlovt The property is showh on • Assessor s Nfap 328;Parcel 1 'l,,,addressed as 15'6yan`riougfi ad/#Aitte28 H�anrfs,MJ ^� in Highway BusinessZornnp- Distrct,^J r z = I'll8 5s h ilfi Cho>isCo: Appeal 2004-090 ChrrisCo LLP has applied to'the Zoning Board of Appeals for Variances to dl,(nensional requirement&•of ft Zonng Ordinances specifically Seoti n 3 3�fVElUlk fle`ulatibns, J Minimum Lot Area,5PiiiiinumF,-dnly6tdSetba4kMin:mtir:iSidea�aril�rstbaiilfanc145Foot Mihimum front Yard tand5*e Setbadk,..'Satiohi 3=5, ( XC),and=((.t ) elite atl`ProCeC. tioi, Lot Coverage:aiil:Site'Gleating:.Ruiretri'elite, Sei don._4-2:6(t)CF3>,rhdscape O Pefimeter Buffer,and any other dimensional requirement as may needed to permit the . proposed redevelopment of the site as per plans-suornitted h%.prgperty,l& showi,on r, Assessor's Map 328,Parcel 151 addressed as 1 y�nriough poad/Route 28,Hyannis, 1 +i * ,.,. in a Highway Business Zoning Distnat'' 0 These Pub(ic Hearings will be held at the,Bamstable Town Hall,367 Mvlatn Street Hyannis; 0 MA,Hearing Room,2nd Floor Wednesday June 23 2004. Plans and applicatiogq,,may:be c I g 9Appeals s 200 Main Street Hyanned at the in Division,Z606 Bbard of Office,Town Office Daniel M.Greedon 111,Chairmaii ra %,powd of Appeals . The Barnstable Patriot - Parcels Within 300' of Map 328 Parcel 151 This list by itself does NOT constitute a certified list of abutters and is provided only as an aid to the determination of abutters. The requestor of this list is responsible for ensuring the correct notification of abutters. Owner and address data taken from the Town of Barnstable Assessor's database on 5/23/2004 Mappar Ownerl Owner2 Address 1 Address 2 City State Zip Country 327156002 MASS,COMMONWEALTH OF C/O EXECUTIVE OFFICE OF TRANSPORTATI 10 PARK �BOSTON MA 02116 ON& PLAZA-SUITE CONSTRUCTIO 3170 N 328131 NELSON COAL&OIL CO INC OIL CO INC NELSON 180 IYANOUGH HYANNIS MA �02601 JUS= ROAD 32813200A BAKER,ROBERT E&WHITE, 62 JW YARMOUTH MA 102673 USA ROBERT E JR TR TANGLEWOOD ---] 32813200B BAKER,ROBERT E&WHITE, 62 W YARMOUTH MA 02673 USA ROBERT E JR TR TANGLEWOOD DR 32813200C BAKER,ROBERT E&WHITE, 62 W YARMOUTH MA 02673 USA ROBERT E JR TR TANGLEWOOD _ �DR 32813200D BAKER,ROBERT E&WHTTE, 62 W YARMOUTH MA 112613 USA ROBERT E JR �TANGLEWOOD DR 328137 GEMAC INC 201 HYANNIS MA 102601 JUSA YARMOUTH RD 328138 GMAC,INC 201 HYANNS �MA �02601 USA YARMOUTH RD 328142001 �BARNSTABLF WATER CO PO BOX 326 HYANNIS MA 02601 USA 328142002 IBARLACO INC %BARNSTABLE WATER CO PO BOX 326 HYANNIS IMA �02601 JUSA 328143 KORPELA,WILLIAM A& KORPELA,TOM TAIMI ESTER 114 IYANOUGH. HYANNIS MA �02601 USA �RD 328144 KORPELA,KATRI K 23 NEW HAVEN MARSTONS MILLS MA 102648 AVE 328145 ---jKORPELA,TOINI TAIMI ESTER 114 IYANOUGH HYANNIS MA 102601 JUSA IRD 328146 YOUNG,RAYMOND H PO BOX 1135 BOSTON - MA 102103 USA 328147 KORPELA,WILLIAM A& KORPELA,TOINI TAIMI ESTER 114 IYANOUGH HYANNIS MA �02611 JUSA RD Monday,May 24,2004 Page I of 3 Mappar Ownerl Owner2 Address 1. Address 2 City State Zip Country 328148 BABCOCK,MILTON M&ANN B 11 NORWOOD IMA 102062 JUSA VANDERBILT IAVE#210 328149 IMACDONALD,DOUGLAS E TRS D AND S MACDONALD FAMILY TR 191 WATERS MARSTONS MILLS MA 02648 USA EDGE 328151 RUMPLER,LEONARD M ETALS TR %CHACE,RUTTENBERG& ONE PARK PROVIDENCE RI 102903 JUSA FREEDMAN ROW SUITE 300 32815200A IVES,DAVID U TBELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON IMA 102072 JUSA 32815200B IVES,DAVID U %BELLIVEAU,CHARLES J TREAS I46 GOLDEN RD STOUGHTON MA 02072 USA 32815200C IVES,DAVID U %BELLTVE AU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON IMA �02072 JUSA 32815200D JIVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON MA 02072 JUSA 32815200E �IVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON IMA 102072 JUSA 3281520OF IVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON MA 102072 USA 32815200E JIVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON IMA 102072 JUSA 32815200H 1VES,DAVID U %BELLIVEAU,CHARLES J TREAS 142 GOLDEN RD FTOUGHTON IMA 10211, USA 32811200I JIVES,DAVID U T.BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON IMA 102072 USA 32815200J JIVES,DAVID U %BELLIVEAU,CHARLES J TREAS I46 GOLDEN RD STOUGHTON MA 1020.72 USA 32815200K IVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RDJ STOUGHTON MA 02072 USA 32815200E JIVES,DAVID U %BELLIEVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON IMA 102072 JUSA 32815200M IVES,DAVID U %BELLIVEAU,CHARLES J TREAS 146 GOLDEN RD STOUGHTON :]fO-2072 JUSA 3281520ON JIVES,DAVID U %BELLIVEAU,CHARLES J TREAS 142 GOLDEN RD STOUGHTON MA 02072 USA 32815400A NARBONNE,LEON D TRS TRIPLE N REALTY TR P O BOX 2910 JHYANNIS MA 22601 USA 32815400E NARBONE,LEON D TRS TRIPLE N REALTY TRUST P O BOX 2910 HYANNIS IMA �02601 USA 32815400C NARBONNE,LEON D TRS TRIPLE N REALTY TRUST P 0 BOX 2910 JHYANNIS --TMA 22601 USA Monday,May 24,2004 Page 2 of 3 Mappar Ownerl Owner2 Address 1 . Address 2 City State Zip Country 32815400D NARBONNE,LEON D TR TRIPLE N REALTY TRUST P O BOX 2910 HYANNIS MA 102601 328155 BECAL,MICHAEL J TR GREENWOOD NOMINEE TRUST 34 CIRCUIT AVE HYANNIS IMA 10261 328156001 �TRACY,JAY TRS WE'RE HERE REALTY TRUST 83 BLANTYRE CENTERVILLE MA 02632 USA AVE . 328156002 JTRACY,CONSTANCE 8313LANTYRE CENTERVILLE MA �02632 JUSA AVE 328157 SIGEL,ERIC J TR TRALEE REALTY TRUST P 0 BOX 504 HYANNIS MA 02601 USA 328158 SIGEL,ERIC J TR TRALEE REALTY TRUST P O BOX 504 HYANNIS MA 02601 USA --l- 328159 FINKEL,MICHAEL %FINKEL,MICHAEL&PAMELA J 126 CAMP ST F- HYANNIS IMA 102601 USA 328160 CICCARELLI,EUGENE C 58 HATHAWAY OSTERVILLE MA 102655 USA RD 328162 TRACY,JAY H TRS WE'RE HERE REALTY TRUST 83 BLANTYRE CENTERVILLE MA �02632 USA AVE 328182 TRACY,JAY H TRS WE'RE HERE REALTY TRUST 83 BLANTYRE CENTERVILLE MA 02632 USA AVE 328183 MASS,COMMONWEALTH OF C/O EXECUTIVE OFFICE OF TRANSPORTATI 10 PARK BOSTON MA 02 t 16 ON& PLAZA-SUITE CONSTRUCTIO 3170 N 328195 HAZARD,GERALD W JII SON,H %HY BLDG ASSOC 140 HYANNIS MA 102601 USA �YARMOUTH RD 328200 GAS INC AMERIGAS PROPANE LP P 0 BOX 798 VALLEY FORGE �PA 119182-9908 USA 328202 GAS INC AMERIGAS PROPANE LP P O BOX 798 VALLEY FORGE IPA 119482-99081'JSA — 328203 AMERIGAS PROPANE LP P O BOX 798 VALLEY FORGE PA 119482-9908 USA 328231 FINKEL,WILLIAM&LORRAINE PO BOX 1998 MASHPEE MA �02649 USA 328238 ICHRISTMAS CROSSING INC CIO MILL LANE MGMT INC 923 ROUTE 6A, ]YARMOUFfPORT IMA 102675 USA UNIT Y Monday,May 24,2004 Page 3 of 3 05/16/2005 RON 11:39 FAX 1 5710925 0925 R006/008 248 Ci1a: BOARD OF STATE EXAL MNa3RS \ OF PLUMBERS AND GAS FITTERS 2.10: continued i 6- All secondary and post secondary schools that conduct sporting or,physical activities on school premises and/or have a gymnasium in which said activities may be conducted, shall have separate showers for each sex to amnaroodate students. All-schools which have trade type programs.in which student may become soled, ' shall comply with 248 MIR 2.10(19)(h)6. 7. Deluge showers shall be installed in every school chemistry laboratory classroom, ! or any rooms used for similar purposes wherein flammable liquids and open flame devices are used in conformance with the most recent S27 CMR adopted by the Board of Fire 1 revenuiom s L In each establishment wit � e are p p employed,there shall be se ar re 1 �a �-WAAM located is each establishment and shall be plainly so desgtated. � 2. Facilities in establishments referred to in 248 CMR 2'10(19)0)1.wither two branch " levels shall be acceptable_ Facilities shad not be required 0,3: Mtmli . for nnezzanirnes. See 248 CNR � ng. (3.1 Unisex toilet rooms are allowed if.they meet the requirements of 248 CMR a,,tC P 4. In business or commercial estab' hments(except industrial)which contain less than 1,200 gross square feet offloor ar or oes ave (within Mo feet OIA' C�It-/pSt and on the same floor)to core nr rXtnmcm fggi',one toilet room located within the IcsS establishment with the number of f xtures aceordmg to the standard set forth in 248 Guilt one. I.10(19)Table I for employee facilities,shall meet the minunum requirement. 5- In every establishment where only one person is employed or works,there shall be +5; � a one water closet and one lavato for use of its tenana r3' t, provided within reasonable q cce ss distance,not to exceed 300 feet Core or common facilities within reasonable distance (defined in 2a CMX I10(19xi)1.),located on the same floor as the establishment being serviced and having separate designated facilities for each sex,may be used to meet the requir'emmu of 248 CMR 2.1 o(19)(i)5. The number of fixtures in the core or common facs3ities shall be according to 248 CM&2.10(19): Table 1 for employee facilities(non- industrial). 6. Where core facilities are allowed and in compliance with the code, additional designated toilet rooms shall be allowed within the establishment. These fixtures shall not be credited to the requirements of 248 CMR 2.10(19): Table 1. 1_ In every industrial establishment,an toilet room facilities including the number and type of plumbing fixtures, the floors, walls, windows, ceilings, lighting, ventilation, doors, partitions, design and location of toilet rooms shall comply with 454 CUR 2.00: T011ets in Incbiswial Establish ents. 2. Separate toilet rooms shall be provided for each sex and shall be plainly so designated. See 248 CMR 2.03: Me=aWne 3. The number of water closets and lavatories shall be provided within reasonable access (defined in 248 CMR 2.10(19)0)4.) and in accordance with 248 CUR 2.10(19)Table 1 for industrial facilities_ 4. Reasonable distance fbr industrial establishments shall comply with the following: in no case may a water closet be located more than 300 feet distance from the regular Place of work of the persons for whose use it was designed, except where service elevators,accessible to the employees,are provided. 5. Each 20 inches of usable or circumference 18 inches sink wUl be considered as an equivalent of one lavatory. 6. In special industries of departments where there is undue exposure to poisonous substances or liquids or where the work is especially dirty,one lavatory or sink may be required for every five persons and in all cases,a potable water supply of bot and cold water shall be provided. (k) I. In all medical and health care buildings there shall be separate designated toilet facilities on,each floor for male and female patients and visitors. 2. The facilities w�may be located in a common or core area on each floor that is within Inn FaAr„pan AM win 0"/W5005 ICON 11:38 FAX 15097710925 2003/008 MAR-18-2005 FRI 10:40 AM FAX NO, P. 03 ChrisCo Page 1 of. 1 Patrick Butler-ChrisCo From: "Perry, Tom" <ToM?ert'y@town.bamstable.ma.us> To. "Patrick Butler" <pbutler(a nutter.com> Date: 3/17/2005 3,17 PM Subject: ClarisCo Pat I reviewed your memo of March 8,2rm regarding the necessity of removing the building in order to complete the hazardous removal,That would be acceptable with this department but will require a demolition permit from us.For that we will need shut-off notices from the various utilities In order to process that application. The issue of the unisex toilet is also acceptable as long as the Health dept.requirements for tho correct#of toilets for employees. The issue of the cooler does not need further site-plan review. f 05-/16/11N05 MON 11:39 FAX 1 508 71 0925 Z007/008 248 CUR- BOARD OF STATE ECANfINERS OF PLU RERS.AND GAS FITTERS 2.10: continued 4. handicap facilities are required S. A minimum of one on each Soar. , m �.M& dninldt�g fountain shall be installed for each set of toilet rooms. L In all covered malls there shall be separate designated public toilet faalities for male and female,centrally located the common am on each floor_ toilet 2. These facilities are in addition to the requirements of 248 CUR 2.10(19)(i)regarding Facilities for male and female employees_ 3- When occupancy exceeds 9,000,water closets shall be installed at the rate of one per 1,500 for women and one per 3,000 for men. Lavatories shall be instaed as listed e 248 CLIdR 2.10(19)Table 1. . in (m) �• facility for the physically h ed persom I �shall be wstaHed in conformance with 521 CMR 3.3�0.0 publ c Toilets(for fixtures dimension requirements only). 2. When public hest rooms arc installed,handicap factures shall be installed to comply with the requirements of 248 CMR 2.10(19)(m). I Unisex handicap facilities are allowed when approved by the *Board through a variance process as indicated in 248 CMR2.0I(I). a. A variance is not required if the fixtures in an existing or proposed men,s and women's room and the fixtures in a unis x handicapped mhtimum fixtum requirements in 248 CMR 2.10(19): able 1,.A,unisex toilet ilet rOom may be counted only once toward the total minimum fixture requirements- b- Theso facilidcs shall be kept clear of obstructions at all times in accordance with 105 CM(the sanitary code). 4. Wherever drinking fountains are provided, at least one drinking fountain shall be accessible to and usable by person in a wheel chair_ (n) I. Toilet rooms Um ale to the public which have two or more water closets or urinals,or two or more thereof in combination,shall have a floor drain and a valved hose Bibb connection equipped with an approved baekflow preventer for the purpose of flushing and/or sanitary hosing. 2. Floor drains shall be of an approved design and shall be installed in the vicinity of the urinal(s)and at a grade to permit floor drainage to it from all directions. 3. Water closets for public use shall be of the elongated type and seats shall be solid plastic,non-porus of the open front type. Refer to 2.10(6xa)through(p. 4- When a urinals)is provided,floor areas to one foot in front of the urinal Up and one foot on each side of the urinal and the wall areas to four feet above the floor, shall be furnished so as to be non-absorbent. Wood and fiber boards are prohibited in these areas- Refer to 248 CIv1R 2.10(7)(c). 5. 1n a room with more than one water closet,or with a water closet and a urinal,each.. water closet shall be enclosed_ Each urinal shall be side shielded for privacy. 6- When two or more urinals are required a shield shall be provided between urinals. (o) Iawidrla 1. One clothes washer hook-up shall be provided in dwellings for single residence. 2. A minimum of one clothes washer hook-up shall.be provided in multiple dwellings for each ten apartments. 3. One laundry tray or washing machine for every 20 apartments or fraction thereof shall be acceptable in housing for the elderly. (p) IWMls. I. Urinals may be substituted for water closets where indicated in 248 CMR 2.10(19)Table 1 are listed by percentage. 2. Urinals listed for elementary, secondary, post secondary and industrial factory/warehouse are in addition to the water closets required. 3. When urinals are used at least one shall be set for handicapped use. (q) QM_QEQlW_D±fg2d, a bathroom group shall consist of one bath tub or shower stall,one water closet and one lavatory. O O - CJ7 HuadingClerifrealioa tleeGroup WsterCloseis Udnais I:AVMwiee 1?rinking BatW other see note 1 1(m) ] steles EaAscx FoWdein 3howet F-gdutce0(19) Franafos Idalcr C . Theme" A•I ! " r30 t r60 SOe/. 1 100 1 1Et00 1 servleoslnk Ni ubs Pubs A-2 E r30 I et SO 50% ier95I r500• Pu �9. A-3 1 30 1 r60 SO% t r200 1 f 500•Held museums Etu. A•3 1 r SO1 r 100 50% 1 er 200 1 r 1000Co]• Arenas A-3 I r30 ! er60 S1TYeI r I50 t r 1000HouseofWorslr7 A-4 l 50 i r100 50eA 1 20D o0 1 I004A-5 1 r30 1 i60 50% 1 150 i r1000t r200 ! S0431% I r 1000E r 1000 ! t000 t Service Siuk ,ty cs� Day Care Faculty(ChW) E•1-3 1 20 I per 20 E 70 1 ?S ttv i Sctv]ce Sink (e)V(m),(>s) Ea NIA 1per20 1 per 25 33'A ! er40 (i).(u*),(R�(p) w DetentieulFaCibty(pereinee) Po 0 I-3 1 PCT6 1 8 33% 1per6 1 per 8 (P) NIA I per 20 6 per 25 33% !pa 40 DWC11hags(Single) R (p) O Oue Bethroom Group and One Kiichca Sink -------------- ttf (Mlullipto} R One Barhroam OrouP mW Ome Khchm Sink per 11nII (Hold"Otel) R Onc Bduoom Group pa Unit (Donallodes) R2 1 per6 I per 33% 1 per 1 pa?S 1 per 1 SeiviceSink (g),(rm)s(n),(P) to rlleor Educationel(Kindergerlert) E 1 per2o E pe►20 I per20 I per75 1 Serveoo ft O.Gnb(n),(Pl � nierY) E I per30 1 per60 1 60 1 per60 !pa75 Sink (Secondary) E I per30 .1 per90 I per90 1 Fer90 I per75 Pa (£ast S000ndary) l3 1 par 90 1 per 180 1 per IN 1 per IN 1 per 75 Floor Ste B 1 per 20 1 pa 25 33% 1 pet 40 P e( n Irtdashieq =w2o l per 33% 1 pard0 1 perZ00 !per I5• I SenicoSiRk (iJ,(m),(nl,(p) r Ftaor E-pkr/eo(1Rdustriai Factory! F 1 per 15 i pa 20 1 per 40 I.gar 30 1 per 10 Eper Efs (71,(m),(r),(P) Wacelwuso and Sinrirer Uss i� ' o • o o0 0 0 L NO. + THE COMMONWEALTH OF MASSACHUSETTS FEE r� _ BOARD OF HEALTH 0 F 13 APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair (5�) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components S to L.,tlaav'O"A 644ri 3 c o Location Owner's Name Map/Parcel# Address Lot# Telephone# 6h pd l�-GS L L C - C . �t 1 'ti c, Installer's tame� Design rsName 13ax 70 C=� k/- We ' S� .1ti /u) Address Address Sod KL� �o_� 3 0 —7—7 Telephone# Telephone# Type of Building: 69AW¢,1Ci-h(. Sib LP— Lot Size 3fj'7 q t } Sq.feet Dwelling—No.of Bedrooms r' Garbage Grinder ( ) Other—Type of Building No.of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow(min.required) gpd Calculated design flow gpd Design flow provided ' ` I gpd Plan: Date 1o1-3 — Z®� S� Number of sheets f Revision Date Title i O� Description of Soil(s) Q— �✓ C l"- Soil Evaluator Form No. 114 M Name of Soil Evaluator M et "e %(,� Date of Evaluation dt'7 7-04 DESCRIPTION OF REPAIRS OR ALTERATIONS li 6CI�-� Woo AL (eea Tt �Q,n9 —to 'toao 1 a I I BOO t+;cVl L. L.C. :-Jf I` py3t Le wA-J STfn� The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Z -3 r) Z C O 4 Inspections FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 . •, ;, f "` 1 ,fir:''•"',.. � _ _. -•,..• 1.4 NO. �! THE C MMONWEALTH OF MASSACHUSETTS FEE - Y . . . ;, �. BOARD OF HEALTH . an: OF APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to Construct ( ) Repair (V) Upgrade ( ) Abandon ( ) - ❑Complete System ❑Individual Components 156 Z114,"0111,� R.4a-a /4,01f- j C..l.- C Location Owner's N me r 3'L�S �rS1 L A.i� Map/Parcel# Address ll Lot# Telephone# C cw c,E rz I ter P✓r its L L C_ . C . ) , • •R c Installer's Name We 1 Design-r's Name Address Address ` -5o,& ' �(Li - yort 5'0X - -L7 3 03-7-7 '. Telephone# Telephone# #,t -.,Type of Building: t,o Alkl-'G t a( 5 To P�Q_ Lot Size 3 tr-7�t �' Sq.feet Dwelling—No.of Bedrooms Garbage Grinder ( ) Other—Type of Building f No.of persons Showers ( ), Cafeteria ( ) a Other fixtures Design Flow min.required) gpd Calculated design flow gpd Design flow provided gpd it Plan: Date a-3 _ ZoQ$ Number of sheets Revision Date i Title C tn4,>t-% S Description of Soil(s) Soil Evaluator Form No. IZH 10 - Name of Soil Evaluator Date of Evaluation '7'Z0, DESCRIPTION OF REPAIRS OR ALTERATIONS U 1�1;z� luw 9n1- tJ.tw A--I p 7,000 io 1 ti'Ll T tri—c T o I -a I.h' 15120 -)/J't. 9 11-Z.o Soo CAL. L•C.. t.4 ia� e siA) S170--s The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of. TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the°Board of'Health. Signed .� � Date I Z -I() t>O v Inspections 4 FORM t - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 NO.t9CO? /� THE COMMONWEALTH OF MASSACHUSETTS FEE 601,1%4_-�v BOARD OF HEALTH CERTIFICATE OF COMPLIANCE, -Description of Work: eel Individual Component(s) ❑Complete System 0 The undersigned hereby certify`thaat the Sewage Disposal System;Constructed( ),Repaired(K),Upgraded( ),Abandoned( ) by: l.i+l ¢.t,�Jt C� � -( (� C.C..C_ at fL AA has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built plans relating to application No 1, !! .� .dated . Approved Design Flow (gpd) Installer Id" L1.I�V )t-$ E..,"L_ J r. ) a 4 .� Designer: S �- `1 t�►e Inspectofl/ �avl�.1/ Ll'fllt�{A�`Date Ark�..1� � !/1L�� r f ll The issuance of this certificate shall not be construed as a guarantet�at the system will function as'designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 1 ' Y ---------------------- --_,__7 ------ 1 --------7--------------i --- --- -._, NO. c THE COMMONWEALTH OF MASSACHUSETTS FEE I�sd ' Ia�+✓ L't BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ) Repair (X.-) Upgrade ( ) Abandon ( ) an individual sewage disposal system at - % �a F1•t 01W_11 �^_k . �`�1 q�,r,;1, as described in the application for Disposal System Construction Permit No. c9CO 9' dated XL/30/6 Q Provided: Construction shall be J completed within three years of the date of this permi .A�11 ocal conditions must be met. Date /G Board of He�lth FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBS&WARRENT"Y, PUBLISHERS- BOSTON 1 OWn 01 Barnstable --' Regulatory Services (; PAR age i Thomas R Geller, Director "'AN& Public Health Division b Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 office: 508-862.4644 Fax 5QV. ;0.6304 Installer & Designer Certiflc on orT Date; LVIVor _1.`!z00 q XJesigver: SG Ln<<r�erccm Tn t; � E�tn�er c is Installer: Address: 2-6�;y Cc�,,becr tii"'Ywn _,_.... -., I.— _, Address �:cts; w�ceh cam �t Ft- bz�3 1 , VVra-bLc�31- t7n _ --- ____ was issued a pennit to install a (date T — (fi)70ler) septic system at 15.lc� _I- OCIC �- based on a design drawn by (address) --TG �n`�,,nceci� i��. . -T-- ...�.�. dated De<c,abcj (designer) •-- -- I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of q1c distribution box and/or septic tank, v I certify that the system septic s P y t referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any componeiv. Of the septic system) but in accordance with State do Local Regulations. Plan revision or certified as-built by designer to follow, �tri L1�M.lgst. --�,�IIi• Iler°S S1glloltLlrE: --��- CHUK2:,;I.l.k Hsu CIVIL a)f 77 - (Designer's Si ej esigner's amp Dore) PLEASE T OF CV L NTI' B C b7VT 0 IFI AT BCARDAMM—CEIVEDRUM TH YOU. r !•lealth/Sc tic)Desi � p '^ finer C�rtificatior� Fors tf � TO 'd 92 . z^LZ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS F N" C Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( Repaired ( )Upgraded ( ) Abandoned( b atr has been constructed in accordance with the provisions of Title 5 and the for isposal System Constructs n Permit No. 0 ated Installer Designer The issuance of this pe it hall not a construed as a guarantee that th�syste " wi 1 fu ctio as designed. Date Inspectra - E UTILITY / -- ILE OFFICE, R � , ARC R �;�> aV MERE TH � ' t CONNECT TO FOR CLARITY H'W' HOSE— DRIVE —SECURELY U EXISTING G "� ABOVE/ �'" ANCHOR TO WALL Y �� GAS SERVICE r ��M.S. n CONNECT TO ---- __^�— ----- ---- -- -- -- — --- ' •I I EXISTING i i i u P3 — ' WATER SERVICE I I-------I ! —HOT WATER HOSE UNDER SLAB ( ;i BIBB 01'-4" A.F ' I I RUN GAS LINE TO ROOF HVAC— UNITS, ISOLATE EACH UNIT WITH A SHUT OFF. RG I AC-1 I I P4 0— *AC-2 I I I I P6 II 1 I P, I ; 17 DOOR f.------ 1 -_ a +-- i i . I I !WALK-IN P5 ; I ' COOLER I I I I I ! I I I I I I I I ' — — -- — — ----� �--� --- , -- ——— ------ ---------��----� I , I------ I � � 1 10'-5" 5" I . ' UNDER SLAB RG RGTF I I I I i I I IIII FRONT LINE CHASE --- — I � I IIII i II I I I I I I II I III, � I. --------I I I L�I 1 • I I , I IIII I I i i ---- ---� I I I I I I '\ '• T VI N G- SALES - C- S TO R E SER 1 I SALES AR AREA AREA I I I I � I I I ---- ------------�- -----------=- ----------------- LA—r-1 l / < _ _ --------- �,r, z=, r; . (GROUND LOOP CONNECTS TO VEHICLE DETECTOR,I .� :�' rj y i,i t a rk C3�,. '—C-rC—A-'-n—-- EXISTING LEGEND: (^GROUND LOOP AT DRIVE-THRU WINDOW------------) j SYSTEM AND TIMER INTERFACE BOARD LOCATED IN OFFICE.2' ---'—'-- TO BE REMOVED . I CONNECTS BACK TO R.I.S.SYSTEM. 1 1 I CONDUIT FOR SPEAKER(IF SEPARATE POST IS USED)AL50 I EXISTING STUD WALL NOTE: ; A5 ; CONNECTS TO INTERCOM SYSTEM.VERIFY N1TH O1tNER.4N0 ',jj tq1 2x4 OR 2x8 STUD WALL O 18'O.C. M _ I PROVIDE TIMER DISPLAY AT DRIVE-THRU AREA,I I DUNKIN'DONUTS CONSTRUCTION MANAGER FOR E -.+'7._r' V rL�1J I WALL OR CEILING MOUNTED,CONNECTED BACK 1 I LOCATION.PROVIDE FOR 5 CAR STACKING-ALSO ]12 • NEW STJD WALL ( TO INTERFACE BOARD AT MAIN OFFICE. J I BY OTHERS.(MENUBOARD SHOWN HAS SPEAKER I T �"; 2` 5 "' �•� 2x4 OR 2x8 STUD WALL O 18'O.C. (INSIDE.ALTERNATE HAS A SEPARATE SPEAKER POST).'. ' DRIVE+— SU Y� �' OFFICE REP_ AREA UTILITY ; TOILET — ==_ ° Win. TH R U I WINDOWDRIRU I 'NINH7TI�WWRR SHOWN HERE _. _ _ _.:.__•-.._ GENERAL NOTES o n' 4'-6',\� 4'_8• 4 `A90yE;FOR CLARITY. (D x`MM_SS/SEE NOTE R11. _ j? � 1. GENERAL CONTRACTOR SHALL REFER NTo E WRITTENIHE DRAWINGS. FOR - - ---- -----'----- • 2.GENERAL CONTRADDITIONAL ACTOR SHALL PATION NOT ROVIDIE ADEQUATE 8LAOCKING AT SHELVING. I..-._-__ ,..:....;..,. /.:.. /. r 6' •.r.. i' ' 12 .+ ... 3 COMPARTMENT SINK.T k S SPRAY BRACI(ET.POT RACK"AND SINKS,MOP --+1� SINK,FAUCETS.TIME CLOCK.GRAB BARES LAVATORIES,HAND DRYERS MIRRORS. 1. 0 J 1 russ r I 1 CASH/. 2' •-0 ABOVE 1 1p ELECTRIC PANES I I PAPER roWEL DISPENSERS.SOAP DI NSERS,OTHER ACCESSORIES.ETC. j LDE)1lElD UCR I18' T• ' ' 1/, 5 3.REFER TO THE'K'DRA'MNG(S)FOR INFORMATION REGARDING THE EQUPMENT j1 1 Y-8• I f�IlEN i i J O In 0.GENTOPERAL CONTRACTOR SHAAND E0UPWENT LAYOUT. LL INSTALL 2'x8'BLOCKING FOR SANDWICH STATION. //" OF S ALL TOILET IALLS AND OFFICE WALLS TO HAVE MONITORS. N ALUMINFOR UM FACED FIBERGLASS iI1 ; 'i _-__ .-i i i ,W INSULATION. LIT o , O THE GENERAL CON LINE OF F E'1 I B.HANDICAP REQUIREMENTS. I TRACTOR WILL ACQUAINT HIMSELF WITH THE HANDICAPQ c�v i ROOF ABOVE I, L _ I 1 REQUIREMENTS OF THE APPLICABLE STATE AND THE AMERICAN DISABILITIES ACT p 1�WI •n (ADA)AND INSURE THAT THIS FACILITY WILL BE ACCESSIBLE THE FOLLOWING Q IS A AND UST OF REQUIREMENTS: I'1 1. AISLES MINIMUM 36'WIDE. `' � OI ,eI! �� 6-I• i7 DOOR 2. CURB CUTS PROVIDED AT HANDICAP PARKING SPACES �N _ 3. MAX.SLOPE OF 5x CR 1:20 IN ALL PARKING LOTS AND ON SIDEWALKS, A-, :WALK-IN ALL OTHER T ETt AREAS WITH GREATER SLOPE WILL BE CONSIDERED A RAMP. P;;a. I ' 4. SIDEWALKS WILL BE A MINIMUM OF 4'-0'WIDE. J(NN ;COOLER w 5, RAMPS HAVE TO HAVE A MAXIMUM SLOPE OF 1:12 WITH HANDRAILS AT p�M I. uim3 WI2xZ2 I (8'x20•) - 34'AND 19'ABOVE THE FLOOR ON BOTH 90ES AND TO EXTEND m< b 3 STEEL BEAM I j BEYOND THE TDP AND BO WILL HAVE A TTOM OF THE RAMP A MINIMUM OF V-6'. C) MUM OF 1*-6'CLEAR ON THE LATCH T 342� 2X8 WALL I ! I I - z _ 6 PULLLL DOORS SIDE OF TIE DOOR.IN(EXCEPT IN CERTAIN STATES WHERE IT - I \l I;i WILL BE 2'-0')- CHIN LINE OF FLAT I 7. DOOR MATS AND THRESHOLDS TO BE A MAXIMUM OF 1/2"HIGH. GA I 14'-0' ROOF ABOVE. "I 1 t� —.-.- • , & D H WARE SHALL BE MQUNIED BETWEEN 38'AND SIT"ABOVE n 2 COOLER ^ ;,; ; � THE OOR ARD • I icustom 3'-8' 4 I 9. DOORS TO HAZARDOUS AREAS TO HAVE KNURLED M.ANDlES. _ e Iy� 1 1 BEV,CER. i L ....- .. 10 701 - /J '^ V W/U.D /2X6 WALL I I '9' O' A�LLAVATORY TO HAVE LEVER HANDLES.SPRING FAUCETS OR SELFPERD.D.C.Y. L TO I TUBULAR 9TE11'/COWMN �` METERING FAUCETS. . wo. Y-6' DUN - I TYPICAL 2 PLACES CE pOHt/� i B. BACIHA GOASIDE 0 THE HANDICAP T HOOK 54*ABOVE ESTALL DOO FLOOR R- All 6E MOUNTED QU TIME 1 I C. LOCATE 1HE WATER CLOSET 18'FROM THE CENTER LINE OF THE (7 n(L UNDERWIOx17 STEEL.BEAM/''•.: ....5'-0' _ FIXTURE TO THE WALL THE SEAT WILL BE 17'TO 19'ABOVE THE 11 11 II FLOOR TO THE TOP OF SEAT, L�J 3 1/2"X3 t/Yx1/44,,Mn,, ` D. PROVIDE TWO 4Y LONG x 1 1/2-OUTSIDE DIAMETER PENNED GRAB �) Q y i 1 Fy ��25TPEu�OLV.MN - BARS 1 1/Y FROM THE WALL WITH ONE BEHIND AT 6'FROM THE WALL AND ONE ADJACENT TO AT 12'FROM THE WALL 35-38' C.m ' I 111-IPARALLEL LOCATIIOOH OF RREEAR GRAB 9BAR�MSTAALL GRAB TANK PREVENTS mm < _ Ma I •I THE TANK r IN ® I 14 TENSA BARRIER CASH I E LAVATORY TO BE MOUNTED 32'ABOVE THE FINISHED FLOOR TO RIM rn S• u b - F. INSTALL WITH KNMIRROR 36'ABOVE THE.FINISHED SPACE OF 30"IN W07H AND 2FLOOR TO( BOTTOM)AND q' •' � --I"I'_`. 72.To TOP. 9 C. m o I •1 _ _y •��,� - G- TC ALL TO BE MOUNTED A MAXIMUM OR DISPENSING SLOTSOF 42'ABOVE THE BOOR DISPENSERS �W- ��I TOILET PAPER DISPENSERS MOUNTED 19'TO CENTER LINE ABOVE 'N' THE FLOOR. I' G ;.I -'. _ '11. ACCESSIBLE PARKING SPACES,PASSENGER LOADING ZONES,RAMPS,AND SIGNAGE SHALL COMPLY WITH THE(ADA). W p m r _- I cl/\1. \\• I • I; 12• TDILEr AND IN BBRI RAU INDICATING YEN'OR SIGNIAGE I LETTERSS REQUIRED WITH RAISED "WOMEN- MOUNT 5'CENTER AFFOPFNING 3'-0-fUP SIDE OF DOOR SIMILAR SIGNAGE REQUIRED IF BUTTONS PROVIDED. OPEN GATE _ .._.._.._� 7.FURNISH ALL LABOR AND MATERIAL NECESSARY FOR THE COMPLETE i I j bj x ___ __ INSTALLATION OF CEMENT BOARD BACIAONG FOR F.R.P.AND CERAMIC TILE N TYPICALF INTERIOR W BE AS A PREP AREA AND STORAGE AREAS' 0'-0�T0 3'-0': 1O DUROCK CEMENT w (� f BOARD. AREA B ABOVE: 3 8'PLYWOOD.SERVI I`)G---; SA ES B. SERVICE AREA: NG MIN.PLYWOODC- SALES AND'SEAIING AREAS:GYPSUM BOARDC—STORE 8,GENERAL CONTRACTOR ro PROVIDE FOR.P.O.S SSTEM AS SHOWN ON (n 0 S A L S AREA ELECTRICAL DRAWINGS OR.AT A MINIMUM THE FOLLOWING CONDUITS; OI ' ; •� ,'i 'I.D. 4 x 4 x 3 JUNCTION BOX LOCATED BEHIND OFFICE DESK AREA ; ; AR A ;i; I i Ii; j 7 I 1pI ~ UP WALL TTO ABOVE CEILING. — B- FROM A HUB IN THE FRONT UNE CHASE UNDER SUB TO BACK WALL w I I I I PROVIDE A 2 1/2" Y CONDUIT WITH 2'-0'SWEEPS AT ENDS.TERMINATE S I .-____________ ______________ _—_—_—_—____ __-----__— —_.—____—_—_ _ i ABOVE THE CONDUIT FROM W F N I I ______ --____________ ______________ I C. 1 I.D. ON N I ._--__....i . DUIT FROM BEHIND THE DRIVE iHRU CASH STATION UP WALL TO ABOVE CFJUNG.USE 2'-O"SWEEPS AT BOTTOM TO SIDE NEAREST FRAME 3'-4- W-3" B'-4• 17' 6-0' 1' e'-F S'- 7_-4•_•�__4_-0"_ WALL IF WINDOW BEHIND PROVIDING CHASE AS REQUIRED SO NO TARING y B'-8' Y-0' 8'-6' 1tY-9' I - BENDS LECT ICAN 2'-O'RADIUS w F -_-,---_ - _ -�_.-___.1 D. 2'x4-ELECTRICAL BOX 6'-0'A.F.F.WITH 1'CONDUIT IN WALL ro ABOVE Z 48—0' _--_—'—_--- — N T E Ii GETTER MAXIMUM CO PLYWOOD BLOCKING IN WALL FOR VDU UNIT. p —_ — —_ NOTE THAT THE MAXMUM CONNECTION LENGTH BETWEEN A OFFICE T AND 175 Z DEDICATED CPU IS UNKIN AND ONE TELEPHONE REGIONALLY JACK IN OFFICE E- BE AN ISDN LINE.NOTIFY DUNKIN'DONUTS IF NOT REGIONALLY AVAILABLE FLOOR PLAN e.NOTE:TED CI..ALL POWER OUTLETS FOR P.O.S.DEVICES ARE ` DEDICATED CIRCUITS TAT/THIRD WIRE ISOLATED GROUND.AN IC IS AN INSULATED -, WIDE.SEPARATED FROM ALL OTTER GROUND WIRES,RUNNING BACK To THE BULDING MAN OR COMPLEX POWER PANEL MENA STANDARD L5-15R I.G.FOR W _ RECEPTACLE AND PLUG.USE OF IG DUPLEX OR QUADPIEX OUTLETS: J SCALE: 1�4 0 1'-0" (I.E..HUBBELL IG-5262.IG-5362 OR EQUIVALENT). ••----�V 10.0C.SHALL NOT PROCEED WITH CONSTRUCTION UNTIL V.D.U.LOCATIONS AREDETERMINED. C) J I n i i 11.NOT WATER HEATER TO BE THE VENTLESS OR SELF-VENTING TYPE IF SELF- I VENTING,RUN VENT To OUTSIDE WALL ELECTRIC HOT WATER HEATER IS OPTIONAL Q �,�•J i^I 19' 12.PLANS CALL FOR FIBERGLASS INSULATION IN WALLS.IT CAN BE KRAFT FACED IF c N T COVERED WITH GYPSUM.OTHERWISE USE FOIL FACED.ALL CEILING INSULATION TO L r 1 BE FOIL FACED. NA%. 13.DIMENSIONS SHOWN ARE TO THE FACE OF FINISH. 10.1H W ESE PLANS ARE BASED ON MINIMUM AWED DOMECO CORPORATE DESIGN 0 GN OQ m•' 1'PVC CONDUIT FROM GROUND LOOP REQUIREIE NM THE STRUCTURAL DESIGN,FOOTING DESIGN.ADA COMPLIANCE '^ 1'-10'%j •r.: l TO BUILDING FOR DRIVE-THRU TIMER AND GENERAL BUILDING REQUIREMENTS HAVE BEEN EVALUATED TO MEET ALL MAX.1 `Q% ADA STATE AND LOCAL CODES, p = ... _ 1 NOTE SEE ADOSR WEBSITE O - 15.IF BOLLARDS ARE REQUIRED.G.C.WALL PROVIDE 6'0 CONCRETE FILLED PIPE AT _1 Z Z 1 b z 1 acw.adrue.eam/extrpnel.FOR LOCATIONS SHOWN ON SITE PLAN, Do COMPLETE INSTALLATION - ALL BOLLARDS PRIMED(1)COAT.PAINTED(2)COATS WHITE.BOUARDS S-O' p Z O Q INFORMATION AND DETAILS - ABOVE GRADE AND SET IN CONCRETE TO AT LEAST 3'-0'BELOW GRADE -o Q J j < / 1'TO 3' S/AFET'GLARED IVES 698 B26D 160'VIEWER VEHICLE DE1EG DR MAIL PAP"°EGROUND OW DOOR SCHEDULE J_ i I I --3'-8'MIN. BUILDING ��/r/ SLOT O ® MARK SIZE TYPE MATERIAL DOOR FlN. FRAME DETAIL THRESHOLD HARDWARE FRAME FINISH REMARKS O Q 2-7 ..--_ - {.' :FFiCE .. NO. W Z.H NO. SET N0. 11 NOTE PROVIDE PVC CONDUIT ONLY 3-0'x -0 x .A. ALUM,AND FACTORY ALUMINUM - ALUMINUM /1 FACTORY CLEAR ANODIZED - O FOR ALL NEW LOCATIONS; •I 'i 4' GLA SAW—CUT AT EXISTING �^^ \ O: b 3-0 X 6-e x •B• BIRCH S?-2213 METALW t/A2 NONE r5' P-3a 1 1 2 4 1 2 SPRING MINCE, Q ROGATION WHERE NECESSARY \ 2 ' 1 7 4" U CUT 1 _ \ ® ®• J. 3'-0'x 6'-B'x _B• BIRCH CORE ST-21 Hd1AW 1/A2 NONE IT3• P-30 UNDERCUT 1/2' 16' 3 1 3 a' BIRCH ST-2S METAL h .AREA OF MIN. 3'-6-x 8'-8 HOLLOW P- HOLLOW I/� ALUMINUM 86. P-30 P yip FRAME: APPLY 1 x 4 CASING SHEET TOILET DETAILS .. G ME7AL P-22 METAL . PAD DRIVE-1HRU a I e WINDOW ' A H C D 2'_6'r e'-8'x .p. WOOD ST-21 HOLLOW t/A2 NONE P-30 UNDERCUT 1/2' O _— g IQUVER EDT-27 N SCALE: 1�2" = 1-O" R9 •� DOOR FROM UTNTY ROOM TO STORAGE AREA. / 0 DOOR TYPES PAIN P OR EQUAL METAL DODR/NO GLASS; I 1/2 PAIRS HAGER OSORD28D SPRINGHINGES `rl� NOTE: DRIVE—THRU WINDOW PAINT PER ELEVATIONS 1 LOCKSET,SCIMGE OBORD LEMON 828 TOILETS HAVE BEEN DEIGNED roCOMPLY - NOTE VERIFY ALL DOOR SWINGS ON FLOOR PLAN 1 WALL RACK RUBBERMAID#1990-'HANIXER'WALL RACK FILE :D04051 WITH ALL APPLICABLE STATE AND AD.A. REGULATIONS. DATE:04 06 OS �L PROJ_ MGR. J.R. C.M. B. FLANNERY i 1 tJ' j 1" 1" 3/4" HW --- — --------- - ------ ---------__ __---__--------- -----•--_---_------------------ ------- - ------- - ----_------------------------- ----- (�= ------ cw - ---- --- - --- --------- - ----.- ----.----- - ---_-.-____ - ----- ---------------- - -----------•----- ------------------ ------_---__---_ (� T ,1 _r r- --� -- - 1j1j `fir— ----- -__ __—_ -------------- CEILING 1 _ t 1 I 1 ____1_ 1 1 I LINE " -' �, " »'_ „ . �� . .? . .... SP 1/2 I 11/2 1/2 11/2 I 11 2 ( 3/4 13/4 I 1/2" IF APPLICABLE 1 1 I 1 JJ + I 1 1 SOFT I.C. ' O HEAT I BREW I I 2 1+ +1 t ICE BREWER I Q Q Q 0 ESPRESSO ( i ( I 1 f I 1 i i I I i WATER 1 HW FRONT LINE CASEWORK, 1 POT SINK FILTERS) COFFEE MAKERS, ETC. C I TOILET ' ►.__�._ 1 1 1 ( + " d OPTIONAL 1 ( d ( ) i 2 t 1/2 � / i OUTSIDE i MOP HAND ; 1 1/2" 1" MIN. HOSE BiBB I LAVATORY SINK SINK � J FO4METER (OPTIONAL) FLOOR LINE _.. _ J ---+ P1 P2 P3 P4 P5 �_—_�—_ P6 TO SITE OR NOTE: 1" IF TO FRONT LINE BACK BAR ap MUNICIPAL FLUSHOMETER CASEWORK SINK i WATER SERVICE co cV O HOT & COLD WATER RISER DiAGRAM ® J`4 ~ I V) z OaEto md1 a MI LO WASTE NOTE V.T.R. ALL FOOD SERVICE SINKS TO HAVE 4" INDIRECT WASTE AND DRAIN TO q' GREASE TRAP. I 3 3 -- - - --- --- -- - - -- - - -- -- --- --------------- ---------------------___-err II r r SYMBOL LIST �!G ii i� ri rr ri ri t t ii �i ri �i ri it ri ri f 1 CEILING LINE - -- - -----Tii i ri _- - (� r(: ffr �` �fr j - -...._._..�_. .. MIXED HOT/COLD WATER PIPING 11 11 it 1 11 11 11 ti I ! 1I It t I G GAS PIPING INSIDE FOR APPLIANCES " _RG— GAS PIPING OVER ROOF FOR HVAC 3 p it " 1 I " Ii " j ti " " j " j „ I t " H.V.A.C. HEAT VENT AND AIR CONDITIONING UNIT �,r. 0„ �� 12 !13 I 11 1/2 1 11 2 111 1/2 12 f 2 4 a `„�' '�-,. . 1 !i if 1 q1�' Q;� qv _-- C.W. - COLD WATER t i l t i T �`ry�j H.W. - HOT WATER. r,, „V.• �` it BACK BAR i1 II it GATE VALVE i P5 ICE 11 SINK 11 HAND P4 11 LAVATORY GAS COCK 11 11 GREASE TRAP. 11 1 ,•'1 s: P6 t a,• . �. i�•' 1! SINK POT SINK SEE DETAIL 2/P3 P2 ;t P1 ALL FLOOR DRAINS IN !I P3 11 I� TOILET "" "'S`i�"" SANITARY WASTE PIPING BELOW SLAB zv�Jd, 11 �� ,- KITCHEN PREP tiREA, It= 'I "` T" GREASE WASTE PIPING BELOW SLAB / ALL FLOOR SINKS IN M.O. __ _ STORAGE & UTILITY MOP SINK SALES AND/ OR ++ I3. - __ VENT PIPING ABOVE SLAB ROOM AREAS. F.D. 2 SERVING AREAS. F:S. - F.D. __ _ FLOOR LINE . , %.;�r GREASE TRAP �.. _._..___._.._....._-- .._ . _. . _ . ... 0 F.C.O. FLOOR CLEAN OUT � 4" 1 1/2" 2" 4" 4" O 4 3 1 1/2" 2 H.O. HUB OUTLET \ " " ,• F.D. FLOOR DRAIN -- W/AIR GAP CUP d o 2" F.S. FLOOR SINK - W AIR GAP - SA WASTE SAFE F.C.O. " " 4 MUNICIPALTO SITE R V.R. VENT RISER W SEWERAGE Y.T.R. VENT THRU ROOF Z >_ O LW. INDIRECT WASTE m A.F.F. ABOVE FINISH FLOOR 5 zz W U.N.O. UNLESS NOTED OTHERWISE w 1= N I T DIAGRAM (SP� SPRINKLER HEAD � SOIL, WASTE, & VEN RISER II o 1= z I o PLUMBING FIXTURE SCHEDULE z MARK DESCRIPTION WASTE VENT COLD HOT HVAC 1 HVAC 2 WATER WATER P 1 WATER CLOSET 4" . 4" 1/2" P 2 LAVATORY 2" 2" 1/2" 1/2" P 3 MOP SINK 3" 3" 1/2" 1/2 ry P 4 POT SINK 3" 3" 1 2" 1 2" RG RG / / P 5 HAND SiNK 1 1/2" 1 1/2" 1/2,• * P 6 BACK BAR SINK 1 1/2" 1 1/2" 1 2" 1/2" G * SINK PROVIDED AS PART OF EQUIPMENT PACKAGE - N CEILING LINE —-- - -_ ._:--- _ -: __ PLUMBER TO MAKE FINAL CONNECTIONS. i-- MAY RUN UP— 1 O ..o OUTSIDE OF WALL GENERAL NOTES d QV) 0 W 1. ALL PREP AREA AND SALES' AREA EQUIPMENT WILL BE FURNISHED U (� EXTERIOR RG G G AND INSTALLED EXCEPT AS NOTED, (SEE K2 SHEET. EQUIPMENT WALL ! SCHEDULE). EQUIPMENT WiLL BE FURNISHED WITH TRIM AND CD CD r ---- - FAUCETS, EXCEPT AS NOTED. PLUMBING CONTRACTOR SHALL m O 1 i t PROVIDE ALL ROUGH-IN TRAPS AND MAKE ALL FINAL CONNECTIONS. �,.�^ z 1 HW 1 2. PLUMBING CONTRACTOR SHALL FURNISH AND INSTALL ALL GAS "`�. I PIPING AND MAKE ALL FINAL CONNECTIONS. GAS PIPING TO BE o 1 SCHEDULE 40 BLACK STEEL PIPE AND BANDED MALLEABLE IRON LO GAS METER 1 I FITTINGS.- v- , DIAGRAMMATICALLY, EXACT LOCATIONS SHALL M i 1 3. ALL PIPING IS S!-t0'tiNN DIAGP, , BE DETERMINED IN THE FIELD. EQUIPMENT LOCATIONS ARE FLOOR LINE. L.___.�..__.._ _-.__--_ .___ _. _ ._ .. _ APPROXIMATE, COORDINATE EXACT LOCATIONS WITH ALL TRADES BEFORE INSTALLATION, 4. ALL PIPING SHALT. BE RUN CONCEALED UNLESS OTHERWISE NOTED. 1 a 5. ALL UNDERGROUND WATER LINES SHALL BE TYPE "K" COPPER GAS PIPING RISER DIAGRAI\A TUBING WITH 1/2." THICK ARMAFLEX INSULATION. i 6. ALL ELEVATIONS SHALL BE VERIFIED AT THE JOB SITE. SHEET 7. PROVIDE BACK-FLOW PREVENTER AT THE LOCATIONS REQUIRED BY CODE AND ALL GOVERNING AUTHORITiES. AA 8. COORDINATE AS REQUIRED TO ASSURE PROPER AND ADEQUATE U PROVISIONS IN THE,WORK OF THE OTHER TRADES FOR INTERFACE WITH THIS SYSTEM. 9. ALL WORK SHALL BE SUBJECT TO THE APPROVAL OF THE ARCHITECT. 10. SEE W SHEET(S) FOR EQUIPMENT CONNECTION REQUIREMENTS. FILE#: D04051 11. ALL SANITARY UNDER SLAB PIPING SHALL BE PVC. 12. ALL ABOVE SLAB VENT & DRAINAGE PIPING SHALL BE CAST IRON DATE: 04 06 05 II OR COPPER. (PVC CAN BE USED.IF ALLOWED BY LOCAL CODES). PROJ. MGR. J.R. C.M. B. FLANNERY I, I - III G DRIVE- —�� OFFICE , AREA UTILITY TOILETRAI CONNECT TO FOR CLARITY > HH'W' THRU EXISTING G FfTR. HOSE BIBB •-• SECURELY �_� ct GAS SERVICE r--.-.�ABOVEJ� ANCHOR 70 WALL �� p CONNECT TO ---- WAITER SERVICE t ' HOT WATER HOSE t UNDER SLAB ; BIBB 0 V-4" A.F. . I � � t FILTERED WATER SERVICE TO ---•-__l, , _-! , 1 ; 0'' COFFEEE BREWING EQUIPMENT 1 t WATER -7 1 � RUN GAS LINE 70 ROOF HVAC � Q :•� ( , t � 7E FILTRATION SYSTEM - I UNITS, ISOLATE EACH UNIT ' -- , ! e Fl WITH A SHUT OFF. o - -� P2 I j ,1 1 NOTE: ------ INDIVIDUAL�...»_______.� , _-- _ -_-� j ; , I INDIVIDUAL FILTERS ALSO FILTERED WATER SERVICE TO co I P6 - RG AC-1 P4 o AC-2 ! ' ` j PROVIDED FOR PROOFERS ANDL ICE MACHINE AND POST MIX co I _ _ _ , I ( FOR ELECTRIC DECK OVEN - N 0 0 I 1 i I ' COORDINATE W/ EQUIPMENT I I SPECIFICATIONS C Q I L __ P1 1 , ' I VERIFY NUMBER OF FILTERS r ' 7 DOOR I I t------ i; i ow^ , , 'WALK-IN,-' TO BE USED WITH OWNER W't I , e INCOMING DOMES'lnC WATER SERVICE - ALL OTHER � �m� I I ( 1 1 P5 1 p POINTS OF USE TOILETS, �--Q ( 1 ' ! I COOLER 1 SINKS, ETC. 1 1 i I I WATER SERVICE �� -, s ___ =� ; I : DETAIL]-1 ©z� _e ' J_._I NOT TO SCALE mmr► -�-___ --==--= -J __.�__ ------ ° ° i j (OPTIONAL) cLe0n — ` II ._... UNDER SLAB j RG RG p FRONT LINE CHASE I :Ali ac I I e e � I 1 it -------� , 1 I I � � K.ty.a; ,� , ,�y •y 'e�Wu�� •a�T� � t /•3i i e I III I I ! S � ° I I I I I a°r.;`� •ors-.:�,�1 f'r,��y � --•----I I f.1 I I I � i - ._. ... ..° IT-: .._ 1 I 1 t 'o I I I to !I SERVING—/ SALES if c- STORE PLUMBING POSSIBLE. UPGRADE TO I EET�ALLUSE WHERE AREA AREA SALES AREA I I I APPLICABLE STATE AND LOCAL CODES. >•- C� t CONNECT NEW PLUMBING TO EXISTING. O m :2 II It -- - •-------------- - -- --©- -------- ------- ----- o W i= ch I N - PLUMBING FIXTURE SCHEDULE m -- J MARK I DESCRIPTION WASTE VENT COLD HOT w WATER WATER CJ Z P 1 WATER CLOSET 4" 4„ 1/2" C5 - P 2 LAVATORY 2" 2" 1/2„ 1/2„ Z HOT & COLD WATER & GAS PIPING PLAN— P 3 MOP SINK 3" 3" 1 2" 1 2" ,► P 4 POT SINK 3" .� 3" 1/2„ 1/2" SCALE 1/4 =1 --0 P 5 HAND SINK 1 1/2 1 1/2 /1 2 2 1 ALL LINES SHOWN_,ARE TO BE ABOVE SLAB CEILING U.N.O. * " / P 6 BACK BAR SINK 1 1/2 1 1/2" /2"1 1/2" * SINK PROVIDED AS PART OF EQUIPMENT PACKAGE PROVIDE COLD WATER SERVICE TO FRONT PLUMBER-.TO MAKE FINAL CONNECTIONS. LINE EQUIPMENT IN INSULATED CONDUIT UNDER SLAB UP INTO COMMON CHASE IN p' p � -^�-'----- FRONT LINE CASEWORK. GENERALTE S 00 N I. ALL PREP AREA AND SERVING AREA EQUIPMENT WILL BE FURNISHED E- AND INSTALLED EXCEPT AS NOTED, (SEE K2 SHEET, EQUIPMENT x SCHEDULE). EQUIPMENT WILL BE FURNISHED WITH TRIM AND Z A FAUCETS, EXCEPT AS NOTED. PLUMBING CONTRACTOR SHALL O PROVIDE ALL ROUGH-IN TRAPS AND MAKE ALL FINAL CONNECTIONS. 2. PLUMBING CONTRACTOR SHALL FURNISH AND INSTALL ALL GAS V PIPING AND MAKE ALL, FINAL CONNECTIONS. GAS PIPING TO BE p "SCHEDULE 40 BLACK STEEL PIPE AND BANDED MALLEABLE IRON --t 0 ---1 FITTINGS. m 3. ALL PIPING IS SHOWN DIAGRAMMATICALLY, EXACT LOCATIONS SHALL O O BE DETERMINED IN THE FIELD. EQUIPMENT LOCATIONS, ARE -' APPROXIMATE, COORDINATE EXACT LOCATIONS WITH ALL TRADES � ry Lii BEFORE INSTALLATION. �.! 4. ALL PIPING SHALL BE RUN CONCEALED UNLESS OTHERWISE NOTED. U-) SYMBOL LIST 5. ALL UNDERGROUND WATER LINES SHALL BE TYPE "K" COPPER GATE VALVE TUBING WITH 1 2" THICK ARMAFLEX INSULATION. 6. ALL ELEVATIONS SHALL BE VERIFIED AT THE JOB SITE. t ----� GAS COCK 7. PROVIDE BACK-FLOW PREVENTER AT THE LOCATIONS REQUIRED BY ---- C.W. - COLD WATER CODE AND ALL GOVERNING AUTHORITIES. ------ H.W. - HOT WATER S• COORDINATE AS REQUIRED TO ASSURE PROPER AND ADEQUATE PROVISIONS IN THE WORK OF THE OTHER TRADES FOR INTERFACE J 1 G GAS PIPING INSIDE FOR APPLIANCES WITH THIS SYSTEM. �.J RG GAS PIPING OVER ROOF FOR HVAC 9. ALL WORK SHALL BE SUBJECT TO THE APPROVAL OF THE J -- -- - MIXED HOT/COLD WATER PIPING ARCHITECT. 10.SEE 'K' SHEET(S) FOR EQUIPMENT CONNECTION REQUIREMENTS. H.B. HOSE BIBB '1.ALL SANITARY UNDER SLAB PIPING SHALL BE PVC. H.V.A.C. HEAT VENT AND AIR CONIDITIONING UNIT 12.ALL ABOVE SLAB VENT & DRAINAGE PIPING SHALL BE CAST IRON SHEET A.F.F. ABOVE FINISH FLOOR OR COPPER. (PVC CAN BE USED IF ALLOWED BY LOCAL CODES). 3.PROVIDE WATER FILTRATION SYSTEM, BRANCH OFF-MAIN LINE,, FOR U.N.O. UNLESS NOTED OTHERWISIE COFFEE BREWING EQUIPMENT, ICE MACHINE, POST MIX. III FILE : D04051 DATE: 04 06 05 PROD. MGR. J.R. I . C.M. B. FLANNERY II - I - M DRIVE-- OFFICE PREP AREA UTILITY `--TOILET 0 MA f (r FRCLAW H1R Lr- THRU G _S 18'-0" ...._� - F.C.0.1 ire CONNECT TO 1 EXISTING I ------ SEWERAGE 1 + F.D. ( , I DQ --__- P4 1 0 i i Q N P6 c _1 o I I H.O. F D. - r 1 i NR L ----- �� _--� co I I 1 P1 17 DOOR I �N o + _.. ----- _ — IWALi�--INS - r , ,' COOLER �] XZN F.S. X. m I------ GREASE TRAP, t mQr) / I SEE DETAIL 2/P3 I .m 1 00 C5 to ( I O O 11 � . ..,_ i US tO - -- / FLOOR DRAINS SHOWN ARE i ; N• MINIMUM REQUIRED. ADD AS i I 10'-5" 5" NEEDED. VERIFY W/ OWNER. , 1 VR F.S. ___. •�1 1 I I I _ � I , i � FRONT.LINE CHASE I Ii - _ •o as I I VR + 1 I 1 I I --------I j t F.S. i1i T I i a / /• ,r s� --- / VR I a I I (� F.C.O. + F.S. I w + I _� .-- - -! NOTE: i _ _ GREASE TRAP SHOWN INDICATES ONE IS REQUIRED. FURNISH NEW APPROVED ABOVE.SLAB UNIT IN CONVENIENT LOCATION. to INSTALL PER ALL STATE AND LOCAL CODES. W I i Q O I i SERVING—/ SALES I I n � t -- S T V E GREASE TRAP IS THERMACO 'BIG DIPPER' MODEL ,#W-250-IS, 25 � j i i GAL/MIN, 2" 1N & 2" OUT. � O AREA ' AREA SALES AREA } o I' I Olm � II i1 t — 'i i ----------------- - ------- —_--- — — PLUi �31N ` ETDRE SCHEDULE ----©- ---__----- ®____—_- --__— w z W MARK DESCRIPTION WASTE VENT COLD HOT �o W CL V) WATER WATER t� J P 1 WATER CLOSET 4" 4" 1/2" W < P 2 LAVATORY 2" 2" 1/2" 1/2" o z SOIL, WASTE, & VENT PLAN- P 3 MOP SINK 3� 3'� 1/2" , 2" Z„ , P 4 POT SINK 3 3 1/2 1/2 SCALE 1/4 =1 --Q P 5 HAND SINK 1 1,/2" 1 1/2" 1/2" 1/2 F.S. = W/AIR GAP - SAFE WASTE * P 6 BACK BAR SINK 1 1;2" 1 1/2" F.D. W/A1R GAP CUP .! - SINK PROVIDED AS PART OF EQUIPMENT PACKAGE - Yn . ,...:. PLUMBER TO MAKE FINAL CONNECTIONS. _ -GENERAL_ NOTES 1. ALL PREP AREA AND SERVING AREA EQUIPMENT WILL BE FURNISHED -AND,INSTALLED EXCEPT AS NOTED. (SEE K2 SHEET. EQUIPMENT - p SCHEDULE). EQUIPMENT WILL BE FURNISHED WITH TRIM AND n+ FAUCETS, EXCEPT AS NOTED. PLUMBING CONTRACTOR SHALL 75 PRO`ADE ALL ROUGH-IN TRAPS AND MAKE ALL FINAL CONNECTIONS. tr 2. PLUMBING CONTRACTOR SHALL FURNISH AND INSTALL ALL GAS p ••¢ PIPING AND MAKE ALL FINAL CONNECTIONS. GAS PIPING TO BE � (n o SCHEDULE 40 BLACK STEEL PIPE AND BANDED MALLEABLE IRON U 0 FITTINGS. 3. ALL PIPING IS SHOWN DIAGRAMMATICALLY, EXACT LOCATIONS SHALL BE DETERMINED IN THE FIELD. EQUIPMENT LOCATIONS ARE O p SYMBOL LIST APPROXIMATE, COORDINATE EXACT LOCATIONS WITH ALL TRADES -� ¢ BEFORE INSTALLATION. n "-'sue' SANITARY WASTE PIPING BELOW SLAB 4. ALL PIPING SHALL BE RUN CONCEALED UNLESS OTHERWISE NOTED. -�=w GREASE WASTE PIPING BELOW SLAB " " 0 --) 5. ALL UNDERGROUND WATER LINES SHALL BE TYPE K COPPER VENT PIPING BELOW SLkB TUBING WITH 1/2" THICK ARMAFLEX INSULATION. '\/---- VENT PIPING ABOVE SLAB [' GREASE TRAP 6, ALL ELEVATIONS SHALL BE VERIFIED AT THE JOB SITE. 0 F.C.O. FLOOR CLEAN OUT 7. PROVIDE BACK-FLOW PREVENTER AT THE LOCATIONS REQUIRED BY L.�u H.O. HUB OUTLET CODE AND ALL GOVERNING AUTHORITIES. -L F.D. FLOOR DRAIN - W/AIR iGAP CUP 8• COORDINATE AS REQUIRED TO ASSURE PROPER AND ADEQUATE J U PROVISIONS IN THE WORK OF THE OTHER TRADES FOR INTERFACE n r n F.S. FLOOR SINK - W AIR GAP - SAFE WASTE WITH THIS SYSTEM. l V V.R. VENT RISER 9. ALL WORK SHALL BE SUBJECT TO THE APPROVAL OF THE ARCHITECT. V.T.R. VENT THRU ROOF 10. SEE V SHEET(S) FOR EQUIPMENT CONNECTION REQUIREMENTS. SHEET I.W. INDIRECT WASTE 11. ALL SANITARY UNDER SLAB PIPING SHALL BE PVC. A.F.F. ABOVE FINISH FLOOR 12. ALL ABOVE SLAB VENT & DRAINAGE PIPING SHALL BE CAST IRON ED U.N.O. UNLESS NOTED OTHERWHSE OR COPPER. (PVC CAN BE USED IF ALLOWED BY LOCAL' CODES). FILE#: D04051 DATE: 04 06 05 PROJ. MGR. J.R. . C.M. B. FLANNERY awns.+ GROUND LOOP CONNECTS T �ul� ll� lk) 14 _ ..---------------------� \�- � E TS TO VEHICLE DETECTOR, INTERCOM 1 /� I T ! _ _ ___.__ —___ _ EXISTING,, WALL � GROUND LOOP AT DRIVE-THRU WINDOW , � ,'i-'" ! SYSTEM AND TIMER INTERFACE BOARD LOCATED IN OFFICE, 2" �__..__`.__..______-_ TO BE REMOVED J 1� Pill I n w/ c r— i CONNECTS BACK TO R.I.S. SYSTEM. 1 h ! CONDUIT FOR SPEAKER (iF SEPARATE. POST I� t,3ED; ALSO 4 ! CONNECTS TO INTERCOM SYSTEM. VERIFY WITH OWNER AND _ NOTE: I A5 ` ( ----� EXISTING STUD WALL "- PROVIDE "IMER DISPLAY AT DRIVE-THRU AREA, I c I CDUNKIN' DONUTS CONSTRUCTION MANAGER FOR EXACT j 1- ��____-__J 2x4 OR 2x6 STUD WALL chi 16" O.C. WALL OR CEILING MOUNTED, CONNECTED BACK I �: I LOCATION. PROVIDE FOR 5 CAR STACKING. ALSO SEF�SIIE PLaly ! d TO INTERFACE BOARD AT MAIN OFFICE. J I BY OTHERS. (MENUBOARD SHOWN HAS SPEAKER MtD TED ''" NEW STUD WALL t _ -------------------------- l INSIDE. ALTERNATE HAS A SEPARATE SPEAKER POST). J 2x4 OR 2x6 STUD WALL 0 16" O.C. „ 46 -------- ----_------------ ---- - ----____ ...� - d s` r DRIVE ' OFFICE - R P_ A REA UTILITY T O I LE T '.. 'READY ACCESS' BUMP-OUT 10 �� - -- -- � : a 11 DRIVE-THRU THRU WINDOW � SHOWN HERE �a" ``� ,�,�, HTR. IFOR CLARITY. TOILET GENERAL NOTES I € � '_, ' 4'-6`- ---- 4._6., ( 4 1 AMOVE/SEE N6TE,, 11 ^' :>., �a �; - i s ;' " , 1. GENERAL CONTRACTOR SHALL REFER TO WIRIT'TENI SPECIFICATIONS FOR <. 12" 2-6�_ 6-1 ! _ 12'-11" ., 4, -- - - _-- _- - ._ -- _-- . ---- ADDI PONAL INFORMATION NOT CONTAINED IN ;HE DRAWINGS. -- , 2- GENERAL CONTRACTOR SHALL. PROVIDE ADEQUATE BI-OCKING AT SHELVING, CUSTOM 3'-O" 1 2 c•LOCK o _ __ __ _ 3_-2" — 3 COMPARTMENT SINK. T & S SPRAY' BRACKET, POT RACK, HAND SINKS, MOP ,� t C-� J z 0-Y- 4 { 1 # 1 O.T. y I Ozo ALTERNATE I + SINK, FAUCETS, TIME CLOCK, GRAB BARS, LAVA(OR1cS, HAND DRYERS, MIRRORS / I ❑ ��DELFlELD UCR I I 2' y 0 ABOVE / ELECTRIC i ! c cDISPENSERS, c CASH Min / o PAPER TOWEL DISPE+� R =: SOA: OTHER ACCESSORIES, _ ` r' PANELS 1 I I 5'-8"_ I It, ao! I - i I REFER TO THE 'K' G<A ING(S) FOR !NFORMATION REGARDING THE EQUIPMENT I 3! c� o LSTAGIN �--- - I I A "� I I v� AND EQUIPMENT LAYOUT. Y 4. GENERAL CONTRACTOR SHALL INSTAL!_ 2"x3" BLOCKING FOR SANDWICH STATION, r ! I I i 2 ;n o r' 5 i i Q ` .. TOP OF BLOCKING ® 4'--4"' A.F.F. ALSO BLOCKING FOR VDU MONITORS. I , 5. ALL TOILET WALLS AND OFFICE WALKS TO HAVE ALUMINUM FACED FIBERGLASS 11 -6 �L__ O # i J ULATIOI . r- - I N S ' ' f, LINE OF F � w w . .@ p 6. HANDICAP REQUIREMENTS: io Y ROOF ABC,,, - - i + w tc. 1�, >• co I_.r4 - - NI z CD , W THE GENERAL CONTRACTOR WILL .ACQUAINT HIMSELF WITH THE: HANDICAP iw� z -ul I �, _ `\\`,, I_ REQUIREMENTS OF THE APPLICABLE STATE AND THE AMERICAN DISABILITIES ACT i o 3�Z 2 ; LY 'I JM ffcr Q U- ocn I _ i w f SAD;; A,,iD INSURE I-iA'T THIS FACILITY WILL BE ACCESSIBI F. THE FOLLOWING 1 �� i� ii- r-� i N Wpm J � �� `.. II I IS A. PA',.T1AE. LIST OF REQUIREMENTS: : I c)� -W Im r- --; ' U J O - II 1. AISLES Mlf`I\t1Lt; 36" WIDE. 9 ; _ I 0 5, o z d ; G' FOR a --! --I - W �'�ww A - Y � 1 `a . CURB CUTS PROVIDED AT HANDICAP PARKING SPACES. wd- t �J =��wj - _ __, Q-ODU ipl I ! �t�1�. liVl I 0 2 ` �i c i F� -,N i !,' 1 w 0 J - =cn z 1 I / i i i I \-- i ( 3. MAX. SLOPE OF a% OR 1: �D ihI ALL PARKING LOTS AND ON SIDEWALKS. a ,-pp� ! °p o N hI I °° \� 6'-1" r I ! (�r [� I u' o ALL OTHER AREAS WITH GREA r L R SLOPE WILL BE CONSIDERED A RAMP. `'Q rn z"�w d 18'-3", ---�-- w 4. SIDEWALKS WILL BE A MINIMUM OF 4'--0" WIDE. to �► 1 can'J' t\ ,� W12x22 aJ -- 1 i (8' 0'} I , 5. RAMPS HAVE TO HAVE: A MMAXIMUM SLOPE OF 1;12 WITH HANDRAILS AT XZCA �Q STEEL BEAM 34" AND 19" ABOVE THE LOOK ON BOTH SIDES AND TO EXTEND " I pp<►'� AYLOR = 0 3 Im t_ tU ----- N i # ? BEYOND "!I-!F TOP AND BOTTOM ^ T x ,�J Ii F HE RAMP .A MINIMUM OF 1'-6 . �( m �j 00 342 r� ,v ` I I I 0 6. Ai_L DOORS WILL HAVE A MrNIMUM OF 1'-6" CLEAR ON THE LATCH y O 0 ; n r ----- ------------ a. (PULL) :SIDE OF T1F DOOR- (EXCE:PT IN CERTAIN STATES WHERE IT � s � a`y'� `1 - GATE II 14'-0" o N - RIOOFNE OABOVE I i w WILL BE 2'-0"}. T -- ------------3 0 n \ fir. / / / -- - R I to ?. DOOR MATS AND GI �?4`al;O� �S 4O BE A MAXIMUM OF 1/2" HIGH. ; ' -F •, C�� M _Mp , �___� Fib jj % I 2 C 2X6 WALL I 1 3. DOOR HARDWARE SHALL BE MOUNTEED I ET"NEEN 36" AND 42" ABOVE � I ��)!�• I CUSTOM 3'-8" THE FLOOR. ' 4 a sw \�� 4 o j o i Q I / BEV. CTR. �- — 1 ! 9, DOORS TO HAZARDOUS AREAS To HAVE KNURLED HANDLES. I � € � - � �r �" ' ��"✓ I I v, I� W/' UCR -� L CO _!MErTS ----- ! 8'-0 10. TOILETS: s i as '�r 33 Lo __ PER D.D.C.M. 2X6 WALL E 3 1/2"x3 1/2"x1/4" THICK 7 r J I A. LAVATORY T� AVE LEVER DANDLES, SPRING FAUCETS OR SELF O W10x,7 STEEL BEAM ' I i ; , r --- — TRASH V1 TUBULAR STEEL COLUMN 3 1/2"x3 1/2"xl/4" THICK # I METERING FA' CETS. !{ 2'-6" iw DUNK r TYPICAL, 2 PLACES TUBULAR STEEL COLUMN i j ' ' 's 1 STATION B. A COAT HO `H' 54" ABOVE THE FLOOR WILL BE MOUNTED ON THE - / -_' -- 8'-4"f TYPICAL 2 PLACES BACK SIDE£ Or THE HANDICAP STALL DOOR. I ICE CADDY o I c: �)c r T I $ � UNDER « C. LOCATE TH ytA?ER CLOSET 18" FROM THE CENTER LINE OF THE s € � e, v —_---- �- FIXTURE Y0 HE WALL. I'iE SEAT 'NLL BE 1 7" TO 19" .ABOVE THE ? I e a L i ' ` �+- 4'-6» tO SiS FLOOR TO liE TOP OF" SEAT, I I s��- �► I , D. PROVIDE TWO 42" LONG x 1 1 /2" OUTSIDE DIAMETER PENNED GRAB I BARS, 1 1 j'2" FROM THE WALL_ WITH ONE BEHIND AT 6" FROM THE #« ' `,-' WALL AND ONE ADJACENT TO AT 12" FROM THE WALL 33"-36" I ``4_ ELECTRIC ' Y PANELSF PARALLEL. TO AND ABOVE' THE FLOOR, WHEN A TANK PREVENTS t -� -�� - �n w 1 I me cn ° THIS LOCA-PON OF REAR GRAB BAR INSTALL GRAB BAR 3" ABOVE i i -..�.-�«•-_s_.�., .. ._,�.. - L ,. m It ® ® - ---- p��/— t ! `r� THE TANK. = a0I ` E. LAVATORY TO BE MOUNTEE) 32" ABOVE THE FINISHED FLOOR TO RIM a I 'TENSA BARRIER �G�P ��`� CASH WITH KNEE SPACE OF 30" IN WIDTH AND 27" iN CLEAR HEIGHT. ¢ a - 1 p` pJ �� ^�- F. INSTALL MIRROR 36 ABOVE 1'H FINISHED FLOOR .ETC BOTTOM} AND = a< ��' Qr� C, �� i 72" TO TOP. '' I i m o v_�1 GF��C'� �� ,' • Q+ G. DISPENSER: TO BE MOUNTED A MAXIMUIM OF 42'" ABOVE THE FLOOR � s d� *c6 ;►�y' p1 Owo � 5P ,� r` TO ALL OPERATING OR DISPENSING SLOTS. �y ! H. TOILET PAPER DISPENSERS MOUNTED 19" TO CENTER LINE ABOVE -� zw _ �•a t THE FLOOR. I t w. a wo a Q I V �' 11. ACCE��:'sBLE PARKING .SPACES, PASSENGER LOADING ZONES, RAMPS, AND t � °�" � �n w �w w I n O I SIGNAGE SI IALL COIv1PLYS1:Ri THE (ADA). ' m a -4 '-`v' j'I w �' -- ! 1 12. ON TOILET OvCR(S), SIGh�A.E S REQUIRED WITH RAISED LETTERS AND IN I co m o j��I I BRAILLE INDICATING "MEN" OR "WOMEN". MOUNT 5' CENTER AFF OPENING F �- - -`` --- m 3'-0" FLIP SIDE OF DOOR. SIMILAR SIGNAGE REQUIRED 'F BUTTONS PROVIDED. col ; s / 1 OPEN GATE I 7. FURNISH ALL LABOR AND MATERIAL NECESSARY FOR THE COMPLETE s I z y - --- - INSTALLATION OF CEMENT BOARD BACKING FOR F.R.F. AND CERAMIC TILE. TYPICAL SUBSTRATES FOR INTERIOR WALLS SHALL BE AS FOLLOWS: ;� I A. PREP AREA AND STORAGE AREAS: 0'-0" TO 3'-0": 5/8" DUROCK CEMENT s t w \ 0 t BOARD, 3'-0" & ABOVE: 5'8 PLYWOOD, �o Lo I '_'1 j 4"" B. SERVICE AREA: 5/8" MIN. PLYWOOD Q o N SERVI SALES = C • T O C.. SALES AND SEATING AREAS: GYPSUM BOARD v v �D 8. GENERAL CONTRACTOR TO PROVIDE FOR P.O,S SYSTEM AS SHOWN ON e O 0 AREA AREA i° SALES -� R ELECTRICAL DRAWINGS S OR, AT A MINIMUM THE FOLLOWING CONDUITS; z > I ` A. 2 1/2" 1.D. FROM 4 x 4 x 3 JUNCTION BOX LOCATED BEHIND OFFICE DESK 'O m i UP WALL. TO ABOVE CE+LING. � III B. FROM A HUB I THE FRONT LINE CHASE UNDER SLAB TO BACK WALL _ N _ _ _ ----- _ -_ — -- - - PROVIDE A 2 1 2" CONDUIT WITH 2`-O" SWEEPS AT ENDS. TERMINATE ; ZO w -- - -- - -- - - AE<OVE THE CEILING. + w H � C.. D. C;,:NDUIT FROM BEHIND THE DRIVE. THRU CASH STATION UP WALL TO i1 1- .,. 3'-4" � 5'-3" 6'-4•"__--- II " � " _- " _4 5'-3" - Imo, 3'-4- ' __-- 4-0" -- -�' ABOVE CEILING, USE 2'-0" SWEEPS AT BOTTOM TO SIDE NEAREST FRAME " " WALL IF NINDOW BEHIND PROVIDING CHASE AS REQUIRED SO NO WIRING L Q O 1 6-0 1 b- -- ------ 10-9_-- --__. BEND LESS THAN 2'--0" RADIUS. w F- 8�-6" - - ---��-0" 8'-6 " " " --- -- - - D. 2"x4 ELECTRICAL BOX 6'-O A.F.F. WITH 1" CONDUIT Ihd WALL TO ABOVE � � z N CE_'ILING. ;ELATE; 32"x32"x3/4" PLYWOOD BLOCKING IN WALL FOR VDU UNIT. I - - _- 46'-0' -- - -- _ r NOTE THAT THE MAXIMUM CONNECTION LENGTH BETWEEN A VDU(S) AND ITS 3 � � I D:_DICATED CPU IS 75'-0" AND ONE TELEPHONE JACK IN OFFICE TO BE AN -- ISDN LIME, NOTIFY DUNKIN' DONUTS IF NOT REGIONALLY AVAILABLE. 1). NOT, : "P,� ", ALL POWER OUTLETS FOR P.O.S. DEVICES ARE FLOOR PLAN DEDICATED CIRCU-TS WITH THIRD WIRE ISOLATED GROUND. AN IG IS AN INSULATED ' WIRE, SEPARATED FROM, ALL OTHER GROUND WIRES, RUNNING BACK TO THE BUILDIN MAIN OR COMPLEX: POWER PANEL_ NEM.A STANDARD L5-15R I.G. FOR - SCALE: 1/4" = 1'-0' REC;EPTA" E AND PLUG. USE OF IG DUPLEX OR QUADPLEX OUTLETS: 1 (I.E_ HUBBEL! IG-5252, IG-5362 OR EQUiVALEN-I�). ^ 10. GC. SH Q.LL NOT PROCEED WITH CONSTRUCTION UNTIL V.D.U. LOCATIONS ARE DETERMINED. "' --- HOT WATER I'EATER TG BL THE VENTLESS OR SELF-VENTING TYPE. IF SELF- p i t i f VENTING, RUN VENT TO OUTSIDE WALL, ELECTRIC' HOT WATER HEATER IS OPTIONAL. I � ��+ � 1 i C 19" ^�� 12. PLANS CFL.L FOR FIBERGLASS INSULATION IN WALLS. IT CAN BE KRAFT FACED IF COVERED WITH GYPSUM. ,OTHERWISE USE FOIL FACED. ALL CEILING INSULATION TO � I MAX. i BE FOIL FACED. - �� 1.3.DIMENSIONS SHOWN t'{R£ TO THE FACE OF FINISH. / r +4. THESE PLANS APE BASED ON MINIMUM ALLIED DOMECQ CORPORATE DESIGN 1'-10"I 1" PVC CONDUIT FROM ROUND LOOP-�� TO BUILDING FOR DRIVE-THRU TIMER REUUIF EMtNTS. THE STRUCTURAL DESIGN, FOOTING DESIGN, ADA COMPLIANCE r >"' `��- MAX.I O .� NOTE: SEE AD©SR WFBSiTE, � I � ANt, r�:N RAi_ EGiLJI !^ RF S.�sPF�aEt,1TS �?A'^/E BUN EVALUATED TO MEET ALL ADA S7A.r AND CC P-L COD 4j i _ Z _ Q www.adrus.com;/extranet, FOP, 15. IF BOLLARDS ARE REQUIRED, G.C. WILL PROVIDE 6'4 CONCRETE FILLED PIPE AT , --� I i f °O w COMPLETE INS T A-LATION LOCATIONS SHOWN ON SITE PLAN. T U INFORMATION AND DETAILS ALL BOLLARDS PRlME:D (1) COAT, PAINTED (2) COATS WHITE- BOLLARDS 3'-0" 1' TO 3' ABOVE GRADE AND SET IN CONCRETE TO AT LEAST 3'-0" BELOW GRADE. 1 '4" TEMPERED _ i / IVES 698 626D - s GROUND LOOP- SAFETY GL.•.S`, 160' VIEWER d �. ►o VEHICLE DETECTOR - J I PEEP HOLE _.-.,.,_..._.._....._..__...,-_,._.�..�.-...__,...wT._.-._.. MAIL ,� DOOR SCHEDULE - 3'-6" MIN. s BUILDING , ❑ SLOT C --- + -_ - - ----_ MARK SIZE 'Y''t i MA.TERiAL DOOR FIN. FRAME DETAIL THRESHOLD HARDWARt ! FRAME FINISH REMARKS Pam,' OFFICE / INT E . 2°-7" �� NCO, W x H NO. ��T N� . ;NT _,.,-..-----"" ! d _ EXT I n EXT1 - NOTE: PROVIDE PVC CONDUIT o -� _.. ONLY EC tC�. II i 3'-O"x 7'-O"x ALUM. AND -t--Y� - 1 FOR ALL NEW LlDCATIONS; I � � 1 ",A"' 3 FACTORY ALUMINJUM - ALUMINUM #1 FACTORY � CLEAR ANODIZED -____--- SAW-CUT AT EYISTING 1 3/4" GLASS _ ' " * EQ. EQ. 0 3'-0 x 6'-8 x SOLID CORE ST-21 HOLLtOW i �` 1 1/2 x 4 i/2" SPRING HINGE ` I E d ^ N WHERE NECESSARY °B" 1 /A2 NUNr ° y P--34 _ ' g 1 1 -0 3'-6" LOCATION E E q . ,' In 2 1 3 4" BIRCH ST-23 METAL / � - UNDERCUT 1 3'-O" 6'-8"x ii- SOLID CORE ST-21 HOLLOW Cw- 6 16" 1 3 I "B" BIRCH ST-23 METAL 1 X°2 NONt. i � 1 P-3O _... . _ r ., 1 3 4 UNDERCUT 1,/2" HOLLOW P-30 HOLLOW I - _ LS tCONCRETE AREA OF - 1- 43-6x 6-8 "C' METAL P-22 METAaL 1/A2 ALUMINUIy4 � �e �- P_22' � WELDED FRAME; APPLY 1 x 4 CASING j �H �rTOI LET D E t .> I \PAD DRIVE-THRU — A C WOOD ST-21 HOLLtOW ` WINDOW D 2'36'�"x 6'-8" x NOh .--�_---k_�_------�--~'= P--------�-30 UNDERCUT 1 '�" SCALE: 1 2" = O -- ---- 5 1 3 4 "D" LOUVER ST-23 META>L 1/A2 i.�. ..a .. /4 , / CURB g�� * STANLEY OR EQUAL METAL DOOR/NO GLASS; ** DOOR FROM UTILITY ROOM TO STORAGE AREA. ' $1 NOTE: - DRIVE— -H R U V�I N D O W D Ott ' '? PAINT PER ELEVA710NS 1 1;`2 LAIRS HAa�ER1250-'L6D SPRihJGHIhIGEv> TOILETS HAVE BEEN DESIGNED TO COMPLY 1 s 1 LOCKSET, SCHLAGE D80RD LEVLON 626 WITH ALL APPLICABLE STATE AND A.D.A. NOTE; VERIFY ALL DOOR SWINGS ON FLOOR PLAN 1 WALL RACK, R'JBBERMAID #1990- "HAIIDLER" WALL RACK FILE#: D04051 REGULATIONS. --� - DATE: 04 06/05 PROJ. MGR. J.R. I L �- TOP OF FOUNDATION = 35,7'± PROVIDE PRECAST CONCRETE EXTENSION RISER WITH CONCRETE COVER TO F.G. FINISH GRADE @ FND. EL.= 35.2'' OVER INLET&OUTLET COVERS FINISH GRADE OVER CHAMBERS= 33,0' - 34,0' PVC VENT PIPE WITH CHARCOAL FILTER INISH GRADE OVER D-BOX= 33.0 '} SLOPE @2% MIN. OVER SYSTEM C F.G. OVER GREASE TRAP EL.= 35,1'± F.G. OVER 2,000 GAL.TANK EL.= 35,0'± F.G. OVER 1,500 GAL.TANK EL.= 34,9'+ REMOVABLE COVER OVER RISER TO 4"SCHEDULE 40 PVC MIN SLOPE 1% INSPECTION PORT WITH 3/4"TO 1-1/2"DOUBLE WASHED STONE TO CROWN OF PIPE it WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN 6"OF 2"OF 1/8"TO 1/2"DOUBLE WASHED STONE __ � OUTLET TEE OUTLET TEE 5 DIA. OUTLET(S) (SEE GENERAL NOTE#20) �ILLT�� - PLACE RISERS ON ALL ----=-. =-- -= �� PROP.4" � �� - PROP.4" OP OF SAS= 29.00' CHAMBERS WITH PIPED --=--=--- ---.-- --- " SCH.40 PVC 3" 2"DROP MAX. SCH.40 PVC CONTRACTOR SHALL " S MAX. " 2 DROP MAX. 9 MIN. 29.70 INLETS TO WITHIN 6 I SLOPES 1%min. c0 3 " c0 " _ 36"MAX 28.00 SEE NOTE 22 (; CONTRACTOR CONTRACTOR SHALL �-- _-- 3 DROP MAX. g" __ T 3 DROP MAX. 911 VERIFY SIZE AND BREAKOUT EL = 28.501OF FINISHED GRADE I SHALL VERIFY SIZE VERIFY CONDITION .I _ SLOPE @ 1%min. SLOPE @ 1%min. CONDITION OF 28.70' !_ AND CONDITION OF OF EXISTING TEES 3 1 .35' C) i 14" 31 .10'� F 14" EXISTING SEPTIC TANK ( ) 291,20' EXISTING GREASE AND REPLACE AS " i , _j PROVIDE WATERTIGHT TRAP NECESSARY 48 , (31 .10 ) 48 1 30.9 ± CONTRACTOR SHALL JOINTS TYP. C. o (31 .75 ) LIQUID 31 .15 LIQUID p s VERIFY CONDITION 4"PVC IN FROM { ) O LEVEL (31 .50') ( LEVEL (30.89 ) OF EXISTING TEES O 0 0 O l SEPTIC TANK 4 PVC OUT TO p o op 1 AND REPLACE AS p p 0 0 p 1 __ __ NECESSARY O LEACHING FACILITY T p0 " " 30.50' 12" 2' 0 0 � p 00 00 00 22 ZABEL FILTER 22 ZABEL FILTER MIN. 30.33 (29.20 ) 00 MODEL#A1801-4x22 MODEL#A1801-4x22 (29.37�) 6"CRUSHED STONE po 0 0 0 00 Opo 0 0 0 op OVER MECHANICALLY 4.0' 4.0' - 2.55' 2.55' 1 ,000 GALLON GREASE TRAP 2,000 GALLON SEPTIC TANK 1 ,500 GALLON SEPTIC TANK COMPACTED BASE 8.5'(TYP) 4 g, Length=12'-2" Width=6'-8" Height=5'-8" 9 VARIES (SEE PLAN) (TYP.) OUTLET DISTRIBUTION BOX < 20.90'TO BE INSTALLED ON A LEVEL STABLE 26.00' GROUND WATER ELEV.= 10.0' BASE. FIRST TWO FEET EXISTING 1 ,000 GALLON GREASE TRAP PIPES TO BE LAID LEVEL. OUTLET (26.70') , PROPOSED 1 ,500 GALLON SEPTIC TANK CROSS SECTION VIEW T - 500 GAL. H-20 CHAMBERS 5 MIN. CHAMBER END VIEW EXISTING 1;500 GALLON SEPTIC TANK DISTRIBUTION BOX DETAIL TYPICAL CHAMBER PROFILE ® CHAMBER DETAILS - - - *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR NOT TO SCALE TO ANY WORK&NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOTE: TEST PIT DATA N 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG F .*•, r: s' �' GENERAL MOTES THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. ' t" . ' ' ` ■ PERC#: 12410 Its j w.` • a ` „ . . INSPECTOR: Donna Z. Miorandi, R.S. 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS � � = a a �' • a SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY ` ` • EVALUATOR: Michael Pimentel, E.I.T. APPLICABLE LOCAL RULES. DATE: November 7 2008 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE a • TEST PIT#: 1 DESIGN ENGINEER. ► � ` <�� 3• 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL W. E. MAP 328 :�� '.� ,-:��-� :`"'. �',x � �., .. ELEV TOP= 33.40' k SYSTEM UNLESS OTHERWISE NOTED. ' LO►CUS ELEV WATER= <20.90' PARCEL 149 - 4. TO PREVENT BREAKOUT,THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN ELEVATION W PERC RATE - <2 MIN./IN. 29.20 FOR A DISTANCE OF 15 AROUND THE PERIMETER OF THE SAS. UNLESS A 40 MIL (� r \\/^-e� • a lf, ' GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. \ - DEPTH OF PERC= 56 -74 F- • �' „�r � * "'+� �� TEXTURAL CLASS: ' 1 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. Y Q p \ �s\� S68°� , \ f 8Y�' `1 0" 33.40' 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS OO Q" �ryryop w\� ss�"F �' \ �,� "* P(ICS 1 �;;. * NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED pp -� \ \c\ .� # r • ,;. �! WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. �' OJT 2ti w\ .",4t7 . ¢ w Z >r _ APPROXIMATE LOCATION OF EXISTING LEACHING CHAMBER = �+ ; + "`` '" 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 35.00,ESTABLISH ON A CHISELED �• \� ♦ ,� "`" := Fill SQUARE ON A CONCRETE PAD AS SHOWN ON PLAN. S. J S (PER PLAN BY RIZZO ASSOCIATES DATED 4/8/05) ya D- --� 2�4�4' / I i '•, X ' I 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH EXISTING 1000 GALLON GREASE TRAP TO w:. • ,�a ' - -� • DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE O i BE UTILI�ED AS FAIT O`F THIS DESIGN � �� '� � a �,�,� + • ,�� ' ; � 56" , 28.73' AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN I/ 1s Pere ENGINEER. \ \` AS-BUILT 2,000 GALLON H-10 SEPTIC TANK ' rr,f " E * - `„ + 741, 27.23' -' r. ' 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE #156 / / tti� u t r r .. • WATERTIGHT. \ EXISTING AS-BUILT PVC VENT PIPE; ;tk ' - Y EXACT LOCATION TO BE a:` ' x ` 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING .<v \ BUILDING " * 4 Coarse Sand 5Z11 \ 4. - 8 o k DETERMINED BY OWNER ' , REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM IV . \ \ TOF = 35.7'± `.� 8 � G ^ � _ C 2 5Y 6/6 =y o p• � ��F � `�' � s �., - ,} x.- :. ��,� APPROPRIATE AUTHORITY. ' (10-15%gavel) kLR' tip' \ � � \ -� ` '' --• - _ I -~EXISTfP�j�� LEACHING PIT TO BE /� ��:�# �:� ;2 �; _ M< -� ��, � �� 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED \ O I P'?PI�IT AI"vf o-I!LL'v�'ITa • f r c \ \ x w r UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND \ , \ +\fl� `� O ` I CEfi.N, CC3ARS � I�?I / * . v J _, axny x ' h s: H-20 LOADING, OR AS INDICATED ON PLAN. MAP 328 \ \ DECORATIVE O �35f �` O ~: X l 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. PARCEL 151 COLUMN (TYP OF 4) \ /" -� O ` I r 38,791 S.F.± �� '� TP'�kM 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE \ \ CONCRETE PAD \ 3.7yx��.�EX STING 1 J GALLON SEPTIC� LOCUS PLAN MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE \ 1 / w/VACUUM �Q - x/ M TdNK TO ICE .aTlf_IZED AS PART OF 150" 20.90' ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER \ Benchmark � -" � " " I i;�IS DESfG�� "_ No Mottling,Weeping or \ \ \1 O ~: / SCALE: 1 1000 Standing Encountered UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). La �' ` qp \ Chiseled Square `�i ,�_ 1 �' G '�Rp \ \ Elev. =35.00' .I� I _ X AS-BUILT DISTRIBUTION BOX 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE o gSO��X�MgT \ O Approx. M.S.L. ,c �' I X ' TEST PIT DATA CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. SWING TIES \ eyR p��A OCq ` \ �D�r< �x\ %� ~ O ' X M / DESIGN DATA PERC#: 12410 16. PROPOSED PROJECT IS LOCATED WITHIN: SCALE: 1"=30' \ O I \ p¢SO�pFR pNOF \ \ \ \ / / ' LP) . O x ' - INSPECTOR: Donna Z. Miorandi, R.S. ASSESSORS MAP 328 LOT 151 DESCRIPTION BC-1 BC-2 �. i8j�8�QTFS�gN \ \ :, I AS-BUILT 9-500 GALLON H-20 PREVIOUSLY APPROVED DESIGN FLOW(YEAR 1974)-900 GPD EVALUATOR: Michael Pimentel, E.I.T. LEACHING CHAMBERS AVG. DAILY WATER USAGE TOTAL(YEAR 2006-2008)= 1,209 GPD± FEMA FLOOD ZONE C ON PANEL# 250001 0005 C GREASE TRAP IN(1) 24.0' 27.0' g r_ O November 7,2008 \- 4 " ' \ / APPROXIMATE - AVG. DAILY WATER USAGE FOR IRRIGATION ONLY=303 GPD± DATE: i � ,� / - OWNER OF RECORD: CHRISCO REALTY, LLC GREASE TRAP OUT(2) 27.5' 31.5' \ LOCATION OF GASOLINE EXIST. LEACHING PIT(approx. 4 , AS-BUILT INSPECTION PORT AVG. DAILY WATER USAGE FOR COFFEE ONLY= 156 GPD± TEST PIT#: 2 \� ( �� I ADDRESS: 156 IYANNOUGH ROAD/RTE.28 TANKS(PER PLAN BY location)TO BE REMOVED f"d O i AVG. DAILY WATER USAGE TRIBUTARTY TO EXISTING SDS=750 iGPD± ELEV TOP= 33.70' SEPTIC COVER IN (3) 51.5' 62.5' \� ACCORDANCE WITH TITLE V ,� [i.e. 1,209 GPD-(303 GPD+ 156 GPD)=750 GPD±] HYANNIS, MA 02601 RIZZO ASSOCIATES C x 1 , , DATED 418108) I TP 1 MAP 32$ ELEV WATER= <21.20 SEPTIC COVER OUT(4) 60.0' 70.5' _ s O PROPOSED DESIGN FLOW=900 GPD 17. DEED REFERENCE: BOOK 19801, PAGE 317 / i'' 33.4'I \\ X o PARCEL 147 PROPOSED DESIGN FLOW x 200%= 1,800 GPD(FIRST TANK IN SERIES) PERC RATE= 18. PLAN REFERENCE: PLAN BOOK 105, PAGE 61 co SEPTIC COVER IN(5) 72.0' 80.0' ' Ep_GE , __33- ="Y'v X PROPOSED DESIGN FLOW x 100%=900 GPD(SECOND TANK IN SERIES) 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. � TOP p�•pE'AVE� DEPTH OF PERC= SEPTIC COVER OUT 6) 80.0' 88.0' C(/'" NT I I 20. A 4"PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A { RB(TYPE ,(1Yp�` i" \ 5� r x \ USE PROPOSED 2,000 GAL. SEPTIC TANK&EXISTING 1,500 GAL. ,SEPTIC TANK TEXTURAL CLASS: 1 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3"OF FINISH GRADE. A DISTRIBUTION BOX(7) 97.0' 107.0' \ �\ 0.0' ;� \ LIGHT POST(TYP OF 4) __ __ � �� I X INSTALL 9 - 500 GALLON H-2O CHAMBERS REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. CHAMBER COVER(8) 78.5' 94.0' \ \ / -'"' -� [ r X \ 0" - 33.70' 21. PROPERTY LINE INFORMATION IS APPROXIMATE ONLY. THIS PLAN IS TO BE USED ONLY FOR APPROXIMATE LOCATION OF SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF CHAMBER COVER(9) 92.0' 102.0' \` / '� r i X EXISTING LEACHING CHAMBER SIDEWALL CAPACITY THIS PLAN OTHER THAN ITS INTENDED PUPOSE. 1 0� �\ VENT(TYP OF 2) p J I I (PER PLAN BY RIZZO ASSOCIATES (TOTAL PERIMETER 2'HIGH 0.74 GPD/S.F. = GALIDAY Fill 22. IN ACCORDANCE WITH 310 CMR 15.401-15.405 THE FOLLOWING LOCAL UPGRADE CHAMBER COVER(10) 97.5 05 4 0 -32- -i I DATED 4/8/05) ) { ) { ) APPROVAL IS REQUESTED FROM 310 CMR 15212(7): ' a2 �o\ �x (10.0+422+46.3+10.0+44.7+40.5)' (2') (0.74 GPD/S.F) = 286.7 GAUDAY CHAMBER COVER(11) 101.5' 107:0' - - 6 36� X -! \ 1.) A 2.0'(5.0'-3.0')WAIVER FROM MAXIMUM COVER OVER THE PROPOSED LEACHING FACILITY. CHAMBER COVER(12) 112.4' 114.0' r I 1 /y SQ � r� --_ /3ti I I 56" 29.03' /Q i i BOTTOM CAPACITY X (BOTTOM AREA) (0.74 GPD/S.F.) = GAUDAY 732, Gy ( I \ (868.0 S.F.) (0.74 GPD/S.F.) = 642.3 GAUDAY REV. DATE BY APP D. DESCRIPTION EXISTING BC-1 LEGEND `4 yO�T) - 31- X o \ TOTALS: Coarse Sand n n BUILDING X N N roF=ss.��t - - 50 - - EXISTING CONTOUR ^. � I i0 L'- \ TOTAL NUMBER OF CHAMBERS 9 C 2.5Y 6/6 "AS-BUILT" SEPTIC SYSTEM i , I(D o (10-15%Gravel) \ \ TOTAL LEACHING AREA 1255.4 SQ.FT. PREPARED FOR: GAS EXISTING GAS LINE m \ TOTAL LEACHING CAPACITY 929.0 GAL./DAY � CAPEWIDE ENTERPRISES p g E/T/C EXISTING UNDERGROUND UTILITIES j BC-2 (2 3�(4 O -X-X-X-X-X-X- EXISTING FENCE LINE \ x _ S00023'50"E \ LOCATED AT , ( O g) W W EXISTING WATER LINE \ \ 8 82 \ 156 IYANNOUGH ROAD 7) • (5 {6 - 10 TEST PIT LOCATION \ 150" 21.20' HYANNIS, MA _ \ No Mottling,Weeping or (8 11) E U EXISTING 1000 GALLON GREASE TRAP �_ \ Standing Encountered 12) 0 O O 1 EXISTING 1500 GALLON SEPTIC TANK BOARD OF HEALTH USE SCALE: 1 INCH = 20 FT. DATE: JANUARY 29,2009 0 10 20 40 80 FEET "AS-BUILT , 1 11 JOHN L, yGw� o O AS-BUILT 2,000 GALLON SEPTIC TANK AS BUILT ° CHURCH�L PREPARED BY: CIVIL JC ENGINEERING, INC. 0 4"SQLID SCHEDULE 40 PVC PIPE No. 4- o ❑ AS-BUILT DISTRIBUTION Box ��, 2854 CRANBERRY HIGHWAY PLAN EAST WAREHAM, MA 02538 0 AS-BUILT 500 GALLON H-20 LEACHING CHAMBER SITE PLAN- 508.273.0377 (96,87') ACTUAL ELEVATION"AS-BUILT" SCALE: 1"=20' Drawn By: BSM Designed By: MCP Checked By:JLC JOB#: 1525 - TOP OF FOUNDATION= 35,71± PROVIDE PRECAST CONCRETE EXTENSION - RISER WITH CONCRETE COVER TO F.G. FINISH GRADE @ FND. EL.= 35.2'± OVER INLET&OUTLET COVERS INISH GRADE OVER D-BOX= 33.0'+ FINISH GRADE OVER CHAMBERS= 33•0' - 34.0' PVC VENT PIPE WITH CHARCOAL FILTER SLOPE @ 2% MIN.OVER SYSTEM F.G. OVER GREASE TRAP EL.= 3j,1'± F.G. OVER 2,000 GAL.TANK EL.= 35,0'± F.G. OVER 1,500 GAL.TANK EL 34,9'± REMOVABLE COVER OVER RISER TO 4"SCHEDULE 40 PVC MIN SLOPE 1% INSPECTION PORT WITH 3/4",TO 1-1/2"DOUBLE WASHED STONE TO CROWN OF PIPE ' I; - � i ---' WITHIN 6"OF FINISHED GRADE ACCESS BOX TO WITHIN 6"OF I SEE GENERAL NOTE#20) 2"OF 1/8"TO 1/2"DOUBLE WASHED STONE OUTLET TEE OUTLET TEE 5"DIA. OUTLET(S) PLACE RISERS ON ALL • --- - � " PROP.4" � -- -, PROP.4" i TOP OF SAS= 29.00' CHAMBERS WITH PIPED --- o 3» 2 DROP MAX. 9 SCH.40 PVC __ 3" 3 DROP MAX. 9"2"DROP MSCH.40 PVC CONTRACTOR SHALL 36 MIAX. 28.00' SE NOTE 22 BREAKOUT EL = 28.50' OF F NIS EDIGHRADE "-� SLOPE Q 1 k min. k0 3"DROP MAX. » _ co " VERIFY SIZE AND " " CONTRACTOR CONTRACTOR SHALL SHALL VERIFY SIZE VERIFY CONDITION SLOPE 1%min. fi SLOPE 1%min. CONDITION OF Co �J (( + o EXISTING SEPTIC TANK AND CONDITION OF OF EXISTING TEES ; ' r 14" - 31.10 t 14" rl EXISTING GREASE AND REPLACE AS i 31 .35 " I-: " PROVIDE WATERTIGHT TRAP NECESSARY LIQUID 31 .15' LIQUID ` 0.9'±* CONTRACTOR SHALL JOINTS(TYP.) o I VERIFY CONDITION 4"PVC IN FROM 0 01 0 � � � 0 0 D o 0 � Q LEVEL LEVEL OF EXISTING TEES C> o 0 AND REPLACE AS SEPTIC TANK 4-PVC OUT TO o S NECESSARY LEACHING FACILITY00 oo o °° o " " 30.50' 12" 2' � � oo ao 0 � � � 0 "� 22 ZABEL FILTER 22 ZABEL FILTER MIN. 30.3300 MODEL#A1801-4x22 MODEL#A1801-4x22 6"CRUSHED STONE oo10011 OVER 00 0 0 o0 I 1 ,000 GALLON GREASE TRAP 2,000 GALLON SEPTIC TANK 1 ,500 GALLON SEPTIC TANK COMPACTED BASELLY 4.0' $s, (NP) 4.0' 2.55' 2.55' Length=12'-2" Width=6'-8" Height=6-8" TYP. 5 OUTLET DISTRIBUTION BOX VARIES(SEE PLAN) (TYP.) < 20.90' , TO BE INSTALLED ON A LEVEL STABLE 26•00� GROUND WATER ELEV.= 10.01 , EXISTING 1 000 GALLON GREASE TRAP PIPES TO BE LAID LEVEL. BASE. FIRST TWO FEET OF OUTLET 9 - 5i00 GAL. H-20 CHAMBERS 5'MIN. PROPOSED ;�1 ,500 GALLON SEPTIC TANK CROSS SECTION VIEW TYPICAL CHAMBER PROFILE CHAMBER DETAILS CHAMBER END VIEW *CONTRACTOR TO VERIFY EXISTING ELEVATION PRIOR �+ 500 GALLON SEPTIC TANK DISTRIBUTION BOX DETAIL EXISTING 1 , NOT TO SCALE TO ANY WORK & NOTIFY ENGINEER IF DIFFERENT. NOT TO SCALE NOT TO SCALE NOTE: N. TEST PIT DATA GENERAL NOTES 1. MAGNETIC MARKING TAPE SHALL BE PLACED ALONG 2, '%' ;•. '" "` THE TOP EDGE OF EACH SEPTIC SYSTEM COMPONENT. �• + . PERC#: 12410 �'` ,, , „ , ■ INSPECTOR: Donna Z. Miorandi, R.S. 1. UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION METHODS • + �' SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL CODE AND ANY ' ff� . • + . ' s EVALUATOR: Michael Pimentel, E.I.T. "~.._; ~ f ' ■ November 7 2008 APPLICABLE LOCAL RULES. I► ! : • . DATE: 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE "' • , ■ • TEST PIT#: 1 DESIGN ENGINEER. W. E + ' y �" • 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL MAP 328 ELEV TOP 33.40' SYSTEM UNLESS OTHERWISE NOTED. LOCUS ` ELEV WATER= <20.90' ,: 4. TO PREVENT BREAKOUT,THE PROPOSED FINISH GRADE SHALL NOT BE LESS THAN ELEVATION PARCEL 149 � � ; s � : . 28.50 FOR A DISTANCE OF 15 AROUND THE PERIMETER OF THE SAS. UNLESS A 40 MIL �A ��* + PERC RATE_ <2 MIN./IN. F + Its' fiq, GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF THE LINER Q \ �s ' ! u tur » » IS NOT LESS THAN THE BREAKOUT ELEVATION. \A� ;► . n y r *- DEPTH OF PERC= 56 -74 s • x TEXTURAL CLASS: 1 5. SLOPE ALL SOLID PIPE AT 1.0%MINIMUM. ` �, 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 7. LOCAL BOARD OF HEALTH TO BE NOTIFIED PRIOR TO BACK FILLING WHEN SYSTEM IS Y Q� � a �\ \ f? S68°�s, F � \ � ... �: 0" 33.40' o ry� \c\ SD" \ �.o #S II ';,. NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS NOT TO BE BACK FILLED '" ., • e pp o ^ \ ,� { WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH. Z � OJT ` D ,,: APPROXIMATE LOCATION OF EXISTING LEACHING CHAMBER •+ + H 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM OF 35.00 ESTABLISH ON A CHISELED S. 7 J� \� '� (PER PLAN BY RIZZO ASSOCIATES DATED 4/8105) � � ■ , Y FIII SQUARE ON A CONCRETE PAD AS SHOWN ON PLAN. CL 2 . _ O / --� 14.�4, �- 1 ' "., c� X 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION THROUGH EXISTING 1000 GALLON GREASE TRAP TO ; ► ' '" "'�'` t DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT 1-888-DIG-SAFE OJ / i BE U. ILIZED AS PART OF THIS DESIGN +� � �f , -` ,,�,. - z. ; • 56" :_ 28.73' AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES TO THE DESIGN ff U \ r 1 o a ., ENGINEER. o / m \\ PROPOSED 2,000 GALLON H-10 SEPTIC TANK #a+ R ,,�,... Perc -- #156 '' // • r 74 27.23 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONCRETE STRUCTURES SHALL BE MADE / / / WATERTIGHT. \ EXISTING 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING BUILDING / 8 o khk� / • s o g• s, o k / .h 5 r Coarse Sand REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM TOF=35.7'± j�X� l C 2.5Y6/6 ky o� (10-15% ». APPROPRIATE AUTHORITY. I ry ry 4 _ -EXISTING LEACHING PIT TO BE12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED ? \ O 9�, _ I , PUMPED AND FILLED WITH • / UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND I CLEAN:, COARSE SAND x,.-j. - T �z H-20 LOADING, OR AS INDICATED ON PLAN. MAP 328 \ x t \ --35--"` 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT; DUST AND FINES. PARCEL 151 \ \\ DECORATIVE O O I COLUMN (TYP OF 4) to/ � \ NTPcM 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE - 33.Tx ---�EX,STING 1� � GALLON SEPTIC LOCUS PLAN 150" 20.90' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. REPLACE 38,791 S.F.± / � \ --__. 'S ''-- b o � t F � \ / CONCRETE PAD w/VACUUM '�xl M 1 NIK TO BE 3TILIZED AS PART OF ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, FINES OR OTHER Benchmark r I THIS DESGGI SCALE: 1"= 1000' No Mottling,Weeping or UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). Chiseled Square \I O l �ROPOSE� Standing Encountered Elev. =35.00' ,� I� _ X DISTRIBUTION BOX �+ 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN SITE A rox. M.S.L. ,�/ x� I TEST PIT DATA CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. ey "Fp F4 `\O ' O I DESIGN DATA ��Z20q S C�9Tj0 �T<IryF / 1'r�� / :. I M PERC#: 12410 16. PROPOSED PROJECT IS LOCATED WITHIN: 'qTFO%80 ip�RA O,c \ \ / LP r I ' INSPECTOR: Donna Z. Miorandi, R.S. ASSESSORS MAP 328 LOT 151 oB�� FS�N / \ i O X I PROPOSED 9-500 GALLON H-20 PREVIOUSLY APPROVED DESIGN FLOW(YEAR 1974)=900 GPD - EVALUATOR: Michael Pimentel, E.I.T. �- LEACHING CHAMBERS AVG. DAILY WATER USAGE TOTAL(YEAR 2006-2008)= 1,209 GPD± FEMA FLOOD ZONE C ON PANEL# 250001 0005 C �gd November 7 2008 APPROXIMATE �I' O x AVG. DAILY WATER USAGE FOR IRRIGATION ONLY=303 GPD± DATE: / X OWNER OF RECORD: CHRISCO REALTY, LLC SWING TIES LOCATION OF GASOLINE EXIST. LEACHING PIT{approx. �I I PROPOSED INSPECTION PORT AVG. DAILY WATER USAGE FOR COFFEE ONLY= 156 GPD± TEST PIT#: 2 \� PER PLAN BY I ' x ADDRESS: 156 IYANNOUGH ROAD/RTE.28 SCALE: 1"=30' TANKS( location)TO BE REMOVED IN O :` I AVG. DAILY WATER USAGE TRIBUTARTY TO EXISTING SDS=750 GPD± ELEV TOP= 33.70' HYANNIS MA 02601 �• RIZZO ASSOCIATES ACCORDANCE WITH TITLE V I f [i.e. 1,209 GPD-(303 GPD+ 156 GPD)=750 GPD±) ' I< x I ELEV WATER= <21.20' DESCRIPTION BC-1 BC-2 1 , , DATED 418t08) l I O `- I I 33 4' ' MAP 328 PROPOSED DESIGN FLOW=900 GPD 17. DEED REFERENCE: BOOK 19801, PAGE 317 / "�� „�• - - ^� �� I ' I X ' o PARCEL 147 PROPOSED DESIGN FLOW x 200%=1,800 GPD(FIRST TANK IN SERIES) PERC RATE= 18. PLAN REFERENCE: PLAN BOOK 105, PAGE 61 SEPTIC COVER IN (1) 52.5 62.8 ' -- 33 `�` I `' EDGE O x ` PROPOSED DESIGN FLOW x 100%=900 GPD(SECOND TANK IN SERIES) 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. SEPTIC COVER OUT 2 60.4' 70.1' TOP pF PAVEMIE 4 1 Ox0' \ DEPTH OF PERC= " O CUf�g( T(Typ�_ i 6 i x PROPOSED PVC VENT PIPE; USE PROPOSED 2,000 GAL. SEPTIC TANK& EXISTING 1,500 GAL. SEPTIC TANK 20. A 4 PERFORATED SCH.40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A LEACHING CORNER(3) 64.8' 84.5' \ / _ `L U 0' X EXACT LOCATION TO BE TEXTURAL CLASS: 1 DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3 OF FINISH GRADE. A _ i / I I DETERMINED BY OWNER REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. � LIGHT POST(TYP OF 4) ___.._ �f x INSTALL 9 - 500 GALLON H-20 CHAMBERS LEACHING CORNER(4) 73.4' 94.4' / --- I X p" 33.70' 21. PROPERTY LINE INFORMATION IS APPROXIMATE ONLY. THIS PLAN IS TO BE USED ONLY FOR / 1 x APPROXIMATE LOCATION OF SEPTIC SYSTEM UPGRADE. JC ENGINEERING WILL NOT ASSUME ANY LIABILITY FOR USES OF LEACHING CORNER(5) 100.7 109.2 / 1 / I X EXISTING LEACHING CHAMBER SIDEWALL CAPACITY THIS PLAN OTHER THAN ITS INTENDED PUPOSE. � ---� { (PER PLAN BY RIZZO ASSOCIATES � LEACHING CORNER(6) 130.8 127.3 \ VENT(TYP OF 2) Op (TOTAL PERIMETER) (2' HIGH) (0.74 GPD/S.F.) GAUDAY Fill 22. IN ACCORDANCE WITH 310 CMR 15.401-15.405 THE FOLLOWING LOCAL UPGRADE �"� -32- -I I DATED 4/8/05) APPROVAL IS REQUESTED FROM 310 CMR 15.212(7): r 4- / o\ /x (10.0+42.2+46.3+10.0+44.7+40.5)' (2') (0.74 GPD/S.F) 286.7 GAUDAY LEACHING CORNER(7) 124.4' 119.11 6 36, / i i ' \ 1.) A 2.0'(5.0'-3.0')WAIVER FROM MAXIMUM COVER OVER THE PROPOSED LEACHING FACILITY. LEACHING CORNER(8) 93.2' 99.8' /y S4• ,. /gti I j 56" 29.03' r �I/�N x BOTTOM CAPACITY { F X (BOTTOM AREA) (0.74 GPD/S.F.) GAUDAY OAT r3 O�0y ( I \ (868.0 S.F.) (0.74 GPD/S.F.) 642.3 GAUDAY STgTF RQgO -- #156 i �q y x \ REV. DATE BY APP'D. DESCRIPTION EXISTING BC-1 Ov� 31- X� 0 1 TOTALS: Coarse"Sand BUILDING ` XN w \ TOTAL NUMBER OF CHAMBERS 9 C 2.5Y;6/s PROPOSED SEPTIC SYSTEM UPGRADE TOF=35.7t 4) LEGEND X c (10-15%Gravel) I _ \ TOTAL LEACHING AREA 1255.4 SQ.FT. PREPARED FOR: (3 `a- - - 50 - - EXISTING CONTOUR � m TOTAL LEACHING CAPACITY 929.0 GAL./DAY GAS EXISTING GAS LINE x CAPEWIDE ENTERPRISES \ I ' BC-2 1 0- o E/T/C EXISTING UNDERGROUND UTILITIES x S00°23'50"E LOCATED AT ( (2 0 ao -X-X-X-X-X-X- EXISTING FENCE LINE \ 156 IYANNOUGH ROAD 5) W W EXISTING WATER LINE \ 150" 21.20' HYAN N IS, MA TEST PITtOCATION \ No Mottling,Weeping or (8 �` \ Standing Encountered O O Q EXISTING 1000 GALLON GREASE TRAP BOARD OF HEALTH USE SCALE: 1 INCH 20 FT. DATE: DECEMBER 3,2008 O _ 0 10 20 40 80 FEET k Q O O EXISTING 1500 GALLON SEPTIC TANK "'°F ^ � PREPARED BY: JOHN w CHUR ILL m JC ENGINEERING INC. o ~ PROPOSED 2,000 GALLON SEPTIC TANK J , h. 6) N �L 7 2854 CRANBERRY HIGHWAY (7 PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE EAST WAREHAM, MA 02538 13 PROPOSED DISTRIBUTION BOX SITE PLAN 5os.273.0377 Q PROPOSED 500 GALLON H-20 LEACHING CHAMBER SCALE: 1"=20' Drawn By: BSM Designed By: MCP Checked By:JLC JOB#: 1525 3, _ _ - ------ --- - ------- - - - -- __ ---- - ----- --- ---- -