HomeMy WebLinkAbout0021 WEST MAIN STREET 7--
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SOUTH SHORE * � CAPE COD
MUSIC CIRCUS •. , • MELODY TENT
4/26/18
To the members of the Barnstable Board of Health,
It is our intention to hold the first annual Scallop and Arts Festival on August 4',
2018 at the Cape Cod Melody Tent.(21 West Main St Hyannis MA. 02601)
For nearly half a century the Cape Cod Scallop Fest has been a long standing
tradition for Barnstable County holding events in Bourne as well as the Barnstable Fair
Grounds. Unfortunately,the Cape Cod Canal Region Chamber of Commerce has
decided to no longer host this event. To which we have extended an invitation to partner
with. After a vote,the chamber has made a final decision to cancel the 2018 event and
does not have any interest in participating or partnering at this time.
The Cape Cod Melody Tent in collaboration with Ocean 104.7 would like to
capture the spirit of this tradition while providing the Cape Cod region with a uniquely
individual, and somewhat scaled down event that will hopefully become a long standing
annual tradition for Hyannis.
The dual purpose of the event is to display and celebrate the arts community here
on Cape Cod,as well as celebrating and supporting the local shell fishing industry.
Patrons will have the option to purchase fried scallops and French fries, or chicken
tenders and French fries. All food service will be managed by Kevin Dubois who is the
Concessions Manager here at the Cape Cod Melody Tent and is the responsible party for
maintaining the food service license at the property.
All concession stands will be open for the duration of the event In addition to the
food items specified in this temporary food application.
Thank you for your time and consideration.
Keith Bellevue
General Manager
N 0 H,IA-
6 1 (A
SCANNED
P.O. Box 325 Cohasset, Massachusetts 02025 781-383-9850
Page 2
Vendor: Food Items:
Cape Code Melody Tent Fried Scallops
French Fries
Pre-cooked Chicken Tenders
Coleslaw(pre-packaged with covers)
Tartar Sauce(pre-packaged with covers).
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Parking Lot
Orchestra Parking Area
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aisle 9
aisle 8 6
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aisle 7
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aisle 11
Trees
aisle 6 aisle 12
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i1 aisle 5
aisle 2
aisle 4
aisle 3 �C
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Main.:Off Box
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.''Office..
., ' Main Gate —
��oFt r �o Town of Barnstable
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Regulatory Services BARNSTABLE
BA MASS. �
MASS. * Richard V. Scali Director
�
039• t6394014
�pre� �a Public Health Division ��
Thomas M.McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
MAIL TO:TOWN OF BARNSTABLE
PUBLIC HEALTH DIVISION
200 MAIN STREET
HYANNIS,MA 02601
FAX 508 790-6304
PLEASE INCLUDE A CHECK FOR$40.00 ONE DAY;$50.00
(2+DAYS)AND A COPY OF YOUR FOOD SANITATION
TRAINING(E.G.ServSafe)CERTIFICATE AND ALLERGEN
CERTIFICATE ALLOW SIXTY DAYS TO PROCESS(Please see-
Instructions on the next page)
APPLICATION FOR TEMPORARY FOOD SERVICE PER
IT
/ DATE L Z
NAME OF SPECIAL EVENT SC'G�110✓f CI/I d r
WAS THIS EVENT APPROVED BY THE BOARD AT A PUBLIC MEETING? Y N
NAME OF PERSON(S)REQUESTING PERMIT �{e i>"'( �� 1/eyk Q/
TELEPHONE# SOF -77)- 5y�6 0 /CELL# 792- .b �- 5-Z 7 ce
HOME ADDRESS- Wes{, Nj d #- n(T+4frd�/ LLAAGE ��((
NAME OF ORGANIZATION S�id�L / �0y�1[MZ �sSOw?05 fi4J Col.&
CONTACT PERSON S9MC� ks /�ybOr/'�� TELEPHONE J°��1 e
ADDRESS /r"/"ti /
FOOD TO BE SERVED (LIST EXACT FOODS) / rt-e d -Cca//OAS
pne Caa��a� G�ii r7 de.��T Cd/Gs��w �/orG' poles�• <<'1/P�P`1 l�+'¢ow�,7�N6s
NA>IES OF TRAINED FOOD HANDLERS(TO BE ONSITE DURING EVENT):
(.ATTACH COPIES OF SERVSAFE&ALLERGEN C/yE�RTIFIC�ATES)
ADDRESS WHERE TO BE SERVED_
DATE TO BE SERVED TIME y /�_ RAIN DATE _
WHAT TIME WILL ALL EQUIPMENT BE SET-UP&READY FOR INSPECTION? q
HOW WILL FOOD BE KEPT BELOW 41 DEGREES F T c e (f 4�*/ f ,/J _
HONV WILL FOOD BE HELD AT 140 DEGREES F. S7 , h ({Ss Se( !�� dtglej ynd c 4,S 4jj(o
HOW IS FOOD COVERED , drh6 ���-t�l�� 11��S h/ir� l/1�►/Q�lQS
HOMY IS FOOD SERVED R(n b �,bKo Cl/1 a / 017 C S
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TYPE OF HAND WASHING FACILITY /i �/°l Gvh� JttiS S Y w Q Salk Aw^V)_47
(SIGNATURE O APPLICANT)
JI
ServSafe
- CERTIFICATION
KEVIN DUBOIS
for successfully completing the standards set forth for the ServSafe°Food Protection Manager Certification Examination,
which is accredited lay the American National Standards Institute(ANSI)-Conference for Food Protection(CFP).
1.5124076 5268
CERTIFICATE NUMBER EXAM FORM NUMBER
5/15/2017 5/15/2022
DATE OF EXAMINATION DATE OF EXPIRATION
Local la vs apply.Check with your local regulatory agency for recertification requirernents.
I
Sherman Brown
- SVP,National Restaurant Association Solutions
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TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ,
Map 246 Parcelfr °r Application # - V 1 00
U 1 , r =, l
Health Division l' {, -� Date Issued
Conservation Division Application Fee �P ,G 6
Planning Dept: By C� �U Permit Fee
4..
Date Definitive Plan Approved by Planning Board
Historic - OKH; _ Preservation/ Hyannis
Project Street"Address 21 Wf&5F MA M/ 511ZOEE:
Village
Owner �j �G- ul; ti t� Address 1 OBT-MAN ONE-1, R' YANN G
Telephone 5DS ,. -
Permit Request
Square feet: 1st'floor: existing proposed 2nd floor: existing proposed Total new
Zoning District', Flood Plain Groundwater Overlay
Project Valuation i Construction Type
Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No
Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing _new
Total Room Count (not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No
Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_
Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes ❑ No If yes, site plan review#
Current Use Proposed Use
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name ` % � '� � �i'1 Telephone Number �GJ:
Address 101 G 01 LDP4D J26AD License# C.5" 67(4,�C
AIA e2to--,),-L;L Home Improvement Contractor#
Email ' t Mcasf,ned- Worker's Compensation # 5 iY�a- )
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
V_ 60
SIGNATURE DATE aTZ f
FOR OFFICIAL USE ONLY
APPLICATION #
DATE ISSUED
MAP/ PARCEL NO.
OADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
RUM@
K.P REMODELING&CONSTRUCTION
Kenneth Perry Owner
cs 076820 UVV LUI'7t�1
19 Guildford Road
Centerville,MA 02632
Cell (508)360-6339 a 0
DATE: April 12,2016
INVOICE# 209
2 Z oS.2y ESTIMATE
Bill To: Job Site Scope of Job
CAPE COD MELODY TENT SAME STRIP AND REROOF PERFORMERS BUILDING
21 WEST MAIN ST HY MA KEITH 781 561 5274
ITEM DESCRIPTION UNIT PRICE AMOUNT
PERMIT FEE PERMIT FOR ROOF 25.00 PER THOUSAND
$ 25.00 $ 200.00
NAILS 1 BOX 1 1/4 GAL ROOF NAILS COIL
$ 31.23 $ 31.23
STARTERS SHINGLES CERTAIN TEED STARTER 4 BUNDLES 44.00 $ 176.00
COLONIAL SLATE 30 YEAR COLONIAL SLATE 30 YR METRIC SHINGLES 81 BDL 29.78 $ 2,412.18
SHADOW RIDGE COLONIAL SLATE 30 YR HIP&RIDGE CAP 4 BDL 59.00 $ 236.00
DRIP EDGE ALUMINUM NAL ALUMINUM DRIP CAP 15 PC @ TEN FT EACH 8.55 $ 128.25
CERTAIN TEED ICE&WATER WINTER GUARD ICE/WATER 2 SO Per ROLL 4 ROLLS 57.00 $ 228.00
15#FELT PAPER TAR PAPER 15#4 ROLLS 21.00 $ 84.00
LABOR LABOR TO STRIP AND REROOF 27 SO 180.00 $ 4,860.00
PIPE FLASHING FOR VENTS 6 VENTS(5)2"& (1) 3"VENT PIPES 6.75 $ 40.50
DUMPSTER 15 YARD UP TO 2 TONS 425.00 $ 425.00
CHECK FOR$5880.00 TO START AND BALANCE DUE UPON COMPLETION$2941.00 TOTAL $ 8,821.16
DK__.-
THANK YOU FOR YOUR BUSINESS[ �A4� 6
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.6.Other
Cer ct J'ets�: Phone{�
6
F R6RNSTIB �F
MILS i639. Town of Barnstable
9$ ���• .
Regulatory Services
Richard V.Scali,Director
Building Division
Thomas Perry,CBO
Building Commissioner
.200 Main Street, Hyannis,MA 02601
www.town.barnstable.ima.us
Office: 508-862-4038 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder
as Owner of the subject property
hereby authorize = r . �'�./t�i��� to act on mp behalf,
in all mattets relative to work authorized by this building permit application for.
I W5T M[�;' a 1 RYAQVS, OA---
(Address of Job)
Signature of Owner Date
Print Name
If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the
reverse side.
QAWPFTLEST0RK%uilding permit formslEYFR ESS.doc
Revised 061313