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BANGKOK CUISINE - Certificates of Inspection
i BANGKOK CUISINE The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Ninth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. r entify Name of Establishment Certificate No. Issued to BANGKOK CUISINE 304-2020-137 Identify property address including street number, name, city or town and county Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2020 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 53 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Peter Burke Name of Municipal Edwin Bowers Date of Fire Chief uilding Official Local Inspector Inspection 1/24/2019 Signature of Municipal e Signature of Municipal Date of ire Chief Building Official Issuance 9/20/2019 The Commonwealth of Massachusetts . City\Town of E Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Ninth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to BANGKOK CUISINE 304-2019-137 Identify property address including street number, name, city or town and county Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2019 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 53 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Peter Burke Name of Municipal Jeffrey Lauzon Date of Fire Chief Building Commissioner Chief Local Inspector Inspection 1/5/2018 Signature of Municipal Signature of Municipal Date of ire Chief b Building CommissionerLIN I ssuance 9/13/2018 I„E The Commonwealth of Massachusetts ° Town of Barnstable 16` 2019 ab q, �m TEO MA'S p Certificate of Inspection Bangkok Cuisine Certificate No. Issued to Somsak Sangworn Type: Building -Certificate of Inspection IC-18-295 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 294-062 12/31/2019 in the Town of Barnstable 20 INDEPENDENCE DRIVE, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 53 Restrictions 48 Seating 5 Bar Stools 53 Maximum Seating Capacity This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Brian Florence Date of Inspection 1/24/2019 Signature of Municipal Building Date of Issuance Commissioner 1/24/2019 °F`"E'er The State of Massachusetts LF.q , Town of Barnstable -: f0 MAC� New and Renewal Certificate of Inspection Application Date 1/5/2018 Fee Required 50.00 In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 20 INDEPENDENCE DRIVE, HYANNIS Name of Premises: Bangkok Cuisine 0~ Purpose for which premises is used: z Z ® O License(s) or Permit(s) required for the premises by other governmental agencies: / co _o Certificate to be Issued to: CC, I Iq Co Address: 20 Unit,�Independence Drive ., r�nnls _ rr Telephone: (508)771-1338 Owner of Record of Building: M I (-JIA ( Address: 20 Unit A Independence Drive NY Name of Present Certificate Holder: Hyannis Park Place LLC Name of Agent, if any PRO SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED v" OR AUTHORIZED AGENT or El I 1clwe ho m�; Cow M � ��� W COY PLEASE PRINT NAME INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten (10) days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# /8-7 EXPIRATION DATE /12/7 018 I Town of Barnstable Building Division 200 Main Street B^MB Hyannis,MA 02601 BARNSTABI,E tpv .�,cv n 1e39 .m� (508) 862-4038 ' mm .,�.v�- £ A wks ro+, na.as e.v:uer e Acs QED�•� ifi39noia Inspection Report ❑ Notice of Violation Business: A W E '(Q r�� i 5 1 e Date of Inspection: Contact: Info: Address: ^okG T W A.Q,ne,,A e, Info: ' Phone: got u � Info: Email: Info: During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR, Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)were noted: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: Action a uired to abate the above violationsyou must: None:no violations were observed at the time of inspection 0 Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$ is required and a re-inspection to be requested by business within days. 0 Make corrections prior to your next annual or semi-annual inspection. 0 Property/business owner or owners approved agent contact inspector for consultation t Official/Inspector: Telephone: 508 862-4038 Received By: Date: I/ 2 Print Name: Section 102.6 existing structures- The owner as defined in 780 CMR 2,shall be responsible for compliance with provisions of 780 CMR 102.6 And,if aggrieved by this notice and order,to show cause as to why you should not be required abate the violation in this notice,you may file a Notice of Appeal(specifying the grounds thereoi)with the State Building.Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§100. Ca .�. sii34• :,®�j e to of Inspection Report List • Section IUK1. PermitRequired • Section 105,6 Permit Suspension cn•: evocation • Section 105.7 Placement l` ermit (.on sited • Section ill Construction n. Control. A e tinn t 0g3 inspections Required uired Section 110�7 Periodic Inspection (valid Certificate) s. Section 1.11,11 Certificate cat°C Occupancy Section t.t l,3m3 Place of Assembly Posting of Occupancy W Section, 1.l< 1 Oceiipancy or Change, of Use Section l.1.--5"0 Stop Fork Order Section 11.6 unsafe Structure Section 901.5 T es'l:ing of<A lawns% rinkler System Section 901,9 Fire Protection Signa e Section 904,12 Cwnnwrcial Ans l Systein Section 904.2.2 flood Systern Maintenance 6 Section 906 Fire Extinguishers Q Section 1001.3.1. Maintenance of:Exterior tairsl:14 ire 0 Section 1001-12 Testing/Certificate ExteriorStairs/Fire Escape e,ction 1. 04 3 Posting of Occupancy Limit 0 Section 1.005 Means of Egress Sizing 0 Section 1006 Number cat' ,zits and:access Doors a Section 1008 deans of.Egress Illumination 0 Section 10�10ai-9 Door Operation Section 1,0110.1.9A Hardware ;racks and Latches) 0 Section :1.010s:l.10 Panic Hardware A o.r E > 5 } 0 Section :1.01.1. Staillvays 0 Section 1012 Barbs e Section 1013 Exill Signs Section 10 1.4 Handrails Section 1015 Guards Section 1.030 merge n cy.Escape BANGKOK HYANNIS INC . BUILDING DEPuI 20 INDEPENDENCE DRIVE HYYANNIS MA 02601 APR21 2017 �-ai - 1� 11600 SQUARE FOOT TOWN OF BAPINSTABLE f [] i 1 ENTER 0000 0 0 0 ® w 0 O O O O F o 0 O O O o000 � woK �° i i R O O7 7 O O O 110 O O O O KITCHEN z COOLER �151-I ►''�� O O O O O O O O w C� W O O ❑ C�1 ❑ Sb GEC A91..L TAgL� �oJLE $ � -y aAR srC LS DINNING i�00M NOTAN EXiT 25 00000 49 s�-rs o[lo oMo o[]o CO ffR AR to ED F LADY MEN O o 'ICr al-N ICE MACK%R O O O O O O O (D . � �Au� o 0 0 0 0 0 L 64' The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to BANGKOK CUISINE 304-2018-137 Identify property address including street number,-name, city or town and county Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2018 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 53 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place thin the space as'directed by the undersigned.. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of.Municipal Peter Burke Name of Municipal Brian Florence Date of Fire Chief Building Commissioner Inspection 4/13/2017 Signature of Municipal Signature of Municipal Date of Fire Chief [Building Commissioner r ssuance 8/21/2017 IHBfoy The Commonwealth of Massachusetts ,�M— Town of Barnstable , ' AIM 9. �0m 2018 Tfo " Certificate of Inspection Bangkok Cuisine Certificate No. Issued to Somsak Sangworn Type: Building - Certificate of Inspection IC-1 8-7 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 294-062 12/7/2018 in the Town of Barnstable 20 INDEPENDENCE DRIVE, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 53 Restrictions 48 Seating 5 Bar Stools 53 Maximum Seating Capacity This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Brian Florence Date of Inspection 1/5/2018 Signature of Municipal Building Date of Issuance Commissioner ( �, 12/8/2017 y�pQ IHE Tp�y The State of Massachusetts - . •� '1639. Town of Barnstable pTfO MP'�� New and Renewal Certificate of Inspection Application Date 4/14/2017 Fee Required 50.00 In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 20 INDEPENDENCE DRIVE,HYANNIS Name of Premises: Bangkok Cuisine Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Rj,q QV(�KOk ijFF j C W S 1 N l; Address: 20 Unit A Independence Drive NY e Telephone: (508)771-1338 Owner of Record of Building: )O Noy FpT Address: 20 Unit A Independence Drive NY OFB Name of Present Certificate Holder: Hyannis Park Place LLC _7 T�e�F Name of Agent, if any r�RF�'TC4 N G r(4 f UN 7 SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED Email.- OR AUTHORIZED AGENT f'Pl9--rC4A fv G P(4 IvW PLEASE PRINT NAME a puy1 M Q 1 INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten (10) days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# IC- -330 EXPIRATION DATE 12 2017 � I � Da-xA 8 KG V, C—t-�-►S ne ME rok, Town of Barnstable ~O Building Department 1 HAMSTABTE, Brian Florence, CBO 9 MASS. `bAr t639. ,•� Building Commissioner ED MA'I 200 Main Street, Hyannis,MA 02601 www.town.barnstabIe.ma.us Office: 508-862-4038 Fax: 508-790-6230 Dear Manager: Attached you will find an application for Certificate of Inspection as required by Section 110.7 of the Massachusetts Sate wilding Code, Eighth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner); the fee must be paid before the Certificate of Inspection/Capacity Card may be issued. *Please contact this office once payment is made to arrangemade to arrange rns�ectiona Such buildings shall not be occupied or continue to be occupied without a valid Certificate oflnspection. (Current COI Expires). We now have the capability to email your COI. Please provide an Email address on the Certificate oflnspection Application. Sincgrely, Zgl�Z C�S�C Brian Flore e, CBO Building Commissioner gdrive:C0I `OptMElpj,_ :: Th.e_:Commonwealth of Massachusetts . . Town of Barnstable s.�nxsresre. _, , 9 �0m 2017 Certificate of Inspection Bangkok Cuisine Certificate No. Issued to Somsak Sangworn Type: Building -Certificate of Inspection IC-16-330 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 294-062 12/7/2017 in the Town of Barnstable 20 INDEPENDENCE DRIVE, HYANNIS , Location Use Group Classification(s) Allowable Occupant Load Restrictions 48 Seating 5 Bar Stools 53 Maximum Seating Capacity This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Paul Roma Date of Inspection 4/13/2017 Signature of Municipal Building r i, Date of Issuance . Commissioner {;;.,_ # .,. _._- 4/13/2017 COMMONWEALTH OF MA SSACHUSETTS T O C� TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ 50.00&f ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: O (��ie e l V eq ee vY�N2 Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc Certificate to be Issued to: Ua it is t_ he Address: �m d om er— Telephone: Owner of Record of Building: Address: /li d dekic-ta- wo_ Name of Present Holder of Certificate: Name of Agent,if any. 1.IOTK� PLEASE PROVIDE EMAIL: 8 Sa>� WM_H btp fiWl(,�;I,C�� SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT We are now able to email the certificate to you. SO M SC y eGj"%wCrVL PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: Jozoitso 33 20 rJ Pvs-:"-S7 The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts,State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. dent fv Name of Establishment Certificate No. Issued to BANGKOK CUISINE 304-2016-137 Identify property address including street number, name, city or town and county Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2016 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 53 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Harold S. Brunelle Name of MunicipalThomas P Date of Fire Chief Ja QL Building Commissioner Inspection 11/20/2015 Signature of Municipal Signature of Municipal Date of ire Chief 1 C., Building Commissioner iIssuance 12/28/2015 �t The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section I10.7, this CERTIFICATE OF INSPECTION is issued to BANGKOK CUISINE HYANNIS INCORPORATED Certify that have inspected the premises known as: BANGKOK CUISINE located at 20 INDEPENDENCE DRIVE in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity SEATING 48 BAR STOOLS 5 MAXIMUM SEATING CAPACITY 53 EMPLOYEES 11 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201507984 12/7/2015 12/7/2016 29 06 The building official shall be notified within(10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS . _ 4 TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date NG'V �. (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: �O Name of Premises: sag �co I J( Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc Certificate'to be Issued to: Address: ��/ `V I e�'W°' ��W Telephone: I ✓ C� Owner of Record of Building: Address: V� ( vt Cu �. (/l �'� e ►�C.. Name of Present Holder of Certificate: ►1 'g� Name of Agent,if any: a C. M SI66N%TURF,OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT \ SoMsak SapiqwvA PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# cqL9 '�S D (R EXPIRATION DATE: Ia �QG{ J020115C The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMM 110.7 (The Eighth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to BANGKOK CUISINE _ 304-2015-137 Identify property address including street number, name, city or town and county Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2015 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 53 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of Fire Chief Building Commissioner Inspection 11/18/2014 Signature of Municipal Signature of Municipal Date of Fire Chief Building Commissioner / Issuance 11/20/2014 The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BANGKOK CUISINE HYANNIS INCORPORATED Certify that I have inspected the premises known as: BANGKOK CUISINE located at 20 INDEPENDENCE DRIVE in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity SEATING 48 BAR STOOLS 5 MAXIMUM SEATING CAPACITY 53 EMPLOYEES 11 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201407978 12/7/2014 12/7/2015 29 062 The building official shall be notified.within(10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date ' (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: �-® dapew � � 1 0&' qyc**'�'1 Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc Eel �G t o k Certificate to be Issued to. F�- U � 1 � Address: I VI. �`p . Pit Val P11 Telephone: �� Owner of Record of Building: Address: Uri ► ,V1 .. -... �"� �'C ki ki f q Name of Present Holder of Certificate: , - Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE '� J IS ISSUED OR AUTHORIZED AGENT M PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE:. 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. . 2)Application.and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE#` �-' EXPIRATION DATE: J081210 TOWN OF BARNSTABLE INSPECTION WORKSHEETCI�os CERTIFICATE NO: 201507984 CANCELLED: MAP: 294 DBA: 1BANGKOK CUISINE PARCEL: 062 NAMEIMANAGER: JBANGKOK CUISINE HYANNIS INCORPORATED STREET: 120 INDEPENDENCE DRIVE VILLAGE: JHYANNIS STATE: FMA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STO'RY1: CAPACITY: USE1: A2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 48 LOCI: SEATING CAPS: LOC8: CAP2: 5 LOC2: BAR STOOLS CAPS: LOC9: CAP3: 53 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP11: LOCI 1: CAPS: 11 L005: EMPLOYEES CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPEC N: ATE ISSUED: EXPIRATION: } !>K812014 1 /07/2 1 12/07/2016 C'ACN.du COMMENTS: EMPLOYEES FIGURE FROM LICENSING I fan wn Town of Barnstable Regulatory Services MAWRichard V.Scali,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 November 10, 2015 BANGKOK CUISINE HYANNIS INCORPORATED BANGKOK CUISINE 20 INDEPENDENCE DRIVE HYANNIS MA 02601 Attached you will find an application for a Certificate of Inspection as required y pp p qu by Section 110.7 of the Massachusetts State Building Code, Eighth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State(Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, i QY}'1 IAY Tom Perry Building Commissioner Enclosure The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. dentfy Name of Establishment Certificate No. Issued to BANGKOK CUISINE 304-2014-137 Identify property address including street number, name, city or town and county Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2014 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 53 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place 'thin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly Prohibited ame of Municipal arold S. Brunelle ame of Municipal homas Perry ate of ire Chief uilding Commissioner Signature of Municipal section 11/21/2012 ( of of Municipal ate of ire Chief l uilding Commissioner ssuance 10/9/2013 TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose CERTIFICATE NO: 1 2014079787 CANCELLED: MAP: 294 DBA: JBANGKOK CUISINE PARCEL: 062 NAME/MANAGER: IBANGKOK CUISINE HYANNIS INCORPORATED STREET: 120 INDEPENDENCE DRIVE VILLAGE: IHYANNIS—� STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 48 LOCI: SEATING CAPS: LOC8: CAP2: 5 LOC2: BAR STOOLS CAP9: LOC9: CAP3: 53 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: 11 L005: EMPLOYEES CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Pri ;This.Sc[ae. 1 9/2013 1 12/07/2014 12/07/2015 /� Print Certificate ofins ectiQ. II/ig COMMENTS: EMPLOYEES FIGURE FROM LICENSING �Yje �or�cmco �e�cYt�j of Aamwbvattss TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BANGKOK CUISINE HYANNIS INCORPORATED QLEL'�lfp that I have inspected the premises known as: BANGKOK CUISINE located at 20 INDEPENDENCE DRIVE in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity SEATING 48 BAR STOOLS 5 MAXIMUM SEATING CAPACITY 53 EMPLOYEES 11 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201308492 12/7/2013 12/7/2014 294 062 The building off cial shall be notified within(10) days of any S changes in the above information. Building Official \ COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date _`�~ (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: 2® ►AAa- .ie,o0,evlCe `yipM/� Street and Number: 1/,� \/� Name of Premises: 22ava �' f 1 a li l'i ��> Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency w C Certificate to be Issued to: ak1 V� A hq 1 I k' w° nn Address: ® �� ��.1i1 r+�'�1�� ( — l`� ���V41 ^ O V a w� Telephone: CL2 Owner of Record of Building: �1/� Address: G �a2. �Qr'( . �(✓i�f5i Name of Present Holder of Certificate: a i4 k' R-to VV n"j/ 1 Name of Agent,if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 50(,,) gay_ <:50LA'j jj'0r%A PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# C�D D EXPIRATION DATE: 1(go B 4 J081210 I Town of Barnstable Regulatory Services MAW Richard V. Scali,Director Building Division . Tom Perry,CBO,, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.m a. . Office: 508-862-4038 Fax: 508-790-6230 November 4, 2014 BANGKOK CUISINE HYANNIS INCORPORATED BANGKOK CUISINE .20 INDEPENDENCE DRIVE . HYANNIS MA 02601 Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code, Eighth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Tom Perry Building Commissioner s Enclosure - The Commonwealth of Massachusetts C1ty\TOwn Of Barnstable New and Renewal Certificate of Inspection. In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to farther enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to BANGKOK CUISINE 304-2013-137 Identify property address including street number, name, city or town and county Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2013 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 5 3 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of ire Chief Building Commissioner Inspection .11/08/2012 Signature of Municipal Signature of Municipal Date of Fire ChiefgrA�/� (JBuilding Commissioner Issuance 1.1/09/2012 eom monweattb of Aaooarbuattz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building.Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BANGKOK CUISINE HYANNIS INCORPORATED 3 QLtltlfp that 1 have inspected the premises known as: BANGKOK CUISINE located at 20 INDEPENDENCE DRIVE in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity SEATING 48 BAR STOOLS 5 MAXIMUM SEATING CAPACITY 53 EMPLOYEES 11 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201207222 12/7/2012 12/7/2013 294 062 The b uilding o icial shall be noti ied within(10) days of any , changes in the above information. Building 0 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date I r V r I G_.. (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency U /gam L ,- Certificate to be Issued to: �v�yl �`�/,` GU�1 /�� R/1'1� 114c—` Address: Telephone: ✓4 ` r�3 O Owner of Record of Building: � � � k Address: (1 1l ����� - ✓��j!�, �1 {�j o Name of Present.Holder of Certificate: /� �_. <��� d -- Name of Agent, if any: A SIGNATURE OF PER ON TO WHOM CERTIFICATE C:) IS ISSUED OR AUTHORIZED AGENT �c kc c?aki VV(9 PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10) days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE#Z 71 �ZZ� EXPIRATION DATE: J081210 - l _r�._`:�. ....` TOWN OF BARNSTABLE 0e: New Application BARNSTABLE ; LICENSE-APPLICATION renewal Mnss 200 Main Street �b i63� Transfer iOtFO Mpy," Hyannis;MA 02601El Other pli (508) 862-4674 ♦ N01.,BUSINESS MAY: WITHOUT.A VALID LICENSE ON THE PRENIISES 4 ;Address of applfCant/corP p _....__...ame of a __._. — Home hone .._ ����l. ....__......__._l0 Kb � J Business phone#:oration/LL -- .- ._......... I tL 2- -. ... .......... .� ... 11 t far .__._........ Business location ' _ Y� .. +�� ..>A:� "- . . Business mailing address�tf dierent#ram:above) .............. ����� License'Type �` �' ..... Annual ® Seasonal G: `� ;Hours of Operation n �,� l o _ i_ ! _® __ i 2a ...__ __.. Federal ID#:, ta._ _.. _4-._ _.__.... ;Hours of Entertainment. """" Hours of)Alcohol Service: Name of Mana er Gt Ut r `�1 { �. Gi t �� �{ r. 9 Q 1 !�J email: �7�- 1 ,G _ ..- __.._.. ..._. Mana ei's ermanent mailing address -t_ f 1'I�!� �f` ��►f 5 �_n © ©O :....__.- _ -- ......:..- _....._ 9_ p 9 _.. ... t .........._..............__ Manager's home phone# j 4' _ Business phone#: .,._`,_ ._ Name oT . f property owner. I i ,, ` 1�.� _ _,`� f ._.._.._. _...--- _.._ -.__� .............. ..._............. ...._._.............. _...........__.......... . ---- ----- --- ASSESSOR'S MAP/PARCEL# , MAP _ PARCEL (1r. •- Uet any flammable:substance or hazardous waste used in business(specify): Applicants must ONLY contact the Building Commissioner's office, (508) 862- : <4038, the Board :of Health. office (508) 862-4644, 'and the appropriate Fire '-District, office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (830 4 30 dail dd Signature of applicant �" �"JOrst�:, ... . .... .......... .............. .......................................... ....... .... .. .... �Tkwe only =REAL.ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON j aS THIS USE PERMITTED WITHIN THIS ZONI ISTRICT? YES, NO ;INSPECTORS APPROVAL - Capacity set by Building Division...___ Buildmg2oning_ ,:Date l� ���. .. ._ Board of Health ___ _ _.__ Date __,-�.. .. _ Fire Qis tract _. Date --:.. .--— - -._.:..Comments White Ucensino at only Gold Buildng Commissioner Pink-Fire Department Canary-Health Division TOWN OF BARNSTABLE INSPECTION WORKSHEET dose CERTIFICATE NO: 201207222 CANCELLED: MAP: 294 DBA: JBANGKOK CUISINE PARCEL: 062 NAME/MANAGER: JBANGKOK CUISINE HYANNIS INCORPORATED STREET: 120 INDEPENDENCE DRIVE VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: ❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: A2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 48 LOC1: SEATING CAPS: LOC8: CAP2: 5 LOC2: BAR STOOLS CAP9: LOC9: CAP3: 53 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOCO: CAP 11: LOC11: CAPS: 11 L005: EMPLOYEES CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPECTlek DATE ISSUED: EXPIRATION: 777 7'Piint,ThRu een 1 /2011 1 12/07/2012 12/07/2013 Print Certificate of Inspection COMMENTS: EMPLOYEES FIGURE FROM LICENSING Town of Barnstable Regulatory Services MAU° Richard V.Scali,Interim Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma. Office: 508-862-4038 Fax: 508-790-6230 November 7, 2013 BANGKOK CUISINE HYANNIS INCORPORATED BANGKOK CUISINE 20 INDEPENDENCE DRIVE HYANNIS MA 02601 Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code, Eighth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR,Chapter 1 (The Sixth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an.Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to BANGKOK CUISINE 304-2012-137 Identify property address including street number, name, city or town and county Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2012 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 53 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of Fire Chief Building Commissioner inspection 11/09/201.1 Signature of Municipal Signature of Municipal Date of Fire Chief uilding Commissioner Issuance 11/10/2011 �Yje �Comcn�o sae YtYj of Aa!gqarbU.5ett0 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BANGKOK CUISINE HYANNIS INCORPORATED QLeI't[fp that 1 have inspected the premises known as: BANGKOK CUISINE located at 20 INDEPENDENCE DRIVE in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity SEATING 48 BARSTOOLS 5 MAXIMUM SEATING CAPACITY 53 EMPLOYEES I 1 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201106779 12/7/2011 12/7/2012 4 06 The building official shall be notified within(10)days of any changes in the above information. Building 0 Official COMMONWEALTH OF MASSACHUSETTS TOWN.OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION ' Date NOV �A (X) Fee Required $ 50.00 ( ) No Fee Required . In accordance with the provisions of the.Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: Name of Premises: <kav1!2 VQ h �� a Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: Cw e License or Permit A enc Certificate to be Issued to: C1 � Address: 0 o epey��eej Dy H`(a m h i 5� .G� Telephone: Owner of Record of Building: !"1 I C Y l aei� (� V ��/( Address: E Name of Present Holder of Certificate: f Name of Agent, if any: i SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT !S0 M�Q y sa k o W"V\ PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE EXPIRATION DATE: I(� J081210 o� Date: .............._...._......................... TOWN OF BARNSTABLE 0/New Application LICENSE APPLICATION 'FZ�enewal MAW 200 Main Street /t] Transfer 639. Hyannis,MA 02601 Other . (508)862-4674 ► NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES 4 sqk SA Name of a licantl(cor oration V _ .........:_ Home phone#: t ....... _._. _ ._........_......_..._._..._._. Address of applicant/corporation:_..._._.__. --_ Business phone ............................................................ _ _ .. - - ...__.—_......_ - D/BIA A r..--- - As4ess-pho a _..._._.._....___.. ..._.__...._......_._.._._..__...._._..yl .._._.............................__ ......... .._... r�, _......_......_..................__.._......_.._...........__ Business location: :...............:................._. _.. ......... ........._................:__... .. ...... . ..... ....... _.........:..............: Business mailing address: ........-- _......_.__.......__......._._..........- ---.........- .. ...... ..................__._:...._._._........._ .._.__...__..__._...-- ._......_.__.........._......__........_.........--- Local business address Local'mailing address- -: ...._._..._...__........ -- 1- - ......_ .__...-----.._......._...... .... _.__._._................._.....--....-...._......... _....................--..........._._........ LICENSE TYPE: Annual Seasonal ..... ,�� HOURS OF OPERATION! __ _ FID# __..._._......._. ._ _ � Comq Hold n Go �� Name of manager: entail: ` __......._.._..._._._...._ — _.._ _.. __. _.._.----._._...... Local mailing address .......................... . r.. ,...... ........s ..............;_..,_.....:....:... ..... ...r. ....... �. 6tJ ,fir v� �rl ....... � .v..........1 bOl Manager's permanent mailin address ,._. _......_.__._..._-_....._. .........._;,�..__ ...__...._.... .�r __....._.__.._._...__......._._..._.......__ ____.... _ Manager's home phone#. ..:.. . _-- ..� _....,_ Business phone#: _........__._............._.___._._............._._._.__..:_.__.. Name of property owner. -- ._......... -_._......_. ..._.......... ...._.. ..... .. ........_......_................... . .._... _...._......_..._..................._._....._....._........._............_....._.... ASSESSOR'S MAP/PARCEL#: MAP:..... .......................... PARCEL .... ........................... Listany flammable substance or:hazardous waste used in business (specify): Applicants must ONLY contact the Building Commissioner' s office, (508) 862`- 4038 the Board of Health office, (508.) 862-4644, and the appropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE' BUSINESS . HOURS (8:30 - 4:3 A-daily) . Signature of applicant �- ..... ......... ........ ......... ......... ,.............. ..... `` �0 For,Town use only _ REAL ESTATE TAXES PAID IN FULL . �^ PAYMENT AGREEMENT IN EFFECT ON ' IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? .,u YES N0Q INSPECTORS APPROVAL Capacity set by Building Division ,_..._.,. .._...._._._.. ....... -- - -- ---.. _...__._...--- Building/Zoning 4,-1 -._...... ....... Date 2 ....�._Z Board of Health::..: Date ._..- — Fire District -...__.... _.. __...._..:_ __.Date _...........---- ---Comments--......:. ;-a-_._._._- :_..__ —_....._._.....__.......--- ....._..._...._.......... White-Licensing Authority Gold-Building Commissioner Pink-Fire.Department Canary-Health Division I. Town of Barnstable Regulatory Services g *" Thomas F Geiler,Director Building j)ivision Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office: 508-862-4038 Fax:508-7-90-6230 November 6, 2012 BANGKOK CUISINE HYANNIS INCORPORATED BANGKOK CUISINE 20 INDEPENDENCE DRIVE HYANNIS MA 02601 Attached you will find an application for a Certificate of Inspection as required by Section 110.7 of the Massachusetts State Building Code, Eighth Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State(Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure The Commonwealth of Ma ssachusetts City\Town of K, _r vz Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR, Chapter 1 (The Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004 (an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to BANGKOK CUISINE 304-2011-137 Identify property address including street number, name, city or town and county . Certificate Expiration Located at 20 INDEPENDENCE DRIVE 12/31/2011 HYANNIS, MA 02601 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group Classification(s) A2 Allowable 53 Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited ame of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of Fire Chief Building Commissioner Inspection 10/14/2010 Signature of Municipal Signature of Municipal Date of Fire Chief . l l Building Commissioner Issuance 11/23/2010 ��je �orrYrou�e�rr�j of �c� �Yju�err� - TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BANGKOK CUISINE HYANNIS INCORPORATED T CertifP that I have inspected the premises known as: BANGKOK CUISINE located at 20 INDEPENDENCE DRIVE in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity SEATING 48 BAR STOOLS 5 ---- MAXIMUM SEATING CAPACITY 53 EMPLOYEES ] ] Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201006378 12/7/2010 12/7/2011 29 062 The building official shall be noted within (10) days of any changes in the above information. Building Official f COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date A` " � L o (X) Fee Required $ 50.00 . ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, 1 hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: V /� `�_- Q�M �' ��r' // Q/1� •Q�Y3✓� Name of Premises: k S Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc Certificate to be Issued to: Address: h�e qua 50,1 Telephone: rn ^; Owner of Record of Building: r iclrw Address: ` BOX 1601 RnA AV41s IT O • QW60 Name of Present Holder of Certificate:' �� � ` ' r COtslW, Name of ent; if any: _.9 SIGNATURE OF PERSONVC WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT �L a PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10) days of any change in the above.,information. FOR OFFICE USE ONLY: CERTIFICATE#_(VldO� t 7 g EXPIRATION DATE: J081210 Town of Barnstable Regulatory Services d` Thomas F Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office: 508-862-4038 Fax:508-790-6230 November 2, 2011 BANGKOK CUISINE HYANNIS INCORPORATED BANGKOK CUISINE 20 INDEPENDENCE DRIVE HYANNIS MA 02601 Attached you will find an application for a Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code, Seventh Edition. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the State (Table 106), and amended by the Barnstable Town Council effective 08/06/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Tom Perry Building Commissioner Enclosure TOW* OF BARNSTABLE INSPECTION WORKSHEET CloiW CERTIFICATE NO: 1 2010063767 CANCELLED: MAP: 294 DBA: IBANGKOK CUISINE PARCEL: 062 NAME/MANAGER: 1BANGKOK CUISINE HYANNIS INCORPORATED STREET: 120 INDEPENDENCE DRIVE VILLAGE: IHYANNIS STATE: FIVIAJ ZIP: 02601= SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 48 LOC1: SEATING CAPS: LOC8: CAP2: 5 LOC2: BAR STOOLS CAP9: LOC9: CAP3: 53 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: 11 L005: EMPLOYEES CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: ' Screen o INSPECTION: DATE ISSUED: EXPIRATION: Print I� � ❑; 12/07/2010 12/07/2011 -Pritlt bertificatqii�of Inspection -fig-t) COMMENTS: EMPLOYEES FIGURE FROM LICENSING toe V, WV TOWN OF BkRNSTABLE Date: ................................................ El�A ewpalplication LICENSE APPLICATIONee -7MAM 200 Main Street Hyannis,MA 02601 El Transfer -4674 ❑ Other (508)'862 No BUSINESS, MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES 4 Name of applicant/corporation: Home phone#: ,fit 6? Business phone#: ..................................................................... FQ'� -7-7 1.... 13 ........................ ............................... i'on: . . ...... ...... Address of applicant/corpor .......... n Q6�K S 6 Y1 C1 V7;A ......-------- D/B/A Q Business phone#:b V1 _r�N .. ............ Business location: ------ .................. ........ ...... ............................ ............................ ....................... Businessmailing address: ....................................-..'-"7..................................................................... .................................................................................................—..............................................--...............................— ..._...._—._..__........_...— Local business address: .............. ........ ............................................................................................... ......................................... ........................ Local mailing address: ........-------—--------..... LICENSE TYPE: 69TO Y a 41 k Annual Seasonal ..............................................................................................................................................................I..................... HOURS OF OPERATION: 11,00 NM-I L�.-00 W�M,00 � ? 01 g4 . FID#: . �b Name of manager rho cc k;q eMail. ....... g Lb I marlin ....0..... . ..........uya Vk.r.,..Zs; CA.hG.t............................................................................................ Manager's permanent mailing address: �A L7— ............................................................................................................................................................................ ................................................................................................................................ Managers home phone#: Business phone#: !Pg' ' —771 — 1 Name of property owner: 0 C� a L V-6 bt v sotA, ................................................I--................................................ ASSESSOR'S MAP/PARCEL M MAP PARCEL ............. List any flammable substance or hazardous waste used in business (specify): Applicants must ONLY contact the Building Commissioner' s office, (508) 862- 4038, the Board of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8:30 — 4 :30 daily) Signature of applicant ........................................................I.............................................................................................................................................................................. � 0 For T wn use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES Ej NO ❑ INSPECTORS APPROVAL Capacity set by Building Division........__....................................................................... ................................................... ........... ......................-------- /19 Building/ oning Uy Date ] Board of Health Date ....---._.._...._.._........- Fire .................... .... ........................... .................................................................... ........................... .......................... District ..................................... .............................................Date...................................................................Comments: ..... .................................................. ............................................................. ..................................... White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division Town of Barnstable oFt ro�� Regulatory Services c* Thomas F. Geiler, Director STAB . ; Building Division y MASS. �bpT i639• Aim Thomas Perry, CBO, Building Commissioner FD MA'S 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 October 6, 2010 Tanapon Tanasandilok 102 Kilkore Drive Hyannis, MA 02601 Re: Certificate of Inspection Bangkok Cuisine Attached you will find an application for the Certificate of Inspection as required by Section 106.5 of the Massachusetts State Building Code. Please complete the application and return to the Building Commissioner's Office with the required fee (amount as set on the top right-hand corner). The fee has been established by the Massachusetts State Building Code (Table 106), and amended by the Barnstable Town Council effective 8/6/01, and must be paid before the Certificate of Inspection/Capacity Card may be issued. A copy of said Certificate shall be kept posted as specified in Section 120.5 of the State Code. Sincerely, Thomas Perry Building Commissioner Enclosure jcoilet TOWN OF BARNSTABLE INSPECTION WORKSHEET Close_ CERTIFICATE NO: 201006378 CANCELLED: MAP: L_ 294_ DBA: BANGKOK CUISINE - I PARCEL: j 062 NAME/MANAGER: RAIN CUISINE HYANNIS INCORPORATED STREET: 20 INDEPENDENCE DRIVE VILLAGE: HYANNIS I STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: IRESTAURANT � I CONSTRUCTION TYPE: I 1 STORY1: CAPACITY: USE1: A2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: El BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 48 LOC1: SEATING _ CAP8: 1 LOC8: CAP2: �� LOC2: BAR STOOLS CAP9: LOC9: — ^ T-- CAP3. I_53 I LOC3. MAXIMUM SEATING CAPACITY CAP10: LOC10: I ! CAP4: LOC4: CAP 11: LOC11: —_ CAPS: 11 L005: EMPLOYEES CAP12: LOC12: CAP6: ( LOC6: CAP13: LOC13: CAP7: �� LOC7: CAP14: u LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Print This Screen [ 12/07/2018 r 12/07/2011 - m 4 Print Certificate of Inspection'' COMMENTS: Date: .......0.. ....� �....._.._v TOWN OF BARNSTABLE New Application „,R,� A LICENSE APPLICATION ❑ Renewal ] MASS. 200 Main Street �as�. �. ❑ 1 - (� �t Hyannis,MA 02601 Transfer (508) 862-4674 ❑ Other '" ► NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES f-- Bang"k Cu' si..ne yaannis Incorporated Name of applicant/corporation: YX _. _ Home phone#: �� _"._ 7 I ---...__._.._._._._..__......-- -.... _ _s._..--- ..._._.............................................................__............--_.. ......_.._ Address of applicant/corporation: A x - ..._. ._.._.._.._._ _?.___..:_.__.__.._._....- Business phone#: . ..........7....7..... 77.-.7.................... ......... ....._..........--.........................__........._......_.................... In6e-pende-nc e---ar .........................----------_---....----.._....-..........._._._..._---...._..._...------------------__..._._...-..........._..._..._... D/B/A --.._,....._._.. .._...._._.__.._.... -- ..._..----._..__...........__._..._.... - ...._._. ,._ _..._..__._..........._..._._....__._............_. Business phone#: ...._..._................_............_............................................_.............. 20 1_ ,e .O ehce r)fl y a Businesslocation: _......_........._........._._._. . __._..._._..._.._. ........�...._....._..._.........................._..._........._._�._...__._..._..._...._fy _� l�...........! ......._.........._.._ ........ _ ................._....................................................................._......................I..................._. Businessmailing address: ................................................................................................................................................................................................................................................................................................................... Local business address: ............................._......................-..._..............-----.....- __ __........_.__.... _.-................................._......_._.._.. Localmailing address: ..................................................................................... .............................................................................................................................................................................................................................................................................................................................................................. ....n Victualers• Annual Mine and Malt LICENSETYPE ..................... .. . . . . ....................... ......................................................................................................... Annual ® Seasonal .. ..................... Ton—Sat 11 anokl n HOURSOF OPERATION: ......._..:....-.._......._....................T.............._.........................._ ID ` Star 4 �� 9. it � 2..7._3..2.0.�...�;..4.8..__....._.......... ___ Name of manager: " G(n4��011 �5 WA So vi d i 10� eMail: Localmailing address: ................................................................................ ................................................................................................................................................................................................. 9 P 9 ........._.._ 'i....._.....�_�..�..��__-..._..t�.....dye- - `��Ph►1t5�..........��._....---...®`.�� . ...._._......_...._........._._........_...__..................._._..._..........._._._.....__.._..- Manager's s permanent mailing address Manager's home phone#: '" ( Business phone#: -..---.._._......_.._....._....._..__._...._. Name of property owner: tj t Chaerl C • bl qo n / Hyannis Park PlaceLLC ASSESSOR'S MAP/PARCEL#: MAP 2 9 4 PARCEL . 062 ................................ ................................................. List any flammable substance or hazardous waste used in business (specify): Applicants must'; ONLY contact the Building Commissioner' s office, (508) 862- 4038, the Board of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8:30 - 4 -30 daily) . Signature of applicant s J," b,/C & � President ................................................................................. Y ......... .. ..... .......................................................................................... l; F o g use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES ❑ NO ❑ J6 S-.-t INSPECTORS APPROVAL Capacity set by Building Division. . S�Joy--i ulS ........................................_.........---.._._. _...._........_......._..__............._.........._.........................._._.__............._.................._........._._. ,_._ ._._..._.......-..__._... :BuiDlding/Zing ........_..... .._. _. ............ -- ---- Date 3........__!v.......:........... Board of Health_._......._................................_.............._._.............._. _. b.... ----. .-...._o .. ................_..._..... Date ....................._.......__...._._.-.._....._....__..._..-- FireDistrict ..............................................................._._. ...._...Date........................................................................................_Comments...._......_........._...._...................................................._..._............. White-Licensing Autha* Gold-Buildina Commissioner Pink-Fira Nnartmant — ___ Canary-Haalth Muminn -7-7 320 f BANGKOK HYANNI S INC . Cz,� 20 I NDEPENDENCE DRIVE C 7 //,^, L HYYANNTS MA 02601 pin Vl� 1 , 600 SQUARE FOOT d ® O 0 FT- ENT)ER IN 0000 � 000 w 0000 �c WOK � 0 0[10 0 0 0 0 BURNER r< 0 0 0 0 0 0 0 0 KITCHEN H z COOLER x 00 0 0 000 ❑0 0 ❑ ❑ Eo Q O Q 0 DINNING ROOM 6 JOD — 5e) 25' n 00000 o0o o0o o0o o ❑ FCOUNTER BAR LADY MEN 0 n 0[1 O O O O 0 oo 0 0 0 00 0 L 64'