Loading...
HomeMy WebLinkAboutBLACK CAT HARBOR SHACK - Certificates of Inspection s G' BLACK CAT HARBOR SHACK - �' 9 A lull, The Commonwealth of Massachusetts City\Town of . tF 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 THE BLACK CAT HARBOR SHACK 304-2020-7 Identify property address including street number, name, city or town and county Certificate Expiration, Located at 159 OCEAN STREET, HYANNIS 7/31/2021 Basement First Floor Second Floor Third Floor Fourth Floor Front Deck Use Group A2 Classification(s) 120 37 Allowable 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 Robert McKechnie Date of Fire Chief Building Official Local Inspector ns ection 5/17/2019 Signature of Municipal Signature of Municipal Date of Fire Chief a4L4�L L7'/fi0a Building Official Issuance 9/20/12019 -- m �p tHE f The Commonwealth of Massachusetts Town of Barnstable t639. 2020 TFD MAC p Certificate of Inspection Issued to Black Cat Harbor Shack, The Certificate No. Type: Certificate of Inspection DBA Black Cat Harbor Shack, The IC-19-263 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 326-039 6/30/2020 in the Town of Barnstable 159 OCEAN STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 120 Restrictions BAR 14 SEATS REAR PATIO 32 SEATS REAR PATIO STANDEES 24 COVERED PORCH SEATS 18 NORTH PATIO SEATS 8 SOUTH PATIO SEATS 11 SHIFT EMPLOYEES 13 TOTAL COUNT 120 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 Official Jeff Lauzon Date of Inspection 5/5/2020 Signature of Municipal Building Official Date of Issuance 7/1/2019 f IME °`'� The State of Massachusetts RAMLE.a Town of Barnstable r ATfDMA'�a �� ✓�1� New and Renewal Certificate of Inspection Application Date 8/13/2019 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: 159 OCEAN STREET, HYANNIS Name of Premises: Black Cat Harbor Shack,The DBA: Black Cat Harbor Shack,The Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Black Cat Harbor Shack,The (Corp, LLC,or name of Business) Address: 159 OCEAN STREET, HYANNIS Telephone: (508)367-7670 Owner of Record of Business or Dave Colombo Establishment: Address: 159 Ocean Street Hyannis, MA 02601 Manager or Persons responsible for David Colombo daily operation: E-Mail: blackcat.hyannis@gmail.com SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 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# TIC-19-263 EXPIRATION DATE 6/30/2020 I• Town of Barnstable °fsnti Building Division 200 Main Street • BARNSPABLE• • Hyannis,MA 02601 BARNSTABI,E 16� ,� (508) 862-4038 M�SkS`AO!l•C!1iRp`f E•C(."'VIl•10'AtINI$ f.5T0?Y.u1LlS•OSFfnY:i:£!'AfS.'v1FY(T1&E EC�Ik ifi3§-2014 575 , Iff Inspection Report ❑ Notice of Violation f ® X)6"_ a. 12 j Business: 61-A CK O.Ar"T 4A RBOe- 3 4ACk Date of Inspection: S'/s z o Contact: Info: Address: 159 0CF-R 4 ST Info: Phone: 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: J iktA2rr. QF-Pt P—T— Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: A 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: Action required to abate the above violation(s)you must: 0 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 ow)ner or owners approved agent contact inspector for consultation Official/Inspector: L I / _ Telephone: 508 862-4038 Received By: v V Date: Print Name: Section 102.6 existing structures-The owner as defined in 780 CMR 2,shall be responsible for compliance with provisio:A 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 thereofi with the State Building Code Appeals Board.within(45)days of the receipt of this order and in accordance with MGL c. 143§1:00. Inc-r The Commonwealth of Massachusetts Y - Town of Barnstable 'NW"r 2019 MABS a s63q.,. `ero Certificate of Inspection Black Cat Harbor Shack, The Certificate No. Issued to David Colombo Type: Certificate of Inspection IC-18-284 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 326-039 6/10/2019 in the Town of Barnstable 159 OCEAN STREET, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 120 Restrictions BAR 14 SEATS REAR PATIO 32 SEATS REAR PATIO STANDEES 24 COVERED PORCH SEATS 18 NORTH PATIO SEATS 8 SOUTH PATIO SEATS 11 SHIFT EMPLOYEES 13 TOTAL COUNT 120 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 Jeff Lauzon Date of Inspection 5/17/2019 Signature of Municipal Building r; Date of Issuance Commissioner 11/27/2018 ;;�„ oF1HE> The State of Massachusetts i y� Town of Barnstable a i63q. .`0m plEDMP'�_e �. New and Renewal Certificate of Inspection Applic7uiredd ' Date 11/27/2018 Fee R .00 In accordance with the provisions of the Massachusetts State Building Code,Section 110.7, hereby apply for Certif cate of Inspection for the below-named premises located at the following address: Street and Number: 159 OCEAN STREET, HYANNIS Name of Premises: Black Cat Harbor Shack,The Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Black Cat Harbor Shack,The Address: 159 OCEAN STREET, HYANNIS Telephone: (508)367-7670 Owner of Record of Building: Dave Colombo Address:, 159 Ocean Street Hyannis, MA 02601 Name of Present Holder of Certificate: David Colombo Owner of Business: David Colombo E-Mail: 0_ blackcat.hyannis@gmail.com 0-4 co SIGNATURES PERMN1-60 TOCERTIFICATE D IS ISSUED O PAUT&)RI I� o �.LQV � 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# TIC-18-284 EXPIRATION DATE 6/10/2019 �1NE Town of Barnstable Building Division :. . ...... 200 Main Street `s HARNSIABLE, • Hyannis,MA 0260i BAR MASS 9$A , (508) 862-4038 W,;..s-r .<<k Z6 NM10.4TON5 M:IIS•0.5�FM1'aEStta!:akySTk�tE lEa Mn+n 1639:2014 75 XInspection Report ❑ Notice of Violation Business: __ j3c11e_A- �,¢��7fiip/3�ip. / �C Date of Inspection: � �7 �!' Contact: e�s4'2)wdo Info: Address: ace-*V',y S-r% Info: T— Phone: S® f-- 7 0 Info: Email: c,�y� Info: During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR, Massachusetts State Building Code,as amended the following deficiencies and/or violation(s)were noted: Section(s): Location: Section(s): Location: Section(s): Location: Section(s). Location: Section(s): Location: Section(s): Location: Y Section(s). Location: 0 Section(s). Location: Section(s): Location: Action required to abate the above violation(s)you must: None:no violations were observed at the time of inspection 0 Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$ 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 approve, agent contact inspector for consultation Official/Inspector: Ile rG` Telephone: (508)862-4038 Received By:_ ' 411�kp Date: S" / 7!/? Print Name: 0�ve'o. ! vie 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 thereoj)with the State Building Code Appeals Board within(45)days of the receipt of this order and in accordance with MGL c. 143§100. 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 BLACK CAT HARBOR SHACK 304-2017-7 Identify property address including street number, name, city or town and county Certificate Expiration Located at 159 OCEAN STREET, HYANNIS 1/15/2018 Basement First Floor Second Floor Third Floor Fourth Floor Front Deck Use Group A2 Classification(s) 6- seats Bar&Patio 37 Allowable 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 P 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 Dean Melanson Name of Municipal Paul Roma Date of Acting Fire Chief Building Commissioner Inspection 5/10/2016 Signature of Municipal Signature of Municipal Date of ire Chief 1— uilding Commissioner Issuance 2/09/2017 :The:Commonwealth of Massachusetts Town of Barnstable` 2018 l O MAY tt 'Certificate of Inspection . Black Cat Harbor Shack, The Certificate No. Issued to David Colombo Type: Certificate of Inspection IC-17-90 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 326-039 6/10/2018 in the Town of Barnstable 159 OCEAN STREET, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 120 Restrictions BAR 14 SEATS REAR PATIO 32 SEATS REAR PATIO STANDEES 24 COVERED PORCH SEATS 18 NORTH PATIO SEATS 8 SOUTH PATIO SEATS 11 SHIFT EMPLOYEES 13 TOTAL COUNT 120 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 5/18/2017 Signature of Municipal Building F, Date of Issuance Commissioner 6/10/2017 f The State of Massachusetts -- ""� Town of Barnstable TFD.M{aa New and Renewal Certificate of Inspection Application Date 5/10/2016 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: 159 OCEAN STREET,HYANNIS Name of Premises:. Black Cat Harbor Shack,The Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: Address: 159 Ocean Street Hyannis MA 02601 Telephone: (508)367-7670 -------------- C� Owner of Record of Building: Colombo Address: 159 Ocean Street Hyannis MA 02601 ,° Name of Present Certificate Holder: Dave Name of Agent, if any Fa env SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED 10� �, ��Li n OR AUTHORIZED AGENTQ �I�� � �.tyl U 1 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# IC -79 EXPIRATION DATE 6/10 017 �INKEr The Commonwealth of Massachusetts a Town of Barnstable " 2017 Certificate of Inspection Black Cat Harbor Shack, The Certificate No. Issued to David Colombo Type: Certificate of Inspection IC-16-79 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 326-039 6/10/2017 in the Town of Barnstable 159 OCEAN STREET, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-3: Churches,bowling alleys, arcades, etc. 46 Restrictions 46 SEATS BAR PATIO 37 NON-ALCOHOL SEATS FR. DECK 15 EMPLOYEES 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 Thomas Perry Date of Inspection 5/10/2016 Signature of Municipal Building �, Date of Issuance Commissioner 6/10/2016 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE i APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required S 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,1 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 /tfc1 _ t ''q lk6u Certificate to be Issued to: (�� kho col(mb[) Address: Telephone: _?(2 7/0170 Owner of Record of Building: Dc( o I I T✓yA- Z2Z� Address: ,' �� e"i Space- Dr, Name of Present Holder of Certificate:_ n(a . COtCA44LO Name of Agent, if any: PLEASE PROVIDE EMAIL: aA culaa S 4 SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT We are now able to email the certificate to you. S ram- � (e-Q 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# 19I EXPIRATION DATE: r J020115c 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 BLACK CAT HARBOR SHACK 304-2016-7 Identify property address including street number, name, city or town and county Certificate Expiration Located at 159 OCEAN STREET, HYANNIS 1/15/2016 Basement First Floor Second Floor Third Floor Fourth Floor Front Deck Use Group A2 Classification(s) 6- seats Bar& Patio 37 Allowable 15-employees 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 Harold S. Brunelle Name of Municipal Thomas Perry Date of Fire Chief Building Commissioner Inspection 5/22/2015 Signature of Municipal Signature of Municipal Date of ire Chief 4Building Commissioner Issuance 2/23/2016 TOWN OF BARNSTABLE INSPECTION WORKSHEET Claw° CERTIFICATE NO: 1 201502949 CANCELLED: MAP: 326 DBA: IBLACK CAT HARBOR SHACK,THE PARCEL: 039 NAME/MANAGER: JDAVID COLOMBO STREET: 1159 OCEAN STREET VILLAGE: JHYANNIS STATE: FVA ZIP: 02601- SEQ NO: BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A3 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑d BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 46 LOC1: SEATS BAR&PATIO CAPS: LOC8: CAP2: 37 LOC2: NON-ALCOHOL SEATS FR DECK CAP9: LOC9: CAP3: 15 LOC3: EMPLOYEES CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: MUMS= =_ 05/15/2014 06/10/2015 06/10/2016 a COMMENTS: name changed from black cat summer shack to black cat harbor shack fi The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 110.7, this CERTIFICATE OF INSPECTION is issued to DAVID COLOMBO Certify that I have inspected the premises known as: BLACK CAT HARBOR SHACK,THE located at 159 OCEAN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A3 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity SEATS BAR&PATIO 46 NON-ALCOHOL SEATS FR DECK 37 EMPLOYEES 15 In case of inclement weather,patrons outside cannot be seated inside unless there is legal seating capacity for them. Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201502949 6/10/2015 6/10/2016 326 039 The building official shall be notified within(10) days of any changes in the above information. Building Official PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/19/15 TIME: 10:18 -- ------------TOTALS------------ - P?ERMIT $ PAID 50.00 MT ENDERED: `,50.00 AMT ,PPLIED: 50.00 ;GHHANE: 00 APPLICATION NUMBER: 201502949 PAYMENT METH: CHECK PAYMENT REF: 2138 i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 1/ (X) Fee Required S 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: [ -l MAA Name of Premises: 1 � �W 6A/ S lUt&. "= Purpose for which premises is used: C7 License(s)or Permit(s)required for the premises by other governmental agencies: �; cs License or Permit AgencX Iorxf '-� e wy1,S fiw4�J/"� Certificate to be Issued to: Address: p.✓I VI i'S Telephone: � � Owner of Record of Building: V c UQ- C�u ( Tn)--s Address: LST1G�✓t✓Vi S y` lXT�- ct Name of Present Holder of Certificate: , I,OIC�vybo w Name of Agent,if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 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 , © G 9 tk 9 EXPIIRATION DATE: J020115c 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 BLACK CAT HARBOR SHACK 304-2015-24 Identify property address including street number, name, city or town and county Certificate Expiration Located at 159 OCEAN STREET, HYANNIS 12/31/2015 Basement First Floor Second Floor Third Floor Fourth Floor Outside Seating Use Group A3 Classification(s) 46 rear patio 98 Allowable 37 front deck Occupant Load 15-employees 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 ChiefBuilding Commissioner Inspection 05/15/2014 Signature of Municipal ;l Signature of Municipal / ate of Fire Chief Building Commissioner -_ Issuance LO9/10/2014 TOWN OF BARNSTABLE INSPECTION WORKSHEET Close CERTIFICATE NO: 1 201403035 CANCELLED: Q MAP: 326 DBA: JBILACK CAT HARBOR SHACK,THE PARCEL: 039 NAME/MANAGER: JDAVID COLOMBO STREET: 11590CEANSTREET VILLAGE: IHYANNIS STATE: FMA7 ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: I STORY1: CAPACITY: USE1: A3 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑d BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 46 LOC1: SEATS BAR&PATIO CAPS: LOC8: CAP2: 37 LOC2: NON-ALCOHOL SEATS FR DECK CAP9: LOC9: CAP3: 15 LOC3: EMPLOYEES CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPEC N: DATE ISSUED: EXPIRATION: ':'' rl IT is C e 0 3/2013 06/10/2014 06/10/2015 ;X ,rltttcertlttcars''f lns ec COMMENTS: name changed from black cat summer shack to black cat harbor shack tf 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 DAVID COLOMBO Certify that have inspected the premises known as: BLACK CAT HARBOR SHACK,THE located at 159 OCEAN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity SEATS BAR&PATIO 46 NON-ALCOHOL SEATS FR DECK 37 EMPLOYEES 15 In case of inclement weather,patrons outside cannot be seated inside unless there is legal seating capacity for them. Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201403035 6/10/2014 6/10/2015 326 03 The building official shall be notified within(10) days of any changes in the above information. Building Ofcial i PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/13/14 TIME: 08:56 -----------------TOTALS-- . ------------- PERMIT _$ PAID 50!00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 201403035 PAYMENT METH: CHECK PAYMENT REF: 11828 I COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE " APPLICATION FOR CERTIFICATE OF INSPECTION Date —t (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: t s--q ccea A (,::�T. Name of Premises: I i C 6 l cc. fl C 5"r Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency `\ie_ J Out O" ' .din_� .1oZ-P C o t n) t� 0'c- 1'.>c�//LSh�lo le - Certificate to be Issued to: coij T?� Address: Telephone: Owner of Record of Building: V[tV4Z_ t Address: �_lOS aem OJT Name of Present Holder of Certificate: ti ljL�✓�lQ� Name of Agent,if any: 'lh" C' y. SIGNA URE OF PERSON TO WHOM CERTIFICATE i IS ISSUED OR AUTHORIZED AGENT a� scot+ 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: c�� I � CERTIFICATE# © I (� `�' EXPIRATION DATE: lb J081210 i II L' or t Lf Ft TOWN OF BARNST'ABLE Date 5... ❑ New Application LICENSE APPLICATION " : saxrrscns Renewal r Mass �' 200 Main Street i6 ❑ Transfer 1DtFp�•ta Hyannis, MA 02601 ❑ Other (508) 862-4674 ► NO �USINESS MAY.OPERATE WIT.HOUT A VALm LICENSE ON THE PRENHSES 4 Name of applicant/corporation/LLC—.-! - _trV.P 5_����f_� Home phone 6t� -- - -- f'G`/1---: .. _... _..�_ -_...._._...-----...._ _:. Business hone#: U %.. ..��..:..a.3.3 Adtlress of applicant/co�porationlLLC. �J = -- p .. jj ll ++ D/B/A tCC� roc tit �.:_F �r_.._. C�k.�.__.:. _......_... _ i Business location �;_:� tG r1:- - t-: .- - .......___ -._.__._^ .........-....._..._._:_. _...----- Business mailing address_�if difterent_from aboue)__ : ..._-: :___.-- ------ ----......----.--.-_..................._......... _.__. License Type fl� ��C:Q�% �.. .. Annual Federal ID`#: 3 Hours of Opetafion J/.._ r ' .. I. .._......_ _ ._._._......__._._._.. .,._.... ....... `17 . ......_ Seasonal Hours of Entertammenti Hours of Alcohol Service: 11�..'✓1I1- Name of Manager email: bl a C�<( r �]y(A/117 2 ---- - -- Managers permanent malting address. ��1:_:� +. rt r._ r_J.. f �a✓...5_ r _�_� �h L�f .----:_GEC:.y-�- ----._....__..__......._.....-............_ Mana `er s Home hone# � if.-.. / Business phone#: �C c__7. , ._._1 .. .._:.......- .. 9 p .�- . .. rr Name of property owner: .. .(.c L :....:. l.1..:.. r v S ...... .............................. ASSESSORS:MAP/PARCEL#:. MAP .....:..3a PARCEL .............. C( List'any flarttmable 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 Distridt office ;to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (:8 3 0 :- 4 s,3 0 ,daily) . Signature of applicant Eor Town use only REAL ESTATE TAXES PAID iN FULL j . � r PAYMENT AGREEMENT IN EFFECT:ON IS THIS USE PERMITTED WITHIN THIS G DIS T? YES ❑ NO Ej ,d INSPECTORSAPPROVAL _ :._._:_ _:..__..................... __ Capacity set by Building,pauision ....:._._.� 15 .tQ Buildin /ZOp _ Date _...__ __(_ _..._ Board of Health _.___ 5.__._... Date __----_ 9 9. -- .._ —.__Date.._ ---- ---......... ._Comments:-......... .....: L ?-._...t �.i� tiuC Fire Distract __-: ^ Whrfe LicensingAufhonty Gold-Building Commissioner' Pink-Fire Department Canary-Health Division l } TOWN OF BARNSTABLE INSPECTION WORKSHEET ci CERTIFICATE NO: 201304908 CANCELLED: MAP: 308 DBA: IKIAN N'RYLEE'S PARCEL: 111 OOA NAME/MANAGER: ILE CONCEPTS,INC STREET: 1561 A MAIN STREET VILLAGE: JHYANNIS I STATE: MA ZIP: 02601- SEQ NO: 1❑ 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: 32 LOC1: SEATING CAPS: LOC8: CAP2: 8 LOC2: STANDEES CAP9: LOC9: CAP3: 40 LOC3: MAXIMUM INTERIOR SEATING CAPACIT CAP10: LOC10: CAP4: 40 LOC4: OUTSIDE SEATING CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTIO DATE ISSUED: EXPIRATION: 07 13 06/15/2013 O6/15/2014 COMMENTS: 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. r entify Name of Establishment Certificate No. Issued to BLACK CAT HARBOR SHACK 304-2014-7 Identify property address including street number, name, city or town and county Certificate Expiration Located at 159 OCEAN STREET, HYANNIS 1/15/2015 Basement First Floor Second Floor Third Floor Fourth Floor Front Deck Use'Group A2 Classification(s) 6- seats Bar &Patio 37 Allowable 15-employees 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 topost or tampering with the contents of the certificate is strictly prohibited arold S. Brunelle e of Municipal Thomas Perry ate of ame of Municipal ns ection 5/13/2013 ire Chief Commissioner ? p ure of Municipal ate of Ju7ilding at p Signature of Municipal 1 ssuance 1/28/2014 ire Chief `� uilding Commissioner TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose' CERTIFICATE NO: 1 201303064 CANCELLED: MAP: 326 DBA: JBILACK CAT HARBOR SHACK PARCEL: 039 NAME/MANAGER: DAVID COLOMBO STREET: 159 OCEAN STREET VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A3 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑d BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 46 LOC1: SEATS BAR&PATIO CAPS: LOC8: CAP2: 37 LOC2: NON-ALCOHOL SEATS FR DECK CAP9: LOC9: CAP3: 15 LOC3: EMPLOYEES CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPECT DATE ISSUED: EXPIRATION: µ, Print,This Screen ILE IJ 0 /2012 06/10/2013 06/10/2014 . $ Prirt Certificate of Inspection �:� 13-301 COMMENTS: name changed from black cat summer shack to black cat harbor shack e �omcmcou�e ftYj of 01azzarbuzetto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DAVID COLOMBO QCertifp that I have inspected the premises known as: BLACK CAT HARBOR SHACK located at 159 OCEAN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity SEATS BAR&PATIO 46 NON-ALCOHOL SEATS FR DECK 37 EMPLOYERS 15 In case of inclement weather,patrons outside cannot be seated inside unless there is legal seating capacity.for them. Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201303064 6/10/2013 6/10/2014 3 039 The building off cial shall be notified within(10) days of any changes in the above information. Building Official PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/10/13 TIME: 11 :31 -----------------TOTALS-----------�'---- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 201303064 PAYMENT METH: CHECK PAYMENT REF: 1500 COMMONWEALTH OF MASSACHUSETTS 'TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date `�/ 6 (X) Fee Required$ 56.00 . ( ) 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: ( Uo� a�1"'n S Name of Premises: FC + �k,OLkl Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License o Permit Agency c.f-0 Certificate to be Issued to: L cgVJI � �( Address: C(eQ (/L Telephone: j 8--3 4o— 7670 Owner of Record of Building: V �U'0��' Address: N I 1 Name of Present Holder of Certificate: Name of Agent, if any: SIGNATURE PERSON TO OM CERTIFICATE L.tJ IS ISSUED OR AUTHORIZED AGENT (�p IDwIn C:) co PLEASLfRNT NAME INSTRUCTIONS: 3j 1)Make check payable to: TOWN OFBARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS, 026511 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: Le CERTIFICATE# .Q f�0 1-r� �- EXPIRATION DATE: J081210 �1. Vkh TOWN OF BARNSTABLE Date: .. . . New Application LICENSE APPLICATION . Renewal "� ,�' 200 Main Street Tr . �e ansfer . i°rFo A Hyannis,MA 02601 Other (508) 862-4674 ► NO BUSINE ,S MAY OPERATE WITHOUT A VALID LICENSE ON I.TIM PRENHSES �-- Name of applicant/corporation/LLC: ^ Home phone#.._,.� ____ Address of applicant/corporation/LLC.____L :-.-.-. fit ----- -T— ---, -- — ---- Business:phone#: .... ." .Business location: � �"� __... -- -- - - -- - _.... ---_.. ....... __ Business mailing address(if..diferent fram.:abaue),-..._ ._mA_...__ ..._. . ---.. --- _:.: . . nn License Type: ..-�'sit..l��xc 1 ., ..r.� ... ,lC :.:.. ........ Annual Seasonal - - -- Hours of Operation: � .:- 1.:.__- ,. �_ _4, �.__._.._. Federal ID#; ._...__. Hours of Entertainment: _��allctog - 1::�.'t 1J a:+, Hours of Alcohol Service: _f 1:666L�l 13, aw Name of Manager: .ti �1Lt .. . -- email: Manager's permanent mailing address: ._ r � -------4-1.1... L.:1>Y.Sri 1_._....�� � .._..... ...._. ...... ..:._..---._ i Manager's home phone#: .,_�1 ., . �, 3_B.._. Business phone#: .., ...3 Name of property owner: ---- __... ... _.... ASSESSOR'S MAP/PARCEL#: MAP ......:...... PARCEL ....:..... .0 ... i ......... List any flammable substance or hazardous waste used in business(specify): Applicants must ONLY contact the Building Commissioners office, (508) 862 4038,1the 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 .................. ......... ... ... .... ....... ...... ........ .... ..... .. ......... ........ ...... For Town use only REAL ESTATE TAXES PAID IN FULL - kL PAYMENT AGREEMENT IN EFFECT ON j IS THIS USE PERMITTED WITHIN THIS ZO I TRICT? YES NOEj i INSPECTORS APPROVAL L _ Capacity set by Building Division-.:_..._...................,..._.. Building/Zoning_........... .........._. . —..... Date � .__....- r Board of Health-:.. . . Date Fire District _........__....._..... — --- —Date................_......._....__........__._._ Comments: White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division i I 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 Establishment _ Certificate No. fy Name of Issued to BLACK CAT HARBOR SHACK 304-2013-7 Identify property address including street number, name, city or town and county Certificate Expiration Located at 159 OCEAN STREET, HYANNIS 1/15/2014 Basement First Floor Second Floor Third Floor Fourth Floor Front Deck Use Group A2 Classification(s) 6- seats Bar&Patio 37 Allowable 15-employees 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 Harold S. Brunelle Name of Municipal Thomas Perry Date of Fire Chief Building Commissioner Inspection 02/29/2012 Signature of Municipal Signature of Municipal al Date of ire Chief Building Commissioner Issuance 1/10/2013 TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose CERTIFICATE NO: 1 201202736 CANCELLED: MAP: 326 DBA: BLACK CAT HARBOR SHACK PARCEL: 39 NAME/MANAGER: JDAVID COLOMBO STREET: 11590CEANSTREET VILLAGE: IHYANNIS STATE: FWA7 ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A3 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 46 LOC1: SEATS BAR&PATIO CAPS: LOC8: CAP2: 37 LOC2: NON-ALCOHOL SEATS FIR DECK CAP9: LOC9: CAP3: 15 LOC3: EMPLOYEES CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: INSPECTI DATE ISSUED: EXPIRATION: .',Punt This Scen re 0 0 2012 106/10/2012 1 06/10/2013 ", Print Certificate of Inspection; COMMENTS: name changed from black cat summer shack to black cat harbor shack ff. JWN OF BARNSTABLE INSPECTION WORKSHEET tCose y CERTIFICATE NO: 201103081 CANCELLED: MAP: 326 DBA: BLACK CAT HARBOR SHACK PARCEL: 39 NAME/MANAGER: DAVID COLOMBO STREET: 1159 OCEAN STREET VILLAGE: JHYANNIS STATE: FVA7 ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: A3 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 46 LOCI: SEATS BAR&PATIO CAPS: LOC8: CAP2: 37 LOC2: NON-ALCOHOL SEATS FR DECK CAP9: LOC9: CAP3: 15 LOC3: EMPLOYEES CAP10: LOC10: CAP4: LOC4: CAP11: LOCI 1: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: r: Thi�_ ,ree t0 8 06/10/2011 06/10/2012 Edas- �9_+2 ertiftca o alns� c own COMMENTS: name changed from black cat summer shack to black cat harbor shack 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. dentify Name of Establishment Certificate No. Issued to BLACK CAT HARBOR SHACK 304-2012-24 Identify property address including street number, name city or town and county Certificate Expiration .ry P P t1' g tY tY Located at 159 OCEAN STREET, HYANNIS 12/31/2012 Basement First Floor Second Floor Third Floor Fourth Floor Outside Seating Use Group A3 Classification(s) 46 rear patio 98 Allowable 37 front deck Occupant Load 15-employees 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 ate of Fire Chief BuildingPe Commissioner Inspection 05/11/2012 Signature of Municipal Signature of Municipal ate of ire Chief aBuilding Commissioner ��� ssuance 05/24/2012 The CommonWea ltb of 4 aczoaccbm5ettz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DAVID COLOMBO QCertlfP that I have inspected the premises known as: BLACK CAT HARBOR SHACK located at 159 OCEAN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A3 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity SEATS BAR&PATIO 46 NON-ALCOHOL SEATS FR DECK 37 EMPLOYEES 15 Certificate Number: Date Certificate Issued: Date Certificate Expired: 'Map) Parcel 201202736 6/10/2012 6/10/2013 26 39 The building official shall be notified within(10) days of any changes in the above information. Building Official PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 05/11/12 TIME: 08:57 -----------------TOTALS----------------- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 201202736 PAYMENT METH: CHECK PAYMENT REF: 1095 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 1 (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: W k � �If/d Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency �co � P� v� rl4vn D = rm / O Certificate to be Issued to: �,� ( �'Jp®tr' J L Address: G (J�C'Gy) / 14 Q 110% Telephone: o ` f� SR C> V Owner of Record of Building: �li J 19s� Address: ©mac Name.of Present Holder of Certificate: �Q V14P Name of Agent, if any: co SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 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�,9—Q r-1 Q EXPIRATION DATE: J081210 Town of Barnstable Regulatory Services MAM Thomas F Geiler,Director 03 ` 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 May 8, 2012 DAVID COLOMBO BLACK CAT HARBOR SHACK 159 OCEAN STREET 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 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, 1 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 Certificate to be Issued to: Address: Telephone: Owner of Record of Building: Address: Name.of Present Holder of Certificate: Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME - i 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 Date: ..._ .�. (/ ... TOWN OF BARNSTABLE � LICENSE APPLICATION ❑ New Application . sr,►xs. f Renewal M 200 Main Street 6 Transfer ►� Hyannis,MA 02601 Y El Other (508) 862-4674 NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES 4 Name of applicant/corporation: _ __._..._ LSE ��__ ,...____..._......._...__._.____......__...__...-_. Home phone#: Address of applicant/corporation:...___ aC Q -- ---- Business hone P c D/B/A _ E_�k � CY_' - .. - ...__ � _ _---- Business phone#: =- L dJ Business location: ......... '� .._.�,:.....�. Business mailing address: _-....._......._..._........-................... __. --- Local business address: j Local mailing address: ___...- ..- ...-.............._...._.____.....__...---._...___._..._.__..... ..._..........-_...._.-_......__....._......__-......__......._.._.._..._._.__......-_._...... _.._..-.._._......._............_........_.__.......__......_._......_...._....._...__.........._...... LICENSE TYPE: Annual Seasonal .................................................................................................................................................................................... HOURS OF OPERATION: _14p .....0 FID#:__. - - 3 76� I { Name of manager: .. . ; _.......____.......__...._._.._... -_.._.... entail: 2 _. C Local mailing address: 57 ...... � 9. t :6.. ...: '.. ..... > ..I ... .................................... Manager's permanent mailing address: '"` ._....._..; C ,.a`%C a..,,....-... ...... _.....___...___..__...__._.._..__.__.._...__ ...._._......... ......._._.....................__...-._._.......---......_.__......_........._... Manager's home phone#: L - Nameof property owner: tl��_ cot __......__._.._._....._................................._.........._.........................._._....._._._......_.__._...._.._............._..........._....._.._........._...__...._.........__...__.._....._.—..._.__....--..__... ASSESSOR'S MAP/PARCEL#: MAP.............3_�. PARCEL ......._........� :..... .... ........... List any flammable substance or hazardous waste used in business (specify): e .-, Y- rit Applicants must ONLact the Bu 1-d-ing Commissioner' s office; :; (508) 862- 4038, the Board of Health office, `(508) 862-4644, and the app opriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8:30 - 4 :30 daily) . - Signature of applicant_ - . .............................................................. ... �' .:':../' ,. j,'2. ..........................f! 6 or To n use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES ❑ NO ❑ r INSPECTORS APPROVAL Capacity set by Building Division_...__._....____.__._ i.___.._...___,......._, _-.........._.........._..._....__.._..--- -..._. Bwlding/Zo g_..:._... _.._ _... __ Date . Board of Health..---.._...----.-.--. _--_-._-._._..._..._._._. Date ------ FireDistrict Date-----..__...._....__._..._._._....__._..._._..._Comments:-..--.---..____.__........................._ ...._.__..........__......_-.-.. -.---_.........._._.__..._......_....._..........._........._...-- White-Licensing Authority Gold-Building Commissioner Pink-Fin;Department Canary-Health Division OWN OF BARNSTABLE INSPECTION WORKSHEET Coxe CERTIFICATE NO: 201103081 CANCELLED: E::== MAP: 326 DBA: IBLACKCATHARBOR SHACK PARCEL: 39 NAME/MANAGER: JDAVID COLOMBO STREET: 1165 OCEAN STREET VILLAGE: JHYANNIS STATE: FVA ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: 13TORY1: CAPACITY: USE1: A3 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 50 LOC1: MAXIUM OUTSIDE SEATING CAP8: LOC8: CAP2: LOC2: CAP9: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: r n1�h s' Scr® NJ i99h221?A�—, 1 06/10/2011 06/10/2012 �� i i�Ce1 t e iQ � , COMMENTS: name changed from black cat summer shack to black cat harbor shack C YOU WISH TO OPEN A BUSINESS? t For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FI., 367 Main<St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. Fill in please: DATE APPLICANT'S YOUR NAME/CORPORATE NAME 13 Lives Corp. BUSINESS TYPE: Restauy'gr'l BUSINESS YOUR HOME ADDRESS: 165 ocean St. , Hyannis, MA 02601 TELEPHONE # Home Telephone Number b08-778-1233 NAME OF NEW BUSINESS Black Cat Harbor Shack OR EIN:Have you been given approval from the building division? YES ° NO X ADDRESS OF BUSINESS 159 Ocean Street H annis MA MAP/PARCEL NUMBER 326/39 When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING CO7ual 4sep-in R'S OF ICE This indivif md f a y p rmit requir�that pertain to this type of business. JV zed atur COMMENTS: �� 2. BOARD OF HEALTH This individual has be for ed of the permit requirements that pertain to this type of business. . rVVA Authorized Si ature** COMMENTS: Vi"Vl + Rr IVL( fi 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has b n inf90neq of the licensing requirements that pertain to this,type of business. Au horized Signatufe** COMMENTS: (,iJC..CtJ/'X-o`"` L ► O �./tG TO Commonbaea ltb of 01a0,qarbU.5Cttq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to DAVID COLOMBO QLEl't[fp that I have inspected the premises known as: BLACK CAT HARBOR SHACK located at 165 OCEAN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIUM OUTSIDE SEATING 50 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201103081 6/10/2011 6/10/2012 32 / 39 A/The building official shall be notified within(10) days of any changes in the above information. Building Official r PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 06/10/11 TIME: 12:44 ----- -----------TOTALS----------------- Os PERMIT $ PAID 50.00 JY AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 i APPLICATION NUMBER: 201103081 PAYMENT METH: CHECK PAYMENT REF: 7022 +f fl! 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, 1 hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Q� Street and Number: Lim � Name of Premises: - Vat Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit gency E�WUXZ �. Certificate to be Issued to: Ve, Address: Telephone: Owner of Record of Building: ke-qNv ,! Address: Name of Present Holder of Certificate: Name of Agent, if any: (r/� �C < C SIGNATURE OF PERSON TO WHOM CERTIFICATE '`' IS ISSUED Noe? HORIZED AGENT k PLEASE PRINT NAME a � 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-201 5®91 EXPIRATION DATE: _6�7 112 60 J081210 NUMBER FEE 316 THE COMMONWEALTH OF MASSACHUSETTS $100.00 TOWN OF BARNSTABLE This is to Certify that....................................................13.. ..Lives Corp. .. . d/b/a. .....Black. . .. Cat S�mer Shack .. ......... .. ....... ... ...... ..... .......... . 159.0cean'Street,:',.Hyannis , MA ...................................................................................... ... ........................�Z ............................................................................... IS HERESY GRANTED,A._. COMMON VICTUALLER'S LICENSE y ':li ry7 in said............................................... Hyannis MA -•••: L. .. .......: ..;and at that place only and expires December 31, 201I unless sooner suspended ox'revoked 6', violation of the laws of the Commonwealth respecting the licensing of common victualler"s This license is.issued Wi od6biuYy:withI a authority granted to the licensing . authorities by General Laws,Chapter 1407 and amendments thereto HOURS: 11 am to 12 am �r RESTRICTIONS: In Testimony Whereof,the undersigned have hereunto affixed their official signatures. NOT VALID - • . ................. unless issued in ............... conjunction with a Licensing Food Service Permit Authorities �. J...................... Issue Date: May 2, 2011 THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE UPON THE PREMISES. NUMBER FEE 316 THE COMMONWEALTH OF MASSACHUSETTS $100.00 TOWN OF BARNSTABLE Acu* v 13 Lives Corp. d/b/a, . Black Cat Sgp, er Shack This is to Certify that............................................................................................................... ,`.`:x. ........................................................ 159 Ocean�.Stree ..,:Hyannis ..................................................................................... . . .:MA ................................................................. IS iER �1fR`GR ►NTED X. �_. 7 COMMON VICTCJALLE '".> �L'ICENSE in said.............................. . Hyannis , MA ;�' ........ ..rand at that place only and expires i- t ; 1 _ . . December 31, 2011 uriYess sooner suspenlledl k: ;-Ookeit- violation of the laws of the Commonwealth respecting the licensing of common victuallers This license Is issuied Iii'confp'�'*itq.uvith"the authority granted to the licensing . authorities by General Laws,Chapter 140; and amendments thereto HOURS: 11 am to 12 am _ i r:r RESTRICTIONS: In Testimony Whereof;the undersigned have hereuii#o affixed their official signatures. NOT VALID . �. ................. unless issued in . conjunction with a ... .. ............................ Licensing Food Service Permit Authorities Issue Date: May 2, 2011 THIS LICENSE MUST BE POSTED IN A CONSPICUOUS PLACE UPON THE PREMISES. f 111E 1 Date- TOWN LICENSE APPLICATION . TOWN OF BARNSTABLL ❑ ew._ Applicati.on.. ❑ Renewal NA 200 Main Street i639. �.� ❑ Transfer Ept Hyannis,MA 02601 (508)862-4674 ❑ Other —► NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES �-- Name of applicant}corporation: �) L ! ve,5 Cc rp Home phone#:,508-W B'1B-73 Address of applicanUcorporation:- �' � � O i p r r...... . ............._..._........_.._._. _. D/B/A t4 C C. F - to L � �E�} ----.. Business phone#: � 6`ss- v�., Business location: Business mailing address: -- Local business address: Local mailing address: LICENSE TYPE: C.� ��1©� � � c t �!��Jr - '"�� ...... Annual Seasonal HOURS OF OPERATION: � " _ FID y d _ / c� i Name of manager: V I _ C _ __ eMail: t.1t�'�[-(-s h 1 f,'f4r 1,5 06'`..1. Local mailing address: ` q�lj -� �3•bo t g .......................................... � ................................ _..._._........................._................_..._.........._ .-........:.............. ............. : r. Manager's permanent mailing address: Manager's home phone-#: 1.3 73 _ cam Business phone#:,. " S��'-7?� } Name of property owner: 61 11 ce 6) eq, 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 off ice, (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 "�� j.......................................................................................: ..... or Town use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES ❑ NO ❑ INSPECTORS APPROVAL _— _ Capacity set by Building Division <O (BZil�iDng/Zoing ' `� — Date —M-y i_t Board of Health_— Date Fire District Date Comments: White-Licensing Authority Gold-Building Commissioner Pink-Fm:Deparhnent Canary-Health Division TOWN OF BARNSTABLE INSPECTION WORKSHEET I sezi CERTIFICATE NO: 1 201103081 CANCELLED: MAP: 326 DBA: IBLACK CAT HARBOR SHACK PARCEL: 39 NAME/MANAGER: JDAVID COLOMBO STREET: 1165 OCEAN STREET VILLAGE: HHYYANNIS STATE: FWA ZIP: 02601- SEQ NO: BUSINESS TYPE: RESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A3 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USES: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 50 LOC1: MAXIUM OUTSIDE SEATING CAPS: LOC8: CAP2: LOC2: CAPS: LOC9: CAP3: LOC3: CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAPT LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: Print Th s_Screen m 06/10/2011 06/10/2012 ��, 1 PRhtCertificite of Inspectioh COMMENTS: SINE� Town of Barnstable Regulatory Services • aAMSTABM ,Knss. Thomas F. Geiler, Director AlE019. • Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Re: Application for Certificate of Inspection David Colombo Black Cat Summer Shack 165 Ocean St. Hyannis, MA 02601 Dear Mr. Colombo: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 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 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 120.5.2 of the State Code. Sincerely, Thomas Perry, CBO Building Commissioner Town of Barnstable Regulatory Services BAMSTABIX • MA & Thomas F. Geiler,Director %6;p �0 'hEc nun" Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Re: Application for Certificate of Inspection David Colombo Black Cat Summer Shack 165 Ocean St. Hyannis, MA 02601 Dear Mr. Colombo: Attached you will find an application for a Certificate of Inspection as required by Section 106.5 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 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 120.5.2 of the State Code. Sincerely, &-Vl Thomas Perry, CBO Building Commissioner 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, 1 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 A Certificate to be Issued to: Address: Telephone: Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 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 r TOWN OF BARNSTABLE INSPECTION WORKSHEETosyer. CERTIFICATE NO: 201103081 CANCELLED: MAP: 326 DBA: IBLACK CAT HARBOR SHACK PARCEL: 39 NAME/MANAGER: JDAVID COLOMBO STREET: 11590CEANSTREET VILLAGE: JHYANNIS STATE: FVA ZIP: 02601- SEQ NO: BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: A3 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 46 LOCI: SEATS BAR&PATIO CAPS: LOC8: CAP2: 37 LOC2: NON-ALCOHOL SEATS FR DECK CAP9: LOC9: CAP3: 15 LOC3: EMPLOYEES CAP10: LOC10: CAP4: LOC4: CAP11: LOCI 1: CAPS: IL005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: th'i3� M L� 06/10/2011 06/10/2012 eflca�te om`spe�ctiomia 3 COMMENTS: name changed from black cat summer shack to black cat harbor shack � z , TOWN OF BARNSTABLE Date: ............................................... LICENSE APPLICATION F79 New Application '"RMNABM ` ❑ Renewal 200 Main Street 1639. .� ❑ Transfer � Hyannis,MA 02601 (508)862-4674 ❑ Other —� NO BUSINESS MAY -OPERATE WITHOUT ,A VALID LICENSE ON THE PREMISES 4---- Name of applicanticorporation: ....._.._1 3..._Lives Corp.— _.._'._....----.---._......._..._.____.__.....---..._.._`_._.-- Home hone#: (5). 3 6 4-81 16 ..... _ p Address of applicanticorporation:.-----------1. 65_Ocea.n__Stree t.,, . Hy nn s...... 1 _0 2.6(?1 Business phone#: $.1.7? w 1.? ? ..__.........._......_..._.....__......_-....................._............_.....-.___..._._................_....___-._..----.....__._. DIB/A Black Cat Harbor Shack Business phone M -._.-L 1'Z7._:5-_L 33_3......._......_...._.............. Business location: 159 Ocean Street, Hyannis, €',A 601 _....._......__.....__..........--------_.-------__._.. —._.._..._......._........._._._._..._ ....---._.._........_........_._. Business mailing address: __1 .Local business address: ........_(same._as......_above)....__....:.:_.::...:_--._:.:_ -......._ ...--_......... Local mailing address: _..._._ ( ago _ ._ ab Fyn) LICENSE TYPE: Restaurant All .Alcoholic Annual � Seaso.v. r—onal '— ����------ r HOURS OF OPERATION: 1.1_.. amaT__...........__ FID M 2?0 5 3 5 9 7 6 2 ....._._......_.........--._........................_..._._._ Name of manager: Scott C. Brownlee f� eMail: .._...._.—.__.....__...---.---.._....._____ -......___......._....._._._._._ ___........_..-_-..._ Local mailing address: .64.....'barberry.....Lane,. ......:Mars.tpns Tilly..,..:.'!!_k ..`1.2.64.8::...................................................... ... (samme as above) 2 Manager's permanent'mailing address: —:^:..—..._..._.._. f _..... _..._. _...-- ..._.---......_.._.._.._..._ ........._._.....-....................__......._......_....---- ...................... Manager's home phone#: ( 5) 3 6 4 -81 16 Business phone# , _(_5_)._.._7 7 8-12 3 3 Olive 011 Trust, David L. lombo, Trustee Name o-f property owner: K _............ ...._._. _._...---...---. ......_............. --....__........._._....._.__.-...._...._....._...-......_......................__......__...._........._............_._......_..........:_...:......._._...__.-....._................._..........__.....--=.: :..::._._._._........ ASSESSOR'S MAP/PARCEL#: MAP 326 PARCEL 39 ....................................I............... ............................................. w n 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, (508z)IL'8/62-4644, and the appropriate Fire District office to schedule inspectionso-tIF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8 :30 4 30 daily) . , Signature of applicant d ............................................................. ...................... ............:............................ .................................................................................................:.:........... J CTown use only REAL ESTATE FAXES PAID IN FULL },fF.Eg PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES Ej NO ❑ INSPECTORS APPROVAL Capacity set by Building Division....._._.............. .......... ........................._._..___........_._._.............._.: Building/Z ing- .... . � ---..__....-- --- Date : Board of Health------- —__-- -- _ _....... Date Fire District Date . __.._.__._._. Comments_,....._____...-.__ ' i White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division TOWN OF BARNSTABLE Date: ❑Kew Application LICENSE APPLICATION ❑ Renewal MAM 200 Main Street 659. & Hyannis,MA 02601 ❑ Transfer (508)862-4674 ❑ Other ► NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES .4 Name of applicant/corporation: _L ! Ve,5 _�.O @`° _ Home phone#: d_573_ Ii ` �! i! Business hone#:J. ....�.7.. ............. Address of applicant/corporation:_._..__-- -_.-----..--.----_..------.......____-._—._ .— p ....._................................._.._.__...---- _._._........._._.... DIB/A _.__...------.—. _.1-,e ---- ----- ---•--�---�-------------...---------- Business phone#: ------ 7 � Businesslocation: ----.. ...----------... -------...--- --------._...__......---....------......---�----....___----...----�------�-�------...._._.—..---_.-------......------�------ DCeq� Business mailing address: _ . ..—._.—..-----...---..._._..__...___..___-.._._ ._�4._ ._ .._...._.... _...... __.......--.--..__..._.._..—..----.___.----._w—.._ ..._...._..._....:.._�:.__........_......_......... Local business address: .544f 44 ............._._........--..........__...__ .__.._...-...._..... ....--...-......_..............-........_............._............ 1:... .- j...._...---.... . _ Localmailing address: ..---- ...—._.._..__.....__.._ ......__.._.._...--......---...._._...---...---._... -...... -...__...__._.._.._.......-................_.............._..--... ..... .... LICENSE TYPE: C—0 M ki©.0...........1/ C F e �� Annual It Seasonal ............................... . . y HOURS OF OPERATION: .._ ._tb"........_...._ ......... FID#:._ f d _( Name of manager: �� f J7 I _ _ eMaiLl s �+ E —.......__..... --- ---. — _�.. �_... — s-—._..._ J: C � (3.a.:�®. ...............................r ... Local mailing address: ................................................................................................................................................................................................. .. .. . ..............:...... Manager's permanent mailing address: _ _ -- .. ........ .... ... . ... .... .. Name of property owner: , ®! _ l?"' ASSESSOR'S MAP/PARCEL#: 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 apprropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8 :30 - 4:30 daily) . Signature of applicant ................................................................................. ............. ............ &Zwn use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES ❑ NO ❑ INSPECTORS APPROVAL Capacity set by Building Division.._•..••...•_...._...._Sri _ 0/ ......... __... ... . . ............._..._.............................._.....__....................................................._..........---....._-....._. (Building/Zo ing..-...- "C _, ..__.__.._....-.-___. Date Off.� _t_-..�._t.__._._. Board of Health__...__......_.....-------•---.___..._._.__..-__. Date ._-._._.-._-.___—.-..-.--.__-- Fire District Date Comments: White-licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division y ��" I► � ° any"g°o�os S �oaoo ._ z o ogabeJouo2 J i 4. MOM Q x :n :=a E m z a� l Q o � Xose bib Sq.Ft.•15 sfl per— -36 occupant ND 7i - in F.I,tmq deck to rem m J - - .. - 3 O _7 -p�(q .� '~— QJ q _ Z U ^ -!�(.1 7 W — U 1} ' - q FI�hT FLOOD hEP.T iNG PL^N _ _ m 3 i Y^qo;➢E W �E n O C moo W tpy� J OL V' DRAWING TYPE: v tiM_� SHEET NUMBER: 1 • � ` n°Ec�J pV �o 'n S m �aaeo2"boas V lt� "'' .... CgUpryCIJr PLAIN m = n •a c�`o a �V i o - Are < 24•meauX Q i a•5 3 a` . r..t yti� G 13•StaWess Nam ah�k . p 96•Gacktat a4Y[ � I e e-ne.rurm eaQcoac '4 ���� 3 I ---' a I J �/� .a`. � 4 4'SL4WeaIne Sink 1 __ - H IYStaINaa Rand sink •• O j ,e-stawma 9ayainkr m-am bocd 4- \ Q L /1T�AG� F- +-seewem werc.kw norxew H x ------------------- U G J P 1 L 6'Valabk:9pem,Vr curtain 11.. A- v I 1 = n I 1 73 O S a trash � � � � �,• 46 SEAT5• BAR and PATIO LLI 4 Seats C'}• J S . V q � I �p� -EAT ING and E4?U1FF(Et i r FLAN e4Uirt-r- T PLAN trash - rl ry. A 2'x3'Mop5lnk Z � °u c p utility sinks w/drain board yt r < r- (� 54'x 90'Reach-In Freezer aC) 1\a]�' Z QEj O 92'x 50-Stainless Prep.Table ----- G a Cn J al 3 n aU ° /'�ToF-CR-Dorf m f Y o< O 5talnkss Hand sink p Ice cream M.W- I ® N lu lu J r e? G Ice Oreem Freezer � � w O V� •e H rtasheble work/storage Shelves UP j ®J 4'Gas 6r0 L1 C _ I a 1 Burner r,—Ga°ktap � I G I ® W�/ • I�� S-ea�rn L 5-i�'FryDleten I a5a Ic I ® ' _ H 4D'Refarlgarated work counter j oj :v U3 u�0 3, \ N 46'Sandwich/salad unit(refer) - = I °• Q G i arc Uy.— Hose t•3 l 1 5- Goan+ar window.. I .7 48'Freemr work counter P^ 5telnlese Werk•Teble ^ u — q SUN—Prep.Table n I •bi—aa_ P2 0 i F 51'Reech-In Referlgarator I 57 Seats•Deck and Patios g •o N 4y 5-Stalniess 5 bay pat sink gC 8 trash trash 45eat Ij 45eete S DRAWING TYPE: 4 seats haw+inq And EquIpmetn+Flom Da 4 5eet9 4 Sest• . 9 9e SHEET NUMBER: A200 1 ' CEO c E6�a0 /1(�J In ( b•-t rLfUPHC1.R PLAH m = u u o m • $u c c lHH W w rulTUFe Are � Q ////l1 !�y/ I b•^• A 4-4 door Beck-bar cooler 0 7 a 31� 6 2411e 5 0 on iLf b•^• b•�• G 15'Sta1Ne»«endamk z, p 96-cockte0 elrR �i.1 a. C C 4D-RearJ1-In Beer Goole -------------------------------- ______ P 34'cock[all elnk ^• y 4 45[ahtlgoke 5ltR CO Q �/_ Z ________ .42-stelNea«ana s6lk H i a 4e-staiNeaa 9-bay ainki a.m boera t� (n " �'� ry � � H L �. `�p�hGG i r 24-stelmene Refer.Wr Worktop Q 7• / _----g -___A - ----------------- (`"-..S ^ p vaNebla spew ao-eartem fl- -' C�j :rr' tras U h 46 SEATS• BAR and PATIO E- C' 45eata W r 4..ata S z hoSLess �e� �iBATINl4 and C4NIPh(E1,17 PLAN U7 ~ a 5eate ' 4 Seat. J raUIPMCNT PLAN trash 1F FIXTw�C ri A 2'x2.mop Sink r1 Z m p Utllity.lnk.la/drain board OWQ wm (� 54•x 50•Reach-in Freezer I 10 W '� u U v p R- CO Z p^ m K o p 12•x 90.5Lelnle%Prep.Table Q !' J •~ 0 211 �•� 3� ^� 5 m U 3 0 stainless Hand sink �7•�R•eR���l"I ------ = W m J p< < < ie u a _ D p Ice ream Haider G - O W U U n _ N f El Qa G Ice cream Freezer I ,., C p Wp v1 a s LL u o- H Washable work/storage shelves ® F -s M 0 u --- IL V m up to O J 4 Gas Gflll I ® 1 I Ir. 2 burner Gas eooktop I C 1 I L t G O I 9-7 3 y 'Fr .oleters L I o`off M. a8' o Referigerated work counter I c a A N ae'SendwlGh/salad unit(refer) - I 4 .I ;u.-u�u� _ I Hose Dlb � <§ u O x w 48'Fr...ar work counter daunhar windows I Y U `v of d P Stainless work Table n w^n Y ` O La Up-3 o E nOF uy VO 1 G7 stainless Prep.Table •� w-a m s noL�DE N V E a�O � 53'Reech-In Referigerator Z I �' c_ 4, 3"1 seats•Deck and Patioso. N c U u c`o GJ 5'SCelness 9 bey pot sink 'o n o W u S trash trash 5 45ea L5 45eata 4 seat. " �RAWIg t G JCgUiPmen}Plan 45eats 4-at. 9 Se SHEET NUMBER: x -- 4 2 O O J J h Mlin'G, pllluly %pi `� .��II�`�\ ,� ��� � III Ii rl x 1w QF-Qr—rn N_ v \I )) (( l) O OU v a ( lai -�' I -------------------- ~�� I we - j (( STORAGE II _o� oo� g j _ 'I "p es'FyoQm I j 'i m�o�W8`dgwo»� C t wp_o v I3..._�( , __________._..___ wz_¢o .......( 11.w w�opF uwW=�ppwrao owo- d�a 46 SEATS-BAR&PATIO 1 � I I GREASE Ei > i ! OTRAPO I j 1,OO�J GAL. :v iv1 i— z 1 cC. I I I \c,t jr I D ------ -- -� o � rcf! _ i EXIST. EXIST.DISH R~ 1 �' STORAGE WASHING w m — cf) it EXIST.FOOD EXIST.HCP. SERVICE —_ I y-, 0 {}s BATHROOM - EXIST.FOOD I I 1 SERVICE EXISTING II C U) COVERED V ®/ PORCH 1 LL AREA COUNT t ; (� 0 W BAR 14 SEATS i °• Z Q ry CEI REAR PATIO 32 SEATS J v ) I �I F— F ( ® �) cam).. Q = U) < REAR PATIO STANDEES 24 STANDEES SOUTH ;w �� j NORTH 1 H Z COVERED PORCH 18 SEATS P.o PATIO I [l )) , COD)_CDD w nI sews) j �.—L�-'� "'1'I���JJJ'�" '—�LJJ I PATIO — NORTH PATIO 8 SEATSL � ! Ue I ( �) (( !I Y U Z asewsr ------ ---------i-----------------Y-- (.) O Z SOUTH PATIO 11 SEATS i I SHIFT EMPLOYEES 13 EMPLOYEES ""� Z ;I W J s } p [1ONC. < c ' _'C.'p s.. IN ii.i'L Z 00 _ TOTAL OF 83 SEATS,24 STANDEES& ? I SCALE 13 EMPLOYEES=TOTAL COUNT OF 120 --- ------------ ---------- ------- --------- -------------------:---—-------------� l �—LL�i—� f t — — — — -- 3/16"= 1°-0" s / DATE: 12/20/2016 DWG.NO.: S1 I • J J \ I \ �IIil/ Ap U) \W `1 —._ — ---.—. � —ram i�:: ' `l/. 91 \ �I/%'•/ 1 cl O p(coo o NV / I I w 'ao 5wao:� v ! ® Om¢±xx ------------ i j J j ( r---------- v o o o o o ¢��- W w"=F �� STORAGE !! ag ooWo€=a 1 -11 �( _ `------ _ i eon"�Wo��oF�m G. i_....f .. ---- _: WQWFOw�W=U'„�q;=o L--------------� I as SEATS-BAR aPATIO ! p i i i IIT—ITfII Ir�T—�I� I GREA�E _ I J OTR A_ n I,000 GALC. FI iV i ! j i _ f ED �i i col -----_ \ 0O _J O L i �K 1 EXIST. EXIST.DISH ~ '- ! LL STORAGE WASHING D m '^ V JJ / O Z Oit o EXIST.FOOD 1 EXIST.HCP. SERVICE BATHROOM ----' `---- [V) - I _ a� � / EXIST.FOOD SERVICE sT9 L 1 EXISTING i .. I. 2 COVERED ' j ! r✓ I PORCH LL F- AREA COUNT y , p LLJ 1 BAR 14 SEATS l ,! •, ��1 REAR PATIO 32 SEATS I " L ! Q REAR PATIO STANDEES 24 STANDEES . SOUTH { �{ -�I-' °-U i COVERED PORCH 18 SEATS } p PATIO ice. Ca)) �) ( >) �( I ) NO IO w Q Z "'---LLL���JT--' 'i-J'�" PATIO '�u/� V) U LU NORTH PATIO 8 SEATS "° I ` i COD ( m I I � � ,: Y z I �� -------------------------------------- ! r I U O z SOUTH PATIO 11 SEATS L1J Q Q SHIFT EMPLOYEES Lo 13 EMPLOYEES o "" < c +q ^r S" i ail 00 Z) J } G L Wi i < _ l_ �' z m _ SCALE: TOTAL OF 83 SEATS,24 STANDEES& _ { ,1 _ 1 13 EMPLOYEES=TOTAL COUNT OF 120 t — �-}�� L � -���-Ft J-------- 3116"= V-0" Q ❑ j DATE: / ' 12/20/2016 DWG.NO.: .. � C sl