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BURGER KING 2145 IYANNOUGH/132 W BARNSTABLE - Certificates of Inspection
BURGER KING 2145 IYANNOUGH/132 ton Street, fd Floor 822 Lex►n9�A 02452 Waltham, I IHE_fo The Commonwealth of Massachusetts Town of Barnstable 9 INABS. 2020 .Y639• �0 a, Certificate of Inspection ,A\ Burger King Certificate No. Issued to Brek A. Kohler Type: Certificate of Inspection IC-19-37 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 2/29/2020 21451YANNOUGH ROAD/RTE132, in the Town of Barnstable BARNSTABLE Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 120 Restrictions Main Room 90 Additional Dining 30 Maximum Seating Capacity 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 Robert McKechnie Date of Inspection 2/28/2019 Signature of Municipal Building Date of Issuance Commissioner / 2/13/2019 The State of Massachusetts o� , Town of Barnstable tb7q. `00 New and Renewal Certificate of Inspection Application Date 3/28/2018 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: 2145 IYANNOUGH ROAD/RTE132, BARNSTABLE Name of Premises: Burger King Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: y Address: 822 Lexington Street 2nd Floor Waltham MA 02452 Telephone: Owner of Record of Building: MA Address: 822 Lexington Street 2nd Floor Waltham MA 02452 Name of Present Certificate Holder: LBK., LLC Name of Agent, if an 33 0 SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED 6Y" OR AUTHORIZED AGENTPAID \ OA9 PLEASE PRINT hAME, 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- -17 EXPIRATION DATE 2/ /2019 Town of Barnstable Building Division 200 Main Street BARNSTABLE. # Hyannis,MA 02601 :to: I,E 9 MASS. iess� ,m (508) 862-4038 u�sMSTAdIE ❑ Inspection Report Notice of Violation Business: ' >L Date of Inspection: Contact: Info: Address: JY t4 WC(a\ OA&Jy,5� Info: Phone: T T 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: a ` Section(s): Location: FF-1001V 2t1 ! 0 i Section(s): (a Q r Location: [A A t►N Section(s):10 'b Location: Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 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 Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$kA�% 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 Propertylbusiness owner or owners approved agent contact inspector for consultation Official/Inspecto • X%-� -11. � ., Telephone: 508 862-4038 Received By: Date: Print Name: q1-_ 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. r F(J§�•,"ice/ Cerffificate of Inspection ReportEst & Section .1.05.1, Permit Required 0 Section 105.6 Permit Suspension a• Revocation 0 Section 105.7 Placement of Permit on site t Section 1.07.E Construction Control ecti a tt .3 Inspections Required. Section It0s7 Periodic Inspection (valid Certificate) Sectio .111.f1 Certificate of Occupancy Section l t l 5 3 l'lace of Assembly Posting of Occupancy Section l I n 1 Occupancy or Change of Use Section 11.:5nfl Strap "ork Order Section 116 Alsafe Structure Section I, Testing of arms/Sprinkler System Section 901.9 Fire Protection Sid sau ce Section 904,12 -,C'o naaaerci l Ansul Systein • Section 904.2.2 Hood System �i. i at:eaa cc • Section 906 FireExtinguishers • Section 1001 col Maintenance of Exterior Stairs/Fire ecti I004, Testing/Certiiacate Exterior Ealae Section 10 0 4,3 Posting of Occupancy Limit Section 1.005 Tkleans o Egress Sizing 0 Section 1006 ' amber of Exits and Access Doors 6 section 1008 Means of Egress Illumination 0 Section -1 1. .lgi J Hardware (Locks and Latches) ect o 31.0-1, fl Pa is ll rdw •e (A or E> f Section 1011. IStaiaiv gays Section 1012 Ramps t Sect ian 101.3 Exit Signs Q Section 10,14 Handrails €3 section 1. .-5 €ua rd.s Section 1 i3 t Emergency Escape � e Town of Barnstable 13 Building Division IN 200 Main Street MASS."B Hyannis, MA 02601 BARNSTABI,E q$A 1659. ,0� (508) 862-4038 510r"ILLs.a b14 S PL E•C:NPAV'.,.f.CU UiT•NYAtlY15 rFD NiA'�I► ie3�zn�a NJ Inspection Report ❑ Notice of Violation Business: R pC,�� Date of Inspection: Contact: �' Info: Address: ,I 5 I YAP R Q llC � d 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: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Q Section(s): Location: Action/required to abate the above violationsyou must: None:no violations were observed at the time of inspection Q 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. Q Make corrections prior to your next annual or semi-annual inspection. Q Property/business owner or owners approved agent contact inspector for consultation Official/Inspector: Telephone: (508)862-4038 Received By: Date: -Z Z �1 Print Name: ►1(REY— `6w6S9,�— 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 e. 143§100. 1i;I,S,I'.4°§1.E;.r' Certificate of InspectioReport 'Llst SectionP1acein nt 1 M mit z site) efion 1.117.E C" sty u_;:pion Control Section 1103 Requiied. Section 119,7 inspection (valid Certificate) Section 1.1 1 A11 C'ertificate of Occupancy Section 1.s ,v �� Place�� ', ��� ibly layosthig of t: cc -ey et10 a 1 4.1 Occupancy ° Change of Use =X iYe.Y,.uU P7% .a.�,sttI 4.4E 1fr7ork Order Section 1.1.E Unsafe Structure =.ycdon t oL2 ood Svstenl NI ain tema nee ( :..aide :�ace ��4���t� -ior Stairs/Fire Section 10013.2 "' s i L e i to sl Escape Section 1'1043 P�esting of Ownpancy Limit S&60n 1,005 Means of Egress Sizing Section 1006 Number of Exits acid Access Doors S-d oa I IJ08 Means of egress Illumination Section 1010.1.9 Door Oiwration section 1"I'Ardware (Loch,,s and Latches) Section. .0ill- 0 Panic Hardware (A or E > 50) Section stailwaws Section . v 2 Ramps 0 Section 110,11,3i Exit Signs Z Section 1014 Handrails n ct1 o I A 10 1, Guards Section r i `"E " The State of Massachusetts -- ;. Town of Barnstable New and Renewal Certificate of Inspection Application Date 3/28/2018 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: 2145 IYANNOUGH ROAD/RTE132, BARNSTABLE Name of Premises: Burger King Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: -71 Certificate to be Issued to: � Address: 822 Lexington Street 2nd Floor Waltham MA 02452 Telephone: Owner of Record of Building: MA . Address: '822,Lexington,,Street 2nd Floor Waltham MA 02452 r Name of Present Certificate Holder:. LBK, LLC -, Name of Agent, if an 0 � SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PROD PLEASE PRINT hAME ^��In `W 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- -17 EXPIRATION DATE 2/ /2019 - 1�1 Q i FS„Erb The Commonwealth of Massachusetts ° Town of Barnstable 2019 Certificate of Inspection Burger King Certificate No. Issued to Brek A. Kohler Type: Certificate of Inspection IC-18-17 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 2/28/2019 2145 IYANNOUGH ROAD/RTE132, in the Town of Barnstable BARNSTABLE Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 120 Restrictions Main Room 90 Additional Dining 30 Maximum Seating Capacity 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 Brian Florence Date of Inspection 3/28/2018 Signature of Municipal Building Date of Issuance Commissioner 2/28/2018 peSHEfpkyr The State of Massachusetts MY. PS a 0a Town of Barnstable ff0 New and Renewal Certificate of Inspection Application Date 1/25/2017 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: 2145 IYANNOUGH ROAD/RTE132, BARNSTABLE Name of Premises: Burger King 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: 822 Lexington Street 2nd Floor Waltham MA 02452 Telephone: Owner of Record of Building: MA Address: 822 Lexington Street 2nd Floor Waltham MA 02452 Name of Present Certificate Holder: LBK,L LC Name o Agent, if any a U SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED � -n OR AUTHORIZED AGENT OD a 7v -o Z PLEASE PRIN NAME co M, 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-17-4 EXPIRATION DATE 2/1/ 1818 The. Commonwealth of Massachusetts Town of Barnstable 2018 Certificate of Inspection Burger King Certificate No. Issued to Brek A. Kohler Type: Certificate of Inspection IC-1 7-4 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/---F— Lot 2/1/2018 2145 IYANNOUGH ROAD/RTE132, in the Town of Barnstable BARNSTABLE Location Use Group Classification(s). Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 120 Restrictions Main Room 90 Additional Dining 30 Maximum Seating Capacity 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 1/24/2017 Signature of Municipal Building _ Date of Issuance Commissioner j ,:w' - ;�:�::.- 2/1/2017 ��q a �� �.'� � The State of Massachusetts 1039. e Town of Barnstable New and Renewal Certificate of Inspection Application Date 3/30/2016 Fee Required 50.00 In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, herebyapply pP Y for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 2145 IYANNOUGH ROAD/RTE132,BARNSTABLE Name of Premises: Burger King Purpose for which premises is used: License(s) or Permit(s) equi,ed fux the premises by other governmental ar'cl luuzp. Certificate to be Issued to: � �\i Address: 20 Park Plaza Suite 1120 Boston MA 02116 Qa7�°Z' ,ram; Telephone: V Owner of Record of Building: MA � Address.:: 20 Park Plaza Suite 1120 Boston MA 02116 ZZ Name of Present Certificate Holder: Mass Dot Greystone N7f Agent,if any SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED m a' OR AUTHORIZED AGENT Cam 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 2 17 a1 ,. `�•x�row The Commonwealth of Massachusetts 0 Town of Barnstable 2017 .- 79 s ^ 3 Certificate of Inspection Burger King Certificate No. Issued to Brek A. Kohler Type: Certificate of Inspection IC-16-65 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot T 2/1/2017 2145 IYANNOUGH ROAD/RTE132, in the Town of Barnstable BARNSTABLE Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 120 Restrictions Main Room 90 Additional Dining 30 Maximum Seating Capacity 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 consplclous 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 3/30/2016 Signature of Municipal Building Date of Issuance Commissioner 2/1/2016 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION g � Date (X) Fee Required$ 50.00 ° ( ) No Fee Required A 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: Name of Premises: J Purpose for which premises is used: __ p 1 .- __ . License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency rug r n Certificate-to be Issued to: L� D - i Address: ��/Y 'Telephone: � 9�n 991'0 �. Owner of Record of Building: Q Address: Name of Present Holder of Certificate: e of Agent,if any: PLEASE PROVIDE EMAIL: ln�D.lji7 lJ7C��Td/a2 SI ATURE OF PERSON TO WHOM CERTIFICATE Cb/� IS ISSUED OR AUTHORIZED AGENT 0 PLEASE PRAT 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# i�� EXPIRATION DATE: J020115c 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 LBK. LLC Certify that I have inspected the premises known as: BURGER KING located at 2145 IYANNOUGH RD/132 in the Village of W BARNSTABLE 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 MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM SEATING CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201500451 2/1/2015 2/1/2016 21 027-00 The building official shall be notified within(10) days of any changes in the above information. Building Official K� PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 1 DATE: 01/23/15 TIME: 11 :41 -----------------TOTALS-------- `------- PERMIT $ PAID 50.00 I . AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 201500451 PAYMENT METH: CHECK PAYMENT REF: 13498 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date ',I NI X) ' �% �� 50.00 NoTeAeidred 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 Af �fil ; Name of Premises: . Purpose for which premises is.used 9 Licenses or Permits required for the remises b other governmental agencies: �) O q. P Y g g License or Permit Agency ,r ;r,6r Certificate to be Issued to.: . Address: d � A W "�, Telephone _���/ � Owner of Record of Building: ; Address: Name of Present Holder of Certificate:A4 j_L me of Agent if y. SI NATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE P T 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# Q� Q ` EXPIRATION DATE: J081210 Town of Barnstable Regulatory Services Richard V.Scali,Director tyi+ 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 January 7, 2016 LBK. LLC BURGER KING 2145 IYANNOUGH RD/132 W BARNSTABLE MA 02668 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, rOYK Tom Perry Building Commissioner Enclosure f TOWN OF BARNSTABLE INSPECTION WORKSHEET Close CERTIFICATE NO: 201500451 CANCELLED: MAP: 215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: 1LBK.LLC STREET: 2145 IYANNOUGH RD/132 VILLAGE: JW BARNS TABLE STATE: MA ZIP: 02668- SEQ NO: BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: I STORYI: CAPACITY: USE1: A2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: ❑ BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAPS: LOC8: CAP2: 30 LOC2: ADDITIONAL DINING CAP9: LOC9: CAP3: 120 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAPT. LOCI. CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: �'ePrint:This Screen o /2014 02/01/2015 02/01/2016 Print Certiflcalli of:lns ectia. aq COMMENTS: �K 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 �� LBK. LLC Certl■{7 that I have inspected the premises known as: BURGER KING located at 2145 IYANNOUGH RD/132 in the Village of W BARNSTABLE 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 MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM SEATING CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201400477 2/1/2014 2/1/2015 027-001 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: 01/27/14 TIME: 12:11 -----------------TOTAL- --------------- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 201400477 PAYMENT METH: CHECK PAYMENT REF: 11287 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 3 . / (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: pp 12 Street and Number: / Q ft, f� O�� 1= '/ Name of Premises: ,LrQ%-e—,- Purpose for which premises is used:. License(s)or Permit(s)required for the premises by other governmental agencies: Licensp pr Permit Agency Certificate to be Issued to: /L dL ,c� ZtAOV��i�� Address: ����'S�/�7 rp Ty Telephone: �� z —'0-, Owner of Record of Building: 00/77/7? : D Q Address: Name of Present Holder of Certificate: Name of Agent, if any: A 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#,��2, 014M477 EXPIRATION DATE: J081210 Town of Barnstable Regulatory Services Richard V.Scali,]Director. `� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,.Hyannis, MA 02601 www.town.b a r nsta ble.m a. Office: 508-862-4038 Fax: 508-790-6230 January 6, 2015 1 LBK. LLC BURGER KING 2145 IYANNOUGH RD/132 W BARNSTABLE MA 02668 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 Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Office: 508-8624038 Fax: 508-790-6230 January 13, 2014 LBK. LLC BURGER KING 2145 IYANNOUGH RD/132 W BARNSTABLE MA 02668 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 I d v Building Commissioner Enclosure l TOWN OF BARNSTABLE INSPECTION WORKSHEET Close' CERTIFICATE NO: 201400477 CANCELLED: MAP: 215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: ILBK.LLC STREET: 12145 IYANNOUGH RD/132 VILLAGE: IW BARNS TABLE STATE: FMA7 ZIP: 02668- SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT I CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: A2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: : ❑ STORY3: CAPACITY: USE3: Outside Seating � BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAP8: LOC8: CAP2: 30 LOC2: ADDITIONAL DINING CAP9: LOC9: CAP3: 120 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECT DATE ISSUED: EXPIRATION: i ` - 01- /2013 1 2/01/2014 1 1 02/01/2015 COMMENTS: The Commcouweaftb of l.tzza rbuott.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 1065, this CERTIFICATE OF INSPECTION is issued to LBK. LLC 3 Ctrtlfp that I have inspected the premises known as: BURGER KING located at 2145 IYANNOUGH RD/132 in the Village of W BARNSTABLE County ofBarnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM SEATING CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201300604 2/1/2013 2/1/2014 5 7-001 The building official shall be notified within(1 D)days of any changes in the above information. Building Ocia PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 01/28/13 r, TIME: 12:11 -----------------TOTALS----- ----------- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 201300604 PAYMENT METH: CHECK PAYMENT REF: 8940 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE - APPLICATION FOR CERTIFICATE OF INSPECTION T 1*1 Orr BARNSTABLE OV Date f' /0 Z 3 (X) Fee Required$ 50.00 2013 "AN 28 AM 11: 05 ( ) 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: DIVISION Street and Number: �p Name of Premises: Purpose for which premises is usedj� License(s)or Permit(s)required for the premises by other governmental agencies: _ - License or Permit - A enc Certificate to be Issued to: !/� i L L Address: p Ao., -Ji. 7 � Telephone: Owner of Record of Building: a/-),)/yL - 6- Address: i Name of Present Holder of Certificate: 44 me of Agent, if an SI NAT E OF PERSON T M CERTIFICATE IS ISSUED OR AUTHORIZED AGENT2nL,C z27 / ,✓' 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#�D IW�� EXPIRATION DATE: Cam` D J081210. TOWN OF BARNSTABLE INSPECTION WORKSHEET ¢dose CERTIFICATE NO: 201300604 CANCELLED: MAP: 215 DBA: IBURGER KING PARCEL: 1 027-001 NAME/MANAGER: JLBK. LLC STREET: 12145 IYANNOUGH RD/132 VILLAGE: 1W BARNSTABLE STATE: F MA ZIP: 02668- 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: 90 LOC1: MAIN ROOM CAPS: LOC8: CAP2: 30 LOC2: ADDITIONAL DINING CAP9: LOC9: CAP3: 120 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAPT. LOC7: CAP14: LOC14: INSPEC DATE ISSUED: EXPIRATION: '; 'Prmt6Th is S een '� 1/2012 02/01/2013 02/01/2014 Print Certificate of{Inspection COMMENTS: F • 1 .rf l The Commcoutealtb of A1aooa' cbuoetto TOWN OF BARNSTABLE . In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to LBK. LLC 3 (CIM0 that I have inspected the premises known as: BURGER KING located at 2145 IYANNOUGH RD/132 in the Village of W BARNSTABLE 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 MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM SEATING CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel . 201200529 2/1/2012 2/1/2013 21 027-0 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: 01/27/12 TIME: 13:15 -----------------TOTALS----- ------ --- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 201200529 PAYMENT METH: CHECK PAYMENT REF: 6461 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE t1"-1 sr-? . APPLICATION FOR CERTIFICATE OF&,SPECI ION STABLE { j y t Date / 7 / (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section�IG6;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: /y License or Permit A enc Certificate to be Issued to: Address: Z Telephone: �9� q0 Owner of Record of Building:,6rn/YL , © zl— r— - i Address: Name of Present Holder of Certificate: Name of Agent, if any: i SIGNATURE OF PERS N 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: l � CERTIFICATE# 9 EXPIRATION DATE: J020115b i Town of Barnstable Regulatory Services a�u�sr,�tts e MAW. 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 January 3, 2013 LBK. LLC BURGER KING 2145 IYANNOUGH RD/132 W BARNSTABLE MA 02668 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 TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose CERTIFICATE NO: 201200529 CANCELLED: MAP: 215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: ILBK. LLC STREET: 12145 IYANNOUGH RD/132 VILLAGE: JW BARNSTABLE STATE: MA ZIP: 02668- SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: I STORY1: CAPACITY: USE1: A2 Capacity Under 50.: ❑ STORY2: CAPACITY: USE2: Outside Seating: ❑ STORY3: CAPACITY: USE3: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAPS: LOC8: CAP2: 30 LOC2: ADDITIONAL DINING CAP9: LOC9: CAP3: 120 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP 11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: "" Print Thls 3ere9n =6` 0 02/01/2012 02/01/2013 .Prnt ertifi,ate of Inspection QJ G�-V1'� COMMENTS: r Town of Barnstable Regulatory Services Thomas F Geiler,Director •6�A � +�+a` Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma. Officer 508-8624038 Fax: 508-790-6230 January 12, 2012 . LBK. LLC BURGER KING 2145 IYANNOUGH RD/132 W BARNSTABLE MA 02668 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 Commissi ner Enclosure IME � D to ...... �.... Z, TOWN OF BARNSTABLE ❑ Ne pplication . LICENSE APPLICATION BARNSfABLE * � enewal. 200 Main Street �� ❑ Transfer Hyannis, MA 02601 . b (508) 862-4674 ❑ Other p. ► NO BUSINESS MAY.OPERATE :WITHOUT A VALID LICENSE ON THE. PREMISES Name of applicant/corporation/LLC--. /—.:.�E 4 4f ..-_ ....: .:. Home phone# .. Address of applicant/corporationlLLC G--a-- -!''�- �'l-. ° ' ---, r 'a-:- 1--- Business phone#: ..:�X 1: I1 %�%./J .._.._. Business location: .° Z ..:: � :� f .....` .::. ._. � �I .:�/ / 1 �. .. �, Business mailing address-lifJifferentJram:aboue) .v.._���'�.__ �.� ��.. �1 ��r�:! . l-c....................................... i .r`-.,1/ � .. ....-_ License Type: . ��c :/.1 r.l..?.o `.r .: J,. Annual Seasonal Hours of Operation: -s r —.t�C� -- .t r af�r��._.._ Federal ID#: ....._ l '�:. ^..1 Hours of Entertainment: Hours of Alcohol Service.: Name of Mana er: 7 �� email i�4C 4J �r , i ;;�l 7irG�A �t�n Manager's permanent mailing address: ......" ._..- % y ... Manager's home phone#:. , u.�-...._ ... BUSidids phone# . j ��� (�, __ � r Name of property owner: %,._�� - -"� -✓.f:1. ✓J _..._... �. ........ ......__ .------ ._.-. _ .. .._.. ..._........ ....... ASSESSOR'S MAP/PARCEL#:. .MAP /.J..,. ...:.... PARCEL % .Y...,. C` 0 List any flammable substance or,hazardous waste used in business(specify): - Applicants must. ONLY contact the Building Commissioner's office, . . (508) .8162 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 4s30 daily) . Signature of a licant�� g. pP . ................................. .. ....... ..... REAL ESTATE TAXES PAID IN FULL f �' For T use only. PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THI ZONING DISTRIC YES .. NO O INSPECTORS APPROVAL Capacity set Building Division,....._............._...,_........_.__. .. ....... ............ ............_........,..... ......... .........._.. ... ............. i Building/Zoning._:_._ - .. _....:_.. Date _....._.11._._r;� .c ._ Board of Health._ _..._..__ Date _....... _.... dd _ ... -- f Fire District . __:....._._...___..:_._....__.._::_..._.__...---...._.Date _......._.:.__...._..--__-.--..._...:_..__....Comments -- i -- _._ . _:.._ _.....--- ... I a White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division j TOWN OF BARNSTABLE INSPECTION WORKSHEET �ose CERTIFICATE NO: 201100430 CANCELLED: �—� MAP: 215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: ILBK. LLC STREET: I2145 IYANNOUGH RD/132 VILLAGE: JW BARNSTABLE STATE: FM7A ZIP: 02668 SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: I I CAPACITY: USE1: A2 j Capacity Under 50: ❑ STORY2: F I CAPACITY: USE2: STORY3: 1 CAPACITY: USE3: Outside Seating: ❑ � BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90� LOC1: rMAIN ROOM CAPE: �I LOC8: CAP2: 30 LOC2: ADDITIONAL DINING CAP9: LOC9: CAPS: 120 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12. CAPE: R LOC6: CAP13: LOC13: CAP7: LOC7: CAP14: LOC14: J INSPECTION: DATE ISSUED: EXPIRATION: ^PrintTFiis Screen f ,QQ ,=.,t-- 02/01/2011 02/0 21/0 21 _ L-- �� L� �Pnnt,Certificate of Inspection`. COMMENTS: A L i �Yje �orrrn�or��e Yt� of Aaq5SarbU5Ctt5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to LBK. LLC X QCertifp that 1 have inspected the premises known as: BURGER KING located at 2145 IYANNOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are suffcientfor the following number ofpersons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM SEATING CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200905799 2/1/2010 2/1/2011 215 027-001 The building official shall be notified within (10) days of any changes in the above information. Building Official tr_ r� PERMIT PAYMENT RECEIPT 14 TOWN OF BARNSTABLE BUILDING DEPARTMENT +' 200 MAIN STREET HYANNIS, MA 02601 DATE: 11/24/09 TIME: 15:10 -----------------TOTALS--- ---------- -- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 200905799 PAYMENT METH: CHECK PAYMENT REF: 61639 Nov. 16. 2009 1 : 21 PM No. 6557 P. 3 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: c;L f GI 5 (- (y-n nou- _ . Name of Premises: ,( ('Q K tt)Q A Z4q Purpose for which premises is used: Fa s - 1(Jo Kes-1 C.Lttralr-,� Licenses)or Permits)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: K. ux Address; 0% ., 1. WO K au 09Obl c5d,- Telephone: 7ffl (q3=OCf'7n o Owner of Record of Building: Address: Name of Present Holder of Certificate: BOS'i"( n " Tnc Name of Agent,if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 3 r&L' Kph &- _ 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 FLEAS-F.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: p CERTIFICATE# �Z r 0-29�V.7 7? l EXPIRATION DATE: 1 L 1081Z10 ' Town of Barnstable $ Regulatory Services • MARA rArrt� MASK Thomas F Geiler,Director ow�f'� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnsta ble.ma. Office: 508-862-4038 Fax: 508-790-6230 January 11, 2011 LBK. LLC BURGER KING 2145 IYANNOUGH RD/132 W BARNSTABLE MA 02668 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 r / TOWN OF BARNSTABLE gate: ....j....l......' 6.....L.. .... LICENSE APPLICATION ❑ New pplication >�►nvsr,►ei.e, � _ � ,ZRenewal ,. 200 Main Street- 39. an `Hyannis,MA 02601 ,✓❑ Trsfer, (508)862-4674 ❑ Other NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES (— Name of applicanUcorporation: 0,/,........./--:— Q: y..._......._.........._........ . . Home phone#: ............................._.._..............__.............._......................... - Business phone#: ,.•.:. w Address of applicant/corporation:,x._.yz: ................c"_�:�[.���.......-�i.�....:..�J�_��..�.:=;t.�._��..�._._r'`-�.._...._......_...._. _. ..................................._...._....__.......---..__L 4%: .1. ._f._(f.._ _ _..............-.__1.._L..........-...._...._ --.......::- �r........_.............................................................................._......_...._......._...__...._._......._.__......._................... D/B/A � ._..... . , ............_............... _ ........................._...._.................................................... Busm ss hone#•h4:.-r.1 _� ........."f,_ ..........._laBusiness location: ......... 1_...{V................._............. Businessmailingaddress: ......_._.._ .:.._ .._� _�..:.`r.%s::_.._....:�� ?� � � t. fr> >'` '�/f ::_......................__..............................._....._.., ..._...... :....... ...__._ ....._...r_.��1....._....... ....................._............_._..................._.... Local business address: v' Localmailing address: ............................. .............................................................L....._.....................__......._............_........._.......__..........._..................._.........._..._......._.............__............................................._.............._.__. LICENSE TYPE: 'Old J�)7 la e� f/.../..�.'../�:( �:..�....�`' Annual _...Seasonal...................._................_...................._._... ......................... .................................. :................................................. F 0 HOURS OF OPERATION: ............ ?l..i'?..:L.......-x.... .. F=�../..::.�., r. Name of manager: ,.d%1 r /l/�_C --._......._........._fir) e� eMaiL It r ; f. i d r�4 -2fr,// -1Px ( C __........ ......__.._...._..............._...................... .... �.T� .+ .. Local mailing address. � .✓.... ...�'`..k� .:t l '� .f ,l� 1..::.... yc!, .:....................r.1..C..>/t..... ::r.........r.,. t ........... .......... t...:(!"..�! ....I CI l .,r...../...:... .r:: :-a�'! Manager's permanent mailing address: f'n.�.. .--,� ..__._._......_.......... ..._........ ..........................................................................................._........................................._....................................................... .. ............... Manager's home phone#J y_ (� j � Business phone# f��/r t�, � Name of property owner: ......_....... ..................�='. "............ %....)._�:.1.....✓...✓................._................_................................................................................................._.......... .. ....... . ASSESSOR'S MAP/PARCEL#: MAP............. PARCEL C,"'Y 'y j.••. 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 v'4 3Q daily, , I T` (} / ,Signature of applicant� .cJ�J. �000fff ...................... ....... ............... . ................................................................................. ......... ... ........... For) n use only REAL ESTATE TAXES,PAID IN FULL C/Cry PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES O NO O { UJ pi INSPECTORS APPROVAL Capacity set by Building Division.... ................_ -;.............._.........._. _. .............._...............................................................................`_.................................................. oBuilding/Zoing.............. ..... .. . Date ..........Q.. - 1/,...._.............. Board of Health........_._......_...._......_........_._. _._._.._...............:. _. _............. Date ......................._.:_...._...._................................. i FireDistrict .......................... ....... ........-....................._......_Date.._............................................................_....... ......................... . Comments:...................................._.............................................._...... I White-licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division TOWN OF BARNSTABLE INSPECTION WORKSHEET I`C'ose ERTIFICATE NO: 1. 201100430 CANCELLED: MAP: 215 DBA: BURGER KING PARCEL: 027-001 NAME/MANAGER: LBK. LLC STREET: 2145 IYANNOUGH RD/132 VILLAGE: W BARNSTABLE STATE: MA ZIP: 02668 SEQ NO: 1❑ 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: 90 LOCI: MAIN ROOM CAPS: LOC8: CAP2: 30 LOC2: ADDITIONAL DINING CAP9: LOC9: CAPS: 120 LOC3: MAXIMUM SEATING CAPACITY CAP10: LOC10: CAP4: LOC4: CAP11: LOCI 1: CAPS: L005: CAP12: LOC12: CAP6: LOC6: CAP13: LOC13: CAP7: LOCI:- CAP14: LOC14: INSPECTION: DATE ISSUED: EXPIRATION: prl Th L� 02/0172011 02/01/2012 ` {PI ertifi Qfn&pac on, `,��€, COMMENTS: II —_ Ebe Commonwcattb of j+1a.55arbU5ett!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to. LBK. LLC 3 QZertifY that I have inspected the premises known as: BURGER KING located at 2145 IYANNOUGH RD/132 in the Village of W BARNSTABLE 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 MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM SEATING CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 261100430 2/1/2011 2/1/2012 5� 027-001 The building official shall be notified within (10) days of any changes in the above information. Building Official TOWN OF BARNSTABLE INSPECTION WORKSHEETS ' CERTIFICATE NO: 200905799 CANCELLED: MAP: 215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: JLBK LLC STREET: 12145 IYANNOUGH RD/132 VILLAGE: IW BARNSTABLE� STATE: FMA7 ZIP: 02668 SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A2 Capacity Under 50: r STORY2: CAPACITY: USE2: STORY3: CAPACITY: USES: Outside Seating: rA BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAPS: L005: CAP2: 30 LOC2: ADDITIONAL DINING CAPE: LOC6: CAP3: 120 LOC3: MAXIMUM SEATING CAPACITY CAP7: LOC7: CAP4: LOC4: CAP& LOC8: INSPECTION: DATE ISSUED: EXPIRATION: P ant This;Scre n i 0 02/01/2010 02/01/2011 °< Prii*t,Ce tificatte of in�specptibn Off-- COMMENTS: TO commontueattb of A1a.5.5arbUqCtt5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE QLErtTfp that I have inspected the premises known as: BURGER KING located at 2145 IYANNOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A2 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM SEATING CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200902684 7/16/2009 7/16/2010 215 027-001 The building official shall be notified within (10)days of any changes in the above information. Building Official 1' � PERMIT PAYMENT RECEIPT TOWN OF BARNSTABLE BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 DATE: 06/15/09 TIME: 09:49 -----------------TOTALS----------------- PERMIT $ PAID 50.00 AMT TENDERED: 50.00 AMT APPLIED: 50.00 CHANGE: .00 APPLICATION NUMBER: 200902684 PAYMENT METH: CHECK PAYMENT REF: 1950 f COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date !;�'UMQ ( X) Fee Required$ 50.00 ki ( ) 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 4 S Ly�,�p V�q 1rl �d Rte 13� pA \y��Yl S�C'b Name of Premises: X'�Cnlc) l -uy'I`1`1"' Inc. c1 I'ca/ L-xgP,r `Ci nq A 44 16('p 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: �C7�_�) 7T_tnL1, Address: C) -6ce e As I ua a :5 M Q 0 a G,M Telephone:(t; 5 1 `� S Oy 14 Owner of Record of Building: C'5S e{� L�G�f1 y.S1 I S N',C_�A WCL�p I-1 sz,C o— -I q ry Address: O M Q- ' n� Name of Pr ent Holder of Certificate: p5 � (y Inc,, gacn S G l� < Nam o Agent, if any: co N { N SIK,,NATURE OF PERSON TO WHOM CERTIFICATE rr— IS SSUED OR AUTHORIZED AGENT rli c�A CL e_� �y0aC' PLEASE PRINT NAME INSTRUCTIONS: I)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 TO Commonbicattb of A1a!9.5arbU5Cttq TOWN OF BARNSTABLE 1n accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE 31 QCerfifp that 1 have inspected the premises known as: BURGER KING located at 2145 IYANNOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A-3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200803199 7/16/2008 7/16/2009 215 027-001 The building official shall be notified within (10) days of any / changes in the above information. _ Building Official -y t� d OF BppRNSTAg,LLE `x I�IING.pEPARTI�EN;T ' TREET MA, 02601 T p6/ 6/08 R T $ PAIIJ NDERECi; 5io.00 503.00 P NUMBER;. 199 tN�T K: 4z ryv 5. i't COMMONWEALTH OF MASSACHV,SEWTS t L ' TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE2Vfi I%Pff T49TI; �4 Date QA1./riSZ (X) Fee RQUired $ 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: y STLV� )O�6 �� I R+,-- (3 D t mess c (`t"1-fah � M l Name of Premises: 305+�1'l - W�YI'�C`,n �-YlC• 1���6 tJCe.(`GQA �l(lG Purpose for which premises is used: e4oG -K� License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: ,. c..cK-\5 iG.ND Address: N1(::> unli # ,6 ar\nIS Telephone: rl �( $ d 50(4 4 Owner of Record of Building: De-n �-� sc Cj 1Im Saj Address: Z430 kSQ,5i00 Name of Present Holder of Certificate: S�©� Name of Agent, if any: SIGN TURE OF PERSON TOVOM CERTIFICATE IS IS ED OR AUTHORIZEDENT 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# Odg��� EXPIRATION DATE: ����7� 7 9 J020115b TOWN OF B sTMEE 'flo V� 2u PM 12.� oa November 23, 2009 Town of Barnstable Building Commissioner 200 Main Street Hyannis, MA 02601 RE: Burger King #4486 To Whom It May Concern: LBK, LLC will be acquiring the above referenced Burger King on or around December 1, 2009. Please find enclosed the license/permit application and fee included. Please mail the original license once complete, to LBK, LLC, 822 Lexington Street, Second Floor, Waltham, MA 02452. We will keep a copy for our office files and forward the original to the restaurant. If you prefer to mail the original to the restaurant, please either mail or fax a copy to us. If you have any questions or need any additional information, please give us a call at (781) 893-0990. Thank you in advance for your prompt attention to this matter. Sincerely, *t&UA0'1 Melissa Goldberg Accounts Payable Manager Enclosures LBK, LLC 822 Lexington Street, Second Floor, Waltham, MA 02452 (781)893-0990 Fax(781) 899-6977 A Franchisee of Burger King Corporation f TOWN OF BARNSTABLE INSPECTION WORKSHEET1 s CERTIFICATE NO: 200902684 CANCELLED: MAP: 215 DBA: IBURGER KING PARCEL: 027 001 NAME/MANAGER: IBOSTON STABLE STREET: 2145 IYANNOUGH RD/132 VILLAGE: IW BARNSTABLE STATE: MA ZIP: 02668- 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: 90 LOC1: MAIN ROOM CAPS: L005: CAP2: 30 LOC2: ADDITIONAL DINING CAPE: LOC6: CAP3: 120 LOC3: MAXIMUM SEATING CAPACITY CAP7: LOCI: CAP4: LOC4: CAP& LOC8: Prnt*This 5�cr en a INSPECTION: DATE ISSUED: EXPIRATION: 06/17/2009 07/16/2009 07/16/2010 L,Lr P.ri t.Gertifvc t&of,inspection COMMENTS: I TOWN OF BARNSTABLE INSPECTION WORKSHEET :coos CERTIFICATE NO: 200902684 CANCELLED: 0 MAP: 215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: 1BOSTON N INC. BARNSTABLE STREET: 12145 IYANNOUGH RD/132 VILLAGE: JW BARNSTABLE STATE: MA I ZIP: 02668 SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: I STORYI: CAPACITY: USE1: A2 Capacity Under 50: I STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: r BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAPS: L005: CAP2: 30 LOC2: ADDITIONAL DINING CAP6: LOC6: CAP3: 120 LOC3: MAXIMUM SEATING CAPACITY CAP7: LOC7: CAP4: LOC4: CAPE: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: q Print This Screen; 07/16/2009 07/16/2010 -----• -- w �� �� � � Print��ertificateofing ectio�t€ COMMENTS: �t r Town of Barnstable do Regulatory Services �B"W&„ Thomas F. Geiler,Director �A i6g9 ♦0 rE16390. °i 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 November 16, 2009 Alicia Masto Mastoran Corp. 822 Lexington Street, 2"a Floor Waltham, MA 02452 By fax: 1 781 899 6977 Re: 184 North Street, Hyannis 2145 Iyannough Road, W. Barnstable Dear Ms. Masto: 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 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 °Ft Town of Barnstable Regulatory Services * BAMSTABL& MASS, Thomas F. Geiler, Director �'0le1639. A 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 PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: Mastoran ATTN: Alicia FAX NO: 1 781 899 6977 FROM: Lois Barry DATE: 11/16/09 Here are the Certificate of Inspection applications you requested. I have also included the existing Certificates for your information. If you have any questions, please call 508 862-4039. Town of Barnstable * Regulatory Services BMWSTABLEv MASS. g Thomas F. Geiler, Director �p .s6gq �0 rE1639 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 November 16, 2009 Alicia Masto Mastoran Corp. 822 Lexington Street, 2"6 Floor Waltham, MA 02452 By fax: 1 781 899 6977 Re: 184 North Street, Hyannis 2145 Iyannough Road, W. Barnstable Dear Ms. Masto: 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 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 P,- 1 Communication Result Report ( Nov. 16, 2009 1 : 22PM ) 2) Date/Time : Nov, 16. 2009 1 : 21PM File Page No. Mode Destination Pg (s) Result Not Sent ---------------------------------------------------------------------------------------------------- 6557 Memory TX 917818996977 P. 6 OK -------------------------------------—-------------------------------------------------------------- Reason for error E. 1) Hang up or 1 i n e f a i 1 E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail s i ze Town of Barnstable t Regulatory Services a,.an Thomas F.Geiler,Director o¢ Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 mnvtonn.bamafahfe.ma.us office: 508-8624038, Fax:508-790-6230 PLEASE FORWARD THE ATTACHED PAGE(S)TO: , TO: Mastaran ATTN: Alicia FAX NO: 1 781 899 6977 ' FROM: Lois Barry DATE: 11/16/09 Here are the Certificate of Inspection applications you requested.I have also included the existing Certificates for your information. If you have any questions,please call SOS 8624039. TOWN OF BARNSTABLE INSPECTION WORKSHEET Glos" CERTIFICATE NO: I 200803199 CANCELLED: ] MAP: 215 DBA: IBURGER KING PARCEL: 027 001 NAME/MANAGER: IBOSTON N INC. BARNSTABLE STREET: 12145 IYANNOUGH RD/132 VILLAGE: IW BARNSTABLE STATE: MA ZIP: 02668 SEQ NO: 0 BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A-3 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAPS: L005: CAP2: 30 LOC2: ADDITIONAL DINING CAP6: LOC6: CAP3: 120 LOC3: MAXIMUM CAPACITY CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: 0. print4Th�s Screenl 07/16/2008 1 07/16/2009 i Print Ge gicate,of,inspectian} COMMENTS: � II I The eorr monwealtb of j+1a2;2;ar U,5ett2 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE Cert[fp that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A-3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200703969 7/16/2007 7/16/2008 215 027-001 The building official shall be notified within(10)days of any changes in the above information. ".1 - 6, �� Building Official �- �_,- �� r r y h� b a x l 1... -•� / f 15 t LA,- y � . COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 00 (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 pre ' es located at the following address: Street and Number: ,� T 302a�,d kz Name of Premises: Purpose for which premises is used: Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc e � Certificate to be Issued to: — "�. r P m1 Address �j rrat tYN ;g r '. ,..o-.i'.^�i. .r� ?y r. a.,s�.��.1.,,xr,. !r,., . �a,� t i�"t ;,t d•.A.+��� .�, ci j.a'r,��.�.w,rra.,,., i Y-,. �,�.r Telephone: Owner of Record of Building.7k�j� -j26" x�6d�' Z �b� Address: !'"•�- 16-9 J' Slo 0.2 Name of Present Holder of Certificate: D>U Name of Agent,if any: 3 _ < rU ti CT > ' :' SI N TURE OF PERSON 3TO WHO ERTIFICATE(IJUL — `;;. IS ISSUED OR AUTHORIZED AGEN as d.I10p, M w /was o 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: i 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. F FOR OFFICE USE ONLY: CERTIFICATE# Oo7�6� 9 EXPIRATION DATE: —7 J020115b TOWN OF BARNSTABLE INSPECTION WORKSHEETC�os CERTIFICATE NO: 200703969 CANCELLED: MAP: F2175 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: BOSTON N INC.BARNSTABLE STREET: 12145 IYANOUGH RD/132 VILLAGE: IW BARNSTABLE STATE: MA ZIP: 02668- SEQ NO: BUSINESS TYPE: RESTAURANT CONSTRUCTION TYPE: STORYI: CAPACITY: USE1: A-3 Capacity Under 50: (. STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAPS: L005: CAP2: 30 LOC2: JADDITIONAL DINING CAPE: LOC6: CAP3: 120 LOC3: MAXIMUM CAPACITY CAP7: LOCI: CAP4: LOC4: ICAPS: LOC8: Print INSPECTION: DATE ISSUED: EXPIRATION: This Screen L�J C1- 07/16/2007 07116/2008 Print Certificate.of Inspection COMMENTS: The CommonWeattb of 01am5acbm5ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE �! QCErtifp that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Comrribnwealth of Massachusetts. Construction Type: Use Group(s): A-3 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 20061492 7/16/2006 7/16/2007 215 027-001 The building official shall be notified within (10) days of any changes in the above information. Building Official L�� 71a COIv MONWEAI TH9OF MASSACHUSETTS TOWN OF BARNSTABLE APPL-I'CATI®N FORIC9,RjTIFICATE OF INSPECTION Date 40 I�`a. W..`._ ... - - -- (X) Fee Required$ 50.00 MVISIGTW ( ) 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 Certificate to be Issued to: Address. Ile //y/ AU , 4I t � ,e,o.1y'ze 1 '5' 4 ` rt' k� �.;.� •F � k 4`as P 4: -. w N d tr vh � �� � ry Telephone 4�� �i , " • %s li a ` ar ` u r H i {+e •- a.... .+4:.. _ v.. s_ .:L.;-. .f....�. ..Y-.., ... .a _w„ea n.. .-.1.,�.h+v r.h :1. _, a.• ..d .��,.e e.:. ..n,..i51'>.,»-da'...,�i.'M,• ... Owner of Record of Building: Address: Name of Present Holder of Certificate: 47Zi Name of Agent,if an, SIGNATURE 0 ERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 1d, iO _ U l f&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 j 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#�c2 O 6 g EXPIRATION DATE: ZZ 16 ` 5 J020115b f I TOWN OF BARNSTABLE INSPECTION WORKSHEET "cios: CERTIFICATE NO: 16192 CANCELLED: MAP: 215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: IBOSTON N INC. BARNSTABLE STREET: 12145 IYANOUGH RD/132 VILLAGE: jw BARNSTABLE STATE: MA ZIP: 02668 SEQ NO: BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A-3 Capacity Under 50: C STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: C`i BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAPS: L005: CAP2: 30 LOC2: ADDITIONAL DINING CAPE: LOC6: CAP3: 120 LOC3: MAXIMUM CAPACITY CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Print This Screen ..02�f�@65� 07/16/2006 07/16/2007 •Print Certificate of Inspection oC COMMENTS: I Corr monbica tb of f aq;.5aCbU5ett!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE 3 Certify that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A-3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 16192 7/16/2005 7/16/2006 215 027-001 The building official shall be notified within(10) days of any changes in the above information. 0�,, Z Building Official c i 4 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date �//wm, �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: / 2 Street and Number: /�6` �1�` /9.2 T e� Name of Premises: Purpose for which premises is used: � �� J� Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit Agengy Certificate to be Issued $t'`•^ j prr;^4. s •'tro- �µa -�o.�f'�"' Telephone: C//' I /� Owner of Record of Building: Address: )&/-)0. ©...74/ Name of Present Holder of Certificate: T C5v�4�Dn� /V SIte, Name of Agent,if any: Ifl/7 I A/ J'�bAAtkA,- SIGNATUREfU MYON O WH CERTIFICATE IS ISSUED OR AUTHORIZE''nD AGINT 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# r EXPIRATION DATE: -7// 6,l0 J020115b TOWN OF BARNSTABLE INSPECTION WORKSHEETC�os CERTIFICATE NO: 16192 CANCELLED: MAP: F2F5 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: IBOSTON N INC. BARNSTABLE STREET: 12145 IYANOUGH RD/132 VILLAGE: IW BARNSTABLE STATE: MA ZIP: 02668- SEQ NO: LJ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: I STORY1: CAPACITY: USE1: A-3 Capacity Under 50: 1 STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOCI: MAIN ROOM CAPS: L005: CAP2: 30 LOC2: ADDITIONAL DINING CAPE: LOC6: CAP3: 120 LOC3: MAXIMUM CAPACITY CAP7: LOC7: CAP4: LOC4: CAPS: LOC8: rj INSPECTION: DATE ISSUED: EXPIRATION: nt TFii§Scree 07/16/2005 07/16/2006 dJ H,Print Certificate of Inspection .,+,,,, COMMENTS: Z�- Tbe' comrr onwea ltb of 1+1arq0a CbUq;ettq; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE QEErtifp that I have inspected the premises known as: BURGER KING located at 21451YANOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A-3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 16192 7/16/2004 7/16/2005 215 027-001 The buildit official shall be notified within(10) days of any changes in the above information. Building Ofcial ti JUN 17 RECD COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date JU,4) C /� �®� (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 3 vZRA RNS fA� l( Name of Premises: �05 a A, - �'�/ ° GY (r' oZ Purpose for which premises is used: 4-aa,I- o 7 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc ....,-..,...............w...._..-.._,...........w........._.k... n»� r e...c......pm,.Jai..W,�....._�. .sxtY m+-_ww.ic .J.c,. .. / a ].5. .�,z,_e.. w./x.....�,`4w.i. Certificate to be Issued to K O 7-D h l V /!C> r P n=�'T� �f I e� I'M4 Address: ll0 9 7�-' I � g Al �/�/�15� !/ e.2�/ Telephone: 1!5 0 00 M � n Owner of Record of Building: ' I c a —�;boe Address: dJL 30 Name of Present Holder of Certificate: Bo.s4e n Inc B"r A-)s�4I iv— Name of Agent,if a ` Af SIWAIUWOF PERSON TO WHOM IFICATE IS IS D OR AUTHORIZED AGE &LEASPE4PARINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE I 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 f 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 v%7thin ten(10)days of any change in the above information. CERTIFICATE# I G 2 EXPIRATION DATE: Tl1.1A11 CL f TOWN OF BARNSTABLE INSPECTION WORKSHEET Clos CERTIFICATE NO: 116192 CANCELLED: MAP: 215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: IBOSTON N INC. BARNSTABLE STREET: 12145 IYANOUGH RD/132 VILLAGE: IW BARNSTABLE STATE: MA ZIP: 02668 SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT —� CONSTRUCTION TYPE: STORY1: CAPACITY: USE1: A-3 Capacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 90 LOC1: MAIN ROOM CAPS: L005: CAP2: 30 LOC2: ADDITIONAL DINING CAPE: LOC6: CAP3: 120 LOC3: MAXIMUM CAPACITY CAP7: LOCI: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: Print This.Scre n nFi WL0,2— 07/16/2004 1 07/16/2005 ,,,,,Print Certificate of lnspect onj c-te/;.-1 Loy COMMENTS: The Commoubiea ltb of ma.5,5arbuzettq;, TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE I Certlf p that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132. in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A-3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 16192 7/16/2003 7/16/2004 215 027-001 The building official shall be notified within(10)days of any Q, changes in the above information. Building Official I 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: a 1 O Name of Premises: \`� Purpose for which premises is used: I License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Aizencx Certificate to be Issued to: 5Anrl- Address. t i Owner of Record of Building: Ara I" ' Address: X 30, r r Name of Present Hol of Certificate: BaS61()_ - `ba y- r�ahz Name of Agent, S AT PERSON TO WHOM CERTIFICATE IS ISSUE A HORIZED AGENT LE E 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. CERTIFICATE# Z EXPIRATION DATE: Z/ / J020115b TOWN OF BARNSTABLE INSPECTION WORKSHEET CERTIFICATE NO: 1 16192-7 CANCELLED: MAP: F215 DBA: IBURGER KING PARCEL; 027-001 NAME/MANAGER: IBOSTON N INC.BARNSTABLE STREET: 2145 IYANOUGH RD/132 VILLAGE: W BARNSTABLE STATE: MA ZIP: 02668 SE9 NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORYI: CAPACITY: USEI: A 3 ::apacity Under 50: (-`. STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside SeatlnCq: BY PLACE OF ASSEMBY OR STRUCTURE CAPI: 90 LOCI: MAIN ROOM CAP& L005: CAP2: 30 LOC2: ADDITIONAL DINING CAP& LOC6: CAP3: 120 LOC3: MAXIMUM CAPACITY CAPI: LOC7: CAP4: LOC4: CAPS: LOC8: INSPECTION: DATE ISSUED: EXPIRATION: '9��jn��Tk�IS Scr 86f 07/16/2003 07/16/2004 PI�11tCi3rlCAf Of(r1SjC FOR COMMENTS: i 1 I The CommonWealtb of 41aoarbuoett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE �ertifp that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A-3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAIN ROOM 90 ADDITIONAL DINING 30 MAXIMUM CAPACITY 120 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 16192 7/16/2002 7/16/2003 215 027-001 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: f Street and Number:� , a0 _W, Name of Premises: n' 0-- 4 U b�. oYou 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: Telephone: Owner of Record of Building: Q l \)Pnv4-,T�, (2�Address: 41 Name of Present Holder of Certificate: 1 V Name of Agent ' any: C �I 1 IGN E OF PERSON TO WHOM CERTIFICATE IS IISSSMDOR AUTHORIZED AGENT 1 � Mo�xnajll_) PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable.to: TOWN OF BARNSTABL'E 2)Return this application with your check to BUILDING G IMMISSIONER,200 'STREET.,HYA ANNIS,`M 02601 - -_ PLEASE NOTE: a >:1vIAIN _ *' 2)Application and fee must be rece veg"fee must besubmitted for each bwldmg or structure or part thereof to be cerUfied? 'F 1 Application form with accom an• n d•befoietthe certificate will be issued; ` 3)The building official shall be notified within ten(10)days of any change in the above information. CERTIFICATE# / l EXPIRATION DATE: / ® J020115b TOWN OF BARNSTABLE INSPECTION WORKSHEETtos CERTIFICATE NO: 16192 CANCELLED: MAP: F215 DBA: IBURGER KING PARCEL: 027-001 NAME/MANAGER: IBOSTON N INC.BARNSTABLE STREET: 121451YANOUGH RD/132 VILLAGE: JW BARNSTABLE I STATE: MA ZIP: 02668 SEQ NO: 10 BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: STORYI: CAPACITY: USEI: A 3 �apacity Under 50: STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAPI: 90 LOCI: MAIN ROOM CAP& L005: CAP2: 30 LOC2: ADDITIONAL DINING CAP& LOC& CAP3: 120 LOC3: MAXIMUM CAPACITY CAP7: LOCI: CAP4: LOC4: CAP& LOC8: INSP�ECTIOgN�:�� DATE ISSUED: EXPIRATION: t 1hIS„S een �l '"i'O� 07/16/2002 07/16/2003 � pun inspecl�on. COMMENTS: i T he Commonwealth of M assachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE Certify that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of W BARNSTABLE County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity A-3 MAIN ROOM 90 ADDITIONAL DINING 30 TOTAL 120 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 16192 7/16/2001 7/16/2002 li 027-001 The building official shall be notified within(10)days of any changes in the above information uil ing Official } r COMMONWEALTH OF MASSACIUSEI'TS. TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF IPdSPECTION Date (X) Fee Required S 4 0. 0 0 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for Certificate of Inspection for the below-named premises located at the following ad+dres Q Street and Number. n a' Name of Premises: Oo�'1^ (� e A Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agengy Certificate to be Issued to: Address: .4. Owner o(Record of Butldm`g .141r -t l Address: �- - e a Name of Present Holder of Certificate: — � e Naine f Ag nt,if any: SIGNAILtE OF PERSON TO"N.116M ICTP.. .CATS IS ISSUED OR AUTHORIZED AGENT INSTRUC IONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return tl.is application with your check to: BUILDING COMMISSIONER, 367 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. CERTIFICATE# b I EXPIRATION DATE: 0 The commonwealth of m ass achus etts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE l Ce tify. that I have inspected the premises known as: BURGER KING located at . 2145 IYANOUGH RD/132 in the Village of W.BARNSTABLE County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number ofpersons: Use Group Construction Type Location .Capacity A-3 MAIN ROOM 90 CONFERENCE ROOM 30 ADDITIONAL DINING 30 16192 7/16/00 7/16/01 . Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within (10)days of any changes in the above information Building Official r COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date / (X) Fee.Required S 40. 0 0 ( ) 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: �—Ct s 60 J (10 Name of Premises: Purpose for which premises is used: License(s)or Permit(s)required for the premises by other goveriziriental agencies: License or Permit Agency Certificate to be Issued to: Address: 1`�" PA * K 1 V(YlnnI (1n Telephone: -�,0 C) `7 q Owner of Record of Building: C Address: Name of Present Holder of Certificate: s-Vo n —/V, -T-Y1 C • 601 (—n��-&GL b I N e o gent,if any: 1 SIGNAE OF PERSONTO CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: - 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 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. CERTIFICATE# f �� EXPIRATION DATE: 7 /� /� The c o in in on we alth of M ass achu s e tts ` TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,Section 106 5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE Certif /- that I have inspected the premises known as: BURGER KING located at . 2145 IYANOUGH RD/132 in the Village of W.BARNSTABLE County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity A-3 MAIN ROOM __96 ADDITIONAL DINING 30 F r 16192 7/16/00 7/16/01 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in the above information �l Building Official Town of Barnstable Regulatory Services &AR� Thomas F.Geiler,Director 10rED ,e Building Division Elbert C Ulshoeffer,Jr. Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 CERTIFICATE OF INSPECTION CAPACITY INSPECTION Y DBAcJrn-e,- n LOCATION W OWNER c. USE CAPACITY&FEE DATE OF INSPECTION CTOR COAMENTS Xbe Commonweo.rtb of j11a o5acbu5ettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE I Certifp that 1 have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of W.BARNSTABLE County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity A-3 MAIN ROOM 90 CONFERENCE ROOM 30 ADDITIONAL DINING 30 16192 7/16/99 7/16/00 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in the above information Building Official 00 • COMMONWEALTH OF MASSACHUSETTS ' TOWN OF BARNSTABLE - APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required S 4 0.0 0 ( ) No Fee Required In a=rdance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of r Inspection for the below named premises located at the following address: Street and Number: iz LL6 67, .26 Name of Premises: LZ- lei I Purpose for which premises is used: l i + Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: L7(7S n - W : _-1n C C-< -rn Lie Address: 1 D C e S Telephone: �� �'7 �7 Owner of Record of Building: Address: �. n Q2 4 K;H Name of Present Holder of Certificate: n n Name of gent,if any: bJ•j D S S SIG ATURE OF PERSON TO M CERTIFICATE IS SUED OR AUTHORIZED ENT IIVSTR L(MONS. 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 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 The Must be received before the certificate will be issued 3)The building official shall be notified within ten(10)days ofany change in the above information. CERTIFICATE# 6 / 9 0� EXPIRATION DATE: CommonWea ltb of Aa.0.5acbmatto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE 31 Certify that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of W.BARNSTABLE County of Barnstable Commonwealth of Massachuetts. The means of egress are suff cient for the following number of persons: Use Group Construction Type Location Capacity A-3 MAIN ROOM 90 CONFERENCE ROOM 30 ADDITIONAL DINING 30 16192 7/16/98 7/16/99 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in + I ;_ the above information Building Official f.. O.;� 7 p �� r COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date �q (X) Fee Required S 4 0. 0 0 ( ) 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 bellow-named premises located at the following address: nn Street and Number: 1 l� n`5- ,��c° _ ►7 O. �o 6 Name of Premises: (�,E M n T(' yg� d I l'1f c /� P-✓ ���•(l Gl Purpose for which premises is used: �� � � i� MN'n4 License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit AF-ency Certificate to be Issued to: Rns-6 n :k:,n r Address: 1\h Lee-As 1-1 1 k R� - atI n i IL4 nQ(®b 1 Telephone: L SD�� n--)'R-'s-O q q Owner of Record of Building: - Y1 "' Address: Name of Present Holder of Certificate: &)54nn c— P)OL�C—<)� Naine of gent,if any: 1 ,nyVA'\ U 0 ��-ry� _._._. SIGNATIXRE OF PERSON TO WHqMCfRtiFiCATE IS ISSUED OR AUTHORIZED AGENJ INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER, 367 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. CERTIFICATE# EXPIRATION DATE: _ The Comcmmofteaftb of lRa.52 a rbuotts; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to BOSTON N INC. BARNSTABLE 31 (Eertifp that 1 have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of W.BARNSTABLE County of Barnstable Commonwealth ofMassachuetts The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity A-3 MAIN ROOM 90 CONFERENCE ROOM 30 ADDITIONAL DINING 30 16192 7/15/97 7/15/98 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within (10) days of any changes in the above information Building Official q ' COMMONWEALTH OF MASSACHUSETTS i ' y CITY/TOWN OF Barnstable APPLICATION FOR CERTIFICATE OF INSPECTION Date ! ( X ) Fee Required $ 40.00 l( �) No Fee Required In accordance with the provisions of the Massachusetts State Building code. Section 108,15, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Numbs S , Q A,;-% Name of Premises: b o_ 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: �, w Address-: 61.+a-e- a 1 d J(i nA Otirnervof Record`: of ,Building S k Address: Name of Present Holder of Certificate- . n� C Btf ✓ n 1CSLAf) Name Agent, n S GNATURE OF PERS01f TO WHOM CERTTp'TCATE IS ISSUED OR HIS AUTHORIZED AGENT INSTRUCTIONS: 1) Hake check payable to: TOTTN OF BARNSTABLE 2) Return this application with your check to: BUILDING CO*MISSIONER 367 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) ApplIcaLlon and fee must be received before the certificate will be isuued. 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE I /p/ ?_'7-- EXPIRATION DATE: 7 ,r TO CommonWea ttb of Aaozarbuattz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to BOSTON 'N BARNSTABLE, INC. 31 Certifp that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of HYANNIS County of Barnstable Commonwealth of Massachuetts. The means of egress are sufficient for the following number ofpersons: Location Capacity Use Group Construction Type MAIN ROOM 90 A-3 CONFERENCE ROOM 30 ADDITIONAL DINING 30 - i 16192 7/1/96 7/1/97 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in _ the above information Building Official W 'COI�iONWEALTH OF MASSACIiITSETTS CITYITOWN OF ERBarnstableTI APPLICATION FOR CFICATE OF INSPECTION Date Aa q ( x ) Fee Required ( ) No Fee Required 44, In accordance with the provisions of the Maaaachusetta State Building code. Section 108#159 I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: ^\ Street and Number: l� �(� Name of Premises: t'�) Purpose for which premises is used: F/1- License(s) or Permit(s) Required for the -Premises by other Governmental Agencies: License or Permit Agency Certificate to be Issued to: Address: o-l 457 Owner of Record of Building: _ �5 � OJ ��l cA ���= _kc" Address: 1 a 1� (L C7S -� �� �QI _� c 04-. U-2401 Name of Present Solder of Certificate: Name of Agent. if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT INSTRUCTIONS: 1) Make check payable to. TOWN OF BARNSTABLE 2) Return this application with your check to: BUILDING COMMISSIONER 367 MAIN STREET, flYANNIS, 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) Appllwttun and fee must be received before the certificate will be izuued. 3) The building official shall be notified within ten (10) days of any change in the above information. 104ZOLI)� — 17- l J Commonweattb of Sao.5arbuzett. TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.S, this CERTIFICATE OF INSPECTION is issued to (Urtifp that I have inspected the premises known as: BURGER KING located at 2145 IYANOUGH RD/132 in the Village of-ffYWR?%6j ��S/���� County of Barnstable Commonwealth of Massachuetts. The means of egress are sufficient for the following number ofpersons: Location Capacity Use Group Construction Type 113 C?D �-Aq� ,401,2<�`zC,� /�l�`•rill 3 r� 0 0 16192 7/1/96 7/1/97 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in2 the above information Building Official