HomeMy WebLinkAboutGOLDEN FOUNT. - Certificates of Inspection GOLDEN FOUNT.
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`°ftHErpy The Commonwealth of Massachusetts
Town of Barnstable
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1679 2020`00
1. lfD MA'S e
Certificate of Inspection
Issued to Golden Fountain Restaurant Certificate No.
Type: Building -Certificate of Inspection
DBA Golden Fountain Restaurant IC-19-137
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot---T— 6/30/2020
in the Town of Barnstable
203 WEST MAIN STREET, HYANNIS
Location Use Group Classifications) Allowable Occupant Load
1st B: Office, prof. or service-type transactions 48
Restrictions 48 Seats
This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place
within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited.
Name of Municipal Building Official Robert MCKechnle Date of Inspection 12/11/2019
Signature of Municipal Building Official Date of Issuance
5/29/2019
I
of 1HE
ti The State of Massachusetts
TEOMa Town of Barnstable
New and Renewal Certificate of Inspection Application
Date 7/23/2018 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: 203 WEST MAIN STREET,HYANNIS
Name of Premises: Golden Fountain Restaurant
Purpose for which premises is used:
License(s) or Permit(s) required for the premises by other governmental agencies:
Certificate to be Issued to: S'�ao u"t
Address: 203 W.Main Street Hyannis MA 02601
Telephone: ( �D ?7�- 33?j
Owner of Record of Building: C� , �
Address: 203 W. Main Street Hyannis MA 02601
0
Name of Present Certificate Holder: Cumberland Farms O "� O
co
Name of Agent, if any
SIGNATIJRE OF PERSON TO WHOM CERTIFICATE IS ISSUED Q.
OR AUTHORIZED AGENT PAR,
PLEASE PRINT NAME _
INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your check to:
BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601
PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part
thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building
official shall be notified within ten (10) days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# IC-1 14 EXPIRATION DATE 6/30 019
`-�C. D
�TMe Town of'Barnstable .
Buil4ding Division ,
�200 Main Street
BARNSrABLE, Hyannis; MA 02601 BARNSTABI,E a -
MASS. 1. * :i�i""
9$A ies�J ,m `" (508) 862-4038 pawns 3Es
16. 20 a
`! lnspec"tion Report. , ❑ Notice of Violation
''.
Business: VX Date of Inspection: /L— /I 9
Contact: AlGl q ///d Info: .:1
Address:A4 3' GUtFST/�l9ytV1 �s Info:
Phone: Info:
Email: Info:
During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR,
Massachusetts State'Building Code,as amended the following deficiencies and/or violation(s)were noted: ".
0 Section(s)': Location:
0 Section(s): Location:
rr p
p Section(s). Location"
Section(s): Location:
Section(s): Location:
0 ` Section(s): Location:
Section(s): Location:
e s
Section(s): Location:
Section(s): Location:
Action required to abate the above violation(s)you must:
None:no violations were observed at the time of inspection
Make corrections immediately and contact this office for a follow-up inspection
Re-inspection fee of$ is required and a re-inspection to be requested by business within days.
0 Make corrections prior to your next annual or semi-annual inspection.
Property/business owner or owners.,japprovedtagent contact inspector for consultation
Official/Inspector:
p Telephone: 508 862-4038
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Received By:�' �,�.,p,,'� �-,. Date:
Print Name:
Section 102.6 existing structures-The owner as defined in 780 CMR 2,shall be responsible;for compliance with provisions
of 780 CMR 102.6 And,if aggrieved by this notice and order,to show cause as to why you should not be required abate the
violation in this notice,you may file a Notice of Appeal(specifying the grounds thereofi with the State Building Code
Appeals Board within(45)days of the receipt of this order and in accordance with MGL e. 143\§100.
The Commonwealth of Massachusetts
City\Town of
Barnstable
New and Renewal.Certi icate of Ins ection
In accordance with 780 CMR 110.7(The Ninth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certficate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2020-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET,HYANNIS 12/31/2020
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspetted for general fire and life safety features. This certificate shall be framed behind clear glass andlor laminated and posted in a conspicuous place
'thin the space as directed by the undersigned. Failure topost or tampering with the contents of the certi Sate is strictly rohibited
ame of Municipal Peter Burke Name of Municipal Robert McKechnie Date of
ire ChiefBuilding Official ocal Inspector In ection 12/11/2019
ignature of Municipal Signature of Municipal ate of
ire Chief zoll�� Building Official Issuance 12/17/2019
The Commonwealth of Massachusetts
City\Town of
Barnstable
New and Renewal Certificate :o Ins ection
In accordance with 780 CMR 110.7(The Ninth Edition of the Massachusetts State Building Code).and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and 1 fe safety),this certificate of:inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2019-52
Identify properly address including street number, name, city or town and county Cert�icate Expiration
Located at - 203.WEST MAIN STREET,HYANNIS 12/31/2019
Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group B.
Classification(s)
8
Allowable
Occupant Load
This certificate of inspection is hereby issued by the,undersigned to certify that the premise, structure or portion thereof as herein specif ed`has been
inspected for.' eneral fire and life safety features:Thus certificate shall be framed behind clear glass and\or larninated,and posted in a conspicuous place
.thin the space as directed,by the undersi.geed. Failure to post or tampering fampering with the contents of the cer.tilcate is strictly.prohibited
ame of Municipal eter Burke Name of Municipal Edwin Bowers Date of 7I23/2018
Fire Chief Building.Commissioner Local Inspector Inspection
Signature of Municipal Si nature:of Municipal Date of
Coision uanceire Chief .Building
9120/201.8
�
JKWE The Commonwealth of Massachusetts
Town of Barnstable
2019
Certificate of Inspection
Golden Fountain Restaurant Certificate No.
Issued to Qiao Jin Zhang Type: Building -Certificate of Inspection IC-18-114
Identify property address including street number, name, city or town and country Certificate Expiration
Located at Map/Lot 6/30/2019
in the Town of Barnstable
203 WEST MAIN STREET, HYANNIS
Location Use Group Classification(s) Allowable Occupant Load
1st B: Office, prof. or service-type transactions 48
Restrictions 48 Seats
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 7/23/2018
Signature of Municipal Building Date of Issuance
Commissioner ( _� 5/10/2018
Town of Barnstable
o�
� sARN9TABF.E,
200 Main Street Tel.(508)862-4038
Asnss: w.
'ArEoMAYa`'0 INSPECTION REPORT
Permit: Building -Certificate of
Inspection
Use:
Date: 5/18/2018 12:38 PM Inspector : lauzonj Permit Number : TIC-18-114
Name: Cumberland Farms
Address: 203 WEST MAIN STREET, HYANNIS Unit No.
Inspection Type Inspection Item Status Comment
Certificate of A- Inspection Results NIC Hood system not properly installed. Gas inspector, fire
Inspection department on scene due to gas leak.
Inspection Overall Comment: Gas shut off until repairs made.
Overall Inspection Status: FAILED Re-Inspection Date:
Inspector Signature Owner Signature Total Score: 100
pp1HE n�
The State of Massachusetts
MASS �0p Town of Barnstable
1639. �0
New and Renewal Certificate of Inspection Application
Date 5/10/2018 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: 203 WEST MAIN STREET, HYANNIS
Name of Premises: Golden Fountain Restaurant
Purpose for which premises is used:
License(s)or Permit(s) required for the premises by other governmental agencies:
Certificate to be Issued to: Golden Fountain Restaurant
Address: 203 WEST MAIN STREET, HYANNIS
Telephone: (917)291-7739
Owner of Record of Building: Cumberland Farms
Address: 203 W. Main Street Hyannis, MA 02601
Name of Present Holder of Certificate: Qiao Jin Zhang
Name of Agent, if any Qiao An Zhang
E-Mail:
C 0
�cV1 _
SIGNATURE OF PERSON TO WHOM CERTIFICATE c y
IS ISSUED OR AUTHORIZED AGENT ;10
C"
W I HA' Nt
PLEASE PRINT NAME
1
INSTRUCTIONS:
1) Make check payable to: TOWN OF BARNSTABLE
2) Return this application with your check to: BUILDING COMMISSIONER, 200 MAIN STREET, HYANNIS, MA 02601
PLEASE NOTE:
1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified.
2)Application and fee must be received before the certificate will be issued.
3)The building official shall be notified within ten (10) days of any change in the above information.
FOR OFFICE USE ONLY:
CERTIFICATE# TIC-18-114 EXPIRATION DATE 6/30/2019
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The Commonwealth of Massachusetts
City\Town of
Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CNM 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2016-52
Ident v property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS 12/31/2016
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place
thin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
ame of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of
Fife Chief Building Commissioner Inspection 9/25/2015
Signature of Municipal Signature of Municipal Date of
Fire Chief �� Building Commissioner Issuance 9/29/2015
t,
The Commonwealth of Massachusetts
- r
City\Town of
l B amstable
r
New and Renewal Certificate of Inspection
In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2015-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS 12/31/2015
Basement First Floor Second Floor. Third Floor Fourth Floor Other
Use Group B
Classifications)
48
!-allowable
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind cicar glass and\or laminated and posted in a conspicuous place
within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry , Date of
ire Chief Building CommissionerInspection 11/26/2014
Signature of Municipal Signature of Municipal Date of
Fire Chief p \ uilding Commissioner �; ssuance 12/1/2014
.�
Tit -. ., _. _ .. �
TOWN OF`BARNSTABLE pate: ....f t �_'........:.!.. .....
zenewal
w Application
�,,�,,ELICENSE APPLICATION
iKass $ 200 Main Street
1e3� ,0 Transfer.
Hyannis;MA 02601 ,
(508) 862-4674 . . :❑ Other -
NO BUSINESS yMAY- OPERATE WITHOUT A VALIID LICENSE ON TIE PRENIISES 4
Name of applicant/corporation/CLC �L=�'_-�� .� 1...... �.-_-..�. _.... ......_ -_-...__ .._ Home phone#
Address of applcanUcorporation/LLC -� .�U '��`t" ��-'---S ---� ' --' -'-- - -' -- Business phone#: .�.r% ..- (�...:. .�-..
_t:.__ .... .._ _..... __.............. -.... -- .: __..
_:__......_.............._......... .......................... ... .....
Business location -- � _._:_ .. D t _::. E._ �_ l: !._� �. 1_. __. ._.......
Business mailing address 4tf dtfferenifram above.) _._.}C__...1�._._ __.4 Ct h L��_P.__ __..._._ _....... __-_--
�:... r�1��-D11 ...... `I ct(�� L(Pr �'I ?�..... �' C��I
License Type Annual Seasonal
Hours of Operation �._.X S 1 .!21 i .. . � . n. :�' ederal ID#: _.....
�.... ._, �' ._3 � _...__..
7.
Hours of Entertainment. h oll p Hours of Alcohol Service: t1 - 11 h1 1
Name o.Manager h�i nC email: F✓ I is
Mona er's permanent mailing address: 6t 6 c�
9 P 9 .._ .....__. .�Gs I>> ._...4 __ ......� -'-' --- ....... ---
Managers home phone# _.. �`? _� 73 ._. 'Business phone#: ......_:�_ ��( �,53?
tt
Name`of pro a neri ow CCf�t h°t-(fin Ct►��,
_. . .......... _ .. _..__._-.._
ASSESSOR S'MAP/PARCEL#`. MAP ;.( :...:. ..... PARCEL ...L?.i .....U.`.'../-...........
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 (8.3 0 :- 4 3 0. daily),.
Signature of:applican
..: .. ............ ........ ........................... .... .......
For T wn use only
REAL:ESTATE TAXES PAID IN FULL f t:''�• f�
PAYMENT AGREEMENT IN EFFECT ON
IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT,? " YES NO O
INSPECTORS'APPROVAL S A Capacity set by Building Division_-,.. 1 h
.L 1.j!LA',
Building2oning —__- -_ _ Date : ''_. _._. Board.of.Health_.._._ s ._...-_....__..__...._... Date .............._..__ -- -...............- .
Fire District __._ __._,.------'—'
Date _.:...___Comments:......._
While-'Licensing Authority, Gold.,Building Commissioner Pink-Fire Department Canary-Health Division
f
TOWN OF BARNSTABLE INSPECTION WORKSHEET
,�
CERTIFICATE NO: CANCELLED: MAP: 290
DBA: IGOLDEN FOUNTAIN RESTAURANT PARCEL: 003.00E
NAME/MANAGER: JQIAO JIN ZHANG
STREET: 1203 WEST MAIN STREET
VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: IRESTAURANT
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: B Capacity Under 50: ❑�
STORY2: CAPACITY: USE2: Outside Seating: ❑
STORY3: CAPACITY: USE3:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 48 LOC1: MAXIMUM SEATING CAPACITY CAPS: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP 11: LOC11:
CAPS: L005: CAP12: LOC12:
CAP6: LOC6: CAP13: LOC13:
CAP7: LOCI: CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: IN
Prrn�tTh s'S er'
e
12/02/2010 0 0
���P�l.nt�C,�ert�ifcat�o�l.nspec�on ,; `';
COMMENTS:
The Commonwealth of Massachusetts
City\Town of
Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety), this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
dents Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT
304-2014-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS
12/31/2014
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
Allowable 48
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified
inspected for general fire and life safe features p feed has been
safety . This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place
ithin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
ame of Municipal arold S. Brunelle Luilding
Municipal Thomas Perry Vate of ire Chief Commissioner
Signature of Municipal ns ectionF-1
21/2012
/ �--' of Municipal ate of ire Chief ( Commissioner
ssuance /9/2013
VKVE
TOWN OF BARll1STABLE Date
New1k phi -ation
�rA$> LICENSE APPLICATION D/Renewal
200 Main:Street .
/� � Trans e
Y I ❑ fr
H annis,MA 02601 ; (N�--��''
F
D
MP
(508) 862-4674 D Other
`
► N.O BUSINESS MAY OPERATE '.WITHOUT A VALID LICENSE ON. THE PRENUSES f
Name of a licant/cor oration/LLC:.__ .I- l._ `�._.___�� (A-:_. -(► .... Home hone# _ �,._ 2.11
PP Pj - --- - .... _.:--- P - :-
Address of applicant/corporation/LLC:-Q,3__tw_e° _ , i_✓I:__<_�__—}��.1� ���_:_$___ -.____ Business phone#: .. ..... 7(.....: . . . .
D/B/A C..3_)C21_.... 0L{�1�Gt_.E_( ....,. ��:.t..t.A G' �' : r�S f �� f�v1 t
Business location: vl.k1 L 4 ....... '�!1........._.-U.a..6 c )._..... _... _
Business mailing address_(if_differentfrom_above)_------- r _____._...___..__.._
I _
License Type: .....................L.0.rAM 011...; ViL l �V.... Annual Seasonal _
� .
Hours of.0 eratiori:. 4�
t{� t
P 7 d'�: S- ._._r I��En._:-_a. _^�`d .'J�i Federal ID#:' _...... _... _.p.. ..(:2.D......._.._ _J
Hours of Entertainment: (riUh-P_ Hours of Alcohol Service: . 7 46.LA S t 14
Name of Manager:,g l�i r � . i. 2 �Ga►� ,email: Al 4
Manager's permanent mailing address _ .. a._C� __ �lpV 2 ....._:
_ ....... _._ ....
w. Manager's home hone#: �► t___Z . r ` _ . .....
Name of roe owner:. r ,j.... � , -r
ASSESSOR'S MAP/PARCEL#: MAP PARCEL ho ..._..cx:u ....
.... ..:r�...... ......
List any flammable substance,or hazardous waste used in business(specify):
Applicants must. ONLY contact the Buildind Commissioner.'s office, . (508) 862-
4038, the Board. of Heal`th. office, (508) 862-4644, and the appropriate Fire
District office .to schedule inspections : IF ._YOU ARE, NOT OPEN_ OFFICE BUSINESS .
HOURS (8 :30 - 4:30 daily) .
Si nature of applicant �� ( � .--
9 PP u
... .. ................ ........ :. .... ! .. fF� . ... .. .. .... ... ...... ..Town use only I
REAL ESTATE TAXES PAID IN FULL:
I
PAYMENT AGREEMENT IN EFFECT ON j
IS THIS USE PERMITTED WITHIN THIS ZONIN DISTRICTS YES <� . NO O
}
INSPECTORS APPROVAL Capacity set:by Building Division
_....._.
Building/Zoning: Date ._4.C (._.� _ Board of Health_ _ ._..__ Date
r�
_..
Fire District
_------ - ---.._...- - ......__ _ Date_. -- _, :: Comments:_.._.._._........................._....... -- -
White-Licensing Authority. Gold Building Commissioner Pink-Fire Department Canary-Health Division
- The Commonwealth of Massachusetts
City\Town of
Barnstable
New and Renewal Certificate of Inspection
accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and hcapteerrt they of as hereiO4 of the Acts n 200 (n Act to further
In acco p
enhance fire and life safety),this certificate of inspection is issued to the premise or strut
Certificate No.
dentify Name of Establishment
FOUNTAIN 304-2013-52
Issu
ed to GOLDENRESTAURANT
Identify property address including street number, name, city or town and county Certificate Expiration
Located at
203 WEST MAIN STREET, HYANNIS 12/31/2013
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
ortion thereof as herein specified has been
This certificate of inspection is hereby issued by the undersigned to certify that the premise,d clear la structure or laminated and posted in a conspicuous place
inspected for general fire and life safety features. This certificate shall be framed b g
thin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
ate f
ame of Municipal Iarold S. Brunelle ame of Municipal homas Ferry ns ection 1/12/2012
uilding Commissioner
ire Chief ate of
Signature of Municipal r a Signature of Municipal ssuance 9/5/2012
ire Chief !. C.&a44,4_ uilding Commissioner
TOWN OF BARNSTABLE INSPECTION WORKSHEETS
Close,
CERTIFICATE NO: CANCELLED: MAP: 290
DBA: GOLDEN FOUNTAIN RESTAURANT PARCEL: 003.00E
NAME/MANAGER: JQIAO JIN ZHANG
r
STREET: 203 WEST MAIN STREET
VILLAGE: JHYANNIS STATE: ® ZIP: 02601- SEQ NO: 10
BUSINESS TYPE: IRESTAURANT
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: B Capacity Under 50` ❑�
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: ❑
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 48 LOC1: MAXIMUM SEATING CAPACITY CAPS: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAPS: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP11: LOC11:
CAPS: L005: CAP12: LOC12:
CAPE: LOC6: CAP13: LOC13:
CAP7: LOC7: CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: � s fi'
0 o a
G 111 t Pri t Ce ifica e�os�spti
COMMENTS:
C
TON" OF BARNSTABLE Date:
LICENSE APPLICATION. ❑ New Application
s� - ❑ enewal
KAM 200 Main StreetLZ Transfer
a� Hyannis,MA 0260.1
(508)862-4674 ❑ Other
—► NO BUSINESS MAY OPERATE WITHOUT A VALw LicENSE ON THE PREMISES.*
Named appiicantrearporation: Home phone
Mki
Address.af pGcant/corporation'` , Business phone#:
DIVA , 4�L� l/1 � '„ ''�'('/� Business phone#: ..—
Business location —
Business mailing address: _
Local business:address:
zl�bviza .
Local.mailing actress:
LI ENSE TYPE at Seasonal
HOURS'OF'OPERATION: Mf "12-:;0dfTeta�
Name.of manager
eMaii:
local mailing address: �- �----�_. . A(-
Manager's permanent maiing address:
Manager's home phone " Business phone fi: arQ�-771-333 Z
Name.ofProPeii :owner; . r Ij ; ' l ?�
.. (a'Vl
ASSESSOR'S,MAPIPARCEL# MAP PARCEL �J
Lista�tyfiammable substance oar hazardous waste used.In business.(speoify): ChQ ' i �f j
Applicants, must ONLY contact the `Building Commissioner' s :office, (508) $62-
4038: the Board of Health offices (508.) 862-464 ., and the approp.riate. Fire
District office to: schedule inspections. IF YOU ARE _NOT OPEN OFFICE BUSINESS
HOURS (8:30 -. 4.c.30 daily)
Signature of .applicant
. ... .......................,...................................... ..� ... .06,
T •.. only. ............ •.. ... . ........................................
REAL ESTATE TAXES:PAII?IN FULL
PAYMENT AGREEMENT IN EFFECT ON
IS.THIS.USE PERMITTED WITHIN THIS ZONING DISTRICT? YES ❑ NO ❑
INSPECTORS APPROVAL Capacity wt.by Building Division
(BDulldlng� fig �_ Date as, , _ Board of Health Date
Fire District Date Comments:
7yY
'!e=ticensingAutfioiity i od' e' Pk*-FWvDwwWed, Canary HOW01 ffidsim
TOWN OF BARNSTABLE INSPECTION WORKSHEEThC�osw
CERTIFICATE NO: CANCELLED: MAP:- 290
DBA: IGOLDEN FOUNTAIN RESTAURANT PARCEL: 003.00E
NAME/MANAGER:
STREET: 1203 WEST MAIN STREET
VILLAGE: JHYANNIS STATE: ® ZIP: 02601 SEQ NO:
BUSINESS TYPE: IRESTAURANT
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: B Capacity Under 50: ❑
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: ❑
i
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 48 LOCI: MAXIMUM SEATING CAPACITY CAPS: LOC8:
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: LOC4: CAP11: LOCI 1:
CAPS: L005: CAP12: LOC12:
CAPE: LOC6: CAP13: LOC13:
CAP7: PLOCI: CAP14: LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: P-.,nnThisS �5
• �" ;n-`�E��CertfiCat onto:;t h'��;�,
COMMENTS:
TOWN OF BARNSTABLE Date: ..................................... ...........
LICENSE APPLICATION New Application
" B"�'� ' [ 'Renewal
MAW `� 200 Main Street Transfer
t Hyannis,MA 02601 Other
(508)862-4674
-� NO BUSINESS MAY OPERATE WITHO11Te A VALID LICENSE ON THE PREMISES
6 w 0.1 k 5M L4fiAl-1A "is
Name of applicant(corporation: -_ - _ _ _ _ _ Home phone#:
.. ... . .-- ... -.._._.......:_....._ `1
Address of applicant/corporation:_.._ � � "�'_.___._..-__..__..__—_... ____. Business phone#:C ��--- ?f-��}•,•�
_ ---..... 1 .. 1._....--...._.._._.._.. .....�.._......._.......__..o:...I....._.............._.
........_......_........__._.._.............__..............--..._-- --...------- --- - __
Business phone#:1 ....-'-...... -'
Business location:
.r.v..' .........1 -- - ........ . 11.. _....... ._.:.. ? - .a..._l__..._._..---.....--'---------....-----_...------'- - --'
Business mailing address: - 1.. ._..... ... .. .............................-.........__........._.......
Local business address:
------ _ .__._..._........_..._..............._.................._._.................- .....__._....._.__..._._._. _....................._............._-.....---.....__......_.........
----....__._.__._..._._........_.._..._._..__..._.__......._..
-Local mailing address: ----........... ... ✓��._ ...._.- ._._.._...........---...........-..........................._.._........._........_........................._...._..........._...__......_........_........_._....._-.......---.__.........__...-------..........—...__.....
__---...-----
LICENSE TYPE: _ . :.. . `....i... '"�
. ,. .... .i�. .. ..:........ ... ..............i .,...��}..>.... ..:....�- Annual Seasonal
HOURS OF OPERATION: ...._.�...;_h.IJ.._f .. ..-...1....(..__ 't�r FID#:.._
.Name of manager: , "" entail:
Localmailin address: o f `X /(� /; •,.� >�g ........................................................................................................:..... ......
Manager's permanent mailing address: ..5>A... ...:if..............-_.._...................................................................._................................................----...........
--
Manager's home phone#:;.Q12J.36.7_1__43._ 2 Business phone#: - Z
Name of roe _ f
P P �Y owner: �,i�._�1..� ...._.._. ... - ...__........_........_.._....---............................__............_................................... -
ASSESSOR'S MAP/PARCEL#: MAP } ( PARCEL !j
List any flammable substance or hazardowkwaste used in business (specify):
Applicants ,must ONLY contact the Building Commissioner' s office, (508) 862-
4038, the Board of Health office, (508) 862-4644, and the appropriate Fire
District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS
HOURS (8 :30 — 4 :30 daily) .
Signature of applicant f D
.. ................................... .................................................... ................................................................................................ ...................... ....
For Town use only ,
REAL ESTATE TAXES PAID IN FULL
PAYMENT AGREEMENT IN EFFECT ON
IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES O NO O s
INSPECTORS APPROVAL Capacity set by Building Division._____.,..__
................_....-............................_................................._........................_....__......_........................._.........--.................................. —---._.-._._......_...... I
:B:ui:1ding/Z)ong ........./..�.-... `U 1 .....__._._. .... Date ......1_a-.-..a.Y-l...l.._.......................... Board of Health__.......-.._-......._.__.._....._.;_.._....... --...-._.__...—....... Date -----.... _..__......._._.__
FireDistrict ..._......_............................_......._.-..........................................__..._..._._....._Date..........._._......__.-.........-. _. _._...__._........_Comment._._......._.........__._...
i
White-Licensing Authority Gold-Building commissioner Pink-Fire Department, Canary-Health Division
. i
t
The Commonwealth of Massachusetts
City\Town of
Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CAM,Chapter 1 (The Sixth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2012-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS 12/31/2012
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place
within the space as directed by the undcrsigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of
Fire Chief Building Commissioner Inspection 11/09/2011
Signature of Municipal Signature of Municipal Date of
Fire Chief Building Commissioner Issuance 11/10/2011
I
TOWN OF BARNSTABLE INSPECTION WORKSHEET Chose
CERTIFICATE NO: r CANCELLED: MAP: — 290
--- —�
DBA: .GOLDEN FOUNTAIN RESTAURANT PARCEL: 003.00F
NAME/MANAGER:
STREET: 203 WEST MAIN STREET J
VILLAGE: HYANNIS STATE: MA ZIP: 02601- SEQ NO: —E
BUSINESS TYPE: RESTAURANT
CONSTRUCTION TYPE:
STORY1: r CAPACITY: USE1: F B Capacity Under 50: 0
STORY2: CAPACITY: USE2: Outside Seatin ❑
STORY3: CAPACITY: USE3: 9'
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: I 48 7 LOC1: MAXIMUM SEATING CAPACITY CAPS: LOC8:
----—
CAP2: LOC2: CAP9: LOC9:
CAP3: LOC3: CAP10: LOC10:
CAP4: I LOC4: CAP11: LOC11:
CAP5: F _ L005: _— _ ----- CAP12: LOC12:
J
CAPE: --- LOC6: I CAP13: LOC13: — --
-- _-
J LOC7: �_ — CAP14: �J LOC14:
INSPECTION: DATE ISSUED: EXPIRATION: Print This Screen
12/02/2010
— -- Prmt Certificate of inspection, r
—---—-- ----------— ---- -------- --------- — _ —------------- --.
COMMENTS:
The Commonwealth of Massachusetts_ tts
City\Town of
Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CMR, Chapter 1 (The Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
dentify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2011-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS 12/31/2011
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place
within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of
Fire Chief Building Commissioner Inspection 10/13/2010
Signature of Municipal Signature of Municipal ate of
Fire Chief Building Commissioner Issuance 10/14/2010
The Commonwealth of Massachusetts
City\Town of
I, Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CMR, Chapter I (The Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety), this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2010-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS 12/31/2010
Basement First Floor Second Floor Third Floor Fourth.Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place
ithin the space as directed by the undersigned. Failure to ost or tam eying with the contents of the certificate is strictly prohibited
Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of
Fire Chief Building Commissioner ns ection ( l
Signature of Municipal Signature of Municipal Date of
Fire Chief Building CommissionerIssuance
TOWN OF BARNSTABLE INSPECTION WORKSHEET coos
CERTIFICATE NO: CANCELLED: MAP: 290
DBA: IGOLDEN FOUNTAIN RESTAURANT PARCEL: 003.00E
NAME/MANAGER:
STREET: 203 WEST MAIN STREET
VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: IRESTAURANT
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: B Capacity Under 50: RE
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: L��1
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 48 LOC1: MAXIMUM SEATING CAPACITY CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: LOC3: CAP7: LOC7:
CAP4: LOC4: CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION:
'Pr,�nt Ths�Scr e
11/18/2009 0 0
! Frintr,.Gertificateaof Inspection
COMMENTS:
The Commonwealth of Massachusetts
City\Town of
, - Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CMR, Chapter 1 (The Sixth Edition of the Massachusetts State Building Code) and Chapter 304 of the Acts of 2004(an Act to further .
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
EIdentify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2009-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS 12/31/2009
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
IThis certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place
within the space as directed by the undersigned. Failure to'post or tampering with the contents of the certificate is strictly prohibited
Name of Municipal HaroldS. Brunelle Name of Municipal Thomas Perry Date of 11/5/2008
Fire Chief Building Commissioner -, Inspection
Signature of Municipal r Signature of Municipal Date of 11/13/2008
(Fire Chief Building Commissioner Issuance
'TOWN OF BARNSTABLE INSPECTION WORKSHEET dos
CERTIFICATE NO: � CANCELLED: MAP: FT60
DBA: IGOLDEN FOUNTAIN RESTAURANT PARCEL: 003.00E
NAME/MANAGER:
STREET: 1203 WEST MAIN STREET
VILLAGE: JHYANNIS I STATE: FVA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: IRESTAURANT
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: B Capacity Under 50: 19k
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: "i
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 48 LOC1: MAXIMUM CAPACITY CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: LOC3: CAP7: LOC7:
CAP4: LOC4: CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION:
!P,rintiThis Screen,
12/19/200i 0 0
,Print.Certificate;'of lnspe_ ctio
COMMENTS:
The Commonwealth of Massachusetts
,
City\Town of
Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CMR,Chapter 1 (The Sixth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2008-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS 12/31/2008
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place
within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of 11/2007
Fire C ie Building Commissioner Inspection
Signature of Municipal Signature of Municipal Date of 12/12/2007
ire Chief uilding Commissioner Issuance
The Commonwealth of Massachusetts
City\Town of
Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CMR, Chapter I (The Sixth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to GOLDEN FOUNTAIN RESTAURANT 304-2007-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS 12/31/2007
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group B
Classification(s)
48
Allowable
Occupant Load
IS
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place
within the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of 11/2006
Fire ChiefBuilding Commissioner Inspection
Signature of Municipal Signature of Municipal Date of 12/12/2006
Fire Chief 171,EBuilding Commissioner Issuance
TOWN OF BARNSTABLE INSPECTION WORKSHEET cos
CERTIFICATE NO: CANCELLED: MAP: FM07
DBA: IGOLDEN FOUNTAIN RESTAURANT PARCEL: F, O03.00F
NAME/MANAGER:
STREET: 1203 W. MAIN STREET
VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 0
BUSINESS TYPE: IRESTAURANT
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: A3 Capacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 48 LOC1: MAXIMUM CAPACITY CAPS: L005:
CAP2: LOC2: CAP6: LOC6:
CAP3: LOC3: CAP7: LOC7:
CAP4: LOC4: CAPS: LOCK:
INSPECTION: DATE ISSUED: EXPIRATION: PrintThis;Screen
12/06/2006
Print Certif[cate of Inspection
COMMENTS:
The Commonwealth of Massachusetts
City\Town of
Barnstable
New and Renewal Certificate of Inspection
In accordance with 780 CAM, Chapter 1 (The Sixth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further
enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified.
r
entify Name of Establishment
Issued to GOLDEN FOUNTAIN RESTAURANT Certificate No.
304-2006-52
Identify property address including street number, name, city or town and county Certificate Expiration
Located at 203 WEST MAIN STREET, HYANNIS
12/31/2006
Basement First Floor Second Floor Third Floor Fourth Floor Other
Use Group A3
Classification(s)
48
Allowable
Occupant Load
This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified
inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted a conspicuous place
ithin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited
ame of Municipal Harold S. Bru elle Name of Municipal Thomas Perry I
te of
Fire Chief Building Commissioner 11/2005 �
LL
ignature of Municipal �� s ection
Signature of Municipal te of 11/29/2005
Fire Chief [Building Commissioner
uance
T%0"WN'OF BARNSTABLE INSPECTION WORKSHEETlos
CERTIFICATE NO: I CANCELLED: MAP: 290
DBA: GOLDEN FOUNTAIN RESTAURANT PARCEL: r, 003.00F
NAME/MANAGER:
STREET: 1203 W. MAIN STREET
VILLAGE: IHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: RESTAURANT I
CONSTRUCTION TYPE:
STORY1: CAPACITY: USE1: A3 Capacity Under 50: r.
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seating: El
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 48 LOC1: MAXIMUM CAPACITY CAPS: L005:
CAP2: LOC2: CAPE: LOC6:
CAP3: LOC3: CAP7: LOCI:
CAP4: LOC4: CAPS: LOCK:
INSPECTION: DATE ISSUED: EXPIRATION:
:Print This Screen,
12/15/2005 1 0 4','r fr`nt Certificate of inspeecthA
COMMENTS:
r
TOWN OF BARNSTABLE INSPECTION WORKSHEET clos '
CERTIFICATE NO: ICANCELLED: MAP: 290
DBA: IGOLDEN FOUNTAIN RESTAURANT PARCEL: 003.00F
NAME/MANAGER:
STREET: 1203 W.MAIN STREET
VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 0
BUSINESS TYPE: IRESTAURANT
CONSTRUCTION TYPE:
STORYI: CAPACITY: USE1: A3 Capacity Under 50:
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USES: Outside Seating:
BY PLACE OF ASSEMBY OR STRUCTURE
CAP1: 48 LOC1: MAXIMUM CAPACITY CAPS: L005:
CAP2: LOC2: CAP6: LOC6:
CAP3: LOC3: CAP7: LOCI:
CAP4: LOC4: CAPE: LOCK:
nr
INSPECTION: DATE ISSUED: EXPIRATION: Print This Screen
- 4-1 0 0
i * l��3 PrinkCertificate of inspection
COMMENTS:
h
'TOWN OF BARNSTABLE INSPECTION WORKSHEET !o$
CERTIFICATE NO: CANCELLED: MAP: F290 .
DBA: IGOLDEN FOUNTAIN RESTAURANT PARCEL: 003.00E
NAME/MANAGER:
STREET: 1203 W.MAIN STREET
VILLAGE: JHYANNIS STATE: MA ZIP: 02601- SEQ NO: 1❑
BUSINESS TYPE: RESTAURANT
CONSTRUCTION TYPE:
STORYI: CAPACITY: USEI: A3 �-apaciiy Under 50: rF
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seatlnq: .
BY PLACE OF ASSEMBY OR STRUCTURE
CAPI: 48 LOCI: MAXIMUM CAPACITY CAPS: L005:
CAP2: LOC2: CAPE: LOC&
CAP3: LOC3: CAP7: LOC7:
CAP4: LOC4: CAP& LOC8:
INSPECTION: DATE ISSUED: EXPIRATION: .__ EWA
���ntTh"s�Screen
�� � � nC®rtrficpt®o -lnspectio_�n;
�kb o�-
COMMENTS:
TOWN OF BARNSTABLE INSPECTION WORKSHEET ctos
CERTIFICATE NO: CANCELLED: MAP:
DBA: IGOLDEN FOUNTAIN RESTAURANT PARCEL: Jc`
NAME/MANAGER:
STREET: 1203 W.MAIN STREET
VILLAGE: JHYANNIS STATE: MA ZIP: 02601 SEQ NO: 1❑
BUSINESS TYPE: IRESTAURANT
CONSTRUCTION TYPE:
STORYI: CAPACITY: USEI: A3 rapacity Under 50: Ok
STORY2: CAPACITY: USE2:
STORY3: CAPACITY: USE3: Outside Seatlnq:
BY PLACE OF ASSEMBY OR STRUCTURE
CAPI: 48 LOCI: MAXIMUM CAPACITY CAP& L005:
CAP2: LOC2: CAP& LOC&
CAP3: LOC3: CAPI: LOC7:
CAP4: LOC4: CAPS: LOC8:
INSPECTION: DATE ISSUED: EXPIRATION:
0 F
COMMENTS:
Town of Barnstable
Regulatory Services
BAmsriB" MASS, E Thomas F.Geiler,Director
9Q 11639. g'
Building Division
Elbert C Ulshoeffer,Jr. Building Commissioner
367 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-62A
CERTIFICATE OF INSPECTION
CAPACITY INSPECTION
DBA
LOCATION d 3 f.U• i(✓1 a�n - �`��-L-�
OWNER r Dr)
USE
CAPACITY&
DATE OF INSPECTION IZVTr COMMENTS
l� 60
J990125a