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MCDONALD'S 654 IYANNOUGH RD - Certificates of Inspection
MC DONALD'S 654 IYANNOUGH RD `oF,HE�o � The Commonwealth of Massachusetts . Town of Barnstable &ARNSTAU . MAE& a 2021 Q_ 1639- `00 O ,�3 ATfD MA'S� Certificate of Inspection Issued to Mc Donald's Certificate No. Type: Certificate of Inspection DBA Mc Donald's IC-20-88 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 311-086 5/31/2021 in the Town of Barnstable i 654 IYANNOUGH ROAD/RTE132, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 142 Restrictions 102 Maximum Seating Capacity 15 Waitstaff 25 Standees at Registers This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Official Jeff Lauzon Date of Inspection 7/9/2020 Signature of Municipal Building Official Date of Issuance 6/1/2020 �1ME The State of Massachusetts k Town of Barnstable �} New and Renewal Certificate of Inspection Application Date 4/23/2020 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: 654 IYANNOUGH ROAD/RTE132,HYANNIS Name of Premises: Mc Donald's DBA: Mc Donald's Purpose for which premises is used: jLDjNG DEPT. License(s)or Permit(s)required for the premises by other governmental agencies: Bu IY APR 3 0 Certificate to be Issued to: Mc Donald's 2020 (Corp,LLC,or name of Business) Address: 654 IYANNOUGH ROAD/RTE132,HYANNIS TOWN OF gPRNSTA LE Telephone: (508)230-2190 Owner of Record of Business or McBees Enterprises . Establishment: Address: 50 Oliver Street Suite W-113 North Easton, MA 02356 Manager or Persons responsible for Meghan McBee daily operation: E-Mail: mcbeejanise@verizon.net Fall SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT EV19441W PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# TIC-20-88 EXPIRATION DATE 5/31/2020 °FIKE.,r y. The Commonwealth of Massachusetts +_ --. Town of Barnstable 9Q `""M 012020 TfDMA�� Certificate of Inspection Issued to Mc Donald's Certificate No. Type: Certificate of Inspection DBA Mc Donald's IC-19-116 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 311-086 5/31/2020 in the Town of Barnstable 654 IYANNOUGH ROAD/RTE132, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 142 Restrictions 102 Maximum Seating Capacity 15 Waitstaff 25 Standees at Registers 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 8/12/2019 Siqnature of Municipal Building Date of Issuance Commissioner 5/3/2019 cTl r E T The State of Massachusetts . MNST" AFFD e�4 Town of Barnstable -. , New and Renewal,Certificate of Inspection Application g Date 8/31/2018 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: 654 IYANNOUGH ROAD/RTE132, HYANNIS Name of Premises: Mc Donald's Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: m 0-n 1S Address: 50 Oliver Street Suite W-16 North Easton MA 02356 Telephone: (508)230-2190 Owner of Record of Building: mc- 5� Address: 50 Oliver Street Suite W-16 North Elston MA 02356 Name of Present Certificate Holder: McBees Enterprises Name of Agent, if any ki SIGNATURE OF PERSON YO WHOM CERTIFICATE IS ISSUED / k z OR AUTHORIZED AGENT PLEASE PRINT NAME e .a INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your check-t-9: 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/- 6 EXPIRATION DATE 5/ 2019 5r�,�t*.R,,,�v � •- �, 5 r.' ,t. ter. rr" ..e"+L'�},"': 'r,,,�'�,4tr r �:. tin.,nri'+r'✓`Fri-�ri. ..:r� 1�..,d':',.. . ., _ - .,-.,v�1t - �TNe Town of Barnstable ti Building Division , Q' 200 Main Street + BA MASS. l Hyannis,MA 02601 BARNSTABLE �$ 630. ,•� (508).862-4038 5d 25 f aE QED MA'S R rss o� � 7-'Inspection Report ❑ Notice of Violation Business: 111,14 04WC,-)S Date of Inspection: Contact: meohdn �'!r� ,�Je �tEdF,t�olC' ' c.- 2 Info: Address: _74„4dAVJAJ Q 69 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: h q 0 Section(s) L-ovation: w� Section(s): d Location: 0 Section(s): _ Location: i . { : Section(s): Location: 0 Section(s): Location: 0-1 _ Section(s). Location. Al - Section(s): Location: 1 ► l �t; e 0 Section(s): Locatio IWIA. "1r 0 Section(s): ' Location: Action required to abate the above--violation(s)you must: None:no violations were observed at the time of inspection 0 Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$ is required and a re-inspection to be requested by business within days. 0 Make corrections.prior to your next annual or semi-annual inspection. Property/busme/ss owner or owners approved agent contact inspector for consultation , . Official/Inspector: Tl lephone: 508 862 4038 Received By: U / Date: Print Name: . 1Q h^1 ce j ,Section 102 6,ezisting structures The owner as defined in 780 CMR 2,shall be re ,sponsible . r compliance with provisions ' 0 780 CMR 102.6 And i aggrieved b this notice and order;to show cause as to wh ou should not be required abate the r f. . , f gg Y YY q , "{•f "a p,. iolation in this<notice,you may file a Notice of Appeal(specifying the grounds thereof.with the State Building Code Appeals Board within (45)days of the receipt of this order ang,in accordance with MGL c.143§100. i �oF1HETpG The Commonwealth of Massachusetts Y° Town of Barnstable " • auwsenBLF. '""� 2016 i63q. �e TED MAC Certificate of Inspection Mc Donald's Certificate No. Issued to Meghan McBee Type: Certificate of Inspection IC-18-106 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 311-086 5I31/2019 in the Town of Barnstable 654 IYANNOUGH ROAD/RTE132, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 142 Restrictions 102 Maximum Seating Capacity 15 Waitstaff 125 Standees at Registers 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 8/31/2018 Signature of Municipal Building ` Date of.Issuance Commissioner 5/4/2018 The State of Massachusetts . HARNSTABL . 1639. Town of Barnstable New and Renewal Certificate of Inspection Application Date 6/13/2017 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: 654 IYANNOUGH ROAD/RTE132,HYANNIS Name of Premises: Mc Donald's Purpose for which premises is used: License(s) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: C�r�na��(� Address: 50 Oliver Street Suite W-16 North Easton MA 02356 Telephone: (508)230-2190 Owner of Record of Building: �C'Ske—L PL��r 6-seS Address: 50 Oliver Street.Suite W-16 North Easton MA 02356 Name of Present Certificate Holder: McBees Enterprises Name of Agent, if any C) SIGNATUt OF PERSON TO WHOM CERTIFICATE IS ISSUED w OR AUTHORIZED AGENT • �GI V l M `I � � ! � PLEASE PINT NAME -.z D •• w INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application with your check to: 10 rn 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 07 EXPIRATION DATE 5/ 18 HE Th:e,.Commonwealth of Massachusetts ,f Town of Barnstable 2018 Certificate of Inspection Mc Donald's Certificate No. Issued to Meghan McBee Type: Certificate of Inspection IC-17-107 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 311-086 5/1/2018 in the Town of Barnstable 664 IYANNOUGH ROAD/RTE132, HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 142 Restrictions 1102 Maximum Seating Capacity 15 Waitstaff 25 Standees at Registers 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 6/12/2017 Signature of Municipal Building r1 Date of Issuance Commissioner 6/12/2017 AMA The State of Massachusetts , a Town of Barnstable New and Renewal Certificate of Inspection Application Date 5/6/2016 Fee Required 50.00 In accordance with.the provisions of the Massachusetts State Building Code,Section 110.7, hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 654 IYANNOUGH ROAD/RTE132,HYANNIS Name of Premises: Mc Donald's 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: 50 Oliver Street Suite W-18 North Easton MA 02356 Telephone: �( (j' `mil Q 1 1 D - Owner of Record of Building: . Address: 50 Oliver Street Suite W-13 North Easton MA 02356 Name of Present Certificate Holder: Mcsees Enterprises Name of Agent, if any SIGNATU E OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT N PLEASi,ViINT NAME Yam,. 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.QNLY: CERTIFICATE# >IC6 7 EXPIRATION DATE 5/ 017 „E The Commonwealth of Massachusetts tr, Town of Barnstable ��° 2017 cs �o�a Certificate of Inspection Mc Donald's Certificate No. Issued to Meghan McBee Type: Certificate of Inspection IC-16-107 Identify P P Y ro property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 311-086 5/26/2017 in the Town of Barnstable 654 IYANNOUGH ROAD/RTE132, HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 142 Restrictions 102 Maximum Seating Capacity 15 Waitstaff 25 Standees at Registers This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place Within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Thomas Perry Date of Inspection 5/6/2016 Signature of Municipal Building Date of Issuance Commissioner / 5/26/2016 �Su 1 a POE COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date VM& (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 110.7,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 1r1(l.UU 4 AA Name of Premises: Purpose for which premises is used: St-� -�- License(s)or Permit(s)required for the premises by other governmental agencies:. License or Permit Agency Bus w,4 ss Ue✓1 ' L e ,v� 4 Certificate to .be Issued to: I V I bfla J.s Address: U 0 Vt�- .5�. S N •�Gt,� Ul1- �` 1 ,. `Telephone: JU oC _a.f 1 "' �. :n n ; . =7 CD Owner of Record of Building: . I.y L V` -��.. Y)�e 126 SeS va ' Address: S CAM k GiS 016\,4C - Name of Present Holder of Certificate: M.0 Name of Agent,if any: r V V` PLEASE PROVIDE EMAIL: VA 1)W j(A t i k6 VQ(,rd'A' K7(+ SIGNA OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT VAS uNAw,n Mt G,(e- PLEASE tlk 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: 'OT CERTIFICATE I EXPIRATION DATE: r J020115c M1f The Commonwealth of Massachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 110.7, this CERTIFICATE OF INSPECTION is issued to MC BEE ENTERPRISES Certify that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM SEATING CAPACITY 102 WAITSTAFF 15 STANDEES AT REGISTERS 25 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201502307 5/26/2015 5/26/2016 311 086 The building official shall be notified within(10) days of any changes in the above information. Building Ofcial COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE f `f` � . APPLICATION FOR CERTIFICATE OF INSPECTION a,1�Y� -• - V Date [ k J (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: 5 9 T_ GY')Y16 t Name of Premises: Purpose for which premises is used: b� ��.STrnvC G License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc L,ce( S\NA(A Certificate to be Issued to: 1 V 1 C D60cnl C�5 Address: 0 kAr S�. W— ►:�� 1 y EGIS►Ua P Y l i9 OS J K� Telephone:. Owner of Record of Building: Address: CA Name of Present Holder of Certificate: EV14�,Jn �. Name of Agent, if any: - 7 SIGI\7ATVRE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASESPkINT 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# p(, I EXPIRATION DATE: J081210 .j 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 MC BEE ENTERPRISES Certify that 1 have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A2 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity MAXIMUM SEATING CAPACITY 102 WAITSTAFF 15 STANDEES AT REGISTERS 25 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201402855 5/26/2014 5/26/2015 3 1 086 The building official shall be notified within(10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS (� � � I„ Pd TOWN OF BARNSTABLE t APPLICATION FOR CERTIFICATE OF INSPECTION h� Date i�4 (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: �y 5 coal Name of Premises: M1" Purpose for which premises is used: % — License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency ' h� is lY►P�4 .�C 1.L's!Yt�'2 t 1 d ie y1s r Deb �, � r►m __ 2 Certificate to be Issued to; Address: ���Z�j L L+ .11"��' 46 . N -LDC.oLIY2 Telephone: 5 L Owner of Record of Building: Address: Same_ 0.5 tl b&ee Name of Present Holder of Certificate: � �(� Name of Agent,if any: ca I SIGNATURE OF PERSON TO WHOM CERTIFICATE IS-ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME tr rrti INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE:. 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# EXPIRATION DATE: J081210 rk The Commonbica tb of A1aq.5arbU.5ettq; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to MC BEE ENTERPRISES 3 QCErttfp that 1 have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM SEATING CAPACITY 102 WAITSTAFF 15 STANDEES AT REGISTERS 25 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201303652 5/26/2013 5/26/2014 31 - 0 The building official shall be notified within(10) days of any g f changes in the above information. Building Official . COMMONWEALTH OF MASSACHLTSETTS TOWNDF BARNSTABLE �l V ►'�- APPLICATION FOR CERTIFICATE OF INSPECTION . N, Date '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: ,J Name of Premises: f C w n, A,C'ZI Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Men .r-'sne S _ s+aiol��lnrnQn} 2XCrli4- C�Y�\� Certificate to be Issued to: WADS Address: MA 02,M �} Telephone: 9 Owner of Record of Building: ���� Address: G�(Y1e C`S �yc�rl� Name of Present Holder of Certificate: Name of Agent, if any: w AIL) GNATURE PERSON TO WH CERTIFICATE IS ISSUED AUTHORIZED AGENT w ii^ S I 1 I eij ai2Ci er- PLEASE PRIM NAME CD c~ INSTRUCTIONS: _ M 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 �� s Ou . EXPIRATION DATE: J081210 - oCIKEr = Date :�� tC ' do TOWN OF BARNSTABLE New,.Application LICENSE APPLICATION [� Renewal t BAMSPABLE ► MASS. 200 Main Street Transfer u 1639. A•� Hyannis, MA:02601 (508) 862-4674 54 —� NO BUSINESS MAY OPERATE WITI ouT A VALID.LICENSE ON TIC PREMISES t Name of applicanUcorporationlLLC:- Home phone# � ' ` �0 3 U i�_�r�-t__ _t PP F_._.::.-5 - 1 Business phone# .`� at Address of applicant/corporation/LLC.---- `---- - �- - - D/B/A - -- - Business location: _-- ... � ► _ �:. , Business mailing add ress_.(tf_.dtfferent.-frnm..abave.).:._ '. ........... s License Type.: r Y�i....:. .I:.C: �:..)C:'..�.._-:....��:f: �.1.... .. Annual Seasonal` Hours of Operation: —.....�. k. .._....-- Federal ID#: Cwr Hours of Entertainment: ,NI +i - Hours.of Alcohol_Service. Ptitun� Name of Manager: . .._... em ail Manager's permanent mailing address: _ ...._... _� '� !� ------ -----_.._..... . Manager's home phone#: _. 0 _.. (pC.: f .1Bus?ness phone#: �: 1 t Name of"property owner: . �r_(�r .._..� a_..t ,. w ASSESSOR'S MAP/PARCEL#: MAP ` .:... l�..... ...... PARCEL A List any flammable substance or hazardous waste used in business(specify) Applicants must ONLY contact the Building Commissioner'` 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 .. ...... :: ... ..... ..:. ...... . 0' For Town use only REAL ESTATE TAXES PAID IN FULL t k t PAYMENT AGREEMENT IN EFFECT ON f IN THIS.ZONING DISTRICT? YES NO }�a i IS THIS.USE.PERMITTED WITH - R INSPECTORS APPROVAL - _. -. - - Capacity set by BuildingDi vision p2, BulIdin /Zonln Dater_ .€ - r Board ofiHealth (( Date 9 9 - - �-- - Fire District Date 5 White•Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary Health Drvisiori; The eommmonwealtb of 41a55arbu2;ettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to MC BEE ENTERPRISES I QLCTltO that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM SEATING CAPACITY 102 WAITSTAFF 15 STANDEES AT REGISTERS 25 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201202415 5/26/2012 5/26/2013 086 The building official shall be notified within(10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS+ TOWN,OF BARNSTABLE,TO �} APPLICATION FOR CERTIFICATE OF INS C-TIO 2 f2 R 26 A°' 11: 2" Date 2 (X) Fee Required $ 50.00 )_No Fee Required DIV 10 1 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: U Street and Number: J Z rhAtN(D e-) 1,R RoA D Name of Premises: PC bo n Q IQ j.5' Purpose for which premises is used: rqs f © 2544 U ra _L. License(s)or Permit(s)required for the premises by other governmental agencies: _ License or Permit Agency Bti6 e-Ss tA�1'n C, r 1 ..n o d f1dLl5hll3 e n f am r t- kj _ffh 1 yr S t7 Certificate to be Issued to: C�O Do Address: O fr Ye c e— sTon rM�f nZ35f Telephone: -5 0 C2 " 230 — Zi q Owner of Record of Building: PC' 8.e.e- E()+1e1 (1 S@ s Address: iN Q S CLkn Y. e— Name of Present Holder of Certificate: �j e- - j)(('J S e.S ' Name of Agent, if any: ; ATURE OF PERSON TO WHOM CERTIFICATE IS—SUED 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 ©6 EXPIRATION DATE: J081210 r r ,i i ��je �1Conn�ou�e�rt�j of �� cYju�ett� TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to MC BEE ENTERPRISES JJ Certifp that 1 have inspected the premises known as.- MC DONALD'S located at 654 IYANNOUGH ROAD in the village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM SEATING CAPACITY 102 WAITSTAFF 15 STANDEES AT REGISTERS 25 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201 102131 5/26/2011 5/26/2012 311 .086 The building official shall be notified within (10) days of any changes in the above information. Building Off cial COMMONWEALTH OF MASSACHUSETTS �• TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date Jy ( 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: to s �Q 11 -U 0 b 1. Name of Premises: ,. Purpose for which premises is used: r_dsa j va XV4WX 4 License(s)or Permit(s) required for the premises by other governmental agencies: License or Permit A enc • ao AairP24 • Certificate to be Issued to: micx 405 • Address: 56 LI VAw Ste _-J �a�35io.. Telephone: 2M Owner of Record of Building: Y'jQr- . S Address: Saw as VkL Name of Present Holder of Certificate: Ld P _ Name of Agent, if any: SIGNATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME sy� �pri 4J 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 EXPIRATION DATE: V� ✓. Josi210 — IKE rQ�- TOWN. OF:BARNSTABLE date New Application LICENSE,APPLICATION saxxsrasi.E E4 Renewal v mass. g 200:Mairf Street cb se19. .0 E].Transfer Hyannis,MA 02601 Ej Other �t --► NO BUSINE ID SS MAY OPERATE WITHOUT A VAL LICENSE'ON THE PIIEAUSES.4 f� --f,t"t1 L ` _ Home phone# Name of applicanUcorporation/LLC- r�--�--�" ` ---- -- - - rf 1 . Address:of applicanticorporation/LLC - h !-;/ ���, `? - I �� --- Business hone#: ... ..i . �D::.�I ' - p rr ' rr '- �_ Business location: �f �'�-i�.t 7.. .' l_...�? �..._ _ - -- Busrness marling address_(if_dtfferent_fram:.abava) -_ .-1 .. ..2L:.1_License Type: f '<..t.t'.1. .'.!vt ltr1 ��1-�-fi r... ..1�:!� t f'::.:��_b� .�. ....... Annua► Seasonal Hours of Operation: . _ an._. :1.A- i .. .... _.. Federal ID#: .... _... Hours of Entertainment: Hours of Alcohol Service; .:.Name of Manager: _ -1' -__ ?� _�L __._::: ---- :email: Manager's permanent mailing address r�r� ......_ r �n k _ --— --- Manager's home phone#: J.�—�_ D._5 5U3_ .Business.phone#: ._?I ._r/7�.-r_�_ J.; Name.of property owner _----- _ 7 ASSESSOR'S MAP/PARCEL#: MAP.. : ��.1.�� PARCEL .....: ?.. List any flammable substance or.hazardous waste used.ib business(specify): Applicants must _ONLY contact the Building Commissioner's office, (508) 862 4038, the Board of Health .offi.ce, (508) .862-4644,.,.. :and the appropriate' Fire... District off ice to. schedule inspections 'IF YOU ARE NOT OPEN OFFICE BUSINEESS HOURS .(8 :3 0 -. 4:3 0. daily) .;'. s. Signature of applicant 405, ..................................................... I For Town use only REAL ESTATE TAXES PAID IN.FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE.PERMITTED WITHIN THIS ZONI ISTRICT? YES N0 O INSPECTORS APPROVAL Capacity set by Building Division._:___ _ _ _____ Building/Zoning _ Date _._ C (._. .._ ?�Board of Health._ __ _..__._._ Date _-- Fire District .Date ---' ---._.__ _..._Comments._:`_ ._......_......____._ White-Licensing Authority Gold Building Commissioner Pink-:Fire Department Canary Health Division on01a!5!9arbU!6 CW6 e�.Yt of�tC�n�n� � � TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to MC BEE ENTERPRISES I Certifp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM SEATING CAPACITY 102 WAITSTAFF 15 STANDEES AT REGISTERS 25 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201002606 5/26/2010 5/26/2011 311 08 The building official shall be notified within (10)days of any changes in the above information. Building Official T COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 512©I201 d ( 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: (05q- Tt,1�4,ny\ou2 t) Qbad Name of Premises: C' O( C old ' S Purpose for which premises is used: 'Re urani— License(s) or Permit(s) required for the premises by other governmental agencies: License or Permit Agency 1 �1r1>?SS l.tCerSe LAC eh5t nc�Av+hior Fcx�d Esi ak�l�SnmexrF P vr.� - Publ►c i tea_OVN D Iv l si on Certificate to be Issued to: Iv1Cb22 d.bcL �A cbon A�Vs Address: bD Qkwor 5uk W`te). %,E.S}Dc1 , MA OZ3510 Telephone: E5015'_ 230 —V q 0 j_ Owner of Record of Building: Mc bee E,�-Ntegrnse_S Address: Same_ Q,S O'boje, Name of Present Holder of Certificate: �A o-na mP.k4 Name of Agent, if any: r�Tef'tM(�Vl „AH C�j 54 SI E. F�PERSON TO WHOM CERTIFICATE >' IS U' AUTHORIZED AGENT PLEASE kBINT NAME �? INSTRUCTIONS: CD 1)Make check payable to: TOWN OFBARNSTABLE 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/��,���O 6 EXPIRATION DATE: J081210 5/13/10 Tom, McDonald's at 654 Iyannough Road, Hy, has a new owner, and Ralph has given me the following capacity change. Maximum Seating Capacity: 102 (formerly 82) Waitstaff: 15 Standees at 2 registers: 25 (Ralph wants to know if we should add this) A copy of the old COI issued to Keppler Management is attached. Is it okay to send the Certificate of Inspection mailing? If so, please sign attached letter. �y 7- oFt ro,,, Town of Barnstable Regulatory Services BARNSPABLE, MASS. Thomas F. Geiler, Director 1639. o Building Division Thomas Perry, CBO, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba rnsta b l e.m a.us Office: 508-862-4038 Fax: 508-790-6230 May 13, 2010 ..McBee Enterprises 50 Oliver Street, Suite W-113 North Easton, MA 02356 Re: Certificate of Inspection McDonald's 654 Iyannough Road, Hyannis 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 Ebe Commonbjeo.Y b of �Kamgarbu.5ett!6 - TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. I CPrtifp that 1 have inspected the premises known as: V'Cf-D0NAL'D'S located at �654�'IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A2 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity MAXIMUM SEATING'CAPACITtY ca Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201001400 1/14/2010 1/14/2011 311 086 The building official shall be notified within (10) days of any changes in the above information. --____ Building Official s r yt4t,7ra - ti -1.x�-s Date: ... 1��..t.g........................ TOWN OF BARNSTABLE New Application LICENSE`APPLICATION • �nsrrsrnai.e, • ❑ Renewal . MAS& 200 Main`Street 02601 16 irk 2 Transfer 5�: Hyannis,M o ► A' ❑ Other- /"N, t-`) j (508) 862-4674 —♦ NO .BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES — Name of applicant/corporation: _......._................._.... _.............._..... _._._...... . _...._......... Home phone#: Address of applicant/corporation:..5 --- 6`_1-rr _. ....._......... Business phone#: _......._......._...._..._......................_ ................_................_....................................._.........._............................_................................._..._ ... _......._........._..........__..............._....__._..._....................... D/B/A .........M ._.......-._...........................__.._......_......................__..._............................................................................... Business phone#: ?...._ . ._..__..... Bustresslocation: .4�Y1.k'�.4 _1 , ..._..__.... _......... -......_................. _ ............_............... - ....... ....... ...._........................... _..._..__. .....-- Bu sin ess mailing address - _ .t e :...._ .t .�)..-.U3..1_..._° .,.._ �aa' _,.._. ...._ Z. a_` _ _....._........._...._..........._... .........._.........................._....._..........._..._.....-- Local business,address: 064 .................._.._................__....._..._.._......_.._._........._._......_..__......._..............._.........._.__._...:_.._...._.....__....._...._............_._....__.._....__._._......_......_..- .._...__......--..._...._._ Local mailing address: __ .. - -.-.-.-........- --- e, LICENSE TYPE: Com f}C. t°�,t� �� o Annual ® Seasonal . .. ................................................................... . HOURS OF OPERATION. ...._..... FID#: - . _ Name'of manager. 1. P - .. __-.._.. .-._..._....._...._... '-'---_...._._.-..__...___....._-i�._...._.. t ....... eMa'I• ` Localxmailing address: .....z aarse ..........:..........���, .......................... ..,:.. Manager's permanent mailing address: 4 ....._ _......._..._...... ............................................................................................................................_ ..._....... ......._. � .. Managers' home phone#: � ..."... ._. ......_ Business phone#:' 11 .. �_�. ....... Name of property owner:. C ' ..... 1ier 1 `�. __.............._....... ASSESSOR'S..MAP/PARCEL#: MAP..........�............................... PARCEL ........... .......................... k" List any flammable substance or hazardous waste used in business s eci ( p fY): 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 sch�edule,,-inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (;8:30 - 4.:,3.0 Signature of applicant . . ......................I................................................................................ , ..: Fo Town use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES ❑ NO ❑ INSPECTORS APPROVAL Capacity set b Building.Division__.._._ _,.,....__:.._+.._,_:........................ ............... .._.........................................................................................................._............_............................................_.................._.................. p tY Y 9. r, 1. Buildin Zoning_... __. Date ..._4.Y_,...Y. _-.a._o..._............. Board of Health__............................:..........._........-.----._............._.........._...._..._. Date _...._......._..... _.._.:: Fireistrict ......__..-_..._..._._.._.....-.-....----....._...--------..._...:_...._......_Date..----........._........_..._............_. _....._._........_._.._Comments:..._..._..._................_........................__......._ White-Licensing Authority Gold.-Building Commissioner. Pink-Fire Department Canary-Health Division Mau T4T T42 a BS44 m 1 Q ❑ A BD22 written dimensions have precedence - ` ............. over scalerrg In all cases. the contractor ns "•.................. aalthejob 5de'and conderior Taz, iavi � y systems Incorporated of all dlscrepan- N99 Iles prior to starting work. BD44 These drawings are property of: Ct20 TIO float lib J Poeem 5 Irvl m ..................... . 5 ... : .., ❑ 1 I N TERI O R .:�: e SYSTEM S (; A ens BDba IN CO RPO RATED , S Kati''• 525 WEST ROLLING,MEADOWS DRIVE I 1 a �• O-. POST OFFICE BOX 1049 I I ` • •: ,, FOND DU LAC, WI 54936-1049 PHONE: 920-923-4313 32 31 B 14 i?� ' " FAX: 920-923-1677 rya WEB: www.isiamerico.com ♦ BD44 ♦ � The enclosed information Is proprietary j; a to I51, any unauthorized use or reproduction is strictly prohibited II 5 I 1 m BS44 heat title FLOOR PLAN I I - project - natlorial store I I McDONA( DO-, 1212 �----------- -- Io0atlon HYANNIS,MA RT.132 BEVERAGE CENTER B. 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EOM pR 91oBeALL9, RAMP9, ela. O GU9Tant9e 9f9NILe P 1 T erwAcse EA.91 T µ �ITIOUL TmIRA1F5 ...... 6V O >�JIlIB AREAS. NAIMAIN I'MINp bM 1- )CJCB�SUPq•I ED BY aOatATOri, YgTftDINATE n/IIOD'S P W PIN�D911 ASS•�TIaJ. T/ONul v/.l. •,0. •D ljmpl xA6e BUPPLIeD Br°Pause. E. �R WALI Sr-GFMRI Y Ptve �gnmoelt �• a-4 In• Z ski-AT�ig 55 +•ABOVE SLAB TO CEl(IHt OP BOK. 1."CJSAR 4APDDYtD IOINe 4•TO rCwTOt ON TYPILAL BAIJOIP SUPPORT 110'IO L. _ . TYVBC AIR 1 ILTRATIaM BAMIM. 5!£BACgIP SI vlI,T PLAN P.R.P.OX 9/0' 9 1 VALLEY BVD.(MVE.INC./. 11TOd•b312025. OVER EKiaeICN eRADB PLTMDOO. FOR LOCATIONS. 0.YILOp. I/Y-a, q -es9-1'aR D(p-S°I-!III PRNIIN6.16• L. 1 1'IMD 9TW PMTITION T'pEI CEILING Pae .IOy I9L� ItlD®_•1410 (MITI ORAPiBTLP/PIR�TDP BLCKKIeb AT PIN19I •^•.-4 +OERAP LQ DOO-241-14I12 CEILING LEV13,LCTfT1 1110 11 51. 1/2 1/2• 'AI'•Zx4 w MATT IrEA1L. 9UPPI.19$I, !.BATT ALAI [-- R-21 VALUE. BASe _ MATT C61 SB21 E9 D900-iT 1/2'.44' 'B• OR•K•O_.TEI�IpF.eaD-!l1-S111. 4.VAPOR BA(dtt6l. - ._ .-•-. S.6YPSUI BOAf✓fl. 1VBATi IN9lA.. ,• n . .. •G1•,a.q .•..-, ;�::•. STUD 84ALIW.16.O.G. _e NT92I OR PAI7•rPLxarN1EI A9 eO11HRR.® a Bcr�im (0 54n R o0_jd - n� ;or_ The Com onbaeaYtb of 1+1a'ggar ju'qettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. I Certifp that 1 have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM SEATING CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201001400 1/14/2010 1/14/2011 311 086 The building official shall be noted within (10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 3` 3j' lU (X) Fee Required$ 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: �OS`, 'G� H.y��✓ t- �c /`� Gr /1�'!i f /�i9 - 0 7— Name of Premises: //7 o AI 7> Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License w Permit ' / �/ A enc (f-o illMo N Certificate to be Issued to: Address: ? O 73 Telephone: ct M W A L Owner of Record of Building: A/C I Y j AL h �S �G✓� Address: D /C /J ry d k L- L Name of Presen der of Certificate: Name of A nt, any: SIGNA ARE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 0 PLEASE PRINT NAME , INSTRUCTIONS: ' ' 1)Make check payable to: TOWN OF BARNSTABLE c.n F- 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# ;?eP/O O /Lj'0 O EXPIRATION DATE: J081210 f 5/13/10 Tom, McDonald's at 654 Iyannough Road, Hy, has a new owner, and Ralph has given me the following capacity change. Maximum Seating Capacity: 102 (formerly 82) Waitstaff: 15 Standees at 2 registers: 25 (Ralph wants to know if we should add this) A copy of the old COI issued to Keppler Management is attached. Is it okay to send the Certificate of Inspection mailing? If so, please sign attached letter. ... .., ., - .: x -: _ •:':. <, r, ,,.wr _ isVIC r /3c).� Date: ......:�......... .": . • TOWN OF BARNSTABLE El N cnewal w Application LICENSE APPLICATIONRe MASS. 200 Main-Street Eg,39. El Transfer Hyannis,MA 02601 (508)862-4674 - ❑ Other NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES 4 Name of applicant/corporation: :r _ ` ---..-_..__...._.......__...---___._...._._....... Home phone#: . _.-_.-.— `- ,�/ 'r` Fe_ _� _: ` ; _ :f, Business hone#: ..... .n .-.. ..;.. . .- _df—���o Address of applican)lu corporation:--Q__�-+�`_.--��_,----.��� ____.-----------------.- DIBIA __...__ ( n, -------— ------------==_ Business phone#: 3 - ":�- --- Business location: ..h...... _.....- ----------...__.._._..- --------- Business mailing address: ....__...? _.._ . 06 ... Local=business address r : . . Local mailing address: _-- � _._ '= =_. '" �►- ._ _ ---____-- LICENSE TYPE: f • r Annual Seasonal -4-4.)., .1.E A.1.........j.: _fit..L ....... ..1'�.'. .Q.. .� . �.. .. 0 HOURS OF OPERATION: .._..� � _......... .._ d.__._____ FID Name of manager: i' 6 eMail: l Local mailing address: _ .u..l??...C..... :. ..... U.<... .5. ..............................................................._........................ Manager's permanent mailing address: _-.------------- - _ -- -------....__...-------------- -------Manager's home phone#: `�` oZ-Slb-... Business phone#: _ �... r . _ l E Name of property owner: ASSESSOR'S MAP/PARCEL#: MAP I.•.•.•.•_•.•.•.•.... PARCEL .................... List any flammable substance or hazardous waste used in business (specify): Applicants must ONLY contact the Building Commissioner' s office, (508) 862'- 4038, the Board of Health office, (508) 862-4644, and the appropriate Fire District office to schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8 :30/- 4 30 daily) . Signature of applicant ....:.................................................... ......................................................................................................................................................k�,r........:�.rb........... For Town use only REAL ESTATE TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES NOE] : J INSPECTORS APPROVAL Capacity set by Building Division__._____ 1 uildin /.onin fI _.__,..._:. Date 1 i av_.1._t___..._: Board of Health___ ______..__.___.___. ____._.,:. 'Date g.. ....Q d -- Fire District Date Comments: ..._..._......_......_._..._._.. ----- ----.—.._.._...---.._...._........._.......__..._.._........_............__..._._._.__...---..._.__....._.....-._... .....---..._.._-......---...-_....._..........................._..._..._..._......__:__...__...._... ._..........._..._-----._.._..._-._...._.........-_._... White-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division �Yje �orr�n�D e�cft�j of �Ha5.g rbUgett,5 TOWN OF BARNSTABLE In accordance with.the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. X Ccrtifp that 1 have P e inspected the remises known as: p MC DONALD'S located at 654 IYANNOUGH ROAD in the village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM SEATING CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200900142 1/14/2009 1/14/2010 311 086 The building official shall be notified within (10) days of any changes in the above information. Building Official 5 I J COMMONWEALTH OF IVIASSACHUSETTS TOWN OF BARNSTABLE . APPLICATION FOR CERTIFICATE OF INSPECTION Date 42-SO `y (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: ��Y �/�A%,r✓o �/� ° " Name of Premises: /mac bOU4-c-A Purpose`for which premises is used: License(s) or Permit(s)required for the premises by other governmental agencies: License or Pe mit A c cO%n/h Certificate to be Issued to: F A T 60 Address: D•: B the /7 3 � L'u �-.r�� r q Telephone: Sd F341 2 Q3 F Owner of Record of Building: Address: Di4 fOC Name of Present Holder of rtificate: /J��e� /`��/ �tl C A /%- b1A,-_1 ! T Name of Agent, if any. SIGNATURE PERS OM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 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 wilI be issued. 3)The building official shall be notified within ten (10) days of any change in the above information. FOR OFFICE USE ONLY: q� CERTIFICATE# ��1� 6 o� EXPIRATION DATE: J020I15b � o eommonweaftb of �r�� rYju ett� TOWN OF-BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. 31 Certifp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the.Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type. 2C Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200800131 1/14/2008 1/14/2009 311 086 The building off cial shall be notified within(10) days of any changes in the above information. Building Official r. I COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date dal 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: lO Sy-y�9-;wyOa—t -�."7�"� _ .• :. . Name of Premises: Purpose for which premises.is used: License(s)or Permit(s)required for the premises by other governmental agencies: Licen e o Perm Ag c R 2 r Certificate to be Issued to: ex.._ pyt-�si.� Address: f�ch� �•7 J o 5 //�� 00 Telephone: l,e(vrI dY!04 �,r �!F 6j ZC 3� m Owner of Record of Building: /�� dk✓ —�S C ,'t I Address: Nx !-�1%)k Name of Present Hold f Certificate: X 10,E /KZn412 e oe.-41 Ca c,10A 14-0aUez-,6--� Name of Agent, if SIGNATUR OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT F Ito PLEASE PRINT NAME INSTRUCTION S:, 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS, MA 62601 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: y�0 J020115b Zbe eommonwealtb of Aa.5,qarbU5ett5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. 31 Q'Certifp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A3 .The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200701384 1/14/2007 1/14/2008 311 086 The building official shall be notified within(10) days of any changes in the above information. Building Official f y, . COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street.and Number: � h Name of Premises: C Purpose for which premises is used: Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit AAg_enU COt� tyl o✓► t cc...[iCcil� Certificate to be Issued to: A19ppiele O/e,4 �� /.JO/u he-i/� -� Address: e�5 v !'l /`' 4 40 is /I/I,4-S•S 024�oD/ Telephone: �D _ ��Z �� • Owner of Record of Building: /v/G 16OrU/-7� -f P Address: Name of Present Holder of Certificate: Name of Agent,if any: l 10,4,,L C2r-7-4'C-o--7� SIGNATURE OPIPERSON TO WHOM CERTIFICATE C d IS ISSUED OR AUTHORIZED AGENT m aFL, PLEASE PRINT NAME ram` Z 3 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: r� CERTIFICATE# OSOD�����g 7 EXPIRATION DATE: J020115b Commonbica ltb of Aam6arbUqettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code,Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. Certifp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A3 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity MAXIMUM CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 35858 1/14/2006 1/14/2007 311 086 The building off cial shall be notified within(10) days of any changes in the above information. Building Official t� 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: 66-Y ;y��nl��C/j /e-ad& Name of Premises: /-1 c- &WA-c-2s--.s Purpose for which premises is used: ate License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit _ �j Ageno� Certificate to be Issued to: 6,e., e,,- Address: P D. 3 Telephone: Ca/n/,-i 10A JOE 342 -j-ail Owner of Record of Building: J6,c.^7—'b �� CLY Address: / t- ba rhL"� C-j ` /`�- VA <L t�lwk. Name of Present Holder of Certificate: Name of Agent,if SIGNATU OF PER HOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT 4"e-- z- A�' PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# EXPIRATION DATE: ( / d J020115b L Commonbneaftb of AaqqarbU.5ettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. 3 Certitp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 35858 1/14/2005 1/14/2006 311 086 The building official shall be notified within(10) days of any changes in the above information. Building Official COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: (p s :Z Yct IVAJ O Q q Name of Premises: #c-A was . Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: Q License or Permit Agency �usi�c%�nss Gtsc e t w, con,•� Certificate to be Issued to: Gew— pot 74 0414/ �L .4f4tj -s Address: /fox 173 Ca..►z.r�A- ��,.�� �'fA. a2z' Telephone: c56 F���2 ' c13r Owner of Record of Building: ' Address: I k Ddk d J �l fie' L�� � Y7?��/ �C,�• Name of Present Holder of Certificate: Name of Age , any: SIGNA ' RE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT A-ce- '—e. AEw e� 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: IL J020115b The CommonWeattb of Aaq,5arbuqettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. 3 Cerfitp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 35858 1/14/2004 1/14/2005 311 086 The building official shall be notified within(10) days of any changes in the above information. Building Official S r it- COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date O S O 7 (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: Sy -T�l ANN U� 5 K �` /�L��✓�vGs /'Z�. 64�;Id/ i Name of Premises: c o"'j /I-t_ S Purpose for which premises is used: �fl�TravQ License(s)or Permit(s)required for the premises by other-governmental agencies: License or Permit Agenc Certificate to be Issued to: '`'���'��� Address: P 0. 3Uy 173 Curlarylo4�cc.�J A o Telephone: IS—�l��Z✓ /�i�i✓Y,1-/�clrcv-o`er L.L� Owner of Record of Building: � �,/ 2 < c)cC l Cu.vyt'''�-a� /�C� Z Address: Name of Present Hold e ficate: /� ��SAC��� /"1`��1 r /L<� co, . Name of Agent,i ny: SIGNATU1&6F PERSON TO WHOM CERTIFICATE IS ISSUED OR AUT ORIZED 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. CERTIFICATE# V EXPIRATION DATE: I J020115b eommonwealtb of A1a!6,!6arbuoettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. I C-errifp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: 2C Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 35858 1/14/2003 1/14/2004 311 086 The building official shall be notified within,(]0)days of any changes in the above information. Building Official 4� .y COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date b VIL13 (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: CP.S � j �� O U/ Name of Premises: A_�G J G WA-C 6'J Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Perm't Agency /YLo32�rV , s ,eaZeR. Certificate to be Issued to: Address: �. ��� /7� . C.c� �2��w14 � d 2 3 2 — Telephone: Owner of Record of Building: Q� 011,4 Address: / d, d l 73 'O Name of Present Holder of Certificate: Name of Agent,if any: 17 SIGNATURE RSON TO OM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable-to: TOWN OF BARNST 2)Return this application with your check to: DING COMMISSIONER,200 MAIN STREET,HY ,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be ub. tted 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# c�1_���� EXPIRATION DATE: z / l' iMM 1[l. The CommonbicaYtb of Aa'q�;arbu5ett.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. I (Urtifp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXIMUM CAPACITY 82 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 35858 1/14/2002 1/14/2003 311 086 The building official shall be notified within(10)days of any changes in the above information. ` Building ffacial c♦ r COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$5 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 below-named premises located at the following address: Street and Number: ��y -:��/Cr' yV Al0 Q f k Z-G of Name of Premises: HL Z)y 'V A-<— 0 Purpose for which premises is used: �o License(s)or Permit(s)required for the premises by other governmental agencies: . License or Permit c Certificate to be Issued to: �r/JD 7P� �� �� 1(21IJ4 �C. Address: O. CJyt /.-2,/S ro� ")s7%S __ 'x1A Telephone: 6 6 -31 $ d/ i Owner of Record of Building: Address: ,4- �3roo& Name of Present Holder of Certificate: ;_� It G1 CQ Name of Agent / SIGNAT#kE OF PERSON TO WHOM 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# 3 `� � EXPIRATION DATE: The C o m m. o n w ealth of M as s. 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 KEPPLER MANAGEMENT CO. Certify that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity A3 DINING AREAS 82 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 35858 8 1/14/2001 1/14/2002 311 086 The building official shall be notified within (10) days of any changes in the above information an` y�L Building Official cr is i 01/29/1995 00:23 918028624926 PAGE 03 F16 FA COMMONWEALTH OF MASSACHUSEM TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date_J/,oS 0/ (X) Pee Requued S 40.00 ( ) No Pee Requimd In accordance with the provisions of the Massachusetts State Budding Code,Sermon 106.5,I hereby apply for a Certificate of Inspection for the below-named p/mlaism locamd at the following address: Street and Number: 65 Name ofPra Um- Purpose for which prmises is treed: 1-wal) Lice *s)or Permit(s)mquimd for the premisas by Odw pvammmj age; AMSM certificate to be awed to: ze �if,v Addrem Tblepbone: D 7-,3 Owner of Record of Hnildiug: JOF Addrew.. (�. f�d zal 1 s S• 6 Name of Present Holder of Certificm: Name of A if S7Gt&TW OF PERSON TO WHOM CERTIFICATE LS ISSUED OR AUTHORIZED AGENT 1)Make check payable to: 'DOWN OF BARNSTABLE 2)Return d is application wilt your check to: 9UMDING COMMMON@t, 367 MAIN STREET,HYANNIS,MA o2601 PLEASE NOTE, I j Applfcaoian fbtm with aceotapaaying fee must be submitted for each building or savcttue or part thereof to be certified.2)Application and fee must be revived befm the ceRificate will be issued, 3)The building official shall be nodfW within test(10)days of airy dump in the above istfotm8tion. CERTIFiCA'I'E!! 1?XPMATION DATE: T he c om m o n w ealth of M assachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to KEPPLER MANAGEMENT CO. Certify that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: Use Group Construction Type Location Capacity A3 DINING AREAS 82 35858 1/14/00 1/14/01 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 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE -PLICATION FOR CERTIFICATE OF INSPECTION Date (X) Fee Required$ 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 below-named premises located at the following address: Street and Number: y/ IU A) O P 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: /7- . Address: • �4 /�/ �Qt�j/Ilf19 . e Telephone: Owner of Record of Building: / <e ��1Y9'�-�1 J Address: �.��CC,��G Name of Present Holder of Certificate: dAyae &4 Name of Age y: SIGNATME OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: 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 CommonWealtb of jRa0,5a rbu,5ettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to CAPE COD SYSTEMS OF HYANNIS I Certifp that I have inspected the premises known as: MC DONALD'S located at 654 IYANNOUGH ROAD in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are suff cient for the following number ofpersons: Use Group Construction Type Location Capacity A3 DINING AREAS 82 35858 1/14/99 1/14/00 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 r, COMMONWEALTH OF MASSACHUSETTS O C� TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date J o y%- (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 below-named premises located at the following address: Street and Number: G rJ 3 Name of Premises: c.0 o Y,r .0 S Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Aeencv Certificate to be Issued to: - V.01A.5 Address: L J 4 G)4 k 's e�- 01 01 Telephone: 0<6- 9 9 1— 151 Owner of Record of Building: j)0Y\c- CQY j2QY-F 1 e7• Yn Address: M 6y\CJ C1 s Name of Present Holder of Certificate: cc Wr os e box Name of Agent,if any: b1n�n S o a � SIG OF PERSON TO WHOM CERTIFICATE S UWOR AUTHORIZED AGENT INSTRUCITONS: 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# .32= P 5 EXPIRATION DATE: Town of Barnstable Regulatory Services 9� i'E� Thomas F.Geiler,Director i°?Eo �►��639. 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 DBA (Y\ LOCATION 3 0 OWNER USE .CAPACITY&FEE .DATE OF INSPECTION I P C OR COMMENTS 2— J990125a THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I m L DATA ,;7 416 ❑ New Application HARNSTABL& TOWN OF BARNSTABLE ❑ Renewal MAK� t65 E], Transfer E] Other.................... LICENSE APPLICATION Date...'.�/ Print or type only (Please bear down hard) Nameof Applicant....4.( ....... ...............................D/B/A... ............... ........................ Corp.Name if Different....... FID#.............. .............. ......... ..............................?................ " tw Ilk 4, PermanentAddress of Applicant... ................irn.......;�,............................................%................................................................ 2 4, Local/Mailing Address.... .......................................................................................................... . ........ ........ ......................Place of Birth....... ............................ .......... -Zl/jZ /'J"- PropertyOwner ......... . ...................... .................................0...Business Location... ...........................7.......................... Typeof License................ ............................... ........0...........................Status:Annual.................................Seasonal........................ Name of Manager.......�..'.'.41...............L ...... ..................... ....... .. . .... ...............0.............................................. PermanentAddress ........ ..... .......... ..................................................................................................................... LocalMailing Address......iW."o ................................... ....................................................................................................................... AJ. Place of Birth....... ...... ...................................................... .......... .. .. ...... i I . ................... Telephone#of Applicant: Home .........) ...... .Bus(S.i.-I....... .............. .......... Telephone#of Manager: Home .......................)............ ............................ ...........Bus(...............)......................................... Assessor's Map#(s)................j'i ..................Parcel#(s)............. ...:.....................Zoning District.................................................... Any flammable substance or hazardous waste use in business(specify)............... -,f--A--C......................................00........................ /Af` NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES 440,w, Applicants must contact the Building.Commissioner's Office.SNOMM,the Board of Health Office,A&MGM,and the appropriate Fire District Office to schedule inspections. Signature of Applicant ............................................................... ....................... ........................................... ....................................0............................0..:..............ior. . ........0......................0................................................................................... Town use only IS THIS USE PERMITED WITHIN THIS ZONING DISTRICT?........................o............................................... ........................ Comments:.......................o.....................0........................................................................................................ ...............0................... INSORS APP V L .. ..............................o......0.............0.........0................................ ......................................................... ........Board of Health.....................................Date...................... uilding/ ning... .. .. .. . . ..........Date.........�'...... W1 ..................................Date.................Plumbing.............................Date.......................Gas.................................Date............. FireDist................................................Date........................................... TAX OFFICE USE ONLY TAXES PAID IN FULL PAYMENT AGREEMENT IN EFFECT ON TAX COLLECTOR White-Licensing Authority Green-Tax Office Canary-Health Department Gold-Building Commissioner Pink-Fire Department °p VE The Town of Barnstable MAM �0 Department of Health, Safety and Environmental Services 1639. AlEDMA�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Of CAPACITY INSPECTION RESTAURANTS UNDER 50 CAPACITY DBA LOCATION ✓�02 Y C 6 Sy�G OWNEWMANAGER CAPACITY(LIST EACH ROOM AND ANY OUTSIDE SEATING) qc� i INSPECTOR DATE OF INSPECTION ` Z� �/g q J980706A ��- A, AjA �.t. i gyp' New Application' BARMMABMTOWN OF BARNSTA LE Renewal .. Transfer Eon Other..................... LICENSE APPLICATION �r Date Alr-. .. .t3L .Print or type only (Please bear down hard) _ Name of Applicant..... .�„.......t... �� ►......................., ....DB/A .....M. .t.� ::' ................. Corp.Name if Different...... ,..:. ... .. Permanent Address of Applicant....... D.,x '.. : . '+. .P. .....� Local/Mailing Address...... : " ........................; , ........ ... .. ... ..... "".. ,. '.. ................Place of Birth.... . : .' .: .... ?:.{i. ........... VA Property Owner . �..�� tr. f'� .' :" ` .::'�usinessLocation..... . . .:! .`., .. ea 10al—` -�� " seasonal .r: Name of Manager.... .. .x�C'i"° "� ... ~.� ... n {. Permanent Address .... r,. ..... .. �`.: . .i l ;a.: ...... .. .... o I`1 :' „ ` � 1.... ... x.- LocalMailing Address ................................................................................................................................................. ....... .-^: .........Place of Birth....... ........................................................... { , Telephone#of Applicant: Home(....,...#.� .: ....).............. ... "....:9...�...a '..............Bus(. .:.7.�..).... ... ...F."... : .... . r Telephone#of Manager:Home( . . ).. .. .'"'�.. . .......Bus(.: .). ;......... -r . . : ....... .. . .... .. . Assessor's Ma # s 1............ "....Parcel# s :..: tx: .c ...: Zonin District P O......... .. ( ... g ..................................................... Any,flammable substance or hazardous waste use in business(specify) ..'. t !.A-1 .:........... :. f: NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES Applicants must contact the Building Commissioner's Office, - the Board of Health Office, 7090MOPand the appropriate Fire District Office to schedule inspections. Signatureof Applicant < e..:..... . .......................................................................................... ............................................................................................................................................................... ............. For Town use only IS THIS USE PERIMTED WITHIN THIS ZONING DISTRICT? .. .. ...... .... . Comments:. 1f...:... :. ...... .... ....... ....:... . ......... ........ ......... ......... ........: . .............. a SPE RS AP O #..... .. . .....: .....................................................................::......................... .......................... Building/Z ing.. 6'y„�.......Date......LL.. r.Y� ! ... Board of Health Date .......... ,•.: g �`�rr� :ems ', re.................................. ate.................Plumbing..................: .........Date.....:........ ...:::Gas.................................Date............. FireDist..........................:.....................Date........................................... TAX OFFICE USE ONLY TAXES PAID IN FULL PAYMENT AGREEMENT:IN EFFEC �N I / r _ TAX COLLECTOR White-Licensing Authority Green-Tax Office Canary-Health Department Gold-Building Commissioner Pink-Fire Department