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HomeMy WebLinkAboutORIGINAL GOURMET BRUNCH - Certificates of Inspection ET CHr The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection Inspection In accordance with 780 CMR 110.7(The Ninth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to ORIGINAL GOURMET BRUNCH 304-2020-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2020 Basement First Floor Second Floor Third Floor Fourth Floor Outside Patio Use Group A2 Classification(s) 70 24 seats Allowable Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place thin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Peter Burke Name of Municipal Robert McKechnie Date of Fire Chief Building Official Local Inspector Inspection 6/26/2019 Signature of Municipal Signature of Municipal Date of ire Chief z,.0/5oo Building Official �� � Issuance 9/20/2019 OFIME The Commonwealth of Massachusetts Town of Barnstable �.1639. 2020 ' �0 �v+ OMF�s Certificate of Inspection Issued to Original Gourmet Brunch Certificate No. Type: Certificate of Inspection DBA Original Gourmet Brunch IC-19-154 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 308-094 6/17/2020 in the Town of Barnstable 517 MAIN STREET(HYANNIS), HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 94 Restrictions 70 (21) Tables 24(6)Tables Outside Patio remise structure or portion thereof as herein specified has been This Certificate of Inspection Is hereby Issued by the undersigned to certify that the p p p 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 6/26/2019 Signature of Municipal Building ` Date of Issuance Commissioner , 5/1/2019 The State of Massachusetts 163 e�•� Town of Barnstable �6l�� �b8 New and Renewal Certificate of Inspection Application 4/30/2018 Date Fee Required 50.0�0, In accordance with the provisions of the Massachusetts State Building Code, Section 110.7, hereby apply �c9 for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 517 MAIN STREET(HYANNIS), HYANNIS Name of Premises: Original Gourmet Brunch 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: 30 Ellm&tpeet Hyannis MA 02601 -&`4 Telephone: (508)771-2558 Owner of Record of Building: C Cotellessa Address: 30 EIlm-&Ua&t_Myannis MA 02601 Name of Present Certificate Holder: John Name of Agent, if any SI ATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT Z-222A1111- - if PAN PLEASE PRINT NAME Le '•� INSTRUCTIONS: 1) Make check payable to:TOWN OF BARNSTABLE 2) Return this application it 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 4/30/241+— f �YNE Town of Barnstable Building Division 200 Main Street • BARN`STABI�s• Hyannis, MA 02601 BARNSTABI,E (508) 862-4038 F1 Ki91"IIT.�G'E dE 4R^3itJRpe?tE .r . s , Y15 ❑ Inspection Report ❑ Notice of Violation A 1 Business:.40o f/n- (5'#u-r&e 4 / &O-A Date of Inspection: r 4r. Contact: Ty .�0'P A- Info: r' Address: S/7 ^4-2,w ST 7 i 4 ry 11 Info: Phone: '570?-771— A 55,8 Info: Email: Info: i During the annual occupancy inspection of your premises,performed in accordance with Section 110.7 of 780 CMR, Massachusetts State Building Code,as ass amended the following deficiencies and/or violation(s)were noted: 0 Section(s): AW O Location: ►' 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: 0 Section(s): Location: Action required to abate the above violation(s)you must: 0 None:no violations were observed at the time of inspection 0 Make corrections immediately and contact this office for a follow-up inspection Re-inspection fee of$ is required and a re-inspection to be requested by business within days. Make corrections prior to your next annual or semi-annual inspection. 0 Property/business owner or owners approved agent contact inspector for consultation Official/Inspector: r`�/�'.1.,.� ✓�^ Telephone: (508)862-4038 Received By: Date: Print Name: O 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 thereof)with'the State Building Code Appeals Board within (45)days of the receipt of this order and in accordance with MGL c. 143§100. �4 .S • l � f j The Commonwealth of Massachusetts I City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Ninth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of2004(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 ORIGINAL GOURMET BRUNCH 304=2019-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2019 i Basement, First Floor Second Floor Third Floor Fourth Floor Outside Patio Use Group A2 B Classification(s) l 70 24 seats 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 Peter Burke Name of Municipal Jeffrey Lauzon Date of Fire Chief Building Commissioner Chief Local Inspector Inspection 4/30/2018 Signature of Municipal Signature of Municipal Date of Fire ChiefBuilding Commissioner Issuance 9/12/2018 ,„Er The Commonwealth of Massachusetts BARNWASLE Town. of Barnstable 'y MABs. 0q. i6s9. .0 2019 TfD MOD, c Certificate of Inspection Original Gourmet Brunch Certificate No. Issued to John E. Cotellessa Type: Certificate of Inspection IC-18-95 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 308-094 4/30/2019 in the Town of Barnstable 517 MAIN STREET (HYANNIS), HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 94 Restrictions 70 (21) Tables 24(6) Tables Outside Patio 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 4/30/2018 Signature of Municipal Building ` Date of Issuance Commissioner (��� 5/1/2018 The State of Massachusetts - 659 • Town of Barnstable lSAHS. a New and Renewal Certificate of Inspection Application Date 4/10/2017 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: 517 MAIN STREET(HYANNIS),HYANNIS Name of Premises: Original Gourmet Brunch Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: Certificate to be Issued to: Original Gourmet Brunch Address: 517 MAIN STREET(HYANNIS),HYANNIS Telephone: (508)771-2558 Owner of Record of Building: John Cotellessa Address: 30 Ellm Street Hyannis, MA 02601 Name of Present Holder of Certificate: John E.Cotellessa Name of Agent,if any John E.Cotellessa E-Mail: gourmetbrunch@gmail.com ev/4®iN to �4PR,9 NATURE OF PERSON TO WHOM CERTIFICATE rs/ 41II IS ISSUED OR AUTHORIZED AGENT QN, 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# -17-62 EXPIRATION DATE 4/30/ 18 The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to ORIGINAL GOURMET BRUNCH 304-2018-53 Identify property address including street number, name,city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2018 Basement First Floor Second Floor Third Floor Fourth Floor Outside Patio Use Group A2 B Classification(s) 70 24 seats Allowable Occupant Load This certificate of inspection is_hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place thin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Peter Burke Name of Municipal Brian Florence Date of Fire Chief Building Commissioner ns ection 4/7/2017 Signature of Municipal Signature of Municipal Date of Fire Chief Building Commissioner t Issuance 8/21/2017 The_�Commonwealth of Massachusetts 1 �OFjHETO� Town of Barnstable ?AAS& 2018, Certificate of Inspection Original Gourmet Brunch Certificate No. Issued to John E. Cotellessa Type: Certificate of Inspection IC-17-62 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot 308-094 4/30/2018 in the Town of Barnstable 517 MAIN STREET (HYANNIS), HYANNIS Location Use Group Classifications) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 94 Restrictions 70 (21) Tables 24(6)Tables Outside Patio This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Paul Roma Date of Inspection 4/7/2017 Signature of Municipal Building - Date of Issuance Commissioner _ j _:. 4/30/2017 y;. The State of Massachusetts Town of Barnstable New and Renewal Certificate of Inspection Application Date 6/23/2016 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: 517 MAIN STREET(HYANNIS), HYANNIS Name of Premises: Original Gourmet Brunch Purpose for which premises is used: Licenses) or Permit(s) required for the premises by other governmental agencies: Certificate to be Issued to: --+ Address: 30 Ellm Street Hyannis MA 02601 _. Telephone: (508)771-2558 Owner of Record of Building: C Cotellessa � =� ;Z: Address: 30 Ellm Street Hyannis MA 02601 - Name of Present Certificate Holder: John �� rrn Name of Agent, if any � :�►� ;�.. � Lev r������.��� �� �, S19NATURE OF PERSON TO WHOM CERTIFICATE IS ISSUED gn� OR AUTHORIZED AGENT ti co 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# 1 6-150 EXPIRATION DATE 4 017 The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004 an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to ORIGINAL GOURMET BRUNCH 304-2017-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2017 Basement First Floor Second Floor Third Floor Fourth Floor Outside.Patio Use Group A2 B Classification(s) 70 24 seats 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 Paul Roma Date of Fire Chief Building Commissioner Inspection 6/23/2016 Signature of Municipal Signature of Municipal Date of Fire ChiefBuilding Commissioner Issuance 10/7/2016 zHEr The Commonwealth of Massachusetts -y Town of Barnstable • ,�nrsrns,.e, 2017 A fnM Certificate of Inspection Original Gourmet Brunch Certificate No. Issued to John E. Cotellessa Type: Certificate of Inspection IC-16-150 Identify property address including street number, name, city or town and country Certificate Expiration Located at Map/Lot TiW-094 4/30/2017 in the Town of Barnstable 51.7 MAIN STREET (HYANNIS), HYANNIS Location Use Group Classification(s) Allowable Occupant Load 1st A-2: Banquet halls, night clubs, restaurants, bars 94 Restrictions 70(21)Tables 24(6)Tables 11 Employees This Certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicious place within the space as directed by the undersigned, Failure to post or tampering with the contents of the certificate is strictly prohibited. Name of Municipal Building Commissioner Paul Roma Date of Inspection 6/23/2016 Signature of Municipal Building c.; Date of Issuance Commissioner �_:. is� .�_,. 4/30/2016 I COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION (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: l /"4/ Name of Premises: t 0.!14> (��,(�`( L� /s Purpose for which premises is used: C> License(s)or Permits)required for the premises by other governmental agencies: ' License or Permit Agency ' �^ � Certificate to be Issued to: � / <u � Address: `7 /� /� i k/ S t N.M iS Telephone: Owner of Record of Building: O/ ea Address: 140 Name of Present Holder of Certificate: Name of Agent,if any: SI A OF PERSON fd WHOM CERTIFICATE IS SUED OR AUTHORIZED AGENTE m at I I o 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 fl2601 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 0 1 : CERTIFICATE# J EXPIRATION DATE: J020115c The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to ORIGINAL GOURMET BRUNCH 304-2016-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2016 Basement First Floor Second Floor Third Floor Fourth Floor Outside Patio Use Group A2 B Classification(s) 70 24 seats Allowable Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place thin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry ate of Fire Chief Building Commissioner Inspection 6/18/2015 Signature of Municipal Signature of Municipal ate of Fire Chief �'tciY111� '�1 uilding Commissioner � ssuance 9/18/2015 PATIO- The Original Gourmet Brartch 517 Main St. I - 02601 a �3 r 5 . OT cLt). !9"N l AJ l �� f ry p p-X�`�- 'VGG� - LID . (1 €' N-- 'NQcl r--, 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 ORIGINAL GOURMET BRUNCH Certify that have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A2 The means of egress are suff cient for the following number ofpersons: Location Capacity Location Capacity 21 TABLES 70 6 TABLES _ 24 EMPLOYEES 11 In case of inclement weather,patrons outside cannot be seated inside unless there is legal seating capacityfor them. Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201503732 4/30/2015 4/30/2016 08 /094 The building official shall be notified within(10) days of any changes in the above information. Building Offc al a� y 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 ORIGINAL GOURMET BRUNCH Certify that 1 have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A2 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity NLkXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201503732 4/30/2015 4/30/2016 308 94 The building official shall be notified within(10) days of any changes in the above.information. Building Official I� 4 COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date GL✓ti l / (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: G7�� "IV41 "Icy, Name of Premises: C 4 r' C- , * / 7— 4?U 7i/�� Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Ajzenc Certificate to be Issued to: G�1 � � ; r Address: �l `? Telephone: 77 l— 52 529 5;- g - Owner of Record of Building: Address: Name of Present Holder of Certificate: "'W Name of Agent,if any: ti SIGN OF PERSON TO WHOM CERTIFICATE IS IS§UED OR AUTHORIZED AGENT T— tlle�' 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: f 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. I 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: �1 '�j CERTIFICATE# ����0 t3 7 V a EXPIRATION DATE: _`I 36)1,90, J020115c TOWN OF BARNSTABLE INSPECTION WORKSHEETS e` CERTIFICATE NO: 201503732 CANCELLED: MAP: 308 DBA: JORIGINAL GOURMET BRUNCH PARCEL: 094 NAME/MANAGER: JORIGINAL GOURMET BRUNCH STREET: 1517 MAIN STREET VILLAGE: IHYANNIS STATE: ® ZIP: 02601- SEQ NO: 1❑ BUSINESS TYPE: IRESTAURANT CONSTRUCTION TYPE: JUNK STORYI: CAPACITY: 70 USE1: A2 Capacity Under 50: ❑ STORY2: CAPACITY: USE2: STORY3: CAPACITY: USE3: Outside Seating: BY PLACE OF ASSEMBY OR STRUCTURE CAP1: 70 LOC1: 21 TABLES _ CAP8: LOC8: CAP2: 24 LOC2: 6 TABLES _ CAP9: LOC9: CAP3: 11 LOC3: EMPLOYEES CAP10: LOC10: CAP4: LOC4: CAP11: LOC11: CAPS: L005: CAP12: LOC12: CAPE: LOC6: CAP13: LOC13: CAP7: LOCI: CAP14: LOC14: INSPECTIO : DATE ISSUED: EXPIRATION: 06/ 15 04/30/201 1 04/30/2016 COMMENTS: JOHN E.COTELLESSE The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations I Congress Street,Suite 100 Boston,MA 02114 20I7 5,• '' www mass.gov/dia Workers'Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Le 'bl Business/Organization Name: a �' (� ;,+/ o�� f►'1 GrT� Address: s 17 City/State/Zip:hl Aviv.� dyJ/�- 0�9_('D / Phone Are you an employer? Check the appropriate box: Business Type(required): 1.t9,I ani a employer with employees (full and/ 5. ❑Retail orpart-time).* 6. g[RestaurantBar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] 8. ❑Non profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑Manufacturing no employees. [No workers' comp.insurance required]** 11.❑Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers' comp.insurance req.] 12.❑ Other *Any applicant that checks box#1 must also U out the section below showing their workers'compensation policy information. **lf the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box N. I am an employer that is providing workers'compensation insurance for my employees Below is the policy information. Insurance Company Name:/ j 1--FOK4Q F.A 4" CU 41 ,011¢ / Insurer's Address: ip(,1/c -777' IGYj,(— f City/State/Zip:Yl4�l��G�7,—AZY %2-0n I Policy#or Self-ins.Lic.# d %✓L'C S—'9, [C T_ Expiration Date: 7_ 1, 2 01 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do hereby certify,under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: W -2- 5-6-k C 7'7 - 3 - 0 C 1 5— Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www mass.gov/dia I The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. dent fy Name of Establishment Certificate No. Issued to ORIGINAL GOURMET BRUNCH 304-2015-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2015 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group A2 B Classification(s) 70 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 5/9/2014 Signature of Municipal Signature of Municipal Date of Fire Chief L + Building Commissioner Issuance 9/10/2014 The Commonwealth of Massachusetts } TOWN OF BARNSTABLE lug In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF. INSPECTION is issued to ORIGINAL"GOURMET BRUNCH Certify that I have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201402901 4/30/2014 4/30/2015 3 094 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 Nv .; Date �' � "�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: ? F1't cr, Name of Premises: M c p)- a A Purpose for which premises is used: R ! s N r c» f License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit AgengX Certificate to be Issued to: Drf,.c A Address: d`/) lh ��:,. 5A, Telephone: Owner of Record of Building: j C' [ Cc,f, (11 sr�. Address: Name of Present Holder of Certificate: Name of Agent,if any: =" v SIGNATURE OF PPUON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT U3 Co4r tip s:s � PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE r> EXPIRATION DATE: J081210 THIS LICENSE SHALL BE DISPLAYED ON THE PREMISES IN A CONSPICUOUS POSITION WHERE IT CAN BE READ LICENSE No. 7000042 A ALCOHOLIC BEVERAGES THE LICENSING AUTHORITY OF The TOWN OF BARNSTABLE, MASSACHUSETTS HEREBY GRANTS A COMMON VICTUALER License to Expose, Keep for Sale, and to Sell All Kinds of Alcoholic Beverages To Be Consumed On the Premises To: Odaat Corp., d/b/a Original Gourmet Brunch (The) ••------••----------------------------••---.......---.. --.............---...------••--•---.................••.......•••........... John E. Cotellessa, Manager .................................•---.......... on the following described premises 517 Main Street;Hyannis,MA ..----•-•-•..................•----••-•---.................----................-••--...... Two floors. First floor: three rooms including dining room,kitchen&waitress area. Second floor: office,storage& restrooms. Entrance/exit to Main S.treet,:;.Increase seating capacity to include 24 seats on an outside patio in front of the restaurant,total of 92 patrons., ' This license is g;anted and accepted upon the express condition that the licensee shall, in all respects,conform to all the provisions of.the Liquor Control Act, Chapter 138 of the General Laws,as amended,and any rules or,;regulations made thereunder by the licensing authorities. This license expires ,._ 12/31/2015 __.. ,:unless earlier suspended,cancelled or revoked. IN TESTIMONY WHEREOF,the undersigned have hereunto affixed their official signatures this..................1st_., day of ; ..........._. January The Hours during which Alcoholic Beverages may be sold are:. WEEKDAYS: 8 A.M.TO I:A M. �� -. .........•--•.. � ..61' .... SUNDAYS: 12 MIDNIGHT TO I A.M. 10 AM TO 12 MIDNIGHT ..... .... . ••-•................. ............................................................... NOT VALID unless issued in conjunction with a Food Service Permit. LICENSING AUTHORITY PAID: $3,050.00 RESTRICTIONS I • i I The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CMR 110.7(The Eighth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004(an Act to further enhance fire and life safety),this certificate of inspection is issued to the premise or structure or part thereof as herein identified. Identify Name of Establishment Certificate No. Issued to ORIGINAL GOURMET BRUNCH 304-2014-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2014 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group A2 B Classification(s) 70 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 topost or tampering with the contents of the certificate is strictly rohibited Name of Municipal Harold S. Brunelle Name of Municipal Thomas Perry Date of Fire Chief Building Commissioner Inspection 5/28/2013 Signature of Municipal / Signature of Municipal Date of ire Chief �iBuilding Commissioner . Issuance 9/9/2013 s� e Comcmcouwea tb of Aam6arbuatt!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to ORIGINAL GOURMET BRUNCH �( Otrtffp that have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of 14YANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201302717 4/30/2013 4/30/2014 3 094 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 �' — .?f%l� (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: •-/ 7 Q t1 S�� '�7 r1� 1 Name of Premises: �c+-�+� Paz 1,��`�s'4 c 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: �1i.e �����y C ��wYly�p� Bozsyc'4 Address: Telephone: ,37.�' 7 7 ,f S Owner of Record of Building: V al�n. CQ pj/";k -- Address: Name of Present Holder of Certificate: -� Name of Agent, if any: w SIGNATXfAE OF PERSON TO WHOM CERTIFICATE % IS ISSUED OR AUTHORIZED AGENT 73 C'c�4 e �. PLEASE PRINT NAME INSTRUCTIONS: C) 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�Q �� EXPIRATION DATE: Z4 56 J081210 TheC ommonwealth of Massachusetts City\Town of Barnstable, I New and Renewal Certificate 0 fns pection f the Acts of 2004(an Edition o the Massachusetts State Building Code)and e oaptart thereof as hereinidentified. ct to further Eighth f r e Ei h structu p ce with 780 CMR 110.7 (The g inspection is issued to the premise or In accordance cate of ins ec liesafety),thisc ertifi p enhance fire and fPE ate No. dentify Name of Establishment 304-2013-53 ORIG1111111 INAL GOURMET BRUNCH Issued to or town and county Certificate Expiration Identify property address including street number, name, city 12/31/2013 517 MAIN STREET,HYANNIS. Located at Basement First Floor Second Floor Third Floor Fourth Floor Other A2 B Use Group Classification(s) 70 Allowable Occupant Load e und thereof as herein s been ersi ed to certify that the premise, structure or pol lahlnated and posted in a conspicuous place This certificate of inspection is hereby issued by th clear eral fire and life safety features. This certificate shall be ring with h the contentsslass of the cecrtificate is strictly rohibited inspected for gen ate of thin the space as directed by the undersigned. Failure to post or taunt g homas Perry 6/15/2012 arold S. Brunelle ame of Mutucipal ns ection ame of Municipal uilding Commissioner ate of ire Chief Signature of Municipal ssuance 9/5/2012 Signature of Municipal uilding Commissioner ire Chief - } The eommouwealtb of Aa.5.5arbuattz TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to ORIGINAL GOURMET BRUNCH Q�Cl'tifp that I have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at . 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A2 The means of egress are sufficient for the following number of persons: l Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201203591 4/30/2012 4/30/2013 3 09 The building official shall be notified within(10) days of any changes in,the above information. - Building Official i I COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date �— �/ —0— (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: 627 Name of Premises: Purpose for which premises is used: P5`1 c.r 4,✓ License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency C`_ Certificate to be Issued to: �, � ,�/ � r'y .�• Address: Telephone: 25­6s- MW Owner of Record of Building: Address: ur/ Se ri,, C" ,4 Name of Present Holder of Certificate: Name of Agent, if any: 7� SIGNATURE F PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME - INSTRUCTIONS: 1)Make check payable to: .TOWN OF BARNSTABLE 2)Return this-application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. , FOR OFFICE USE ONLY: CERTIFICATE © ©.�b-q i EXPIRATION DATE: J081210 TOWN OF BARNSTABLE Date' ❑ New Application LICENSE APPLICATION . snRrrsrAt 9 Renewal M^&W200 Main Street se�9 1� 0 Transfer �fD MA'S s Hyannis,,MA 02601 Other (5 -08) 862 4694 NO BUSINESS.MAY OPERATE .WITHOUT A: VALID LICENSE ON THE PREMISES Name of ap Home phone Address of applicant/corporaUonlLLG - --- — -- - --- -- -- Business phone#: 'ir,Afilt AIL, . P r . >Business location :J���_,T - Business ma i- address(tf�tff rent�ram aboue W. _- __.: _ _ _._ _ LicenseType :.1..t . :�.,G 1 Annual ® Seasonal Hours of Operation � ��} 1 Federal ID#: - . Hours`oi Entertainment. Hours of Alcohol Service: Name of Manager n.`` � t<<< s�rL _ email: Manager's permanent mailing address `. '�1� _. 1 rc Te : �:_ .v�. Managers home phone.# SU fr._ `� ,_s T �?,3 Business phone#: ._.__�z rs ..._.._ Name of property owner; --- bN ,.-.:. L ._.� 5�_ _ c_..E_s --- -- — -- ASSESSOR S MAP/PARCEL# MAP 3 U: PARCEL List any flammable substance or hazardous waste used in business(specify): Applicants must: ;,ONLY contact the 'Building Commissioners office, (508) _ 862 4038, the Board- "of `Health office'., (508) 862-4644,: and the appropriate Fire District office ::t,o schedule inspections IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS ($: 30 -- 4 `30 daily)' : Signature of aP ,1.i.6. t ............................................................. only 04 REAL:ESTATE TAXES PAID IN.FULL :. _ PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES O NO O INSPECTORS APPROVAL :' Capacity set by`Building Division_r _ -- ----- ------- ----..._.—. hu-� V - - Building/Zonmg.� _ Date �:_ Z,,.�f :.__ Board of Health __ _ Date -...... lire District Date ___ _Comments__:_ _^ .. .. While Licensmg Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division r - ID �� s ry 5 p D T') . 46z:)Alq ex DID - n yf ci:� C-1 J v t (V ? fvl 1 Ei(7 s � hl Pet Oil- CNI O CZ1 _ —/L'D' a S _ I09Z0 IS UMM GIS k r ..ram THE tp ti Date: ..................:..........: ....:.... o� TOWN OF BARNSTABLE LICENSE APPLICATION ❑ New Application '* BAMSPABLE •. Renewal 1Ma3ss� g 200 Main Street ❑(Transfer. iOrEo s Hyannis,MA 02601 508-862-4674 ] Other NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE-- PRE1%HSES 4 Name of applicanYcorporation: O 0 A :^ i << -- _ Home phone#: Address of applicant/corporation: Business phone#: ........................-............................................ -- Business phone#: = Business:ocation: _— _'��___ . Business mailing address: Local business address: Local mailing address: LICENSE TYPE: Annual ❑ Seasonal HOURS OF OPERATION: _ _ ' AD Name of manager: focalmailing address: ==........................................................................................................................................................................... :Manager's Permanent mailing address: Manager's home hone#: __ ^___ Business hone#: g P P _....---------- .. :. ___' Name of property owner: ASSESSOR'S MAP/PARCEL#: MAP _ PARCEL -Vo List any flammable substance or hazardous waste used in business(specify): Applicants must 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 ins ections. Signature of applicant /7/ ................................................... :............................................................................................................................................................................................. For Town use only REAL ESTATE TAXES PAID IN FULL �•. {--- PAYMENT AGREEMENT IN EFFECT ON IS THIS USE PERMITTED WITHIN THIS ZONING-DIS ICT?i YES ❑ NO ❑ INSPECTORS APPROVAL �_ � — _ Capacity set.by:Building Building/Zoning-__-- -_. _{ _ Date _-�_ �_ .__.._. Board of Health_-.........._..--- Date Wire --------- Date ......---- _ _ Plumbing --- --.-....._ te Gas _._— —__ .__._ —__.._ Fire District __... _ -- ,,;,Date, :- Date Comments:-- White-Licensing Authority Canary-Health Division . Gold-Building Commissioner Pink-Fire Department The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 780 CNM,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 ORIGINAL GOURMET BRUNCH 304-2012-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2012 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group A2 B Classification(s) 70 _ 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 tb 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 4/21/2011 Signature of Municipal Signature of Municipal Date of Fire Chief Building Commissioner Issuance 9/16/2011 Commoubjeattb of j.a!6.garbU�ett'q TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to ORIGINAL GOURMET BRUNCH QLertifp that 1 have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A2 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201101916 4/30/2011 4/30/2012 .3 09 The building official shall be notified within (10) days of any changes in the above information. Building Official tV�, COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 41 — �.;' (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: X17 Math 5� #c-'aN&j S I A 616G/ J// Name of Premises: z s, y r Inc 7 I"U dl C Purpose for which premises is used: R Gis jiw r a License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: 7-4 Gc-r F1'G mf14-a-[°x Address: 4+^ - `&. /,L p /P/i Q 3<6fll rT— Telephone: —10,9 77 Ccs_ Owner of Record of Building: Qc' n Address: 34 Ter Name of Present Holder of Certificate: J.5 n Name of Agent, if any: SIG TURF OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS, MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# EXPIRATION DATE: J0201156 The Commonwealth of Massachusett s 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 re and lie 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 ORIGINAL GOURMET BRUNCH 304-2011-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 5.17 MAIN STREET, HYANNIS 12/31/2011 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group A2 B Classification(s) 70 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 llmmmFire Chief Building Commissioner Inspection 11/4/2010 �Signature of Municipal Signature of Municipal Date of Fire Chief Building Commissioner Issuance 11/18/2010 Zbe Commoubjea tb of '41a'g5arbU'gPtt!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to ORIGINAL GOURMET BRUNCH Q�Jerttfp that 1 have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A2 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 201001259 4/30/2010 4/30/2011 308 094 The building official shall be notified within (10) days of any changes in the above information. Building Official ��f f COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date -- /O — /C> (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, 1 hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: ��� ,�/�/>V s� Name of Premises:. C. /S 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: /�s�n ,�,✓ /�- lUl.�-o[ Gy / 4� �(��► e �/ Address: i S /�/, ✓N.vi S Telephone: `7 `7 / - !2— Owner of Record of Building: L � 1`6 Address: 6 esv'l'#-.S r ec cf� Name of Present Holder of Certificate: Name of Agent, if any: x// Z- S A URE OF PERSON TO WHOM CERTIFICATE IS ISSUED OR AUTHORIZED AGENT PLEASE PRINT NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET, HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(I0).days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# A p10 47 EXPIRATION DATE: / `. ✓?O�/� J081210 f TOWN OF BARNSTABLE Date: . '......... LICENSE APPLICATION ❑ New Application a�unvsrw . = ® Renewal �.6sq. 200 Main Street ❑ Transfer ��� Hyannis,MA 02601 (508) 862-4674 ❑ Other ► NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON THE PREMISES -- Name of applicanticorporation: -,, ; �.; _._ o_�_ �. - - ..._._.....------.----.-.--.---- Home phone#: _ ..— � ._7J Address of applicant/corporation:___._---� --S'�..�-�_—C__•'�.._..__._.-----...-.----.-.--..-.--.—.-.---...----._. Business phone#: ....................... D/B/A W,n r/7.__.._....-- --.... Business phone#: Business location: ..? ---- ---------------- Businessmailing address: ..... _...-- ----._._._ ._ .........__...-.._..................:--.----.........-............_..._..._._..._....__....._..._._._....._..._...- ------- Local business address: Local.mailing address: ---..._.-........_—.........-............. ..............__..._....................._......................_............_.......... ;_ti.,_.........--._...._........._......_._.....-................_.........---......._._...-----...--- ---...— LICENSE TYPE: ................................... a... "... ..... .F . '........../ : .. .. .��..�'�z.. ............. Annual Seasonal HOURS OF OPERATION: _. '"__-_............ ..__..'__`_._.. FID#:......._0... . ._ .., ...._._ ./... '�� ` Name of manager: c , _ !` eMail: Local mailing address: / S �> ��• :... r , ...........................................r.........._...............................e.et._...............�.!1...................Ex.(.l�......�'�1.��._...............:.......................................................,.......... i6Manager s permanent mailing address: -------=----------—..._._..---...--------- -- -------...---- ---_ -------------- Manager's home phone#: � fya_ Business phone#:�gZ _ P Name of property owner: c - ''-_._......_......___.....___...__.__..._..---....._-......_.._._.....................___...._.................. r ASSESSOR'S MAP/PARCEL#: MAP...................3.r✓... ............. PARCEL .t ............:::.................... 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 inspec % ons IF YOU ARE NOT OPEN OFFICE BUSINESS HOURS (8 :30 - =1y) . Signature of applicant 9 PP () (&5 ............................................jV..................I...........`......... :�........................................................................................................... .......................... 0 use only REAL ESTATE TAXES PAID 1N FULL0-0own 7bUvn of 8 egulatory Services PAYMENT AGREEMENT IN EFFECT ON Sarnst, Licensing 200 an aatn Street. 8 Authority s IS THIS USE PERMITTED WITHIN THIS ZONING DISTRICT? YES NO v MA:02601 INSPECTORS APPROVAL ............_...-......_..........-.._............._......_......_...._....--- .--- _------ _..._----- ..:_..... ..._?.......... ...... ...... ...................... ............... .................... . Capacity set by Building Division..._............_..:_...:_=......._ __..._-._...--- OBLfildingZoning__. __. ._. Date _._L_l__.►_�—I_�.----__ .. Board of Health _— _ _ Date Fire District ' Date Comments: _.._-... -- _....---._._...._-....._....- - -...__... --- -._...._..._....-----._._...--- ._........._........--- .._-...._...__... =--..........__...--- We-Licensing Authority Gold-Building Commissioner Pink-Fire Department Canary-Health Division I '''v The Commonwealth of Massachusetts City\Town of f 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 ORIGINAL GOURMET BRUNCH 304-2010-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2010 Basement First Floor Second Floor Third Floor Fourth Floor, Other Use Group A2 B Classification(s) 70 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 9/17/2009 Signature of nici al Signature of Municipal Date of Fire Chief l ,eg Ya3uilding Commissioner Issuance 9/18/2009 F The Commonbicaltb of 4a.5.5 rbu.5ettsS TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to ORIGINAL GOURMET BRUNCH I Certifp that 1 have inspected the premises known as: ORIGINAL GOURMET BRUNCH . located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200900958 4/30/2009 4/30/2010 308 094 The building official shall be notified within (10) days of any changes in the above information. — —- Building Official i I f COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date c�--�V' l` (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: Name of Premises: �Ovt✓'`yiC `7 v r e Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency CJr 1,5 i tic, M` r Certificate to be Issued to: J_/ ` ct oze Address: / Al4�r,��� Telephone: Owner of Record of Building: » Address: ; { Name of Present Holder of Certificate: -� Name of Agent, if any: SIG'ATIJA OF PERSON TO WHOM CERTIFICATE ISASSSU/ED 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# ?�/ 9��5 EXPIRATION DATE: J020115b The Commonwealth of Massachusetts City\Town of "wt3 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 ORIGINAL GOURMET BRUNCH 304-2009-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/3.1/2009 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group A3 B Classification(s) 70 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 frained 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 11/6/2008 Fire Chief Building Commissioner A Inspection Signature of Municipal Signature of Municipal �� / Date of 11/13/2008 Fire Chief Building Commissioner Issuance ZNZ- The CommonWeattb of Aa.5.5arbu!6M5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is,issued to GOURMET BRUNCH I QCertifp that 1 have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS .County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200801360 4/30/2008 4/30/2009 308 094 The building official shall be notified within(10) days of any changes in the above information. Building Official rr v. COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 3 /3 G (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 7 ml 6r / / Name of Premises: ���Gcc Sri t_ 12r4e4 e,! Purpose for which premises is used: ReS441"�iw�-- License(s)or Permit(s) required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: Address: 0-77Qtn /`r� i Telephone: Owner of Record of Building: JQ d n �^ (��e Ilesa4 Address: Name of Present Holder of Certificate: Ci Name of Agent, if any: SIGNATORE OF PERSON TO WHOM 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 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: r1��0�9 J020115b The Commonwealth of Massachusetts City\Town of p Barnstable New and Renewal Certificate of Inspection li 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 ORIGINAL GOURMET BRUNCH 304-2008-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2008 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group A3 B Classification(s) 70 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 homas Perry Date of 11/2007 Fire Chief Building Commissioner Inspection Signature of Municipal Signature of Municipal ate of 12/12/2007 Fire Chief uilding Commissioner uance Corr monbicaYtb of A1a,5.5arbUqCtt.5 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to . JOSEPH J. COTELLESSA 31 Certifp that I have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A3 The means of egress are sufficient for the following number ofpersons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 200701970 4/30/2007 4/30/2008 08 094 The building official shall be notified within (10) days of any changes in the above information. VVV Building Official `it COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date .3^ 3 0 .07 (X) Fee Required$. 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code, Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: �j/7 /Wif/H Name of Premises: l'fir,P [Zyv�, l pt�•,,�eT" y�i�,� `j Purpose for which premises is used: Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit A enc Certificate to be Issued to: 04 o �,.,any�_ / R-'4w Address: ,S/7 hZPi;,, 77 �Cfy f.�,,d,:►—�/•? , C6c/ Telephone: f- SSa"$- Owner of Record of Building: 1 h Address: Name of Present Holder of Certificate: Name of Agent,if any: ; CD , SIGNA01if PERSON TO WHOM CERTIFICATE IS D OR AUTHORIZED AGENT PLEASE PRINT SAME 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# a� OO 7 D EXPIRATION DATE: ��✓�' 01� J020115b The Commonwealth of Massachusetts City\Town of Barnstable New and Renewal Certificate of Inspection In accordance with 790 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 Certificate No. Issued to ORIGINAL GOURMET BRUNCH 304-2007-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2007 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group A3 B Classification(s) 70 Allowable Occupant Load This certificate of inspection is hereby issued by the undersigned to certify that the premise, structure or portion thereof as herein specified has been inspected for general fire and life safety features. This certificate shall be framed behind clear glass and\or laminated and posted in a conspicuous place thin the space as directed by the undersigned. Failure to post or tampering with the contents of the certificate is strictly prohibited Name of Municipal Harold S. B ellName of Municipal Thomas Perry Date of 12/2006 Fire ChiefBuilding Commissioner Inspection Signature of Municipal Signature of Municipal Date of 12/26/2006 ire Chief. Building Commissioner ssuance The �Commonbicattb of Axoarbuzettz . r TOWN OF BARNSTABLE f In accordance with the Massachusetts State Building Code, Section 106.5, this �k{ I CERTIFICATE OF INSPECTION is issued to JOSEPH J. COTELLESSA 31 Certifp that I have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. , Construction Type: UNK Use Group(s): A-3 { The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 14514 4/30/2006 4/30/2007 308 094 The buildin o icial shall be noti ied within 10 days o an g ,f.� .f � � a1' .f Y , changes in the above information. Building Official 4 z r } I .0 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: te Name of Premises: 11"'p e arlqz�<A- f 9 0Cf V--44e-f Purpose for which premises is used: /�� ���' can — License(s)or Permit(s)required for the premises by other governmental agencies: WO License or Permit Agengy Certificate to be Issued to: Address: Q-)-O�o Telephone: Owner of Record of Building: _Jcs-e-At Address: Name of Present Holder of Certificate: o Name of Agent,if any: FD CD S AT&Kk OF PERSON TO WHOM CERTIFICATE ISSUED OR AUTHORIZED AGENT } a w PLEASE P T NAME INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. FOR OFFICE USE ONLY: CERTIFICATE# EXPIRATION DATE: J020115b 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. r entify Name of Establishment Certificate No. Issued to ORIGINAL GOURMET BRUNCH 304-2006-53 Identify property address including street number, name, city or town and county Certificate Expiration Located at 517 MAIN STREET, HYANNIS 12/31/2006 Basement First Floor Second Floor Third Floor Fourth Floor Other Use Group A3 B Classification(s) 70 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 11/2005 Fire ChiefBuilding Commissioner Inspection Signature of Municipal Signature of Municipal I/ ate of 11/29/2005 Fire Chief Building Commissioner suance Commonwealtb of lflao rbuott!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to JOSEPH J. COTELLESSA �! QLErtifp that I have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517'MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A-3 The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 14514 4/30/2005 4/30/2006 308 094 The building official shall be notified within (10) days of any changes in the above information. Building Official �a 1 ` COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date t/G; (X) Fee Required$ 50.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code,Section 106.5,I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: //,��,,, Street.and Number: �/ 7� �« a)vP/,5 i 4� 0'�2 6O Name of Premises: fh e L /yr r Purpose for which premises is used: Re-5yCC a 1' Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit Agena Certificate to be Issued to: �d �7 L—0 Address: -577 Nze _ n'�3 C Telephone: ­2 7/— SS . Owner of Record of Building: Address: 17 Name of Present Holder of Certificate: 5 c� -n Name of Agent,..if any: co SIGNAT OF PERSON TO WHOM CERTIFICATE cps IS ISSUPOOR AUTHORIZED AGENTrn 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# /' y�� l/ EXPIRATION DATE: 1020115b The eommoutealtb of Aa.5,5arbuqettq TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.S, this CERTIFICATE OF INSPECTION is issued to JOSEPH J. COTELLESSA 3 Certffp that have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A-3 The means of egress are suff cient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 14514 4/30/2004 4/30/2005 308 094 The building official shall be notified within(10) days of any changes in the above information. Building Official E/ it r COMMON WEALTH OF MASSACHU SETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date 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: `r/7 hz Name of Premises: 7 sP Purpose for which premises is used: �es � License(s)or Permit(s)required for the premises by other-governmental agencies: License or Permit A enc Certificate to be Issued to: Address: ,3'L- Telephone: 7 7// Owner of Record of Building: 1'1 eA Address: 9 -J/no/ �J .� �s �<' / Name of Present Holder of Certificate: >� Name of Agent,if any: SI A OF PERSON TO WHOM CERTIFICATE ISS D OR AUTHORIZED AGENT PLEAS 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. /`g CERTIFICATE# Y `� EXPIRATION DATE: h 0. The CommonWealtb of Aaq.5arbue;ett!6 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to JOSEPH J. COTELLESSA X (Urtifp that I have inspected the premises known as: ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. Construction Type: UNK Use Group(s): A-3 The means of egress are sufficient for the following number of persons: Location Capacity. Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 14514 4/30/2003 4/30/2004 308 094 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: A Street and Number: 127 exe7 S7/ Y 1IIS Name of Premises: '21we Or! g//> Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: Address: .S/ C� v/2 ��r I/! i C G o1661 Telephone: Owner of Record of Building: Address: J2 006Gf Name of Present Holder of Certificate: Name of Agent,if any: SI_G� T OF PERSON TO WHOM CERTIFICATE jS11SSUEtf OR AUTHORIZED AGENT PLE SE PRAT NAME INSTRUCTIONS: 1)Make check payable.to: TOWN OF BARNSTABLE 2)Return this application with your check to: BUILDING COMMISSIONER,200 MAIN STREET,HYANNIS,MA 02601 PLEASE NOTE: 1)Application form with accompanying fee must be submitted for each building or structure or part thereof to be certified. 2)Application and fee must be received before the certificate will be issued. 3)The building official shall be notified within ten(10)days of any change in the above information. CERTIFICATE# l �� EXPIRATION DATE: / ©�O J020115b eommonbjealtb- of A1a.0arbUqettq TOWN'OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to JOSEPH J. COTELLESSA X &rt[fp that I have inspected the premises known as: THE ORIGINAL GOURMET BRUNCH 4 located at 5.17 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of lassachusetts. Construction Type: Use Group(s): A-3 yam, The means of egress are sufficient for the following number of persons: Location Capacity Location Capacity MAXMUM CAPACITY 70 Certificate Number: Date Certificate Issued: Date Certificate Expired: Map Parcel 14514 4/30/2002 4/30/2003 308 094 The building official shall be notified within(10)days of any changes in the above information. VVV Building Official TOWN OF Wti-STABLE COMMONWEALTH OF MASSACHUSETTS T0�y 2 R3 NNTABIR APPLICATION FOR CERTIFICATE OF INSPECTION ' �l 'D ^} 171 51 O N X Fee Required 50.00 Date � �` � ( ) q $ I, ( ) 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: �� / mil/ �/. ��Z/ i�j/ f �Gr ��tr O Z r Name of Premises: �• I' 4 � 1 Purpose for which premises is used: License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agenc Certificate to be Issued to: L �T(�TcJz�/`rn� �� P 4 4 / �.� Address: lS 1 7 �"/l Cj L v� j ���t/Z�� Telephone: 6- 7 71'J ssQ r Owner of Record of Building: S'� Address: < Of, ( 0.2 G' b� Name of Present Holder of Certificate: [% �-- Name of Agent,if any: ;S1.4ATE OF PERSON TO WHOM CERTIFICATE OR AUTHORIZED AGENT G� PLEASE RINT 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# �� .�� EXPIRATION DATE: J020115b The commonwealth of m assachusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to JOSEPH J. COTELLESSA Certify that I have inspected the premises known as: ORIGINAL GOURMET BRUNCH,THE located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachusetts. The means of egress are suff cient for the following number of persons:. Use Group Construction Type Location Capacity A-3 1 ST FLOOR 70 Certificate Number Date Certificate Issued: Date Certificate Expired Map Parcel 14514 4/30/2001 4/30/2002 308 094 The building official shall be notified within (10) days of any changes in the above information — Building Off:c 1 i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date -3 (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- Name of Premises: h l ` /via Purpose for which premises is used: JC S �Q u V-a--;I License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: f h-e 0t i yi., ferLZ11 Address: 6`17 60 Telephone: �—�^��" 7 7 Owner of Record of Building: -5(?154 Address: / ov r Name of Present Holder of Certificate: Slvn2- Name of Agent,if any: t�in. SIGN�i - t OF PERSON TO WHOM CERTIFICATE 'SUED OR AUTHORIZED AGENT INSTRUCTIONS: 1)Make check payable to: TOWN OF BARNSTABLE 2)Return tl1s;application with your check to: BUILDING COIMSSIONER, 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# �� -' Lr EXPIRATION DATE: ����o�U The c om m onw ealth of m ass achusetts TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to JOSEPH J. COTELLESSA Certify that I have inspected the premises known as: ORIGINAL GOURMET BRUNCH,THE located at 517 MAIN STREET 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 A-3 1ST FLOOR 70 14514 4/30/00 4/30/01 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 T • COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION � Date 3 -3o-a U ' (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 Name of Premises: ✓O" Purpose for which premises is used: �� 5 iL d rm- License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agena Certificate to be Issued to: 1�5 zf- �— Address: 6 i 7 122 Sr. Telephone: 6 S� Owner of Record of Building: Address: Name of Present Holder of Certificate: Name of Agent,if any: SIG A OF PERSON TO WHOM CERTIFICATE 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# EXPIRATION DATE: `3 �� The eommouwea ltb of AlaloarbuOtto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 106.5, this CERTIFICATE OF INSPECTION is issued to JOSEPH J. COTELLESSA X CErtifp that 1 have inspected the premises known as: ORIGINAL GOURMET BRUNCH,THE located at 517 MAIN STREET 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 A-3 1ST FLOOR 70 14514 4/30/99 4/30/00 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 s COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date l do�� 2a (X) Fee Required S 4 0. 0 0 r ( ) 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: -L7 e121,A/ 57, Name of Premises: Purpose for which premises is used: 7Z Licenses)or Permit(s)required for the premises by other governmental agencies: License or Permit Agency Certificate to be Issued to: S Address: j�G1 Telephone: Owner of Record of Building:Address: Name Name of Present Holder of Certificate: Name of Agent,if any: '. URE 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: BUII.DING 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# l LDS/ / EXPIRATION DATE: d The CommconWeo.Ytb of 41a0zarbuoetto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to O.D.A.A.T. CORP X ltLertifp that 1 have inspected the premises known as: THE ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachuetts. The means of egress are sufficient for the following number ofpersons: Use Group Construction Type Location Capacity A-3 1ST FLOOR 70 14514 4/3U/98 4/30/99 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 i COMMONWEALTH OF MASSACHUSETTS TOWN OF BARNSTABLE APPLICATION FOR CERTIFICATE OF INSPECTION Date A,1 (x) Fee Required$ 4 0. 0 0 ( ) 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: 7 ll/17 _ �a-179715 /�7a, 0,76 O f Name of Premises: (r-i Purpose for which premises is used: Pe,; License(s)or Permit(s)required for the premises by other governmental agencies: License or Permit Agegg /��-/1/Li zh ;,7-, Certificate to be Issued to: 0 C!O P P- _ 08,4 7%-,- Ciz ilz, Address: 5/7 2�`-r J�. �Jy n�s GZ?-, ca-6 0/ Telephone: (( 7 Z Owner of Record of Building: �o sx--h Address: / a G �c Name of Present Holder of Certificate: -e— Name of Agent,if any: *AOF PERSON TO WHOM CERTIFICATE UTHORIZED 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. 30 CERTIFICATE# �✓�� 1� EXPIRATION DATE: - /�l ` +q'.: '-..ty.°ti.-J�,...erj•, • .: _ �i ._7 rr -: •_ - . �L:L.ry _ .- - ...- v - � r— _ _, r .. �.=„r1�.r�.r.=.r `�tMEipy_O� The Town of Barnstable '• RNSTABU. Department of Health Safety and Environmental Services eg �prEOMPy�` Building Division 367 Main Stfeet, Hyannis,MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection 1n A L)1 � A- Location 7 ' Permit Number Owner lie t� O&vvAJ tom}-tom„, Builder One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: f 1 Please l'Call J:jf/ ,508-862-4038 or re-inspection. � {;1 ,f Inspected,byt- 440n r-,( Lq Date r The eC mcmonwea ltb of jila ziacc uoetto TOWN OF BARNSTABLE In accordanc with the Massachusetts State Building Code, Section 108.., this CERTIFICATE OF INSPECTION is issued to O.D.A.A.T. CORP I QCerfifp that I have inspected the premises known as: THE ORIGINAL GOURMET CRUNCH located at 517 MAIN STREET in the Village of HYANNIS I r r u icient or the ollowin u tt . The means o egress are s Countyo Barnstable Commonwealth Massach e s f gr ff f a. g .f f number of persons: Use GroupConstruction T Location Cap�l city YP ` A-3 1 ST FLOOR 701 14514 4/30/97 4/30/98 � Certificate Number Date Certificate Issued: Date Certificate Exj'ired: j 1 The building official shall be notified wi.'thin(10)days of any changes in the above inj,f�ormation �t Building Official a N i COMMONWEALTH OF MASSACHUSETTS � 3�%� • v ' CITY/TOWN OF Barnstable APPLICATION FOR CERTIFICATE OF INSPECTION j cam• \ Date / ( x ) Fee Required $ 40.00- ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building code. Section 108,15, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: �/Street and Number: _ Name of Premises: -e Purpose for which premises is used: License(s) or Permit(s) Required for the Premises by other Governmental Agencies: License or Permit ANY Certificate to be Issued to: a/J114 A car- lie G?n aruE U � Address: �i7 /�1 ''� -� ih �- o Owner of Record of Building: — Address: �iG.� Name of Present Holder of Certificate: Name of Agent, if any: /S3GN9/ E OF PERSON TO WHOM CERTIFICATE IXIS ISSUED OR HIS AUTHORIZED AGENT INSTRUCTIONS: 1) Make check payable to: TOWN- OF BARNSTABLE 2) Return this application with your check to: BUILDING COMMISSIONER 367 MAIN STREET, 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) AppllcaLlun and fee must-be 'received before the certificate will be isuued. 3) The building official shall be notified within ten (10) days of any change in the above information. y L --_rrr rTST-rATr_ ��'��� EXPIRATION DATE: EI'-�V The CommonWea ltb of jflaczoa rbuoetto TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to O.D.A.A.T. CORP 3 Certifp that I have inspected the premises known as: THE ORIGINAL GOURMET BRUNCH located at 517 MAIN STREET in the Village of HYANNIS County of Barnstable Commonwealth of Massachuetts. The means of egress are su,fficient for the following number ofpersons: Location Capacity Use Group Construction Type 1 ST FLOOR 70 A2 14514 4/16/96 4/16/97 Certificate Number Date Certificate Issued: Date Certificate Expired: The building official shall be notified within(10)days of any changes in the above information Building Officza S3 I ' �,► COMMONWEALTH OF MASSACHUSETTS CITY/TOWN OF Barnstable APPLICATION' FOR CERTIFICATE OF INSPECTION Date R ) Fee Required i ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building code. Section 108015, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 17 4a 2�� Name of Premises: Purpose for which premises is used: � � �r �'a-�'q LS License(s) or Permit(s) Required for the -Premises by other Governmental Agencies: License or Permit A enc Certificate to be Issued to: O_ CoRp �. � �r� ��`� 'r'� 3 Address: /7 In cci�, , Owner of Record of Building: _ ► �n s �h ��//cam s s Address: a S Name of Present Holder of Certificate: Name of Agent, if any: SI OF PERSON TO WHOM CERTIFICATE ISSUED OR HIS AUTHORIZED AGENT INSTRUCTIONS: 1) Make check payable to. TOWN OF BARNSTABLE 2) Return this application with your check to: BUILDING COMMISSIONER 367 MAIN STREET, 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) Appltwttun and tee must be received before the certificate will be issued. 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE f ��f.J/ �d EXPIRATION DATE: y-/4O� Iq I The Commonbneartb of 01aoarboettg; TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . . . ODAAT CORP. d/b/a. GOURMET BRUNCH / Joseph Cost���,�$ �,, ,1"�aA490X . . . . . . . . j .3 �tCertifp that I have inspected the . . . . . . Building known as . . .G�u�M �. $BUNCH. .r . . . . . . . . located at . . . . . . . Main Street. . . . . . . . . . . . . . . in the . ,Village, , . of . . . . . .Hyannis$. . . . . . . . . . . . . . . . . . . County of . . . .Barnstable . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity . . . . . . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . capacity . . . . . . . . . Story . . . . . . . . .. Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70. . . . . . . . . . . . . . .1st .Floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . September 25, 1993 September 25,. 1994 . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . . the above information. Building OJfi eommonwealtb of A1a!52;arbU!9rtt!9 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.5, this CERTIFICATE OF INSPECTION is issued to . . . . .ODAAT CORP., _ tManager. . . . . . . . . . . d/b/a GOURMET BRUNCH Joseph .Coste]lessa 3 Cerhfp that I have inspected the . . . . . . . Building. . . . . . . . . . . . . known as . . GOURMET .BRUNCH. . . . . . . _ . . located=at-:..: .:. -A 7--Main Street -- a . . . . . . : :. . . . . in eV . . . oj . . . . . Yrinis . . . . : .` . . . . . . . . . . . �. County of . . .Barnstable . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70. . . . . . . . . . . . . l.st Floor. . . . September 25, 1992 September 25, 1993 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in . . . . . . �. . . �. . . . . . the above information. uil ing Official '}.• {��` �}a;.^,�.�n ,.6k y�'""Fy.�r �-.r�5���.. .r'°:':i�� L i't4y,:i i.>u £ rt. -- �Yay iy 3�j,-Y...,:� _2�, �.+L ' q'pS b ,z et r� 5 u¢3'x fi 2 t +"` &+rl""y"Kti, �Ms �`'. Y,"' ''1•,. ,s,..,,5``� t 2'. »-�.,r;% ���� "`dF r "u ��r�h �'r?: r .,: •:. ....., � S 4 .:'1 ��,, b+4'+ ��FfA /„� 2. :/� ,3•�W,Y ,f���Y, � 'y�� ,�,ry,� :.-i'•^. .'... .. fi• ... ,., '.rr"..oi., e' ,�, � ty��'✓� t �e t � ; ;i �j`�' ''�d*s'�'t . .. •` ..' ;ti. � t .�.� }i, �,; a4 h �,��:,.�F4y P a��'o-$ 3� a•'`a. �� ��Yj . a w TOWN BLE .�' •x'' 'iii�: :c: '�'4?» .z f.,. .w '3,i..:n* �:�'. r,..;..F�� RM "tr (•,.y..<'� �?a. �i. t'p�,. .:"k.; 3.In accordance with the Massachusetts State Buildang Code, Section: 108.15, this t` { x t 3x l CERTIFICATE "OF INSPECTION is issued to . . . . . . , _ , , , ODAAT CORP. . d/b/a GOURMET BRUNCH / Joseph, Costellessa, Manager 3 Certifp that 1 have inspected the . . . .Building , ,, , , , , , , , , , , , , , known as . . .GOURMET BRUNCH , r_ located at . , , , 517 Main Street in the . .Village.., f . . s o Hyanni County of . . . ,Barnstable Commonwealth of Massachusetts. The means of egress are sufficient for the -following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity . . . . . . . . . Place of Assembly Story . .. . . . . . . capacity . . . . . . . . . or structure Capacity. Location Story . . . . .. . . . Capacity . . . . . . . . . . . . . . 70 . . : 1st Floor September. 25, 1991 September 25, 1992 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified.within (10) days of any changes in r the above information. uil rig Official - The tommonbiraft4 of TOWN OF BARNSTABLEN A In accordance with the Massachusetts State Building Code, Section- 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . • . .ODAAT CORP, d/b/a GOURMET BRUNCH Joseph Costellessa, Manager 3 Certifp p . . . . _ , , known as . . .GOURMET BRUNCH that 1 have inspected the . . . . . . . . . . .Buildin. . . . .�. . . , . , . . _ . _ _ . _ . . 517 Main Street in the . . . g. . . . of . . . . . . . Y. . . located at . . . . • • . . . . . . . . . . . . . . . . Villa e H annis . . . . . . . . . . . . . . . . . . . . . . . County of . , Barnstable . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE_ OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity .. . . . . . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.0 . . . . . . . . . . . .1st Floor September. .25, 1990 September 25, 1991 Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in61�1;- . , the above information. ilding Of fi i 4 The Commonbitaltb of 0aq;!9aCbU5ett!9 TOWN OF BARNSTABLE In accordance with the Massachusetts State Building Code, Section 108.15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . . . .ODAAT .CORP... . . . . . d/b/a . GORUMET. BRUNCH Manatger 3 Certifp that I have inspected the . . . . . . Building known as . . .GOUEt IFT, B RUNCH. . . . . . . . . . located at . . .51.7. Main Street in the . .Village of Hyani,$, , , , , , , , , , , , , , , , , , , County of . . . Barnstable . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: BY STORY BY PLACE OF ASSEMBLY OR STRUCTURE Story . . . . . . . . . Capacity . . . . . . . . . Place of Assembly or structure Capacity Location Story . . . . . . . . . Capacity . . . . . . . . . Story . . . . . . . . . Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 . . . . . . . . . . . . .1st .Floor. . . . . September 25, 1989 September 25, 1990 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . Certificate Number Date Certificate Issued Date Certificate Expires The building official shall be notified within (10) days of any changes in the above information. B tlWin Y * v R {t y Licensing Agent ; TOWN OF BARNSTABLE .. 775 ` 1120 2639• �d A❑ New Application f f a t Renewal Application r .LICENSE APPLICATION (Please bear down hardDO ). Name of Applicant � .� .4 !L`... D/$/A( u h�� � "yf4e �« � Permanent Address a �I / .. oSTaA!„. £. „�«.„ .Place 'of Birth: .„. Ty a of 4Lieense .««. P1»« !•�!{1�% p --••� _.. _. „. „«.Date (Submitted Name Yof-..:Manager � r �-... ; �'_ �;�-�a.��,_'�.,��.a����� *. Permanent Address „ 13 f/4 N�w.«_�'o¢.. Local Address ' « „ .. «._ .. Sr-f1.«' .„ „ _« Place of Birth ««„ „« a!1� _««« Telephone (home) _.«« �G«« ._��6C� _ es «„ BliSln B. F 1 i Location .'of Business: x Present Zoning:: of Locus: Property::,Owner's Name. .� « � � »« �`G• `P _w 5 S ` t"a} . .Address Is gas used° .„„« «. Other flammable substance? (specify) A If 'new license.- state date of proposed op enin . r,r This form :must be completed at least twenty-one 21 da sf P y ( ) y prior .to the effective date" of license .:This apphcatio will: not:be forwarded to the Selectmen for`approval until all necessary::inspections<are completed. :Inspectious will::=b carried out during the twenty-one (21) .days prior to the effective date, and .if,:the"premises,to be..licensed are.not read for inspection the issuance of any.license,:w..ill.:be delayed pending re inspection 'at the'.•convenience'of the` inspectors .AI plicants::must cntpet.`.ahe Building Inspectors Office, they Board of Health Office and.:the appropriate Fire District Offic to. schedule inspections. f i v. a NO BUSINESS MAY OPERATE WITHOUT A VALID LICENSE ON.THE PREMiSEB } Signature Applicant:License :Fee —..---_-.--Date Paid. INSPE TORS APPROVAL �r i s?7 BUILDING ....« « „«« -«.L «..� «««_ DATE DATE a r ' PLUMBING-: DATE ...«... ...«.........«.„:..GAS. _ l lCQ CAB; r R DATE ;. FIRE DEPT.•. - ----«� „ „. _ DATE«. _....«.... . BOARD OF 'HEALTH DATE LICENSING AGENT: „„«„_ « _ °DATE.: „ «„„ «„ ..:...._„.LICENSE GRANTED DENIED DATE WhiTE:'• (SELECTMEN) GREEN: - (BUILDING INSPECTOR) CANARY: • (HEALTH DEPARTMENT)' ' PINK: • (FIRE DEPARTMENT) GOLD: (APPLICANT) . a • \ COMMONWEALTH OF MASSACHUSETTS J V CITY/TOWN OF Barnstable APPLICATION FOR CERTIFICATE OF INSPECTION Date 11-17-94 ( % ) Fee Required $ 40.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building code, Section 108,15, I hereby apply for a Certificate of Inspection for the below-named premises located at the following address: Street and Number: 517 Main St Hyannis , Ma 02601 Name of Premises: The Orianal Gourmet Hz ndh Purpose for which premises is used: Restaurant License(s) or Permit(s) Required for the Premises by other Governmental Agencies: License or Permit Agency Certificate to be Issued to: Address. Omer of Record of Building: Joseph A otell essa — Address: 21 Sylvan Dr . ,Hyannis ,Ma . , 02601 D Name of Present Holder of Certificate: SAME Name of Agent, if any: , GNAn E OF PERSON TO WHOM CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT INSTRUCTIONS: 1) Make check payable to: TOWN OF BARNSTABLE 2) Return this application with your check to: BUILDING COMMISSIONER 367 MAIN STREET, 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. j 2) Application and fee must be received before the certificate will be iseued. 3) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE # EXPIRATION DATE: