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Home My WebLink AboutCAPE COD HARBOR HOUSE - FOOD - FOOD c�Pe cad *rtw 32b- 04q �C yyy � Town of Barnstable BO nRD OF HEALTH man Board of Health Donald A.Gaudagnoli,M.D. aAWNSrA LE, F.P.(Thomas)Lee IMA'& Daniel Luczkow,M.D.,Alt. bzs 200 Main Street, Hyannis, MA 02601 Phone: (508) 862-4644 Fax: (508)790-6304 www.townofbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 305B, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 668 Issue Date: 01/01/2022 DBA: CAPE COD HARBOR HOUSE INN OWNER: SAI DHAN INC Location of Establishment: 119 OCEAN STREET HYANNIS, MA 02601 Type of Business Permit: CONTINENTAL BREAKFAST Annual: Seasonal: YES IncloorSeating: 0 OutdoorSeating: 0 Total Seating: 0 FEES FOOD SERVICE ESTABLISHMENT: YEAR. 2022 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2022 B&B-FULL BREAKFAST: CONTINENTAL BREAKFAST: $30.00 - -- MOBILE- FOOD: MOBILE-ICE CREAM: Q� FROZEN DESSERT: Thomas A. McKean, IRS, CHO, Health Agent FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE Restrictions: II _ m Town of Barnstable John T. NOF o BOARD No HEALTH rman Board of Health Donald A.Gaudagnoli,M.D. CLtrtvrDtE.�:�j F.P.(Thomas)Lee Daniel Luczkow,M.D.,Alt. A.'679- , 200 Main Street, Hyannis, MA 02601 "— Phone: (508) 862-4644 Fax: (508)790-6304 www.towndbarnstable.us Permit to Operate a Food Establishment In accordance with regulations promulgated under authority of 105 CMR 590.000 M.G.L. Chapter 94 Sections 305A, 305B, 146, 189 and 189A; Chapter 111, Sections 5 and 127A, a permit is hereby granted to: Permit No: 668 Issue Date: 01/01/2022 DBA: CAPE COD HARBOR HOUSE INN OWNER: SAI DHAN INC Location of Establishment: 119 OCEAN STREET HYANNIS, MA 02601 Type of Business Permit: CONTINENTAL BREAKFAST Annual: Seasonal: YES IndoorSeating: 0 OutdoorSeating: 0 Total Seating: 0 FEES FOOD SERVICE ESTABLISHMENT: YEAR. 2022 RETAIL FOOD: COTTAGE FOOD OPERATION: Permit Expires: 12/31/2022 B&B- FULL BREAKFAST: CONTINENTAL BREAKFAST: $30.00 MOBILE-FOOD: MOBILE-ICE CREAM: FROZEN DESSERT: Thomas A. McKean, IRS, CHO, Health Agent FOR ESTABLISHMENTS WITH SEATING: PERMIT IS NOT VALID UNLESS ISSUED IN CONJUNCTION WITH A COMMON VICTUALER LICENSE Restrictions: Bellaire, Dianna From: Harbor House Inn <harborstay@aol.com> Sent: Friday, April 15, 2022 5:30 PM To: Bellaire, Dianna Subject: Re: SEASONAL FOOD PERMIT TODAY IS THE DEADLINE!! Hi Dianna, We will not be providing continentai breakfast this year. Thanks Raj Patel Cape Cod Harbor House Inn -----Ori Original Message----- 9 From: Bellaire, Dianna <Dianna.Bel laire(d,)town.barnstable.ma.us> To: Bellaire, Dianna <Dianna.Bellaire(o)town.barnstable.ma.us> Cc: Bellaire, Dianna <Dianna.Bellaire(D_town.barnstable.ma.us> Sent: Fri, Apr 15, 2022 10:47 am Subject: SEASONAL FOOD PERMIT TODAY IS THE DEADLINE!! Good Morning, Please be advised that today is the deadline to apply for your seasonal food permit. If I don't receive an application by Tuesday, you can start by email and receive payment by that Friday, I am issuing a late notices. I've attached the food permit application for your convenience. If you have any questions, let me know. Please make sure to send two food protection managers, if required and allergen certificate, if required. I am working from home today. You can reach me by email today. I will be in the office on Tuesday. Monday is a holiday. Thank you. Dianna Bellaire Permit Technician Town of Barnstable Health Division 200 Main Street Hyannis, MA 02601 P:508-862-4643 Fax:508-790-6304 Email:Dianna.Bel laire@town.barnstable.ma.us The information contained in this electronic transmission ("e-mail"), including any attachment(the"Information"), may be confidential or otherwise exempt from disclosure. It is for the addressee only. This Information may be privileged and confidential work-product or a privileged and confidential communication. The Information may also be deliberative and pre-decisional in nature. As such, it is for internal use only. The Information may not be disclosed without the prior written consent of the Director of Public Health and/or the Town Attorney's Office of the Town of Barnstable. If you have received this e-mail by mistake, please notify the sender and delete it from your system. Please do not copy or forward it. Thank you for your cooperation. CAUTION:This email originated from outside of the Town of Barnstable! Do not click links, open attachments or reply, unless you recognize the sender's email address and know the content is safe! i For Office Use Only: Initials: SINE Town of Barnstable Date Paid Amt Pd$ IEL&RNMB F : Inspectional Services °TFD 9.+►``� Public Health Division Check# ash Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 I'ax: 508-7 90-6304 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT DATE Tw NEW OWNERSHIP RENEWAL NAME OF FOOD ESTABLISHMENT: FAt.S 1-1 ADDRESS OF FOOD ESTABLISHMENT: ` Lo L /7,9 j^1 r;rtC i "�l t-A 4 6) MAILING ADDRESS(IF DIFFERENT FROM ABOVE): E-MAIL ADDRESS: TELEPHONE NUMBER OF FOOD ESTABLISHMENT: (0 6 )`-gll TOTAL NUMBER OF BATHROOMS: WELL WATER: YESN4 ... (ANNUAL WATER ANALYSIS REQUIRED) ANNUAL: SEASONAL: . DATES OF OPERATION:jZ1 -L TO/0 ZZ— NUMBER OF SEATS: INSIDE: OUTSIDE: qf _-TOTAL: (- SEATING: MUST OBTAIN A COMMON VICTUALLER'S LICENSE FROM LICENSING DIV. ***OUTSIDE DINING REMINDER'r** OUTSIDE DINING MUST BE APPROVED BY THE HEALTH DIV.AND LICENSING,AND MEET OUTSIDE DINING REQUIREMENTS. IS WAIT STAFF PROVIDED FOR OUTSIDE DINING _ 4� IS AN AIR CURTAIN PROVIDED AT WAITSTAFF SERVI E DOOR(S)? TYPE OF ESTABLISHMENT: (PLEASE CHECK ALL THAT APPLY BELOW) FOOD SERVICE RETAIL FOOD-ONLY required for TCS foods(foods requiring refrigeration/freezer) BED& BREAKFAST CONTINENTAL BREAKFAST COTTAGE FOOD INDUSTRY(formerly residential kitchen) MOBILE FOOD FROZEN DAIRY DESSERT MACHINES ... (MONTHLY LAB ANALYSIS REQUIRED) CATERING ... (CATERING NOTICE REQUIRED BEFORE EVENT(SEE PAGE#2) *** SEASONAL.MOBILE &NEW FOOD ONLY*** REQUIRED TO CALL HEALTH DIV.FOR INSPECTION PRIOR TO PERMIT BEING ISSUED PLEASE CALL 508-862-4644 QAApplication FormsTOODAPP 2020.doc OWNER INFORMATION: / FULL NAME OF APPLICANT 1—C �c�r SOLE OWNER: qF /NO D.O.B U a 6 OWNER PHONE # '171 ADDRESS_ - f q fog A06C-I--- CORPORATE OWNER: C-) CORPORATE ADDRESS: rn 6 1,4 5.M d y fir,+u rl y 4 v2le o f PERSON IN CHARGE OF DAILY OPERATIONS: List (2) Certified Food Protection Managers AND at least (1) Allergen Awareness Certified Staff All FOOD ESTABLISHMENTS must have 1 Certified Food Protection Manager PER SHIFT. **ATTACH COPIES OF CERTIFICATES** The Health Div. will NOT use past years' records. You must provide new copies and POST THE CERTIFICATES at your food establishment. Certified Food Managers Expiration Date Allergen Awareness Expiration Date WA tag.., 11.. WAL A M" 12 ` 19A t. MAIdelp I A - % --- . 41 2. GNAT RE OF APPLICANT DATE ***FOOD POLICY INFORMATION*** SEASONAL FOOD SERVICE: All seasonal food establishments, including mobile trucks must be inspected by the Health Div. prior to opening!! Please call Health Div. at 508-862-4644 to schedule your inspection. Please call at least(7)days in advance. FROZEN DAIRY DESSERTS: Frozen desserts must be tested by a State Certified lab prior to opening and monthly thereafter, with sample results submitted to the Health Div. Failure to do so will result in the suspension or revocation of your Frozen Dessert Permit until the above terms are met. CATERING POLICY: Anyone who caters within the Town of Barnstable must notify theTown.by fax or mail prior to catering event. You must complete a catering notice found at httt)://w",w.townofl)arnstable.us/healthdi�vision/applicationsKisp. OUTDOOR COOKING: Outdoor cooking,preparation,or display of any food product by a food establishment is prohibited. NOTICE: Permits run annually from January I st to Dec.3 1"each calendar year. IT.IS YOUR RESPONSIBILITY TO RETURN THE COMPLETED APPLICATION(S)AND REQUIRED FEES BY DEC I st. Q:VApplication FormsTOODAPP REV_-2019.doc �- ��ooDs Q NATIONAL REGISTRY OF 1 CY�, '* � _ .�' FOOD SAFETY PROFESSIONALS® CERTIFIES, KAREN SEL.FRIDGE HAS SUCCESSFULLY SATISFIED THE REQUIREMENTS FOR THE FOOD SAFETY MANAGER R UNDER THE CONFERENCE FOR FOOD PROTECTION STANDARDS X. j PRESIDENT:, LAWRENCE J. LYNCH,CAE I s i r jMM ISSUE DATE: JUNE 1 1, 2018 EXPIRATION DATE:JUNE 11,2023 CERTIFICATE NO:21477075 oesf TEST FORM: EXE72 ,a fi751 Forum Drive,Suite.220,_Orlando,FL 32KI This certificate is not valid for more s P(800)446-0257 F(407)352-3603 Www.NRFSP.com than five years from date of issue. Na#ionahRegistry of Food Safety'Pr'ofessionals t A€- 4. - -,I S ery 7 w x q l $ r x R"I ' lCATION AL HA 'MILLER LEI �w for successfully completing the standards set forth for the ServSA''Fotad Protection Manager Certification Examination, which is accredited by the American National Standards institute(ANSI)-Conference for Food Protection (CFP). 551 . ; TIFal �T'E` ER EXAM 1=OR,M, NUMBER a 3/25/2021 3/25/2026 DATE OF EX .. DATE OF EXPIRATION � ��•, Local laws apply.ChectC your- h6t4 * . 6r recertification mquirements. She iBh # 5. utive .��ka � rit" IatiortSblvtions rN2, p �Wc �a to a=vdanceb68 Ax ttAff.Nce orwl Rrnfaumrd socicdion�mid the orc desk SOUS e logo ae kodamcrks of the N atr v � .,.