HomeMy WebLinkAboutHYANNIS FARMERS MARKET - CLOSED TEMP FOOD PERMITS _ i33(�ph��neysll�-a�4-oc8�tt
FARMER'S MARKET-HYANNIS f�
FPS 2>me �s
PO
� 5 t�
I �
March 28,2018
Vanessa Beck
Town Of Barnstable
Health Department
200 Main Street
Hyannis,MA 02601
Dear Vanessa,
Enclosed please find a check in the amount of$180 for our Farmer's Market application. You should have already
received via email the following:
• overall APPLICATION form for the whole market.
• overall description of our market.
• Floor plan for the market
• Operational Guidelines
• My ALLERGEN AND SERV SAFE certification in case necessary as the MARKET MANAGER.
If you need anything further please let me know.
Thanking you in advance,
Beth Marcus
Cape Cod Beer Inc
Work:5 08-790-4200 Ext 102
Cell: 774-836-5206
Beth cgCapeCodBeer.com
Cape Cod Beer • 1336 Phinney's Lane Hyannis, MA 0260l
508-790-4200 www.CapeCodBeer.com
FARMERS MARKETS - HYANNIS & OSTERVILLE
6/6/18
Allen Giles, Farmer
"Let Us" Farms
East. Falmouth
Will be participating in both farmers markets but does not need permit.
Only selling produce.
p4Y t0 � a Barnstable
o� Town of Barnstable Barnstable
C'''+" i A1-Al11CftCe Giiy
BA NSTAMASS.L
A i639 � Board of Health
Tecru•�A 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
July 20, 2015
Ms. Beth Marcus
1336 Phinney's Lane
Hyannis MA 02601
RE: Mid-Cape Farmer's Market
Approval to Sell Foods at 1336 Phinney's Lane, Hyannis
Dear Ms. Marcus,
You are granted permission to sell foods at the Farmer's Market located at the
parking lot of 1336 Phinney's Lane Hyannis each Friday afternoon during the
summer months and into the early Fall. This permission is granted with the
following conditions:
(1) PERMIT - Each food vendor shall complete a separate food permit
application. An applicant proposing to sell processed foods shall seek a
retail food permit. Each food vendor shall set-up his/her table for
inspection and shall satisfactorily pass an inspection, as well as obtain a
food permit from the Health Division Office prior to opening for business.
The overall fee, for all retail permits combined, is set at a reduced rate of
$180.00 for 18 weeks maximum. If additional weeks are requested after
18 weeks, the reduced combined rate for additional weeks is set at $35
per week.
(2) RESTRICTED FOOD ITEMS - The menu is limited to whole fruits and
vegetables, eggs, honey, frozen packaged beef, frozen packaged pork,
wine, jelly, baked goods, bottled juices, frozen ice-cream pops, cookies,
live shellfish and kettle corn. No other foods are authorized to be served
or sold.
(3) SERVSAFE CERTIFICATION - At least one food handler at each table
where potentially hazardous foods are sold, shall be Servsafe certified or
equivalent. Copies of Servsafe certification shall be submitted to the
Q:\WPFILES\Beth Marcus MidCapeFarmersMarket2015.doc
Health Division prior to obtaining temporary food permits from the Health
Division.
(4) GLOVES — If any foods are being sampled, (e.g. jellies on crackers) the
foods shall be properly handled with tongs, tissue, and/or the server must
wear disposable gloves while sampling any unwrapped food items.
Gloves shall be changed often during the event.
(5) HANDWASH STATIONS - Each food table where unwrapped or
uncovered foods are sampled (with the exception of whole fruits and
vegetables), shall be equipped with a handwash station consisting of a
minimum two gallon capacity water dispenser, dispenser soap, and paper
towels. The handwash station shall be located in close proximity to (within
twelve feet of) the food table without any obstacles or obstructions to the
handwash station.
(6) THERMOMETERS — Thermometers shall be provided inside every cooler
used to store meats and other cold foods. The temperature shall be
maintained at 41 degrees Fahrenheit or colder.
(7) POSTING OF PERMIT - The food permits issued from the Health Division
Office shall be posted at each food vendor table during the time of each
event in an easily accessible location to be viewed by a health inspector
during site inspections.
(8) All the other regulations contained in 105 CMR 590.000: State Sanitary
Code, Chapter X - Minimum Sanitation Standards for Food Establishment
and of the Town of Barnstable Board of Health sanitation regulations shall
be strictly adhered to.
(9) SHELLFISH SALES — Prior to selling any live shellfish, the applicant shall
seek and obtain the approval of the MA Department of Public Health, the
MA Division of Marine Fisheries, and any other State agency which has
jurisdiction regarding shellfish sales.
Sincerely yours,
U
Wayne Miller, M.D.,
Chairman
Q:\WPFILES\Beth Marcus MidCapeFarmersMarket2015.doc
Town of Barnstable 1
Regulat
ory g y Department
Public Health Division p
>039. 200 Main Street, Hyannis MA 0 O1
ti, 1h J J
OFFICE: 508-862- 4 `1
464 +� 4 � Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean CHO
-----TEMPORARY FOOD EVENT
INSPECTION FORM
0
r.
Name of Special Event a e
Table/Cart/Trailer Identifi tion Name 6- 3i Telephone
Permit Holder's Name 2 Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
Valid Permit/Displayed
i
_ Pre approved Menu Items Offered Only
FOOD PROTECTION MANAGEMENT
_ PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
Proper&Adequate Handwashing/Temporary Handwash
Station Location
Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
Cooking Temperatures
_ Reheating
_ Cooling
Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
_ Posting of Consumer Advisories
OTHER REQUIREMENTS
Refuse Container(s)Provided/Covered
_ Adequate Toile ac ' 'es Provided
All n Y 0
Inspector's Signature r.' t
r
PIC's Signature Print
J �.
Town of Barnstable
Regulatory Services Department
Public Health Division
200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
Name of Special EvensArd
Ai
I . V . I- F%.7- ate
Table/Cart/Trailer Identificati n Name elephone
Permit Holder's Name Telephone
DESCRIPTAON OF VIOLATION
PERMIT INFORMATION lf6
_ Valid Permit/Displayed -fom)
_ Pre approved Menu Items Offered Only
FOOD PROTECTION MANAGEMENT
PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
_ Proper&Adequate Handwashing/Temporary Handwash
Station Location
_ Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
_ Cooking Temperatures
_ Reheating
_ Cooling
Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
Posting of Consumer Advisories
OTHER REQUIREMENTS
_ Refuse Container(s)Provided/Covered
_ Adequate Toilet Facilities Provided
Inspector's Signature in
PIC's Signature Print
r ,
Town of Barnstable
Regulatory Services Department
Public Health Division
xsTasra�, * '
200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
Name of Special Event III Date
` Table/Cart/Trailer Identification Name Telephone
Permit Holder's Name Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
Valid Permit/Displayed
_ Pre approved Menu Items Offered Only equ
FOOD PROTECTION MANAGEMENT r
PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
_ Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
_ Proper&Adequate Handwashing/Temporary Handwash
' Station Location
_ Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
Cooking Temperatures
_ Reheating
Cooling
Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
_ Posting of Consumer Advisories
OTHER REQUIREMENTS
Refuse Container(s)Provided/Covered
_ Adequate Toilet Facilities Provided C
Inspector's Signature ® /int
PIC's Signature Print
Town of Barnstable
Regulatory Services Department
• ntvsrx�IE. -
Public Health Division
ass 200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
Name of Special Event Date C�
Table/Cart/Trailer Identification'Name Telephone
Permit Holder's Name Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
_ Valid Permit/Displayed
Pre approved Menu Items Offered Only
FOOD PROTECTION MANAGEMENT
_ PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
Proper&Adequate Handwashin;/Temporary Handwash
Station Location
Good Hygienic Practices(Use of;loves,use of tongs or tissues)
TIMEJEMPERATURE CONTROLS
Cooking Temperatures
Reheating
_ Cooking
Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
_ Posting of Consumer Advisories
OTHER REQUIREMENTS
Refuse Container(s)Provided/Covered
Adequate Toilet Facilities Provided
Inspector's Signature
PIC's Signatu a Print
Town of Barnstable
' Regulatory Services Department
} Public Health Division
MAW
� 200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
Im�yv
Name of Special Event Date _
Table/Cart/Trailer Identification Name Telephone
Permit Holder's Nam Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
_ Valid Permit/Displayed
Pre approved Menu Items Offered Only AUIC ,
FOOD PROTECTION MANAGEMENT
PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
_ Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
_ Proper&Adequate Handwashing/Temporary Handwash
Station Location
_ Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
_ Cooking Temperatures
Reheating
Cooling
_ Hot and Cold Holding
_ Food and Food Protection
CONSUMER ADVISORY
_ Posting of Consumer Advisories
OTHER REQUIREMENTS
Refuse Container(s)Provided/Covered
_ Adequate Toilet F . t Provided
A IPA
Inspector's Signature t
l
PIC's Signature
Town of Barnstable
Regulatory Services Department
1 Public Health Division
SAWWAHLE
KASS. 200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
A .4 A,/110 W /- ,/,-/
Name of Special Event Date
Table/Cart/Trailer Identification Na a Telephone
Permit Holder's Name Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
_ Valid Permit/Displayed
Pre approved Menu Items Offered Only
r
o FOOD PROTECTION MANAGEMENT
r _ PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
_ Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
Proper&Adequate Handwashing/Temporary Handwash
Station Location
Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
Cooking Temperatures
_ Reheating
_ Cooling
_ Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
Posting of Consumer Advisories
OTHER REQUIREMENTS
Refuse Container(s)Provided/Covered
Adequate Toilet WI fle vided
Inspector's Sign t e f rint I
PIC's Signatu a Print
Town of Barnstable
Regulatory Services Department
Public Health Division
200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
Name of Special Eve I a e
Table/Cart/Trailer Identification Nam o
Permit Holder's Name Telep one
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
_ Valid Permit/Displayed PAC�K I J/)
— Pre approved Menu Items Offered Only hW)
FOOD PROTECTION MANAGEMENT
— PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
Foods Covered iz
_ Proper&Adequate Handwashing/Temporary Handwash
Station Location
— Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
_ Cooking Temperatures
_ Reheating
— Cooling
Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
Posting of Consumer Advisories
OTHER REQUIREMENTS
_ Refuse Container(s)Provided/Covered
— Adequate Toilet Fa ' ' ' s Provided
Inspector's Signature
PIC's Signature / Print
Town of Barnstable
Regulatory Services Department
Public Health Division
&VWg9tM=
= 200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
J
Name of Special Even Date
Table/Cart/T railer Identific 'on Na Telephone
Permit Holder's Name Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION �.
Valid Permit/Displayed
Pre approved Menu Items Offered Only
FOOD PROTECTION MANAGEMENT
_ PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
_ Proper&Adequate Handwashing/Temporary Handwash
Station Location
Good Hygienic Practices(Use of;gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
Cooking Temperatures
_ Reheating
Cooling
Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
Posting of Consumer Advisories
OTHER REQUIREMENTS
Refuse Container(s)Provided/Covered
Adequate Toilet Facili ' Provided
Inspector's Signature IV V
i
PIC's Signature /", Print
Town of Barnstable
Regulatory Services Department
Public Health Division
• WANSTMM
MA . 200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
Name of Special Event Date
Table/Cart/Trailer Identification Name Telephone
Permit Holder's Name Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
_ Valid Permit/Displayed
Pre approved Menu Items Offered Only
FOOD PROTECTION MANAGEMENT
_ PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
Proper&Adequate Handwashing/Temporary Handwash
Station Location
Good Hygienic Practices(Use of gloves,use of tongs or tissues) 1Z
TIME/TEMPERATURE CONTROLS
_ Cooking Temperatures
Reheating
Cooling
_ Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
Posting of Consumer Advisories
OTHER REQUIREMENTS
_ Refuse Container(s)Provided/Covered
Adequate Toilet Facilities Provided
Inspector's Signature Print
PIC's Signature Print
Town of Barnstable 01r(,
Regulatory Services Department
Public Health Division
" 200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
r
Name of Special Event ate
, R
Table/Cart/Trailer Identificatioji Name Telephone
Permit Holder's Name mfigm .
Telephone
DESCRIPTION OF VIOLATION `,
P IT INFORMATION
V id Permit/Displayed
Pre approved Menu Items Offered Only �J
FOOD PROTECTION MANAGEMENT
PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
Fq4 Contact Surfaces Cleaning and Sanitizing
r oods Covered
_ Proper&Adequate Handwashirl Temporary Handwash
tation Location
Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
Cooking Temperatures
Reheating
_ Cooling
Hot and Cold Holding
Food and Food Protection
CO UMER ADVISORY
Postin f Consumer Advisories
OT QUIREMENTS
fuse Container(s)Provided/Covered
Adequate Toilet F rovided
Ar
Inspector's Signature ® rint
PIC's Signature Print
Town of Barnstable
Regulatory Services Department
Public Health Division
, ` 200 Main Street, Hyannis MA 02601
Ian" 'i
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
H VAa
Nk
Name of Special Event Date
Table/Cart/Trailer Identification Name Telephone
v'
Permit Holder's Name U ) 1 Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
Valid Permit/Displayed
Pre approved Menu Items Offered Only
OOD PROTECTION MANAGEMENT
PIC Assigned/Present Onsite
P OTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
Proper&Adequate Handwashing/Temporary Handwash
Station Location
Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
_ Cooking Temperatures
Reheating
Cooling
Hot and Cold Holding
Food and Food Protection
CONSUMER ADVISORY
Posting of Consumer Advisories
HER REQUIREMENTS
Refuse Container(s)Provided/Covered
Adequate Toilet Fa ' ities Provided Q
I c
Inspector's Signature Print ks
PIC's Signature Print doS
Town of Barnstable
Regulatory Services Department
Public Health Division
= 200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
Name of Special Event �ARAl� r-- NYANNQte
1119
Table/Cartfrrailerldentiifikcation Name rr ff Telephone
Permit Holder's NameVA ILL i/' Telephone
DESCRIPTION OF VIOLATION
PERMIT INFORMATION
_ Valid Permit/Displayed
_ Pre approved Menu Items Offered Only V
FOOD PROTECTION MANAGEMENT
PIC Assigned/Present Onsite
PROTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
Foods Covered
Proper&Adequate Handwashing/Temporary Handwash
Station Location
Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
_ Cooking Temperatures
Reheating
Cooling
Hot and Cold Holding
Food and Food Protection
ONSUMER ADVISORY
Posting of Consumer Advisories
OTHER REQUIREMENTS
Refuse Container(s)Provided/Covered
Adequate Toilet Fa ' ' ' Provided
r '
Inspector's Signature ® / Print
PIC's Signature Print
Town of Barnstable
Regulatory Services Department
1 Public Health Division
' 200 Main Street, Hyannis MA 02601
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT l
INSPECTION FORM
4
Name of Special Event IA ate
Table/Cart/T railer Identific n Na e e phone
i
Permit Holder's Name Telephone
DESCRIPTION OF VIOLATION
VPre
MIT INFORMATION
lid Permit/Displayed
approved Menu Items Offered Only
OD PROTECTION MANAGEMENT 'IC Assigned/Present Onsite JA
PROTECTION FROM CONTAMINATION
mFod Contact Surfaces Cleaning and Sanitizing
oods Covered
?� Pro er&Adequate Handwashing/Temporary Handwash
S non Location
Good Hygienic Practices(Use of gloves,use of tongs or tissues)
TIME/TEMPERATURE CONTROLS
ooking Temperatures
Reheating
Cool' g
and Cold Holding
yFooand Food Protection
ER ADVISORY
g of Consumer Advisories
1OAT�H QUIREMENTS
e se Container(s)Provided/Covered
Adequate Toilet Fa i iti Provided
Inspector's Signatu - rint 12-a
PIC's Signature Print v��
Town of Barnstable
Regulatory Services Department
Public Health Division
200 Main Street, Hyannis MA 02601
1"9.•�
OFFICE: 508-862-4644 Thomas F.Geiler,Director
FAX: 508-790-6304 Thomas A.McKean,CHO
TEMPORARY FOOD EVENT
INSPECTION FORM
l�
Name of Special Event Per,
J
Table/Cart/Trailer Identif ation Name WICA 10 e phone
Permit Holder's Name / Telephone
DESCRIPTION OF VIOLATION
RMIT INFORMATION
Valid Permit/Displayed
\YPre approved Menu Items Offered Only
0FOD PROTECTION MANAGEMENT
PIC Assigned/Present Onsite
4� OTECTION FROM CONTAMINATION
Food Contact Surfaces Cleaning and Sanitizing
nods Covered
Proper&Adequate Handwashing/Temporary Handwash
Station Location
Good Hygienic Practices(Use of gloves,use of tongs or tissues)
dTME/TEMPERATURE CONTROLS
Cooking Temperatures
Reheating
Cooling
VHot and Cold Holding
'VFood and Food Protection
NSUMER ADVISORY
/7HE
Posting of Consumer Advisories
REQUIREMENTS
se Container(s)Provided/Covered
uate Toilet Facilities Provided
a
Inspector's Signatur Print
PLC's Signature Print tv�7t: L�
it
,
-�`MTq�ti� Town of Barnstable Barnstable
mmmaicacft
IARNSfABLE = Board of Health ►
Atfa Ma.�°i 200 Main Street, Hyannis MA 02601 2007
Office: 508-862-4644 Wayne Miller,M.D.
FAX: 508-790-6304 Paul Canniff,D.M.D.
Junichi Sawayanagi
July 20, 2015
Ms. Beth Marcus
1336 Phinney's Lane
Hyannis MA 02601
RE: Mid-Cape Farmer's.Market
Approval to Sell Foods at 1336 Phinney's La e, Hyannis
Dear Ms. Marcus,
You are granted permission to sell foods at the Farmer's Market located at the
parking lot of 1336 Phinney's Lane Hyannis each Friday afternoon during the
summer months and into the early Fall. This permission is granted with the
following conditions:
(1) PERMIT - Each food vendor shall complete a separate food permit
application. An applicant proposing to sell processed foods shall seek a
retail food permit. Each 'food vendor shall set-up his/her table for
inspection and shall satisfactorily pass an inspection, as well as obtain a
food permit from the Health Division Office prior to opening for business.
The overall fee, for all retail permits combined, is set at a reduced rate of
$180.00 for 18 weeks maximum. If additional weeks are requested after
18 weeks, the reduced combined rate for additional weeks is set at $35
per week.
(2) RESTRICTED FOOD ITEMS - The menu is limited to whole fruits and
vegetables, eggs, honey, frozen packaged beef, frozen packaged pork,
wine, jelly, baked goods, bottled juices, frozen ice-cream pops, cookies,
live shellfish and kettle corn. No other foods are authorized to be served
or sold.
(3) SERVSAFE CERTIFICATION - At least one food handler at each table
1 where potentially hazardous foods are sold shall be Servsafe certified or
p Y
equivalent. Copies of Servsafe certification shall be submitted to the
Q:\WPFILES\Beth Marcus MidCapeFarmersMarket2015.doc
Health Division prior to obtaining temporary food permits from the Health
Division.
(4) GLOVES — If any foods are being sampled, (e.g. jellies on crackers) the
foods shall be properly handled with tongs, tissue, and/or the server must
wear disposable gloves while sampling any unwrapped food items.
Gloves shall be changed often during the event.
(5) HANDWASH STATIONS - Each food table where unwrapped or
uncovered foods are sampled (with the exception of whole fruits and
vegetables), shall be equipped with a handwash station consisting of a
minimum two gallon capacity water dispenser, dispenser soap, and paper
towels. The handwash station shall be located in close proximity to (within
twelve feet of) the food table without any obstacles or obstructions to the
handwash station.
(6) THERMOMETERS — Thermometers shall be provided inside every cooler
used to store meats and other cold foods. The temperature shall be
maintained at 41 degrees Fahrenheit or colder.
(7) POSTING OF PERMIT - The food permits issued from the Health Division
Office shall be posted at each food vendor table during the time of each
event in an easily accessible location to be viewed by a health inspector
during site inspections.
(8) All the other regulations contained in 105 CMR 590.000: State Sanitary
Code, Chapter X - Minimum Sanitation Standards for Food Establishment
and of the Town of Barnstable Board of Health sanitation regulations shall
be strictly adhered to.
(9) SHELLFISH SALES — Prior to selling any live shellfish, the applicant shall
seek and obtain the approval of the MA Department of Public Health, the
MA Division of Marine Fisheries, and any other State agency which has
jurisdiction regarding shellfish sales.
Sincerely yours,
Wayne Miller, M.D,,
Chairman
Q:\WPFILES\Beth Marcus N1idCapeFarmersMarket2015.doc
Town of Barnstable
THE T[b_ Barns!-table
Board of Health i1 I 1►►
BARNSTABLE. : 200 Main Street, Hyannis MA 02601 2007
y XASS.
Q i639.
FB MA'S A
Wayne Miller,M.D.
FEvc: Ms=/91J-153104 Paul Canniff,D.M.D.
Junichi Sawayanagi
TEMPORARY OUTDOOR FOOD VENDING REQUIREMENTS
Weekly Events
Applicants who wish to provide free samples of food or sell any food at a fixed location for a period of time occurring once per week, once
every other week, monthly, or some other variation of frequency(herein called"weekly events")shall apply for temporary food permits/retail
food permits from the Board of Health. Applicants who request a temporary food permit/retail food permit to serve or sell food from an
outdoor booth,table, or cart for more than eighteen dates within a calendar year will not be approved. Also, applicants who request to operate
a temporary booth,table or cart which would not be operating in conjunction with a pre-approved events or celebrations will not be approved.
Weekly event food permit/retail permits do not allow for food service. The Board prohibits the preparation of any foods onsite at weekly
events. Each weekly event food permit/retail permit application must be submitted to the Board of Health at least fifteen days before the date
of the next scheduled public meeting of the Board. The Board meets once monthly.
Fees— The selling of fresh uncut fruits, fresh uncut vegetables, refrigerated farm fresh eggs, maple syrup and unprocessed honey are
considered farm products according to MA DPH, and are therefore exempt from licensure and inspections. Food products and processed foods
other than those listed above require a retail food permit. The fee for a retail food permit is $100.00 per vendor if the weekly event is held
during non-business hours(i.e. after 4:30 p.m.,week-ends, holidays). However, a discounted rate of$180.00 overall for all food vendors
combined will be charged if all of the following criteria are met: ,
1)The weekly event shall be held during normal business hours-during a weekday between the hours of 8:00 a.m. and 4:30 p.m.,
2)The weekly event shall be held at the same location each week,
3)The same food vendors shall participate at the event each week,
4) Each food vendor shall sell the same menu items each week, and
5)The weekly event shall not exceed 18 weeks. After 18 weeks,additional fees will be assessed at$35.00 per week which is a
discounted rate for all of the food vendors combined.
NOTE: Organizations selling foods in order to donate the funds to charity will be charged a fee of only$5.00.
Applicants who wish to sell potentially hazardous foods shall demonstrate compliance with the following criteria:
A. Sinks/Gloves-Depending upon the length of-time of the event and the types of foods proposed to be sold,the Director of Public Health
may require handwash sinks at the site. If there are no hand wash sinks available,potentially hazardous foods should not be approved for sale
at events which occur for extended periods of time(greater than four hours). During those special events which occur for shorter time periods,
the applicant shall provide,at a minimum, temporary handwash stations,moist sanitizing"hand-wipes"and a sufficient number of gloves to
be worn by all food handlers all times food is prepared and served.
B. Tongs/Disposable Napkins for sales of unwrapped-foods(without using bare hands).
C. Refrigeration/Cooler-Electronic refrigerator or coolers with ice packs and ice to keep potentially hazardous foods below 41 degrees F.
D. Thermometers(Stem-type)for testing the internal temperature of potentially hazardous foods.
E. Refuse Containers for the disposal of trash and garbage:
F. Sneeze Guards for the protection of unwrapped foods from the public and patrons during sales and serving.
G. Covers/Plastic Wrapping of some sort to keep unwrapped foods covered during storage or display.
H. Trained and Certified Person in Charge/Food Sanitation Training-The applicant must submit evidence of a trained and certified
person in charge(e.g. Servsafe or equivalent)who must be present during the duration of the event.
PER ORDER OF THE BOARD OF HEALTH
Wayne Miller,MD. Paul Canniff,DMD Junichi Sawayanagi
Q:\POLICIES\TempFoodWeeklyEvents 2015.doc
04-28-'15 14:29 FROM- Cape Cod Beer 5088153454 T-076 P0001/0004 F-079
r
Apr�128,201 S
Sharon Crocker
Town Of Barnstable
Health Department
200 Main Street
Hyannis, MA 02601
Dear Sharon,
Thanks so much for your help earlier today. It will be a bit of a scramble but we will get everythixag to you ASAP,
hopefully Thursday. I have already gotten some forms back—believe it or not?
I have attached a partially completed application form and will submit the final all together when I have it.
The market will run FRIDAYS from 3pm to 6pm at Cape Cod Beer at 1336 Phinney's Saxe Hyannis MA.
We hope to run from 5.22.15 through 10.9.15 but because we have never done this before we have no idea if it will be
successful or that we will want to continue that late into the fall.
The following vendors hope to participate:
• Barnstable Sea Farms—Raw Bar and Shellfish
• Cape Cod Organic Farm—Veggies,pone,Chicken,eggs
• Crow Farm—Vegetables and Plants
* Eldredge Farm—Fruit,Vegetables and Plants
+ First Crash Winery—Wine(dependent on state license)
Kayak Cooldes--Packaged Baked Goods
• Pizza Barbone—Wood Fired Pizza/Mobile Pizza Oven
• Seawind Meadows—Beef,Pork and Eggs
• The Local Juiee-Juice
• The Local Scoop—Crepes and Frozen Ice pops
• Underground Bakery—Packaged Baked Goods
• Wicked Good Kettle Corn,—Kettle Corn
As we discussed I will be gathering all necessary paperwork from each vendor and packaging it together for you.I will
make every effort to have it to you on Thursday. I will plan to attend the S.12.15 meeting at 200 Main from 3-6pm
Thanks again for your help.
Cheers,
Beth Marcus
Cape Cod Beer Inc
508-790-4200 Ext 102
beth@CapeCodB=.com
Cape Cod Beer - 1336 Phinney's Lane Hyannis, MA 02601
508-790-4200 www.CapeCodBeer.com -
04-28-'15 14:29 FROM- Cape Cod Beer 5088153454 T-076 P0002/0004 F-079
r r 'Town of Barnstable
Regulatory Services
r Richard Y.Scali,Director
Public .wealth Division BAMSTABLE
Thomas McKe=,Director n�g•��
200 Main Stxeet,Hyannis,MA 02601
Office. 508-862-4644 Fax. 508-790-6304
MAIL TO:TOWN OF DARNSTA13LZ S i+�vaY.C`Wt`LP,,
PUBLIC BEALTFI DWISION
200 MAIN MEET
HYA1 MIS,MA 02601
OAX 909 790-6304
LEASE INCLUDE CHECK FOR$35.00 DOLLAW AND A
COPY OF YOUR FOOD SANITATION TRAINING
(E.G.ServSde)CERTIFICATE,ALLOW SIXTY DAYS TO
PROCESS(Please see instructions on the next page)
APPLICATION FOR TEWORARY FOOD SERVICE PERMIT
DAB 5/1/15
NAM OF SP'ECIAI,E Farmers Marlmt at Cape Cod 8agr tnc.
WAS TFHS EVENT APPROVED BY THE BOARD AT A Pf3BUC MEETING? ✓ON
NAMM OF PERSONS)REQUESTING PE ��Marcos/Cape Cod Beer Inc_
TEE) HONE 508-790-4200 Ext 102 CELL#774-836-52M
HOMEADDRESS 1336 Phinneys Lane yn,LAGE yannis MA
NAME OF ORGAYIZr3.TIO
CONTACT PERSU LEPHOi�11;
ADDRz:S
FOOD TO RE SERVED(LIST EXACT FOODS)
(ATTACH COPIES OF SERVSAFE&ALLERGEN CERTIFICATES)
ADDRESS IYHERE TO BE SKRVE 336 Phinneys Lane Hyannis MA
DATE TO BE SERVED I Fri fts 5.22 true 10.9(tent'I TM 3 epm RAW DATP, none
WHAT TIME WELL ALL XQUIPMENT BE SET-UP&READY FOR INSPECTION?13PM
HOW WILL FOOD BE RAPT BELOW 41 DEGREE'S F
i
HOW WILL FOOD BE HELD AT 140 DEGREES
1HEOVV 18 FOOD COVERED
HOW Is*Fool)SERVED
r
TYPE OF G ACUJTy on site
(SI MAxrrn�OFAPPLICANT')
QAApplieatlon Fom1TEMPF0ODJ)0C
Q
Cape Cod Beer—existing building PRIMARY PLANNED LAYOUT o
CT1
Houses bathrooms, hand washing sinks etc.
fV
co
T
O
9 10
a Former SEARS o
Currently Vacant
These are cement
planters that w ave 1 Whether we have
to accommodate
used for the past 2 access to this
years to define and loading dock is Cn
contain the beer o
garden 3 dependent on if the 88
space gets rented w
and if the dock will
4
need to be used 3-
6pm on Fridays.
5 r+
a
See ALT PLAN for
this concept
GCID
m
a�
7 �
0
* o
Q r i C)
V � �
We envision this being a
r table/station manned by a
r �1 die clotted lines would be Police staff member to welcome C�,
style ba rricades—saw horse style— guests and"police" to co
that we would be able to remove make sure people are not
before and after market. departing with alcohol'
0
Alternative LAYOUT to '
I
Cape Cod Beer--existing building accommodate access to
Cn
Houses bathrooms,hand washing sinks etc. former Seaes Loading dock.
N
A / CD
Q
M
- I
C7
{p
Former SEARS o
w
Currently Vacant
These are cement
Whether we have
planters that we have
- 1
used for the past 2 � to accommodate
� access to thisyearsto define and loading dock is cn
contain the beer o
dependent on if the 88
garden space gets rented w
4 and If the dock will
10 -4 need to be used 3-
D
y 6pm on Fridays.
oThis plan is for this
• F concept
6 +�
� m
7
I o
0
We envision this being a
table/station manned by a CD
staff memberto welcome T
The dotted lines would be Police guests and "police" to
style barricades-saw horse style- make sure people are not co
that we would be able to remove departing with alcohol
hafnra anrd aftar market
Town of Barnstable
y�,oFtME'�ti� Regulatory Services
P
Richard V. Scali, Director BARNS LE
BARNSTABLE, +�
Ass. $ Public Health Division u,-is ,a- T-�.�,.�,;
163q�p�0 n: cr nIy IE39n`1 o14:::scisii.=
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
TEMPORARY FOOD SERVICE PERMIT
DATE: April 3, 2018
Event: Farmer's Market k Cape Cod Beer
Permission is hereby granted to: Cape Cod Beer
Name of Person: Beth Marcus
Address: 1336 Phinney's Lane, Hyannis, MA. 02601
To serve: Examples, Jams, Jellies, Flowers, Baked Goods, Homemade Olive Oils, Ice
Cream Pops, Fruits & Vegetables, Hot Sauce Wine & Spirits, Hummus & Chips, Tomato
Sauce & and Hone
ServSafe certified: Beth Marcus Allergen Certificate: Beth Marcus
Only at the following location: 1336 Phinney's Lane, Hyannis, MA. 02601
VALID ONLY ON THE FOLLOWING DATES: Friday's 5/25 — 09/14
Remarks: *All food must be kept at 140 degrees F. or below 41 degrees F. during
preparation, transit and serving.
*All food handlers shall use disposable gloves while serving ready-to-eat
foods.
APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS IN
ADDITION, IF SOCIAL GATHERING IS IN TOWN PROPERTY, PERMITS MUST BE
SECURED FROM APPROPRIATE AGENCY.
TOWN OF BARNST BLE BOARD OF HEALTH
Thomas . McKean
Director of Public HealthTMcK/slc
gAfood&food handlers instructors\2018 temp food permits\mastendoc
March.28,2018
Vanessa Beck
Town Of Barnstable
.Health Department
200 Main Street
Hyannis,MA 02601
Dear Vanessa,
Attached is the required documentation for the Vendors for the"Fanners Market at Cape Cod Beer.
CAPEABILITIES: Basil,Tomatoes,Cucumbers,Salt,other fresh vegetables as the season merits. No additional.
certificates needed.
CAPE COD CRANBERRY HARVEST:jams,jellies and preserves. Sery Safe and Allergen included.
COONAMESSETT FARM:Arugula, Basil, Blueberries, Carrots,.Cucumbers,,Decorative Flowers,Herbs;
Kale, Leeks,Lettuce, Oriental Greens,Peas,Peppers,;Raspberries; Scallions, Strawberries,Swiss.Chard,
Tomatoes,and Turnip.. No additional certificates needed.
CROW FARM: Apples,Bedding plants,Beets, Broccoli,Brussel Sprouts,Cabbage,Carrots,Cauliflower,Corn,
Cranberries,Cucumbers,Eggplant, Herbs,Kale,Lettuce, Parsnip, Peaches;Pears,Peppers; Spinach,Squash,.Strawberries,
Swiss Chard,Tomatoes,and Turnip.No additional certificates needed.
FOSS FARMS: Tomato sauce sold in jars. Sery Safe and Allergen included.
KALA-MATTA: Hummus and chips. Sery Safe and Allergen.included.
LOCAL SCOOP:Frozen Pre-packaged Ice Cream Pops. Sery Safe,Allergen, Ice.Cream Truck Vending Cert.
included.
MONOPATI Extra Virgin Olive Oil, Black Olives, Figs, Wine and Spirits, Grapes, Honey and many other
types of fruit, vegetable, or spices. Sery Safe and Allergen included
N.OBSKA FARMS: Hot Sauce,Jelly,Chocolate,Honey, Coffee,Chili Seasoning Mix. Sery Safe and
Allergen included,
RON'S VEGETABLE GARDEN:Arugula,'Kale, Lettuce, Spinach,Swiss Chard,'Beets,'Beans, Corn,Tomatoes,
Broccoli,Squash,Peppers,,Carrots,Scallions, Microgreens and Pea-Shoots.No additional certificates needed.
SURREY.FARM: Eggs, Greens,Honey, Carrots;Fingerling Potatoes, Beets,Beans, Tomatoes, Kohl Rabi,
Chill Peppers, Peppers, Mustard Greens Onions,-Leeks Scallions PP PP , , Spinach,_Summer Squash,Winter Squash,:
Peaches, Asian Pears; Flowers and other farm raised veggies as in season/available. No additional certificates
needed.
Cape Cod Beer - 1336 Phinney's Lane • Hyannis, MA - 026ol
508-790-4200 www.CapeCodBeer.com
UNDERGROUND BAKERY:Foccia Bread, Spent.Grain Bread, Cookies,Coffee Cake, and Whoopie Pies,all pre-
packaged. Sery Safe.and.Allergen included.
WICKED,GOOD KETTLE CORN: Popping and Selling Kettle Corn on site,sold in twist tied,bags. Certificates
includes.Liability Insurance;Allergen and Sery Safe included
I.have also included at the FRONT OF THE PACKET the following;
• overall APPLICATION form for the whole market.
• overall description of our market.
• Floor plan for the market
• Operational Guidelines
• My ALLERGEN AND SERV SAFE certification in case necessary as the MARKET MANAGER.
• A check.for '
If you need anything further please let me know.
Thanking you in advance,
Beth.Marcus
Cape Cod Beer Inc
Work:508-790-4200 Ext 102
Cell: 774-836-5206
beth@,CaReCodBeer.com
r 0
� r
0
Farmers Market Meets Happy Hour at Cape Cod Beer
Mission and Guidelines
Dates: Fridays from 3-6pm starting 5.25.18 through 9.14.18
Fees: With the.success of last season's market we have decided to continue to absorb the fees for our vendors for-2017..
All vendors should note that this shay change;but.that fees wil l be.in line with those charged with other local markets.
Priorities:
• The safety of our visitors
• The upholding of-all applicable town and state regulations
• The enhancement of our guests experience
• The profitability of the market itself for all participants
Goals:
• To promote locally made, locally grown,and local producers.
• To uphold Cape Cod Beer's commitment to Customer Service,Environment, Quality and Community—and have
the market reflect these"pillars"in how it is operated and perceived by its visitors.
• To educate Cape Cod Beer's visitors on the importance of supporting local producers&growers.
Operational Guidelines
Vendor Equipment:Each vendor is responsible for providing and removing any and all equipment and supplies that he
or she requires doing business at the site,including signs,tables,chairs and the like. The use of canopies(l Ox10 only)and
umbrellas are allowed however,each vendor must provide secure anchoring of:all canopies and umbrellas using weights
and or tie downs. In addition, all vendors are responsible for removing all garbage from their site. Recycling is mandatory
—ask us where to recycle your stuff if you need to.
Signs: All individual vendor signs must remain within the allotted vendor's exhibit space and.must not block traffic.or
pedestrian's right of way or interfere with other vendor's displays..Al1 items Ioffered for sale will be clearly labeled and
priced and each vendor will post a sign of'the farm/company name..Source/Origin is required if notgrown by your farm.
Scales:In addition,all vendors must utilize legal scales with a current weights and measures stamp.If,selling`pze-packed"
produce,weight/price must be posted.
Permitted Market Items:Vendors shall sell only agricultural,horticultural*or food items that they themselves have
grown,produced or processed. Baked goods and other processed or specialty foods can be sold with the approval of the
Market Manager and require a permit from the Barnstable Board of Health. Please disclose all products when filing your
application with Market Manager. Changes may require additional approval from Board of Health.The Market Manager
will maintain a file of all Board of Health Permits. The Market Manager has the right to ask that products be removed
from.stalls by the vendors if they detract from the overall quality of the Market.Items not produced by the vending farm
or business shall be clearly marked, stating where they are grown or produced and must be approved by the Market
Manager.
Enforcement.of Rules: The Market Manager is responsible for enforcingthe market rules.Possible violations or
unresolved issues will be discussed prior to the next.market date.If a vendor fails or refuses to adhere to any decision duly
made,then the:vendor may be expelled for the balance of the market season.
Participation: Vendors may miss up to three weekly markets in the 2017 season;they must notify the Market Manager:
by Wednesday that week prior to the date of absence.More than three missed dates or"no call no show"will result in
losing:yo.ur.spot.
Cape Cod Beer - 1336 Phinney's Lane - Hyannis, MA - 026ot
50$790-4200 www.CapeCodBeer.com
Cape Cod Beer—existing building PRIMARY
PRIMARY PLANNED LAYOUT
Houses bathrooms, hand washing sinks etc.
9 10
� a
qq # Former SEARS'
Currently Vacant
These are cement
�. Whether we have
planters that we have to accommodate
used for the past 2
access to this
years to define and � 2
loading dock is
contain the beer
garden 3 dependent on if the
space gets rented
and if the dock will
4 need to be used 3-
N Wn on Fridays:
5 =3See.ALT PLAN for
0
s this concept
6
7
'�-'-
We envision this being a
*' table/station manned by a
-"1'5e dotted lines would be Police staff member to welcome
style barricades—saw horse style guests and"police" to
that we would be able to remove make sure.people are not
before and after market. departing.with alcohol
Thomas McKean,Director
Town of Barnstable
y�� dos •Regulatory Services yr
t BARNSTABU,
saeuvsrnsi a Richard V. Scali, Director
v i<snss. g,
��f0M1A'la`e Public Health Division
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
MAIL TO:TOWN OF BARNSTABLE
PUBLIC HEALTH DIVISION
200 MAIN STREET
HYANNIS,:MA 02601
FAX 508 790-6304
PLEASE INCLUDE A CHECK FOR S40.00 ONE DAY;S5.0.00
(2+DAYS)AND A COPY OF YOUR FOOD SANITATION
TRAINING(E.G.ServSafe)CERTIFICATE AND ALLERGEN
CERTIFICATE ALLOW SIXTY DAYS TO PROCESS(Please see
instructions on the next page)
APPLICATION FOR TEMPORARY FOOD SERVICE PERMIT
DATE. March 28, 2018
NAME OF SPECIAL EVENT Farmer's Market at Cape Cod Beer
WAS THIS EVENT APPROVED BY THE BOARD AT A PUBLIC MEETING? Y X N
NAME OF PERSON(S)REQUESTING PERMIT Beth Marcus/°Cape Cod Beer
TELEPHONE# 508-790-4200 x 102 CELL# 774-836-5206
HOME ADDRESS 1336 Phinney's Lane VILLAGE Hyannis
NAME OF ORGANIZATION
CONTACT PERSON TELEPHONE
ADDRESS
FOOD TO BE SERVED(LIST EXACT FOODS) See attached letter
NAMES OF TRAINED FOOD HANDLERS(TO BE,ONSITE DURING EVENT):_
See Attached
(ATTACH COPIES OF SERVSAFE&ALLERGEN CERTIFICATES)
ADDRESS WHERE TO BE SERVED 1336 Phinney's Lane, Hyannis, MA
DATE TO BE SERVED Fridays 5/25-9/14 TIME .3pm 6pm RAIN DATE None
WHAT TIME WILL ALL EQUIPMENT BE SET-UP&READY FOR INSPECTION? 3 pm
HOW WILL FOOD BE KEPT BELOW 41 DEGREES F Coolers/Freezers/Ice Packs
HOW WILL-FOOD BEHELD AT 140 DEGREES F. see attached where applicable
HOW 7S FOOD COVERED food will be covered or prepackaged
HOW IS FOOD SERVED see attached
TYPE OF HAND-WASH rG FACILITY on site
GN O APPLICANT)
Riv
NEY
s°dF'Fy„ay� t yXI
,j`x'Y7 �,�+3'A� °'r• s; yl�k}+Y't '6 yt ,gryjt^,, r �# a1 !Ltait�{ �'� '4`.`� r
S"Sir
§.�i '��{• -t t� f;1�tr� � �� `*�'° nJ n a C Y" i ih4.' 'K �§�:,d rb+�o'4F e1§„� �„, sy/ '� 9 : i.r
';�a a
d�''� 'l"`k•v�, " {k e 3 q '>B d gS. �tfi's�k�"� a 1i�
�'��
1a In
s� ',' ,� Fti s �1I I
¢�FFlY �.ff i r
i 14
d B'F
a
Pam
F4y� tF]� L • . L �((�!
e`er' 'o-�" ;:f {' ,•. - n i 'f � 1
�i` ryaYe..W y e. �f .I [ [ s • [ [ [
�a
r
iw;L!wp, l:Frn'Fatrti row l'Ibtal:Ut>7i• +' >� s� .c{ .),,+ 17 ?
win
�
FICATE
OF
ALLE--,,'
RGEN AWART'NESS
Name.c Uf Recap nt: IL, ABI;TIT MA 2 CC 7
C:crrific4ttc iurnbcx X.10 037
5
Date of Cc�� ipl�rri�i 5%.10/20�3
Da c cifxii��1k> >r
5/10%0:1$ r
�a
/ni Ciwrifile�tn�,�rnt rrlli»gcn pAL
zt�t(4•I7r cs trntunl�+�,�� �r�irr
f
rcrcarnrrxcr�by the /Vlc„sn�hrst��t�l�c�ir,� u,t„�of F'i rin../lenitlt �. '°°` IL AN7`.
AagAuldht
�o,opt�yon -r`iV�J A IONS
to roc-cost/�ttcC zu��/a Z(15 CUR 'S96009 f; 3 !JJ. ��4assgt�husGtts i2c,tauraiu c,gciation.
)( l
333 furttEukti Rutd,S jt f.02
7/ci ccrai�ralc u�t/l Lii�=iia�rlr"%�frtc"(.,51,{'c�r�r,;j�o�{!tlula o/chi;��,l��ron.
S��ttthbu►ax� h;N11 U1771 +v+vtvrest;jurjnfj?}g
`, 1 S08 3b3=99U5
'• .>�. . -.� .` Syr
a utruthjssn
Town of Barnstable
pFSNE Tp� Regulatory Services
N�V ti�
Richard V. Scali, Director BARfts,
+ BARNSCABLE, '
Ass. Public Health Division ,Ta. .�Mtu.15TI MI15e..F.1639•MThomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
TEMPORARY FOOD SERVICE PERMIT
DATE: April 3, 2018
Event: Farmer's Market @ Cape Cod Beer
Permission is hereby granted to: Cape Cod Beer
Name of Person: Cape Abilities
Address: 1336 Phinney's Lane, Hyannis, MA. 02601
To serve: Basil, Tomatoes, Cucumbers, Salt, Fresh Veggies
ServSafe certified: James Barnes Allergen Certificate: James Barnes
Only at the following location: 1336 Phinney's Lane, Hyannis, MA. 02601
VALID ONLY ON THE FOLLOWING DATES: Friday's 5/25 — 09/14
Remarks: *All food must be kept at 140 degrees F. or below 41 degrees F. during
preparation, transit and serving.
*All food handlers shall use disposable gloves while serving ready-to-eat
foods,
APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS IN
ADDITION, IF SOCIAL GATHERING IS IN TOWN PROPERTY, PERMITS MUST BE
SECURED FROM APPROPRIATE AGENCY.
TOWN OF BARNST BLE BOARD OF HEALTH
Thoma McKean
Director of Public HealthTMcK/slc
q:\food&food handlers instructors\2018 temp food permits\master.doc
I
rK
THIS SECTION INCLUDES APPLICATION AND PAPERWORK FOR
CAPEABILITIE S
Plans to Sell:.Basil,Tomatoes,Cucumbers,Salt;other fresh vegetables as the season merits. No additional certificates
needed.
Certificates:No additional certificates needed.
Thomas McKean,Director
oFi r Town of Barnstable
0
Regulatory Services `
❑{n{T��{+s r
*`��'�M i Richard V. Scali,Director BARNSTABLE
a�vrwccy!Siini°'w�wxi;.a.
.263qv0. Public Health Division
200 Main Street, Hyannis, MA 026-01
Office: 508=862-4644 Fax:: 508-79'0.6304
MAIL TO:TOWN OF BARNSTABLE
PUBLIC HEALTH DIVISION
200!MAIN STREET
HYANNIS',MA 02601
FAX.508 790-6304
PLEASE INCLUDE A CHECK FOR S40.00 ONE DAY,S50.00
(2+DAYS)AND A COPY OF YOUR FOOD SANITATION
TRAINING(E.G.ServSafe)CERTIFICATE AND ALLERGEN
CERTIFICATE ALLOW SIXTY DAYS TO PROCESS(Please see
instructions on the next page)
APPLICATION FOR TEMPORARY FOOD SERVICE PERMIT
DATE March'28, 2018
NAME OF SPECIAL EVENT Farmer's Market at Cape Cod Beer
WAS THIS EVENT APPROVED BY THE BOARD AT A PUBLIC MEETING? Y X N
NAME OF PERSONS)REQUESTING PERMIT Beth Marcus/"Cape Cod Beer
TELEPHONE# 508-790-4200 x 102 CELL# 774-836-5206
HOME ADDRESS 1336 Phinney's Lane VILLAGE Hyannis
NAME OF ORGANIZATION Cape Abilities
CONTACT PERSON James Barnes TELEPHONE 5087785040
ADDRESS 895 Mary Dunn Road, Hyannis, MA 02601
FOOD TORE SERVED(LIST EXACT FOODS) Produce, Salt
NAMES OF TRAINED.FOOD HANDLERS(TO BE ONSITE DURING EVENT):
James Barnes
(ATTACH COPIES OF SERVSAFE&ALLERGEN CERTIFICATES)
ADDRESS WHERE TO BE SERVED 1336 Phinney's Lane, Hyannis, MA
DATE TO BE SERVED Fridays 5/25-9/14 TIME 3pm-6pm RAIN DATE None
WHAT TIME WILL ALL EQUIPMENT BE &READY FOR INSPECTION? 3 pm
HOW WILL FOOD BE KEPT BELOW 4I DEGREES F n/a
HOW WILL FOOD BE HELD,AT 140 DEGREES F.. n/a
HOW IS FOOD COVERED n/a
HOW IS FOOD SERVED gloves
TYPE O NAND-WASHING FACILITY on site
li /IZ
SIGNATUR OF APPLICANT)
Town of Barnstable
�oFt► ,ow� Regulatory Services
Richard V. Scali, Director
BARNSTABLE, Public Health Division BARNSTABLE
9 Mass. y;,�utac:e-cer:r=::rv-•cc-_r•r-aisr
pr 039. a Thomas McKean, Director �g
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
TEMPORARY FOOD SERVICE PERMIT
DATE: April 3, 2018
Event: Fanner's Market @ Cape Cod Beer
Permission is hereby granted to: Cape Cod Beer
Naive of Person: Cape Cod Cranberry Harvest—Deb Greiner/ Tina Labrossiere
Address: 33 Rocky Way, Harwich, MA. 02645
To serve: Jellies, Jams, and Preserves
ServSafe certified: Deb Greiner/ Tina Labrossiere Allergen Certificate: Deb Greiner/Tina
Labrossiere
Only at the following location: 1336 Phinney's Lane, Hyannis, MA. 02601
VALID ONLY ON THE FOLLOWING DATES: Friday's 5/25 —09/14
Remarks: *All food must be kept at 140 degrees F. or below 41 degrees F. during
preparation, transit and serving.
*All food handlers shall use disposable gloves while serving ready-to-eat
foods.
APPLICANT MUST CONFORM TO ALL ZONING REGULATIONS IN
ADDITION, IF SOCIAL GATHERING IS IN TOWN PROPERTY, PERMITS MUST BE
SECURED FROM APPROPRIATE AGENCY.
TOWN OF BARNSTABLE BOARD OF HEALTH
Thomas A. McKean
Director of Public HealthTMcK/slc
q:\food&food handlers instructors\2018 temp food pennitsWanners market cape cod beer\cape cod cranberry harvest.doc
THIS SECTION INCLUDES APPLICATION AND PAPERWORK FOR
CAPE COD CRANBERRY HARVEST
Plans to Sell:jams,jellies and preserves. Sery Safe and Allergen included.
Certificates:Allergen Certification and Sery Safe included.
Thomas McKean, Director
Town of Barnstable vDFSHE 1p�� o
Regulatory Services
swxxSTABLZ Richard V. Scali Director BARNSTARULE
f
MASS.. $ ia n.:Knvzi!2W=511
9`�iDT 0
39. Public. Health Division 6
200 Main Street,Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
MAIL TO:TOWN OF BARNSTABLE
PUBLIC HEALTH DIVISION
200 MAIN STREET
HYANNIS,MA 02601
FAX 508 790-6304
PLEASE INCLUDE A CHECK FOR S40.00 ONE DAY;:SS0.00'
(2+DAYS):AND A COPY OF YOUR.FOOD SANITATION
TRAINING(E.G..ServSafe)CERTIFICATE AND ALLERGEN
CERTIFICATE ALLOW SIXTY DAYS TO PROCESS(Please see,
instructions on the next page)
APPLICATION FOR TEMPORARY FOOD SERVICE PERMIT'
DATE March 28, 2018
NAME OF SPECIAL EVENT Farmer's Market at Cape Cod Beer
WAS THIS EVENT APPROVED BY THE BOARD AT A PUBLIC MEETING? Y X N
NAME OF PERSON(§)REQUESTING PERMIT Beth Marcus/Cape Cod Beer
TELEPHONE# 508-790-4200 X 102 CELL# 774-836-5206
HOME ADDRESS 13.36 Phinney's Lane VILLAGE Hyannis
NAME OF ORGANIZATION Cape Cod Cranberry Harvest
CONTACT PERSON Deb Greiner, Tina Labossiere TELEPHONE 5082808237
ADDRESS 33 Rocky Way, Harwich, MA 02645
FOOD TO.BE SERVED(LIST'EXACT FOODS) Jellies, Jams, Preserves
NAMES OF TRAINED FOOD HANDLERS(TO.BE ONSITE DURING EVENT):
Deb Greiner Tina Labossiere
(.ATTACH COPIES OF SERVSAFE&ALLERGEN CERTIFICATES)
ADDRESS WHERE TO BE SERVED 1336 Phinney's Lane, Hyannis, MA
DATETO BE SERVED Fridays 5/25-9/14 TIME 3pm-6pm RAIN DATE None
WHAT TIME WILL ALL EQUIPMENT BE SET-UP&'READY FOR INSPECTION? 3.pm
HOW WILL FOOD BE KEPT BELOW 41 DEGREES F Coolers/Freezers/Ice Packs
HOW WILL FOOD BE HELD AT 140 DEGREES F. see attached where applicable
HOW IS FOOD COVERED food will be covered or prepackaged
SHOW IS FOOD SERVED see attached
TYPE OF HAND-WASHING FACILITY on site
(SIGNATURE 9T APPLICANT)
i
y,»=4'�j �:�-� � �`'cv`?.o''� �' 'ems r'��L,� :)?�9rar•T~-�c'�r`t`4� ;��.
;rn h � Ya-� � ,.�;;�:!r�3rr�,.ate�a:ri�;y a= �?t�;x� •°� 3�.�z'yG,a� t�la i
.x:,<,rd..i [�`. s'-a ..�i:.k ..?irr 1 :i 4.•�'•1.,., .la:fa�.� 1.
r>' +7 <Jt+] 1'F:'S r•y r£} \ 9i y y1 'i i a a i� 't' 1'
"! ri .7"Nz F'- 'g' 2 S, •t-,hy i �!!'>= tiut,, FR ' , 'f .tisd3Eaa� ,'i" gl�fi';"
E .-t ,k a� 1Y� �r 4o ayY J3;%, 6�e
5�,f k5J *,• f�fi'r1 F;; ,li,.tL c�'•�y �.}.`y$�
�:tT.;s
-
t r �. {`r�!3� � .� +� r�� Jt r,�.�;�;`r* y -r� ��'1,•rl a''A'yEJyrt'Tcy
aF •,t "*ds 5�{ .,�e,d �• � <ih �^!� {lJ a 3 f +, .lyssnk'yo-����+ N.f7l�rS.:
r At St7i .�b � { ��r f2r. .e� .uJ kti�rcr :4m
• .s 35��C�1,� 8�e�G$�E�U��t I�5$Q*A!3�Q17 Mi i � u
'..' rF eJ 4r zi. "°v� •. .kit 4 x
T:�zt r s 't✓
i 4
3My ;
}•�T•( F< �,�........
r yuuvvt••••• {Zl Y y�.Y io+#��44=...
:M1 ! ro 1.Z••�5.. 'y :� }' .
41
M
a
`•tad k � ,�]!y
es?arp� o-��yr'
.}Y•"s'1�'Y�".�''r# l�T'2RJd c�1.��Qr r i+�:i7
.... '� r y3 1 aa,ii.�.-axflt.,ut s1v.�arek•S .. ..,�`e
4M,am
ACCRFpIJE�PRCGRPhJ-'�•�'-
Amb=NaUaW SUadwds truvil; f 4i �g1ra •s. ti�P } - fir.
aaelhecmuname la FwdPmtxuan'
bpy
`o-'�'r,�'l.F�J e'y�•S.•��'�.�3nay)�.;�r Y�� 'aJ - a� 4".:s'
CERTIFICATE OF
�- ALLERGEN AWARENESS TRAINING
y� f
Name of-! ec,' ent "I '
TIN.LABOSSIERE
'v.
' Certificate Number 2s,asso
4 A x
Date of Completion
10l12;2016
n F
r P Date of Explratlon ;10/1;2J202t - -- # -,_
f � J
Issued By:
The above-namedfierson is hereby isszted this certificate { _ ��
or coin letin r an alley yen awareness trainin ro gram 1� NATIONAL. +
.f 1' b b g� b RESTAURANT •
recognized bytheAlassacbmetts Department of Public Health _...... ASSOCIATION.
in accordance with 105 CMR 590.009(G)(3)(a). Massachusetts Restaurant Association 800.765.2122
333 Turnpike.Road,Suite 102, w mvxestaurant.org
Southborough,MA 01772
?his certi':cate will be valid for five(5)years f rom date ofcompletion. 508-303-9905
wivw.marestaurantassoc.org t 'S