Loading...
THE COWS MEOW CRAFTERS - ESTABLISHMENTSm m (I The Cows Meow Crafters - gg Wharf Street JF a u NOV-13-2007 TUE 11:22 AM FAX NO, P. 01/01 00 CITY OF SALFM, MASSACHUSETTS BOARD OF 14EALT71 a i d. ''+yW,.T 120 WASHINGTON STREET, 4"' FLOOR TEL. (978) 741-1800 FAX (978) 745-0343 KIMBERLEY DI ISCOLL r,L r'Ci; cit F.+. COM MAYOR JOANNE SCOTT, iiPA'LTI-I AGL-NT 2008 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLIS,H/MENT V!e c(}(�,i yJ�(OGfJ CY lY5 TEL 978 %T11 JAMEOFESTABLISHMEN'T FAX# grog �'D_�`fS� 8 lolqur irls`� =RESS OF ESTABLISHMENT _-____— damL MAILING ADDRESS (if different) fihe Srnel"Wel EMAIL - Business'' Website: TEL 9/ /� OWNER'S NAME p1taLC✓`)72IJ tq/� �G "( v ADDRESS rf " STATE ZIP CITY y - CERTIFICATE#(S) CERTIFIED FOOD MANAGER'S NAME(S) (Required in an establishment whore potentially hazardous food is prepared) HOME TEL#{!_ EMERGENCY RESPONSE PERSONSTh u�daY Friday �_t ---�— p HOURS OF OPERATION !li _ Ci Please write In time of day. D For omm b Its" rm TYPE OF ESTABLISHMENT ES NO RETAIL STORE j FEE Ic_ heck o� Iessthan1o00sq.h. 6 70 00 1000-10,0sq.fl. $ 8D more than 10,000sq.ft. =$420 _....... ........................ .......................... ••--•,,,, - less than 25 seats YES v� RESTAURANT 25.99 seats (Outdoor Stationary Food Cart $210) more than 99 seals ................... YES NOS ..... .............. 8EDIBREAKFASTI CHILDCi4•RFS.�RV(CES.................------------------------••-..........-. ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURTISOFT SERVE TOBACCO VENDOR ALL NON-PROFIT (such as church kitchens) ......... -- =$140 =$280 =$420 ...---- ......... $100...... YES (QV, $25 YES �dyC�// $135 YES $25 /0-9 ,2�,/div e>> -please pay total with one check payable to the City of Salem. This Permit Is not transferable and must be reissued upon change of ownership.Tho Permit must be posted In a prominent location In the Establishment. Code, before any renovations, improvements, or equipment changes are made, all plans for, in accordance with the State 5anitary such must be submitted to and approved by the Snlem Board of Health. Pursuant to MGL Chapter 62C, S801lon 49A, I coldly under the pains and penalties of perjury that I, to my best knowledge and Oelief, ha�ri �al` slate a>< returns and paid all state taxes rr1eyguiredunde'r'Ihe law returns f D? d & - 3 .i /� d'ri �. / ' /WT `oi�"" '� c_ ,I c��,rrity or Fedcrol Idtntitication Number licvistd 412arm 17000AP2008.11dm Chcckll h Dau CITY OF SALEM BOARD OF HEALTH Name of Establishment: The Cow's Meow Crafters Address: 98 Wharf Street Owner(s): Renee Andrews and Maryellen Doherty Phone: 978-740-2444 The proposed new owner of this establishment, Maryellen Doherty, discussed plans for this establishment. A review was conducted in accordance with the State Food Code FOOD Only pre -wrapped candies will be sold. All food items displayed and offered to the public must be from a Wholesale establishment licensed by the state. All storage of these items will be within the establishment. TRASH A Cc' nt--n �J ,h�si "-"l bz v>,('J Gye- t ✓oo,�) EXTERMINATION Monthly services of a Licensed Pest Control Operator are required unless the Operator determines less frequent services are appropriate. Please keep receipts /for inspections. / Pl(N1 T`' Ore" ("""Iy L)zc" L/e­ t',PClS: eete( 41 Outside area of premises must be kept clean and sanitary. goanne Scott Health Agent Doherty - i 3-D7 i - i s - Date