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Home My WebLink About1456 FALMOUTH ROAD/RTE 28 , , g o o. ^ c a x' h m I i , 8 w V �1 0 ° , a a °v s' E y ' v • � , ° � .. � � t � T ,.fib. .. , w T ^ : .a ° f ,-\(J vNip IqR •®o �p a�rn . -Rd �l m® f.o e s M a l yl Cury&fland F A R M S June 26,2019 VIA ELECTRONIC MAIL AND CERTIFIED MAIL NO. 7013 2250 0002 0835 8668 Thomas McKean ,Director of Public Health Town of Barnstable 367 Main Street Hyannis MA 02601 Re: Adult-Only Retail Tobacco Stores Mr. McKean, As you know, Cumberland Farms, Inc. (CFI)has recently inquired as to the newly-enacted Board of-Health tobacco regulations, and is actively exploring all available avenues to continue serving our adult tobacco customers in Barnstable: I appreciate your time in discussing one of those potential paths forward: obtaining and operating under an"adult-only retail tobacco store"permit at our current retail establishments. From the text of the regulation,my meeting with you and your colleagues on June 13,our subsequent emails, and your phone call on June 19, CFI's current understanding of the situation is as follows: • In the event that demand for adult-only permits exceeds supply,CFI will now be considered first in line and will have the right of first refusal when such permits become available under the new regulations. • However,the requisites and overall process for obtaining adult-only is not well defined among the various Town stakeholders involved here—including, to my surprise, the Board of Health itself,which adopted these new regulations to begin with. • CFI has provided three different draft plans for purposes of discussing an acceptable adult-only store model.There is still no consensus on how these proposals will be handled by the Town internally,or whether they will be approved. CUMBERLAND FARMS,INC. 165 FLANDERS ROAD,WESTBOROUGH,MA 01581 W W W.CUMBERLANDFARMS.COM • You have contacted representatives of the Massachusetts Association of Health Boards (MAHB)and the Cape Cod Regional Tobacco Control Program (CCRTCP)seeking their review of CFI's plans. You have received direction from Ms. Sbarra of MAHB,which you have not shared with CFI but which you have shared with town counsel. You have not yet received a response from town counsel,or from Mr.Collett of CCRTCP. This matter remains a very important issue for CFI,and time is of the essence in light of.the new regulation's imminent effective date. Please keep me informed of any new developments as soon as possible. Finally, as I am sure you are aware,private entities like MAHB and county programs like CCRTCP have no regulatory authority over CFI in matters of retail permitting and local rulemaking. Accordingly,please be advised that CFI reserves all rights and remedies to challenge any adverse action in this matter, including without limitation any condition or denial attributable to the involvement of such third-party organizations. Best Regards, CUMBERLAND FARMS, INC. omas Cacciola Vice President of Real Estate and Construction Email: tcacciola@cumberlandfanms.com Phone: 1 (508)270-4414 Cc: Brian Florence Building Commissioner Town of Barnstable Robert McKechnie Building Inspector Town of Barnstable Robin Anderson Zoning Enforcement Officer Town of Barnstable Ruth J. Weil, Esq. Town Counsel Town of Barnstable a- NAME OF OFFENDER" "" JB A D 79927 knd- TOWN OF ADDRESS OF OFF t!RI BARNSTABLE CITY,STATE,ZIP CODE �fNE►qk, MV/MB REGISTRATION NUMBER ti OFi�E SE p ,. � t ...�,,._ III HANMASS. k: ` t ► {. y�.N 1 [../+^`' „ dry USIA �( """ a ,U1„ rw~ ,t ✓ )f I t i �6.. CL w tby9'l � r ,r n)[ ;�y ► W , ~io TIME AND DATE aIVIOL IO.N-' � ^� LOCATION OF,VI040,TtON Z NOTICE OF '' A.M.,P.M.)ON ( l ,20 l" 4 a YSI N�SI N,UAE OF EN RCIN&,P,ERS N ENF,RING D PT.r"""� BADGE NO. W VIOLATION /4 0. OF TOWN 1 H 'BY ACKNOWLEDGE RECEIPT OF CITATION X � ~ LU I",to obtain signature of offender. CI- ORDINANCE THE NONCRIMINAL FINE FOR THIS OFFENSE IS� � Date mailed w ,OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL wa DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, LLJ < before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. UNSTABLE you desire to contest this matter in a noncriminal proceeding,you mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST Z If DIVISION,COURT COMPOUND,MAIN STREET ARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (� (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at tha hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature y• 1 100 CROSSING BLVD. 414163 q#MfteRSnd Farms- FRAMINGHAk MA 01702 INVOICE NUMBER PURCHASE ORDER INVOICE DATE MERCHANDISE AMOUNT DISCOUNT AMOUNT NET AMOUNT 04072017 140000 04/07/17 1400 . 00 0 . 00 1, 400 . 00 J L� rri PLEASE DETACH AND RETAIN THIS STATEMENT�YOUR RECORD OF ` �/_ _L/J�_ 1400. 00 0 00' 1,4 0 0 .Q 0 PAYMENT. RQI[R ifAW z � NAME OF OFFEND (� BAR 79927 rY 1 TOWN OF ADDRESS OF OFFEAUERI BARNSTABLE CITY,STATE.ZIP CODE I _ MVIMB REGISTRATION NUMBER Ir ` NAXNSlAR1.C.D! / l O (JJ �fAIS. ! V.CI t ' fA ,679 ,;,6jjyib l J �O fo NUd h 1 " W, - +l > TIME AND DATE 0 VIOLA f0 L CATION OF VIO N ty -Z, LL} NOTICE OF M. P.M.)oN ( .20 �( m ✓► J a =j VIOLATION s N U E F CI EN GD T. p / � BADGE NO. y W" . u�V/ N oOD OF TOWN IHY ACKNOWLEDGE RECEIPT OF CITATION X O& ii _ a - ORDINANCE Unable to obtain signature of offender. THE NONCRIMINIjL FINE FOR THIS OFFENSE IS Date mailed LLJ J OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL _ DISPOSITION WITH NO RESULTING CRIMINAL RECORD. tt%REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, J before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P. Bar 2430, s Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST _ RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the t hearing to be due,cr minal complaint may be issued against you. ni ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ — Signature 4 4 ZISSON & VEARA, P.C. ATTORNEYS AT LAW 828 MAIN STREET DENNIS, MASSACHUSETTS 02638 TELEPHONE (508) 385-6031 FAX (508) 385-6914 MAILING ADDRESS: P.O. BOX 2031, DENNIS, MA 02638-0043 E. JAMES VEARA RICHARD L. ZISSON PAUL V. BENATTI (1942-2006) EDWARD E. VEARA RETIRED April 18, 2017 Ms. Robin C. Anderson V Zoning Enforcement Officer L1 200 Main Street 1 4 I Hyannis, MA 02601 Cal zx Re: Cumberland Farms 1456 Falmouth Road, Centerville W r� ON 4n Dear Robin: In compliance with your email of April 5, 2017, enclosed please find check 4414163 in the amount of$1,400.00 payable to the Town of Barnstable. Cordially, E. James Veara EJV:sjb Enclosure cc: Kathleen Sousa, Cumberland Farms, Inc. via email only Matthew Young, Cumberland Farms, Inc. via email only { E. James Veara From: Anderson, Robin <Robin.Anderson@town.barnstabie.ma.us> Sent: Wednesday, April 05, 2017 9:25 AM To: E.James Veara_ Subject: RE: Cumberland Farms Hi Jamie, In accordance with our discussion and with the Commissioner's approval,the violation period has been determined to be 14 days. The fine should be calculated at$1oo.00 per day. Please remit to my attention at 200 Main St, Hyannis. The check should be made,out to the Town of Barnstable. Thank you for your kind assistance with this matter. �obin ' Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 508-862-4027 - t rE a;fir op .—µa C) r M ON 1 : � �11s'age Page 1 of 2 Anderson, Robin From: Lavelle, Timothy Sent: Wednesday, December 14, 2016 12:53 PM To: Anderson, Robin Subject: FW: Phinney's and Falmouth Old Gas Station Dirt Piles.: Hi Robin, FYI - see below and see CRM requests 57160 and 57725. -----Original Message----- From: Lavelle,Timothy . Sent: Wednesday, December 14, 2016 11:20 AM To: McKean,Thomas Subject: FW: Phinney's and Falmouth Old Gas Station Dirt Piles: Tom I looked into this on my own when the dirt piles began appearing there months ago. See CRM requests#57160 and 57725. Do you want me to respond to Richard or do you want to? Tim -----Original Message----- From: Scali, Richard - Sent: Wednesday, December 14, 2016 10:15 AM' To: McKean,Thomas; Lavelle, Timothy; Anderson, Robin Cc: Lauzon, Jeffrey; Roma, Paul Subject: FW: Phinney's and Falmouth Old Gas Station,Dirt Piles. Would you all take a look at this ana report to me if this indeed the case. Richard From: Santos, Daniel Sent: Tuesday, December 13,2016 4:26 PM To: Buntich, JoAnne; Ells, Mark; Weil, Ruth; Roma, Paul Cc: Jenkins, Elizabeth; McKean,Thomas , Subject: RE: Phinney's and Falmouth Old Gas�Station Dirt Piles. So what owner would agree to,the storage of contaminated soils on their site, unless Cumberland Farms owns both parcels. Daniel W.Santos, P.E. • Director Barnstable Department of Public Works 382 Falmouth Road *s. Hyannis, MA 02601 508-790-6400 3/2/2017 f, �ssage Page 2 of 2 From: Buntich, JoAnne Sent: Tuesday, December 13, 2016 3:37 PM To: Ells, Mark; Santos, Daniel; Weil, Ruth; Roma, Paul Cc: Jenkins, Elizabeth; McKean,Thomas Subject: Phinney's and Falmouth Old Gas Station Dirt Piles. Mike has confirmed that these piles are staged by Cumberland Farms from their redevelopment construction West Main Street(across from Country Garden) I believe the West Main project involved the removal of USTs and- I assume -any contaminated soils. I imagine this was discussed at Site Plan Review. Perhaps Paul Roma and/or Tom McKean can help us understand if this is okay with everyone. Jo Anne Miller Buntich, Director � CibW 0t�4&eI*E,4T Town of Barnstable 1367 Main Street(Hyannis,Ma 02601 p 508 862 4735 1 e-mail Joanne.buntich@town.barnstable.ma.us Website I Business Barnstable (ArtsBarnstable 3/2/2017 Message Page 1 of 1 Anderson, Robin From: E. James Veara [ejv@zisson-veara.com] Sent: Wednesday, December 14, 2016 11:18 AM To : Anderson Robin Subject: Re: Cumberland Farms I have forwarded this to CF and will you o u a response o se either from me or someone from CF 9 P directly. Jamie Sent from my iPhone On Dec 14, 2016, at 11:13.AM, Anderson, Robin <Robin.Anderson(c)-town.barnstable.ma.us> wrote: Dear Attorney Veara, Just on the heels of our discussion'yesterday concerning signage for Cumberland Farms, I received a complaint regarding the storage of (allegedly) contaminated soil from the West Main site at 1456 Falmouth.Rd, Centerville also owned by Cumberland Farms. Could you advise me regarding this matter or assist me in any fashion4o shed some light on the issue and thus close out the complaint? Is 1456 Falmouth Rd . a staging area? Is the soil currently on site clean? When will it be removed and if contaminated -what is the plan? Any-information would be greatly appreciated. Thank you. r r Robin C.Anderson ' Zoning Enforcement Officer 200 Main Street Hyannis,MA 026o1 _- 5o8-862-4027 3/2/2017 Message Page 1 of 2 Anderson, Robin From: Sue Belcher[sue@zisson-veara.com] on behalf of E. James Veara [ejv@zisson-veara.com] ^ Sent: Friday, December 16, 2016 10:49 AM To: Anderson, Robin Cc: Matthew Young (myoung@cumberlandfarms.com); E. James Veara Subject: Cumberland Farms Robin: I am responding to your email concerning the soil from the West Main Street site presently at 1456 Falmouth Road, Centerville. Please know that the soil currently in Centerville is soil that does not exceed reportable or risk standards as outlined by the Mass DEP. .Moreover, the,soil is covered with poly sheeting to prevent the soil from. getting wet-freezing for reuse and for erosion control. This soil is intended for reuse.at an upcoming Bourne raze and rebuild project that Cumberland will be undertaking. That project will require a large amount of fill material and this soil will be utilized in that regard. Cumberland is presently in the process of seeking approvals for its Bourne project and upon. receipt of those approvals, will then.close on:the acquisition.of the parcel..' An exact timetable is unknown and more will be known following a meeting in.Bourne in. mid-January 2017.. Please know that this soil is there temporarily and the soil.will be immediately removed to Bourne once Cumberland closes on the real estate transaction. , Following the meeting that takes place in Bourne in January 2017, 1 will certainly provide you an update. I hope this information is helpful in closing out the complaint. ' If you have any questions,please do not hesitate to contact me. Thank you, Jamie EJV:sjb From:Anderson, Robin [ma i Ito:Robin.Anderson@town.barnstable.ma.us] Sent:Wednesday, December 14, 201611:23 AM To: E.James Veara <ejv@zisson-veara.com> Subject: RE: Cumberland Farms Thank your OW4n Robin C.Anderson 3/2/2017 Message Page 2 of 2 Zoning Enforcement Officer t 200 Main Street - Hyannis,MA 026oi 5o8-862-4027 -----Original Message----- From: E. James Veara [mailto:eiv@zisson-veara.com] Sent: Wednesday, December 14, 2016 11:18 AM , To: Anderson, Robin Subject: Re: Cumberland"Farms I have forwarded this to CF and will get you a response either from me or someone from CF directly. - Jamie Sent from my iPhone On Dec 14, 2016, at 11:13 AM, Anderson, Robin<Robin.Anderson2town.bamstable.ma.us> wrote: Dear Attorney Veara, , Just on the heels of our discussion yesterday concerning signage for Cumberland Farms, I received a complaint regarding the storage of(allegedly) contaminated soil from the West Main site at 1456 Falmouth Rd, Centerville also owned by Cumberland Farms. Could you advise me regarding this-matter or assist me in any fashion to shed some light on the issue and thus close out the complaint?Is 1456 Falmouth Rd a staging area? Is the soil currently on site clean? When will it be removed and if contaminated - what is the plan? Any information would be greatly appreciated., Thank you. Robin C.Anderson Zoning Enforcement Officer 200 Main Street ' Hyannis,MA 026oi 5o8-862-4027 3/2/2017 Message Page 1 of 1 Anderson, Robin From: Anderson, Robin Sent: Wednesday, April 05, 2017 9:25 AM To: 'E. James Veara' Subject: RE: Cumberland Farms Hi:Jamie, In accordance with our discussion and with the Commissioner's approval,the violation period has been determined to be 14 days. The fine should be calculated at$1oo.00 per day. Please remit to my attention at 200 Main St,Hyannis. The check should be made out to the Town of Barnstable. Thank you for your kind assistance with this matter. Robin C.Anderson Zoning Enforcement Officer 20o Main Street Hyannis,MA 026oi " 5o&862-4027 4/5/2017 Message ge 2 of 2 Zoning Enforcement Officer Zoo Main Street Hyannis,MA 026oi 5o8-862-4027 -----Original Message---- From: E. James Veara [mailto:eiv(cbzisson-veara.com] Sent: Wednesday, December 14, 2016 11:18 AM To: Anderson, Robin Subject: Re: Cumberland Farms I have forwarded this to CF and will get you a response either from me or someone from CF directly. Jamie Sent from my iPhone On Dec 14, 2016, at 11:13 AM, Anderson, Robin<Robin.Andersonktown.barilstable.rria.us> wrote: Dear Attorney Veara, Just on the heels of our discussion yesterday concerning signage for Cumberland Farms, I received a complaint regarding the storage of(allegedly) contaminated soil from the West Main site at 1456 Falmouth Rd, Centerville also owned by Cumberland Farms.: Could you advise me regarding this matter or assist me in any fashion to shed some light on the issue and thus close out the complaint?Is 1456 Falmouth Rd a staging area? Is the soil currently on site clean? When will it be removed and if contaminated - what is the plan? Any information would be greatly appreciated. P Thank you. f000J UyeAAr�� Robin C.Anderson ��-- Zoning Enforcement Officer "�- 200 Main Street Hyannis,.MA 026oi C,r �WJO 5o8-862-4027 U nub - = nce_ 3/16/2017 Message Page 1 of 5 p44 - Anderson, Robin From: E. James Veara [ejv@zisson-veara.com] Sent: Friday, February 17, 2017 2:27 PM To: . Anderson, Robin cc: Sue Belcher Subject: Re: Cumberland Farms Robin, Very helpful. Thank you. Jamie Sent from my iPhone 'F On Feb 17, 2017, at 2:18 PM, Anderson, Robin<Robin.Andersonatown.barnstable.ma.us>'wrote: Dear Attorney Veara, - In response to your inquiry about the governing zoning of 1456 Falmouth(which was formerly a gas station)I offer you the following information: The locus is identified as Map 209 Parcel o19 and it is located in the Highway Office zone. The station structure has been demolished and.the tanks were removed. Due to inaction,the pre-existing nonconforming use associated with that site was abandoned. There is currently no principal use on site as is required in each and every zoning district. You should also be aware that Assessing reports this lot to be located in a split zone-Highway Office, Residential C&Residential RD-1. In checking the map,I think the lot may actually be limited to the HO but additional research would need to be performed in order to confirm that. That being said,if the residential boundary directly impacts this site,the two residential zones 'identified(RC&RD-1)only allow for single family dwellings as a matter of right. We know the current use clearly is not residential.That leaves only the HO to review. This district calls out specific commercial uses but importing and storage of soils or equipment are not identified as permitted uses. Although the subject use may qualify as an accessory use in some zones,it is usually regulated by a special permit. See Chapter 240 Section 26 B of our zoning code for all permitted principal uses: I hope you find this information_helpful. Please let me know if you require additional clarification. . o�qbtn Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi ',5o8-862-4027 -----Original Message------ From: E. James Veara [mailto:eiv(&zisson-veara.com] Sent: Friday, February 17, 2017 11:44 AM To: Anderson, Robin Cc: Sue Belcher 2h1:7/2017 , Message Page 1 of 4 Anderson, Robin To: E..James Veara Subject: RE: Cumberland Farms Dear Attorney Veara, In response to your inquiry about the governing zoning of 1456 Falmouth(which was formerly a gas station)I offer you the following information: The locus is identified as Map 209 Parcel oig and it is located in the Highway Office zone. The station structure has been demolished and the tanks were removed. Due to inaction,the pre- existing nonconforming use associated with that site was abandoned. There is currently no principal use on site as is required in each and every zoning district. You should also be aware that Assessing reports this lot to be located in a split zone-Highway Office,Residential C&Residential RD-i. In checking the map,I think the lot may actually be limited to the HO but additional .research would need to be performed in order to confirm that. That being said,if the residential boundary directly impacts this site,the two residential zones identified(RC& Rb4)'only allow for single family dwellings as a matter of right. We know the current use clearly is not residential.That leaves only the HO to review. This district calls out specific commercial uses-but importing and storage of soils or equipment are not identified as permitted uses. Although the subject use may qualify as an accessory use in some zones,it is usually regulated by a special permit. See Chapter 240 Section 26 B of our zoning code for all permitted principal uses. I hope you find this information helpful. Please let me know if you require additional clarification. p1Lo6Lt - Robin C.Anderson Zoning Enforcement Officer Zoo Main Street '. Hyannis,MA 026oi t 508-862-4027 -----Original Message----- From: E. James Veara:[mailto:ejv@zisson-veara.com] Sent: Friday, February 17, 2b17 11:44'AM- :,,.,.To: Anderson, Robin Cc: Sue Belcher G Subject: Re: Cumberland Farms f r, Robin, Can you tell me the zoning district the`Centerville lot is located in? Thank you: Jamie Sent from my iPhone On Feb 1,2017, at 12:04 PM, Anderson, Robin,<Robin.Andersongtown.barnstable.ma:us>' wrote: Dear Attorney Veara,- J,:..: .. The Building Commissioner,Paul Roma has agreed to the requested extension with the 2/17/2017 Message Page 2 of 4 equipment is allowed on the subject site. You should also be aware that the Building Commissioner directed me to issue citations' commencing_3/16 in the event that your client's efforts fail or fall short. Please let me know if you require clarification or additional information. Thank you for your response and anticipated cooperation. pRy6tR Robin C.Anderson Zoning Enforcement Officer ; 200 Main Street Hyannis,MA 026oi 508-862-4027 -----Original Message---- From: Sue Belcher [mailto:su62zisson-veara.com1 On Behalf Of E. James Veara „ Sent: Wednesday, February 01, 2017 10:17 AM To: Anderson, Robin Cc: Matthew Young (myounq(&cumberlandfarms.com); E. James Veara Subject: RE: Cumberland Farms , Robin: In.furtherance of our call this morning,,please allow this email to serve as a request for an.extension of time to remove the fill. stored on the property located at 1456 Falmouth.Road in Centerville. We are asking to have through March 15, 2017 for removal. In the interim, no additional fill will be brought onto the property and it will be appropriately covered to prevent exposure to the elements. It is still the intention to utilize this fill at a Bourne redevelopment but that project,is still taking far longer than originally anticipated. " I understand you will be speaking with the Building Commissioner in connection with this request and once you have done so, kindly let me know the response. Thank you. Jamie From:Anderson, Robin [Mai Ito:Robin.Anderson@town.barnstable.ma.us] Sent: Friday,January 20, 2017 9:35 AM •: To: E.James Veara <eiv@zisson-veara.com> Subject: RE: Cumberland Farms Good Morning Attorney Veara, I am writing again concerning the storage of fill on the property located at 1456 Falmouth Rd in Centerville. The West Main St project is now complete and is fully operational yet I am still receiving complaints and inquiries regarding the use of the Falmouth Rd property. While I am aware that you indicated the soil would be removed this Jan. (pending approval from Bourne regarding a proposal there),I am now hearing that the soil deposits on Falmouth Rd have recently grown in scope. :This is difficult to understand as the West Main St project is completed. No additionatactivity should be occurring on the Falmouth Rd site. Importing soil from other sites and staging equipment here is not allowed. I am now concerned that the soil that was once covered with tarps is now completely 2/17/2017 Message Page 3 of 4 exposed to the elements.. Fortunately,we have had some wet weather of late preventing dangerous sandstorm conditions but in the event that NE weather changes again,those conditions may change as well. As Jan.is quickly coming to a close,the removal of the soil at 1456 Falmouth Road should commence ASAP and be completed no later than Feb 1,2017(weather permitting of course). Please let me know if you have any questions or can update me accordingly. Thank you for your anticipated cooperation. Robin C.Anderson Zoning Enforcement.Officer 200.Main Street Hyannis,MA 026o1 _ 5o8-862-4022 -----Original Message----- From: Sue Belcher [mai Ito:sue@zisson-veara.com] On Behalf Of E. James Veara Sent: Friday, December 16, 2016 10:49 AM To: Anderson, Robin Cc: Matthew Young,(myoung@cumberiandfarms.com); E. James Veara Subject: Cumberland Farms Robin: • I am.responding to your email concerning the soil from the West Main Street site presently at 1456 Falmouth.Road, Centerville. Please know that the soil currently in Centerville is soil that does not exceed reportable or risk standards as outlined by the Mass DEP. Moreover, the soil is covered with,poly sheeting to prevent the soil from getting wet-freezing for reuse and for erosion control. This soil is intended for reuse at an upcoming Bourne raze and rebuild project that j Cumberland will be undertaking. That project will require a large amount of fill material and this soil will be utilized in that regard. Cumberland is presently in the process of seeking approvals for its Bourne project and upon receipt of those approvals, will then close on the acquisition of the parcel. An exact timetable is unknown.and more will be known following a meeting in Bourne in mid-January 2017. Please know that this soil is there temporarily and the soil will be immediately removed to Bourne once Cumberland closes on the real. estate transaction. .Following the meeting that takes place in Bourne in January 2017, 1 will certainly provide you an update. ` I hope this information is helpful in closing out the complaint. If you have any questions, please do not hesitate to contact me, _ Thank you, Jamie EJV:sjb - From:Anderson, Robin [mailto:Robin.Anderson@town.barnstabie.ma.us] Sent:Wednesday, December 14, 2016 11:23 AM To: E.James Veara<eiv@zisson-veara.com> f Subject: RE: Cumberland Farms Thank you. Robin C.Anderson Zoning Enforcement Officer 2/17/2017 Message Page 4 of 4 200 Main Street Hyannis,MA 026oi 5o8-862-4027 -----Original Message----- From: E. James Veara [mai Ito:ejv@zisson-veara.com] Sent: Wednesday, December 14, 2016 11:18 AM To: Anderson, Robin Subject: Re: Cumberland Farms I have forwarded this to CF and will get you a response either from me or someone from,CF directly.' Jamie Sent from my iPhone On Dec 14, 2016, at 11:13 AM,Anderson, Robin <Robin.Andersongtown.barnstable.ma.us>wrote: Dear Attorney Veara, Just on the heels of our discussion yesterday = concerning signage for Cumberland Farms, I received a complaint regarding the storage of(allegedly) contaminated soil from the West Main site at 1456 Falmouth Rd, Centerville also owned by Cumberland Farms. Could you advise me regarding this matter or assist me in any fashion to shed some light on the issue and thus close out the complaint? Is 1456 Falmouth Rd a staging area? Is the soil currently on site clean? When will it be removed and if contaminated- what is the plan? Any information would be greatly appreciated. Thank you. Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 2/17/2017 ' Message � � ge 1 of 3 V Anderson, Robin From: Sue Belcher[sue@zisson-veara.com] on behalf of E. James Veara [ejv@zisson-veara,com] Sent: Wednesday, February 01, 2017 10:17-AM To: Anderson, Robin Cc: Matthew Young (myoung@cumberlandfarms.com); E: James Veara Subject: RE: Cumberland Farms = Robin: In furtherance of our call this morning, please allow this email to serve as a request for an extension of time to remove the fill stored on the property located at 1.456 Falmouth Road in Centerville. We are asking to have through March 1.5, 2017 for removal..In.the interim, no additional fill will be brought onto the property and it will be appropriately covered to prevent exposure to the elements. It is still the intention to utilize this fill at a Bourne redevelopment but that project is still taking far lodger than originally anticipated. I understand you will be speaking with the Building Commissioner in connection.with.this request and once you have done so, kindly let meknow th.e'response. Thank you. - Jamie EJV:sjb From:Anderson, Robin [ma ilto:Robin.Anderson@town.barnstable.ma.us], Sent: Friday,January 20, 2017 9:35 AM To: E.James Veara <ejv@zisson-veara.com> Subject: RE: Cumberland Farms Good Morning Attorney Veara,` I am writing again concerning the storage of fill on the property located at 1456 Falmouth Rd'in Centerville. The West Main St project is now complete and is fully operational yet I,am still receiving complaints and inquiries . regarding the use of the Falmouth Rd property. While I am aware that you indicated the soil would be removed this Jan. (pending approval from Bourne regarding a proposal there),I am,now hearing that the soil deposits on Falmouth Rd have recently grown in scope. This is difficult to understand as the West Main St project is completed. No additional activity should be occurring on the Falmouth'Rd site. Importing soil from other sites and staging equipment here is not allowed. I am now concerned that the soil that was once covered with tarps is now completely exposed to the-elements. Fortunately,we have had some wet weather'of late preventing dangerous sandstorm conditions but in the event that NE weather changes again,those conditions may change as well., As Jan.is quickly coming to a close,the removal of the soil at 1456 Falmouth Road should commence ASAP and be completed no later than Feb i; 2017 (weather permitting of course): Please let me know if you have any questions or can update me' accordingly. Thank you for your anticipated cooperation. `2/1/2017 Message Page 2 of 3 pl�gbtn , Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 -----Original Message----- z From: Sue Belcher [mai Ito:sue@zisson-veara.coml On Behalf Of E. James Veara Sent: Friday, December 16, 201610:49 AM To: Anderson, Robin Cc: Matthew Young (myoung@cumberlandfarms.com); E. James Veara Subject: Cumberland Farms Robin: s I am responding to your email concerning the soil from the West Main Street site presently.at 1456 Falmouth Road, Centerville. ' Please know that the soil currently in Centerville is soil that does not exceed reportable or risk standards as outlined by the Mass DEP. Moreover,the soil is covered with poly sheeting.to ' ;;,: prevent the soil from getting wet-freezing for reuse and for erosion control.;This soil is intended for reuse at an.upcoming Bourne raze and rebuild project that Cumberland will be undertaking. That project will.require a large amount of fill material and this soil will be utilized in that regard. Cumberland is presently in the process of seeking'approvals for its Bourne project and upon ; 71, receipt of those approvals, will then close on the acquisition of the parcel. An exact timetable-is unknown and more will be known following a meeting in Bourne in mid-January 2017. Please know that this soil is there temporarily and the soil will be immediately removed to Bourne once Cumberland closes on the real estate transaction: Following the meeting that takes place in Bourne in.January 201.7, I will certainly'provide you an update. I hope this information is helpful in closing out the complaint. If you have any questions',please do not hesitate to contact me. Thank you, Jamie EJV:sjb From:Anderson, Robin [mailto:Robin.Anderson@town.barnstable.ma.us] - Sent: Wednesday, December 14,2016 11:23 AM To: E.James Veara <eiv@zisson-veara.com> Subject: RE: Cumberland Farms Thank you. 2/1/2017 Message Page l of 4 Anderson, Robin To: E. James Veara Subject: RE: Cumberland.Farms Dear Attorney Veara, The Building Commissioner, Paul Roma has agreed to the requested extension with the contingencies noted ri; your email that no additional fill will be delivered to the site and what is there currently shall be covered appropriately. All fill must be completely removed by the end of the business day on 3/15/17. All activities must immediately cease and no storage of equipment is allowed on the subject site. You should also be aware that the Building Commissioner directed me to issue citations commencing 3/16 in the event that your client's efforts fail or fall short. Please let me know if you require clarification or additional information. Thank you for your response and anticipated cooperation. =1. .J: p�gbLe Robin C.Anderson 4 Zoning Enforcement Officer. 20o Main Street Hyannis,MA 026oi 508786274027 -----Original Message----- From: Sue Belcher [mailto:sue@zisson-veara.com] On Behalf Of E. James Veara Sent: Wednesday, February 01, 2017 10:17 AM .To,: Anderson_, Robin` ; --Cc: Matthew Young (myoung@cumberlandfarms.com); E. James Veara :,-.Subject: RE:.Cumberland Farms..' .. . ..Robin:, . .. In furtherance of our call this morning, please allow this email to serve as a request for an extension of time to remove the fill stored on the property Located at 1456 Falmouth Road in 'Centerville. We are asking to have through.March 1.5, 2017 for removal.. In the interim,no additional. fill will be brought onto the property and it will be appropriately covered to prevent exposure to the elements. It is still the intention to utilize this fill at a Bourne redevelopment but that project is still.taking far longer than originally anticipated. I understand you will be speaking with the Building Commissioner in comiection with this request and once you have done so, kindly let me know the response. Thank you. _Jamie EJV:sjb. 2/1/2017 Message Page 2 of 4 From:Anderson, Robin [ma i Ito:Robin.Anderson@town.barnstable.ma.us] ry Sent: Friday,January 20, 2017 9:35 AM To: E.James Veara<ejv@zisson-veara.com> Subject: RE: Cumberland Farms Good Morning Attorney.Veara, I am writing again concerning the storage of fill on the property located at 1456 Falmouth Rd in Centerville. The West Main St project is now complete and is fully operational yet I am still receiving complaints and inquiries regarding the use of the Falmouth Rd property. While I am aware that you indicated the soil would be removed this Jan. (pending approval from Bourne regarding a proposal there),I am now hearing that the soil deposits on Falmouth Rd have recently grown in scope. This is difficult to understand as the West Main St project is completed. No additional:activity should be occurring on the Falmouth Rd site. Importing soil from other sites and staging equipment here is not allowed. I am now concerned that the soil that was once covered with tarps is now completely exposed to the elements. Fortunately,we have had some wet weather of late preventing dangerous sandstorm conditions but in the event that NE weather changes again,those conditions may change as well. As Jan.is quickly coming to a close,the removal of the soil at 1456 Falmouth Road should commence ASAP and be completed no later than Feb 1,2017(weather permitting of course). Please let me know if you have any questions or can update me accordingly. Thank you for your anticipated cooperation. Robin C.Anderson Zoning Enforcement.Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 =----Original Message----- From: Sue Belcher [mailto:sue@zisson-veara.com] On Behalf Of E. James Veara Sent: Friday, December 16, 2016 10:49 AM To: Anderson, Robin Cc: Matthew Young (myoung@cumberiandfarm_s.com); E. James Veara Subject: Cumberland Farms Robin: I am responding to your email concerning the soil from the West Main Street site presently at 1456 Falmouth Road, Centerville. Please know that the soil currently:in.Centerville is soil that does not exceed reportable or risk standards as outlined by the Mass DEP. Moreover, the soil is covered with poly sheeting to prevent the soil from getting wet freezing for reuse and for erosion control. This soil is intended for reuse-at an upcoming Bourne raze and rebuild project that Cumberland will be undertaking. That project will',require a large amount of fill material and this soil will be utilized in that regard. Cumberland'is'presently in the process of seeking approvals for its Bourne project and upon receipt of those approvals, will then close on the acquisition of the parcel. An exact timetable is unknown and more will be known following a meeting in Bourne in mid-January 2017. 2/1/2017 Message Page 3 of 4 Please know that this soil is there temporarily and the soil will be immediately removed to Bourne once Cumberland closes on the real estate transaction. Following the meeting that takes place in Bourne in January 2017,-1 will certainly provide you an update. I hope this information is helpful in closing out the complaint. If you have any questions, please do not hesitate to contact me. Thank you, Jamie EJV:sjb From:Anderson,Robin [ma ilto:Robin.Anderson@town.barnstable.ma:us] Sent:Wednesday, December 14, 201611:23 AM To: E.James Veara <ejv@zisson-veara.com>. Subject: RE: Cumberland Farms Thank you. - pR9btn Robin C.Anderson Zoning Enforcement Officer 20o Main Street Hyannis,MA•026oi 508-862-4027 -----Original Message----- From: E. James Veara [mailto:eiv@zisson-veara.com] Sent: Wednesday, December 14, 2016 11:18 AM To: Anderson, Robin Subject: Re: Cumberland.Farms I have forwarded ihis to CF and will get you a response either from me or,sorneone- from CF directly. Jamie, Sent from my iPhone N On Dec 14, 2016, at 1-1:13 AM, Anderson, Robin <Robin.Andersongtown.barnstable.ma.us> wrote: Dear Attorney Veara, Just on the heels of our discussion yesterday concerning signage for Cumberland Farms, I received a complaint regarding the storage of f (allegedly) contaminated soil from the West Main site at 1456 Falmouth 2/1/2017 Message Page 4 of 4 R. Rd, Centerville also owned by Cumberland Farms. Could you advise me regarding this matter or assist me in any fashion to shed some light on the issue and thus close out the complaint? Is 1456 Falmouth Rd a staging area? Is the soil currently on site clean? When will it be removed and if contaminated what is the plan? Any information would be greatly appreciated. Thank you. dtsb Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 .y r $ - 2/1/2017'' Message Page 1 of 3 Anderson, Robin To: E. James Veara Subject: RE: Cumberland Farms Good Morning Attorney Veara,' I am writing again concerning the storage of fill on the property located at 1456 Falmouth Rd in Centerville. The West Main St project is now complete and is fully operational yet I am still receiving complaints and inquiries regarding the use of the Falmouth Rd property. While I am aware that you indicated the soil would be removed this Jan.(pending approval from Bourne regarding a proposal there),I am now hearing that the soil deposits on Falmouth Rd have recently grown in scope. This is difficult to understand as the West Main St project is completed. No additional activity should be occurring on the Falmouth Rd site. Importing soil from other sites and staging equipment here is not allowed. 1 I am now concerned that the soil that was once covered with tarps is now completely exposed to the elements. Fortunately,we have had some wet weather of late preventing dangerous sandstorm conditions but in the event that NE weather changes again,those conditions may change as well. As Jan.is quickly coming to a close,the removal of the soil at 1456 Falmouth Road should commence ASAP and be completed no later than Feb 1,2orT (weather permitting of course). Please let me know if you have any questions or can update me accordingly. Thank you for your anticipated cooperation. 0r61. Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 508-862-4027 -----Original Message----- From: Sue Belcher [mailto:sue@zisson-veara.com] On Behalf Of E. James Veara Sent: Friday, December 16, 2016 10:49 AM To: Anderson, Robin Cc: Matthew Young (myoung@cumberlandfarms.com); E. James Veara Subject: Cumberland Farms Robin: I am responding to your email concerning the soil from the West,Main Street site presently at . 1456 Falmouth Road, Centerville. ; Please know that the soil currently in Centerville is soil that does not exceed reportable or risk standards as outlined by the Mass DEP. Moreover, the soil is covered with poly sheeting to prevent the soil from getting wet-freezing for reuse and for erosion control. This soil is intended for reuse at an upcoming Bourne raze and rebuild project that Cumberland will be undertaking. That project will require a large amount of fill.material. and this soil will be utilized in.that regard. Cumberland is presently in the process of seeking approvals for its Bourne project and upon receipt of those approvals, will then close on the.acqusition of the parcel. An exact timetable is �� following a meeting in Bourne in mid-January 2017. unknown and more will be know 1/20/2017 Message Page 2 of 3 Please know that this soil is there temporarily and the soil will be immediately removed to Bourne once Cumberland closes on the real estate transaction. Following the meeting that takes place in Bourne in.January 2017, I will certainly provide you an update. I hope this information is helpful in closing out the complaint. If you have any questions, please do not hesitate to contact me. LL Thank you, ' Jamie EJV:sjb From:Anderson, Robin [ma i Ito:Robin.Anderson@town.barnstable.ma.us) Sent:Wednesday, December 14, 2016 11:23 AM To: E.James Veara <ejv@zisson-veara.com> Subject: RE: Cumberland Farms Thank you. 0�ghi e Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 -----Original Message----- From: E. James Veara [mailto:ejv@zisson-veara.com] Sent: Wednesday, December 14, 2016 11:18 AM To: Anderson, Robin Subject: Re: Cumberland Farms I have forwarded this to CF and will get you a response either from me or someone from.CF directly. Jamie Sent from my iPhone On Dec 14, 2016, at.11:13 AM, Anderson, Robin <Robin.Andersongtown.barnstable.ma.us> wrote: . Dear Attorney Veara, Just on the heels of our discussion yesterday concerning signage for Cumberland Farms, I received a complaint regarding the storage of(allegedly) contaminated soil from the West Main site at 1456 Falmouth Rd, Centerville 1/20/2017 Message Page 3 of 3 also owned by Cumberland Farms. Could you advise me regarding this matter or assist me in any fashion to shed some light on the issue and thus close out.the complaint? Is 1456 Falmouth Rd a staging area? Is the soil currently on site clean? When will it be removed and if contaminated- what is the plan? Any information would be greatly appreciated. Thank you. Robin C.Anderson Zoning Enforcement Officer 200 Main Street Hyannis,MA 026oi 5o8-862-4027 • 1/20/2017 Message Page 1 of 1. Anderson, Robin To: ejv@zisson-veara.com Subject: Cumberland Farms Dear Attorney Veara, Just on the heels of our discussion yesterday concerning signage for Cumberland Farms, I received a complaint regarding the storage of (allegedly) contaminated soil from.the West Main site at 1456 Falmouth Rd, Centerville also owned by Cumberland Farms. Could you advise me regarding this matter or assist me in any fashion to shed some light on the issue and thus close out the complaint? Is 1456 Falmouth Rd a staging area? Is the. soil currently on site clean? When will it be removed and if contaminated - what is the plan? Any information would be greatly appreciated. Thank you. Robin C.Anderson Zoning Enforcement Officer 200 Main Street .Hyannis, MA 026o1 5o8-862-4027 ' 12/14/2016 Page 1 of 1 r . Jr Anderson, Robin From: Scali, Richard Sent: Wednesday, December 14, 2016 10:15 AM To: McKean, Thomas; Lavelle,.Timothy; Anderson, Robin Cc: Lauzon, Jeffrey; Roma, Paul Subject: FW: Phinney's and Falmouth Old Gas Station Dirt Piles. Would you all take a look at this and report to me if this indeed the case. Richard From: Santos, Daniel Sent: Tuesday, December 13, 2016 4:26-PM To: Buntich, JoAnne; Ells, Mark; Weil, Ruth; Roma, Paul Cc: Jenkins, Elizabeth; McKean, Thomas Subject: RE: Phinney's and Falmouth Old Gas Station Dirt Piles. ' So what owner would agree to the storage of contaminated soils on their site, unless Cumberland Farms owns both parcels. Daniel W. Santos, P.E. • Director Barnstable Department of Public Works 382 Falmouth Road Hyannis, MA 02601 508-790-6400 From: Buntich, JoAnne Sent: Tuesday, December 13, 2016 3:37 PM To: Ells, Mark; Santos, Daniel; Weil, Ruth; Roma, Paul , Cc: Jenkins, Elizabeth; McKean,Thomas Subject: Phinney's and Falmouth Old Gas Station Dirt Piles. Mike has confirmed that these piles are staged by Cumberland Farms from their redevelopment construction West Main Street (across from Country Garden) I believe the West Main project involved the.removal of LISTS and -I assume-any contaminated,soils. I imagine this was discussed at Site Plan Review. Perhaps Paul Roma and/or Tom McKean can help us understand if this is okay with everyone. Jo Anne Miller Buntich, Director GROWTH MARAZEMERT- 6LtVA,RTM64 Town of Barnstable 1 367 Main Street I Hyannis,Ma 02601 p 568 862 4735 1 e-mail ioanne.buntich@town.barnstable.ma.us Website.I Business Barnstable lArtsBarnstable '':12/14/2016 PROJECT rralv�: � C1,,znI qqy E ADDRESS: 1 Ll S'(p ono�L� PERAHT# r PERNIIT DATE: I cf. = q 4— A" M/Pc LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered M' MAPS program on:. oZ S o BY: / filesifornis/archive q wp "��3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel l9 0 s� ) 1Application #1 �o Health Division Date IssuedAtO Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address1 � Village ,kx� R.�'m Z. OwnAr —Rk� ' °S�'�`� Address% "3'x� Telephone �� ` ® ` \\Wb Permit Request � ��\\� ��6�►�`� ��`.��r ' Square feet: 1 st floor: existing"la6proposed 2nd floor: existing proposed Totanew Zoning District Flood Plain Groundwater Overlay - Project Valuation\Mk4k, Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach sup, orting documeation'. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's °ighway: ®Yesrf❑ No" Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0 No If yes, site plan review # Current Use ��Q Proposed Use _ APPLICANT INFORMATION - _ - - (BUILDER OR HOMEOWNER) Name ��I r Telephone Number -781 77S S-13 � Address License # � 1011¢ 1 n�GU/:l Qc ,'(d Home Improvement Contractor# Email U c� I u LV'CA, Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE_1C7-� _AO/� FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. k z ADDRESS VILLAGE OWNER > DATE OF INSPECTION: FOUNDATION l ' FRAME it INSULATION FIREPLACE '. ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL f GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �1HE ro Town.of Barnstable Regulatory-Services i y� BASNSPABM MAss. g Richard V.Scali,Director :yg. ` Building'DiAsion Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 a, Property Owner Must Complete and Sign This Section If Using A Builder I, ly4rS ,as Owner.o: the subject property. hereby authorize to act on my behalf, in all matters relative to work authorized by this.building permit application for. . �Vd ;(Address of Job) ""'Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature o Ap t.,A,.�Gll Print Name. Pnnt ame 10�� Date Q:FORM S:OWNERPERMISSIONPOOLS CERTIFICATE OF VOTE I, Diane M. Boissonneault, hereby certify that I am duly elected Assistant Secretary of Cumberland Farms, Inc., a Delaware corporation, having a usual place of business in Framingham, Middlesex County, Massachusetts, and hereby certify that the following is a true copy of a record of vote passed at a meeting of the Board of Directors of said corporation which was held the 6th day of December,2013, at which time a majority of Directors were present. VOTED: To authorize the following persons,individually,to sign and execute on behalf of the Company any easements,licenses,right of way = agreements,permits or applications therefore,which may be required in the ordinary course of business pertaining to real'estate owned bythe. Company and to execute whatever documents may be appropriate m connection therewith. Persons so authorized: Lily H.Bentas,Chief Executive Officer Ari N.Haseotes,President and Chief Operating Officer Mark G.Howard,Esq.,Secretary DranB M:'Boissonneanit,Assistant:Semutary. M, Dino M DeThomas, SVP,Real Estate Dept. i "Mark L. Russell,Director of Real Estate Administration Kathleen A'Sousa;°Land Plaimrng Mariage�r I further certify that this vote has not been rescinded and is still in force and effect. A True Copy Attest Dated at Framingham,Massachusetts This 25st day.of February,2014. Inane M.Boissonneault Assistant Secretary Rightfax C3-1 4/17/2014 1.1 : 18:35 AM PAGE 3/004 Fax Server CERTOC ATE OF LPABP LITY INSURANCE oaT».Zo14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIQN IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(a). PRODUCER CONTACT NAME: MCSWEENEY 8 RICCI INS AG PHONE FAX 420 WASHINGTON ST E44•N,AILAIL EMI: ARC ND'. BRAINTREE,MA 02184 F INSURERS)AFFORDING COVERAOE NAIC0 INSURER A T1'E TRAVELERS INDEMNITY COMPANY OF AMEF4I INSURED INSURER B: HOWLAND DISPOSAL SERVICE INC INSURER C: 20 ROBERTS ROAD PLYMOUTH,MA 02360 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER� UMBER1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SU POLICY NUMBER POLICYYYYY EFF POLICY EXMWDDYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL.LIA&LITY DAMAGE TO RENTED S PFArMISF,IF—Mullen CLAIMS-MADE a OCCUR ME EXP(Any wu person) § PERSONAL 6 ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-GOMPfOP AGG S POLICY PRJECT LOG S AU1 OMOBILELU16aITY aMBINe„SINGLE L+MIT $ ANY All TO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per a=ider,l) $ HIRED AUTOS NDN•OWNED MOPE RTY AMACiE § AUTOS S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DIED I RETENTIONS S WORKERS COMPENSATION X V,'C STATU OTTI• AND EMPLOYERS'LIABILITY Yin I TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE N!A E.L.EACH ACCIDENT $500,000 OFFICERMIEMBER EXCLUDED? ® 6HUB 04.04.2014 04.04-2015 (Mandatory in NI41 513290734 E.L.DISEASE-EA EMPLOYEE $500,000 sc II yes,deribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•?CIICY LIMIT $500,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEMICLES(Attach ACORD IM,Addltlonal Romarks Schodub,M more apace is requlrod) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Q 1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 27e Ca2maompeaM ofHassachurefts Dqwauew vfIrr dk3ftztd Accidents O celof1mesagladorrs 600 W gfbYx Street Boston,,MA 02 wimynasmgmaldiu Workers' CampensafiwnInsuranceA#fidavit Builders/Contractors/EiectriciansINumbers Applicantlufarmatilm `� Please Print 'b Nqr= ��nn!ln�virina)y: i ' ,J Adis m, �J 63u tt4-v U CA (/ City/sta&zip: v-,� �-('2C Phones Am you an employer?Check f a appr3priate bo= 11 T act. am a coniractcsr and I 3'1�of�� (required): L El I am a employer with 4 a 6- [:]New {tubs a4dforgart ime}* have-hiredthe sub-�-1 rr+��••r I❑ I am a sole pragrietrzr orpartaer- listed on the attached sheet 7. ❑Remodeling ship anal have no employees Them sub-contractors Ejoancation. wod ing far me in any capacity employees and have workers' Building addition [No worbers'comp.m anr%ne COmp-MSMM2 reTaire&I 5. ❑ Vile are a corporaticnand its 10-0 Electrical repairs or additions 3.❑ I am a horaeoumer doing all work Offirtfs have exercised their 11-E]Plumbing repairs or additions myself. [No wa rbera,a,omp. right of eamptiotl per MGL 12_[:]hoof repairs c 152,§1(4},and we have as insurance requirEd_]F 131�Other employ-[No wodcers' comp.insurance required.j Aay appTi at that checks bar#1 must also Elloutthe-section below sbnaring tbeu woikets'compeasetiou poHLT infirm Zameowmers vrho sabnu tim EMdz,,t infeztizrg they an doing`n rrcak and thm hire outside contractors Est submit a new affldsrk indrgf-m sorb_ tContraaoa thst check this box mast stterhed an additional sheet shmemg the name of&e mb-amftucnn and statE vrhether txnot ibmse eotifies bsve m=Wyees. If the sub-corrtmctm have easplay ees,they Est provide their wurl-i!rs'comp.poiicy atmber. lam are RmpIoyer that isgrat�diteg t►rorkers'compgtuvrlion irtsr�raacs far rti}�ertrpinyeRs. Belau is fate policy and job sits t�,�orrrralimrt. _ Inssvrance CompanyN me: Policy##or Self-ins_Iac F-xpimmtionDate: Job SifeAddsrss.)4�xl Attach a copy of the;rorkers'compensation politT declaration page(showing the policy number and expiation date). Failure to secare coverage as requiredunder Sectioo:25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to 31,500.0d andlor one-yearimpri� as well as ciTal penalties in the.form of a STOP WORK ORDIIZ and a fine of up to$250-00 a day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Irrvestig$tions of IA€ar instzaace coverage va±5cztion. I do here fY it the td pa Iftes z!f ' that the informationprati&d abmw is true and correct. Bate 6' 7 Phone#: 7 E7j cial use axndy. Do not write fir fins area,tfa be completed by ci�y or town officiat City or Town: Permitf Ucense# Issue;Authority(circle one): 1.Board of Health 2.Building Ikpartment 3.QWrown ClrXk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Pemaln: Phone#_ 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Ptusuanttto this sfatate,an employee is defined as"-.every person in the service of another under any contract of hire, express or implied,oral or wdtten-" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maiatenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the in crnan ce requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their cerrficate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)withno employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees;a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insm-ance coverage. Also be sure to sign and date the affidavit The affidavit shoui_d be mtumed to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Depa-Timent at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permitllicease number which will be used as a reference number. In addition;an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be.provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le.a dog Iicense or permit to burn leaves etc.)said person is NOT required to complete this aftdaYdt The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number. Tht Comm-oawealffi of Mmsachus�tks Degartmont c&hidusftial Acckdmts Gffiiee of l vest OtFans 600 Washingtoa Sty Baton,MA 02111 Tel..#617-727-4900 W406 Or 14 hEkSS.t4FE _ Revised 4-24-07 Fax# 617-727-7749 - v dia Massachusetts -.Department of Public.Safety Board of,Building Regulations and Standards Construction Supen'isoi• L censi�: CS 101461 PBIU P J ANGELS` 81 Country Way C Marshfield MA 0 050 �..` `•�� iil:�� Expiration J. 04/18/2016 Commissioner CENTERVILLE-OSTERVILLE-MARSTONS MILLS WATER DEPARTMENT PO Box 369-1138 MAIN STREET OSTERVILLE,MA 02655 WWW.COMMWATER.COM OFFICE OF BOARD OF WATER COMMISSIONERS WATER SUPERINTENDENT �� Tel 508-428-6691 FX 508-428-3508 WATER i DEPT. NS� Via email July 3, 2014 Town of Barnstable Building Department 367 Main Street Hyannis, Ma 02601 Re: 1480 Falmouth rd. route 28—Centerville- account#574 Dear Mr. Perry: Please find this letter as notice of termination of the water service to the above residence. Should you have any questions please call. Since ly, n aig A. rocker Superi tendent Cc: mmoran@howlanddisposal.com national � A rtd July 11, 2014 Attn: Mark Moran i Howland Disposal Service, Inc. RE: 1456 Falmouth Rd. Centerville. MA This letter is to notify you that there is no live gas service located at 1456 Falmouth Rd, Centerville, MA. if you have any questions, please feel free to contact me @ 508 760-7463. Thank You, Sarah Brillant Gas Customer Fulfillment National Grid 127 Whites Path S. Yarmouth, MA 02664 Tel#:508 760-7463 Fax#:508 394-5019 NSTARElectric&Gas Company ' a �f TAR EL EC T/9/C One NSTAR Way,Westwood,Massachusetts 02090'9230 GAS September 9,2014 . Mark Moran ` Howland Disposal Service Inc. 20 Roberts Rd ' Plymouth,MA 02360 , RE: 1456'Falmouth Rd Centerville ' Dear Mr.Moran: , At NSTAR,we're committed to delivering great service. Y This letter serves as confirmation that,as of September 9,2014 the electric service to above address has been removed. Based on this information,there is no electric power at this address and you may proceed with the demolition. If you have any questions,please contact meat(781)441-3381. 4 ' Sincerely,- Paul A.Bowe New Customer Connects'. ti" r . .,, Massachusetts Department of Environmental Protection Bureau of Waste Prevention• Air Quality 100205834 BWP AQ 06 t ,.k Notification Prior to Construction or Demolition Asbestos Project Number# A. Applicability A Construction or Demolition operation of an industrial, commercial,or institutional building,or residential building with 20 or more units is regulated by the Department of Environmental Protection(MassDEP), Bureau of Waste Prevention,Air Quality Division, under Regulations 310 CMR 7.09. Notification of Construction or Demolition operations is required under 310 CMR 7.09(2)ten(10)working days prior to any work being performed.The following information is required pursuant to 310 CMR 7.09.Is this a fee exempt notification(city, town,district,municipal housing authority,state facility,owneroccupied residential property of four units or less)? Is this a fee exempt notification(city,town,district,municipal housing authority,state facility,owner-occupied residential property of four units or less)? r Yes ' No Type of Notification: r Revision of an Existing Form r Cancellation of Project Instructions: 1.Blanket Permit Project Approval,if applicable:' , y Approval ID# 1.All sections of this 2•Non-Traditional Asbestos Abatement Work Practice Approval,if applicable:' form must be completed in order to Approval ID# comply with the Department of B. General Project Description Environmental 1.Facility Information: Protection ° notification CUMBERLAND GULF GROUP OF COMPANIES 1456 FALMOUTH ROAD requirements of 310 CMR 7.09. Name of facility Street Address BARNSTABLE MA 026300000 5082701493 2.Submit Original Cityrrown State Zip Code Telephone Form To: Commonwealth of LISACHENAIL REAL ESTATE MANAGER Massachusetts Facility Contact Person. Contact Person Title Asbestos Program 5082701493 LCHENAIL@CUMBERLANDGULF.COM P.O.Box 120087 Boston,MA Facility Contact Person Telephone Facility Contact Person Email 02112-0087 ` Facility Size: " - 225, 1 Square Feet Number of Floors Was the facility built prior to 1980? r7 Yes FYJ No a Describe the current or prior use of the facility: - + A. PRIOR GAS STATION KIOSK Is the facility a residential facility? r Yes FNo If yes,how many units? 2.Facility Owner: CUMBERLAND GULF GROUP OF COMPANIES 160 CROSSING BLVD Facility Owner Name Address { FRAMINGHAM MA 017020000 5082701493 i Cityrrown State Zip Code Telephone, MARK J MORAN_ 20 ROBERTS ROAD On-Site Manager/Owner Representative . Address Plymouth MA 02360 5089587883 City/Town State Zip Code Telephone Revised:03/17/2014 _ Page 1 of 3 {.A Massachusetts Department of Environmental Protection f Bureau of Waste Prevention• Air Quality BWP AQ 06 - 100205834 ---� Notification Prior to Construction or Demolition Asbestos Project Number# B.General Proiect Description(continued) 3.General Contractor: HOWLAND DISPOSAL SERVICE INC. 20 ROBERTS ROAD Name Address PLYMOUTH MA 023600000 5087469600 i. City/Town - State Zip Code Telephone MARK J MORAN 5089587883 General Contractor's On-site Manager/Foreman Telephone C.'General Construction or Demolition Description General 1.Construction or demolition contractor: Statement:if asbestos is found HOWLAND DSIPOSAL SERVICE INC. 20 ROBERTS RD during a Construction Contractor Name Address ` or Demolition operation,all PLYMOUTH MA 023600000 5087469600 . responsible parties City/Town State Zip Code Telephone must comply with 310 MARK J MORAN 5089587883 CMR 7.00,7.09,7.15, and Chapter 21 E of Construction and Demolition On-site Manager Telephone the General Laws of the Commonwealth. 2•Licensed Contractor Supervisor: This would include, but would not bw JOSHUA BOWS 46655-CML d limited to,filing an asbestos removal Supervisor Name License Number notification with the Department and/or a 3.Is the entire facility to be demolished? r Yes r No ' notice of release of of a release of a 4.Describe the area(s)to be demolished: hazardous DEMOLISH ENTIRE KIOSK 15'X 16 i substance to the Department,if a applicable. S..If this'a constructiongproject,describe the building(s)or addition(s)to be constructed: MassDEP Use Only Date Received _ I 6.If this is a demolition or renovation project,were the structure(s)surveyed ° for the presence of Asbestos-Containing Material(ACM)? n Yes r No 7.Was asbestos containing material(ACM)found?-'. Y FJ Yes l✓No If yes,who conducted the survey? t y Name Department of Labor Standards Certification Number ' Revised:03/17/2014 . - Page 2 of 3 1 - Massachusetts Department of Environmental Protection_ 1 Bureau of Waste Prevention •Air Quality BWP AQ 06 100205834 Notification Prior to Construction or Demolition Asbestos Project Number# C.General Construction or Demolition Description(continued) The Asbestos Abatement Notification Number for this address is: .This project r.j Construction r Demolition is: 8/29/2014 9/8/2014 Project Start Date(MM/DD/YYYY) Project End Date(MM/DD/YYYY) 8.For demolition and construction projects,indicate dust suppression techniques to be used r Seeding r Wetting Covering ❑ Paving ❑ Shrouding r Other-Specify: '9.For Emergency Demolition Operations,who is the MassDEP official-who evaluated the emergency? Name of MassDEP Official Title Date of Authorization(MM/DD/YYYY) MassDEP,Waiver Number D. Certification { "I certify that I have personally - MARK MORAN examined the foregoing and am N familiar with the information contained in this document and orize ig ature all attachments and that, based ERATION MANAGER on my inquiry of those individuals immediately Position/rtle responsible for obtaining the HOWLAND DISPOSAL SERVICE INC. information, I believe that the Representing information is true,accurate,and complete.I am aware that there Date(MM/DD/YYYY) are significant penalties for 08/19/2014 submitting false information, including possible fines and P.E.# imprisonment.The undersigned t hereby states,under the penalties of perjury;that I am aware that this permit" application or.notification shall not be deemed valid unless payment of the applicable fee is made." i .rs Revised:03/17/2014 Page 3 of 3 l Massachusetts Department of Environmental Protection ' . eDEP Transaction Copy Here is the file you requested for your records. - To retain a copy of this file you must save and/or print. Username: MMORAN102 Transaction ID: 678121 Document:' AQ 06-Construction/Demolition Notification Size of Filer '219.25K Status of Transaction: in Process Date and Time Created: 8/19/2014:1:12:35 PM ; Note: This file only Ancludes forms that were part of your transaction as of the date and time indicated above. If you need a more current.copy of your transaction, return to eDEP and select to "Download a Copy" from the Current Submittals page. �4 Massachusetts Department of Environmental Protection Bureau of Waste Prevention-Air Quality , BWP AQ 06 Notification Prior to Construction or Demolition r This is a revision to an existing form. r Project ID for existing form to be revised: r This job is being conducted under a Blanket Permit MassDEP assigned Blanket Authorization ID: — T it r This job is being conducted under a Non Traditional Abatement Work Practice Permit. MassDEP assigned Non Traditional Work Practice Authorization ID: — ...... r None of the above conditions apply,generate a new form. F M Revised: 11/13/2013 Page 1 of 1 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Parcel aO Map Health Division Date Issue_ d 3l 4 Conservation,Division Application Fee Planning Dept. Permit Fee e Date Definitive Plan Approved by Planning Board 12 dov' Historic - OKH Preservation/Hyannis Project Street Address 1456 Falmouth Road Village Centerville, MA Owner Cumberland Farms Address 777 Dedham Street, Canton," MA 02021 Telephone 781-828-4900 Permit Request Demolition of the existing steel canopy only. Square feet: 1 st floor: existing' proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay _ A Project Valuation Od Construction Type , ; Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 20-30 yrs. Historic House: ❑Yes ❑ No On Old King's Hi hway:�Ul Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ® Other Footings Basement Finished Area(sq.ft.) 0 Basement Unfinished Area (sq.ft) 0 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use —APPLICANT INFORMATION _ (BUILDER OR HOMEOWNER) Name Timothy H. Riordan Telephone Number 617-719-3984 Address Global Contracting Services, Inc. License # CS-70765 1 Westinghouse Plaza, Suite 4001 Home Improvement Contractor# N/A Boston, MA 02137 Worker's Compensation # WC589323203 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE December 1, 2008 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION 3 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL `. FINAL BUILDING ti DATE CLOSED OUT ASSOCIATION PLAN NO. ACORD� CERTIFICATE OF LIABILITY INSURANCE 12�l/2o 8' PRODUCER (781)681-6656 FAX: (781)681-6686 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Driscoll Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 93 Longwater Circle ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 9120 Norwell MA 02061 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:Steadfast Insurance- Global Contracting Services, Inc. INSURERB:ZUrich American Ins. CO. P.O. BOX 193 INSURER C: INSURER D: Boston MA 02137 INSURER E: OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L - POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DDIYY LIMITS GENERAL LIABILITY GPL540286205 4/1/2008 4/l/2009 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED a X COMMERCIAL GENERAL LIABILITY 100,000 PREMISES Ea occurrence $ A CLAIMS MADE Fx_1 OCCUR MED EXP(Any oneperson) $ 51000 X Contractor Pollution GPL540286205 PERSONAL BADVINJURV $ X Limit $1,000,000 GENERAL AGGREGATE $ 21000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPA G $ 2,000,000 X1 POLICY JECT PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO (Ea accident) B ALL OWNED AUTOS BAP540285805 4/1/2008 4/1/2009 BODILY INJURY SCHEDULEDAUTOS (Per person) $ X HIRED AUTOS - BODILY INJURY $ X NON-OWNED AUTOS (Per accident) X MCS-90 PROPERTY DAMAGE $ X MM 9955 (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN FA ACC $ AUTO ONLY: qGG $ EXCESSIUMBRELLALIABILITY SE0523983605 4/l/2008 4/l/2009 EACH OCCURRENCE $ X1 OCCUR CLAIMS MADE AGGREGATE $ 4, 00,000 UMBRELLA FOLLOWS FORM $ 4,000,000 C DEDUCTIBLE CONTRACTORS POLLUTION $ X RETENTION 10,000 D WORKERS COMPENSATION AND X I WC STATU- OTH- LIMEMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ 11000,000 OFFICER/MEMBEREXCLUDED? WC589323203 4/1/2008 4/1/2009 If yes,describe under - E.L.DISEASE-EA EMPLOYEE$ 1,000,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Notice of Cancellation provision is 30 days except 10 days applies for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Cumberland Farms EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 777 Dedham St. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Canton, MA 02021 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE B. Driscoll/KEC ACORD 25(2001108) ©ACORD CORPORATION 1988 Town of Barnstable a + ' IARNSCABLF + .Regulatory Services ATfD �A Thomas F. Geiler,Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b arnstab le.ma.us Office: 508-862-4038 Fax: 508-790-6230 P opert�f Owner Must Complete and Sign This Section If Using A Builder I, David Audette , as Owner of the subject property hereby authorize Global Contracting Services, Inc. to act on my behalf, n all a afters relative to work authorized by this building perxiut application for. (Address of Job) D signature of Owner Date O/S 'ririt Name ' \WPFILES\FORMS\building permit forms\EXPRESS.doc evise020108 Town of Barnstable Op THE Tp� Regulatory Services Thomas F. Geiler,Director W RNSTABLE, " - nuss �$ Building Division Tom Perry,Building.Commissioner 200 Main Street, Hyanriis,MA 02601 www.town.barnstable.ma.us Off tce: 508-862-4038 Fax: 508-790-6230 _ _ _ HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: — street village number "HOMEOWNER": work phone name home phone# P CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm strictures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws, rules and regulations, The undersigned"homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-farnily dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control, HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this.section(Section 109.1.1 -Licensing of construction Supervisors):provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part"of the pe rnit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently wss d by several towns. You may care t amend and adopt such a form/certification.for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC ' I i 00-35,0.00 cf.euelosed space lA Masonry - 1G 1 2 Eamrlyom Hes } � � ; 'Board of Building Regulations and Standards Failure to possess a current edition of the { MassaclJusetts State Burldmg Code ` ; N Construc. . tion$upervisor:4,icense t is cause,for;revocatron,of this license. - r a License: CS 70765 fir° Ezpiratlon. :12/1,4/2008 Tr# 6805 4, s Restnc-tron 0. r P TIMOTHY H 'RIORDAN #� l 22'BtACKMAN RD t= _ r CANTON, MA402021 Commissioner The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, 4ZA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information Please Print Legibly Name (Business/Organization/individual): Global Contracting Services, Inc. .A..ddress: One Westinghouse Plaza, City/State/Zip: Boston, MA 02137 Phone.#: 617-364-0800 Are you an employer? Check the appropriate-box: Type of project(required): 1.© 1 am a employer with 4. ❑ 1 am a general contractor and I employees(full and/or part-trrue).* have hired the sub-contractors 6. ❑New constrtiction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGI 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy inforrnation. t Homeowners who submit this affidavit indicating they are doing all work and then.hire outside contractors must subrml anew affidavit indicating such. rContraclois that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must prnride their workers'comp.policy number. I am an employer that is pro viding'ivor•kers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Zurich American Insurance Company Policy# [•,105893232jL3 Expiration Date: 4-1-09 Job Site Address: 1456 Falmouth Road City/State/Zip: Centerville, MA 02632 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 a 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 statcmeut may be forv�,arded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u pair d penalties of perjury that the information provided above is true and correct Si attire: Date: December 1, 2008 Timothy H. -r an Phone#: 617-364-0800 X 11 Offu ial u.se 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.Electrical Inspector 5, Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or business or to construct buildings in the commonwealth for any ' renewal of a license or permit to operate a busi g insurance coverage re uired, t who has not produced acce table evidence of compliance�tvtth the g q applicant P P i a , PP Additionally,MGL chapter 152, §25C(7)states `Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance-of public work until acceptable evidence of compliance with the insurance_ requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation.and, if one numbers aloe with their certificates) of � necessary, supply sub-contractors)name(s), addresses) and ph ( ). g , o r than the insurance. Limited Liability Companles'(LLC) or Limited Liability Partnerships (LLP)with no employees other members or partners, are.not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents.for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to.obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number,which will be used as a reference number. In addition, an applicant submit multiple ermit/Ecense applications in any given year,need only submit one affidavit indicating current that must sup P .policy information(if necessary) and under".lob Site Address" fhe applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you,have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwie,Jth of Massachusetts Department of Industrial Accidents Office of InvestigatiGns 6..00 Washington Street Boston, MA. 02111 I TO, # 617-727-490.0 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 evised 11-22-06 . . www.mass..gov/dia . D-EC/11/2008/THti 10: 11 COMM FIRE DEPARTMENT FAX No, 5087902385 P, 002 FIRE DEPARTMENTS OF THE.TOWN OF AA.RNSTABLE , - .Fire Prevention Office - Tfincldey Building 200 Main Street, Hyanpis, MA 02601 gyp: I l (508) 862-4Q97: BUILDING CODE COMPLIANCE Plans dated for the proper y locati?d at I „�I$d known a5 ,$ 024 have been reviewed by A9-117 of the tQ B.arnstable- Gomm Lotuit 'Q Hyannis ❑ West:Bar.nstoble=... Fire De,partment.. THE CHART BELOW INDICATES THE STATUS OF THE REVIEW; TYPE OF CONSTRUCTION DOCUMENT N/A RECEIVED REVIEWED COMPLIES 1. Narrative Report' 2:Firefighting & Rescue Access 3. Hydrant Location :& Water Supply 4. Sprinkler Systems 5. Sprinkler Control Equipment 6. Standpipe Systems 7,61 7. Standpipe Valve Locations 8: Flre Department Connection 9. Fire Protective Signaling System 10. F.P.S:S. & Annunciator Location 11. Smoke Control/Exhaust xj 12. Smoke Control Equipment Locatioh 13, Life Safety System Features f 14. Fire Extinguishing Systems 15. F.E.S, Control Equipment Location 16.•Fire Protection Rooms . 17. Fire Protection Equipment Signage 18. Alarm Transmission Method 19. Sequence of Operation Report �20. Acceptance Testing Criteria We believe this document to be complete and compliant.for the issuance of a building.permit, We have completed the acceptance testing for the,occupancy permit and believe that.within the scope of the building permit, the above issues are in compliance. 1-2/29/2008 12:19 FAX Z 001 Global Contracting Services 1 Westinghouse Plaza, Suite 4Q.0 , ti . Boston, MA 02137 Phone 617 64-08 0CD _.. Fax 617-361-5088 . Fax To; Frorn: ,n l ►m v�r .rL : �a8 �o av 3 Date: Fax � Phone: Pages. Re: CC: ❑ Ur ggnt X For Review O Please Comment ❑Please Reply ❑ Please Recycle Comments: /erzS� 2 a t(a.c u- �rz2Crs t a L 12/29/2008 12:19 FAX 002 t LINDSAY ELECTRICAL , T T RS INCE 4 6 CARRIAGE DRIVE P.O BOX 470 BRIMFIELD, MASSACHUSETTS 01010 LIC# Al1.146 (413) 245-6207 FiX (413) 245-7632 CELL (413) 575-9320 LIC# 125646 EMAIL rick(51indsayelectric.com Z t C-) u 1212412008 , Building,inspector Town of Hyannis, MA. This letter is to inform you that the gas canopy wiring located at the Cumberland Farms property at 1456 Falm uth Road in Hyannis, MA. has been disconnected.The wiring has been removed from the breakers anddcut so it can not be re-connected. $inter ,, - Ric and Lindsay Lindsay Electrical Contractors Inc. i i Global Contracting Services Inc. Environmental & Constr'uction Sir xi¢lists � r S Timothy H. Riordan President Mailing Address 1 Westinghouse Plaza Phone (617) 364-0800Ext. 101 P.O. Box 193 Fax (617) 361-5088 Boston, MA 02137 Cell (617) 719-3984 E-mail: thriordan@globalcontractingservices.com i s i n s. A Massachusetts- Department of Public Safety Board of Building; Regulations and Standards Coaastruction.Supervisor License LiceIrise: CS 70765 ' Restricted to 00 w TIMOTHY H RIORDAN 22 BLACKMAN RD CANTON,'MA 02021' Expiration: 12/14/2010 (•ummisviune:,r` i. e:i Tr#: 7444 �r L cted to:`00trictedamily Homes possess a current edition of the setts State Building Code r revocation of this license.WWW.Mass.Gov/DPS i r , w _ � � _ w _�.�� i �' '.: � - - -�. � ,: - � — ,-fit ,_ �� s` �� -+ - fir- - r� + r • - rao - ,grt..,. - az ;• a. f Y � .. s �.+ � .. .. .. w n. n y ,,sf/ e ✓ - ro � } a � n � _.. j ;.fit .� �; .-r'. Y vY i + _, k t ^. x �� ,,,, �,� . �_ � „� t € c� " y, r JU k 13 IU sag e ! 1 s 20 9 i 1 1 4.S77 � 4 $ ,x AIN!* All / y xIf y4 �w�a Eno v.; OWN OF BA,~STABLE SIGAI:`-PERMIT PARCEL ID 209 019 GBOBASE ID 12817 ADDRESS 1456 FALMOUTH ROAD (ROUTE PHONE CENTERVILLE Y ZIP - LOT .".-BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 39277 DESCRIPTION "GULF OIL" 13 SQ. FT_ PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $25.00 BOND $.00 CONSTRUCTION COSTS $.00 .753 MISC. NOT CODED ELSEWHERE 1 PRIVATE P'.(:ljE... _ * >ARIV3TABLF., MAS& 16,3q. - B�LJILDI Eg - SIQ - Y DATE ISSUED 06/21/1999 EXPIRATION DATE The Town 'f Barnstable 21,2 77 Department of Health, &Afety and Environmental Services t659. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4039 Ralph Crossen Fax: 508-790-6230 Building Commissioner Tax Collector ?0 Treasurer Application for Sign Permit Applicant: cS A _&,d-TV Assessors No. e,Z of _ Doing Business As: Gc,l p C 1 Telephone No. Sign Location Street/Road:_ 1!& rat goort, 4 Z) :az_ Zoning;District: 2- Old Dings Highway? Yes/eo Hyannis Historic District? Yes/ is Property Own7.5w Mune: lewry Telephone: 7V -2,2 _ Address: _ III 1D-PD k, y 5-r __ Village: Sign Contractor Name;: _ Telephone: _ Address:__ _ Village: Description Please draw a diagraun of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. Tliis should be drawn on the reverse side of this application. Is the sign to be electrified? 6/No (Note:If yies, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application, that the information is correct and that the use and construction shall confinrtn to (lie provisions of'Section 4-3 of the Town of stable Zoning Ordinance. Signature of()weer/Authorized gent: Date:_ 9 Size: Permit Fee:- _ -V Sign Permit was approved: Disapproved: Signature ol'Building Of cial: _ Dater Slgn[doc rrev.8/31/98 APR 28 '99 15:41 PAGE.02 Assessment Reults Page 1 of 2 0 Contact Town Hall n �y a Tuesday,September 4,2001 Home ( Search Site Government Departments_ Information Center ' What's New welcome parcel number owner name property address Data is based on Fiscal Year 2001 Assessor's database and is provided for information purposes only. Data presented here will be reflected on the Tax Bills mailed late April, 2001. 1456 FALMOUTH ROAD/RTE 28 Map/Parcel/Parcel Extension: Mail!ng.Address: 209/019/ CUMBERLAND FARMS INC Owner of Record: CUMBERLAND FARMS INC 777 DEDHAM ST Property Location: CANTON, MA 02021 1456 FALMOUTH ROAD/RTE 28 Parcel ID:209019 Fiscal Year 2001 Assessed Values Building Value: Extra Features: Outbuildings: Land Value: Totals: Appraised Value $0 $0 $20,600 $310,200 $330,800 Assessed Value $0 $0 $20,600 $310,200 $330,800 Sales History Owner: Sale Date: Book/Page: Sale Price: . CUMBERLAND FARMS INC 4/15/1990 7120/235 $450,000 C K SMITH &CO INC 1406/406 $0 Land and Building Description Land Building Lot Size(Acres): Year Built: 0.65 0 Zone: Living Area: r RCHB 0 Appraised Value: Replacement Cost: $ 310,200 $ 0 Assessed Value: Depreciation: $310,200 0 j Building Value: http:Hwww.town.barnstable.ma.us/Information O1/Assessment/results.asp?MAPPAR=2090:... 9/4/2001 Assessment Reults Page 2 of 2 $0 Construction Details Style: Interior Walls: Outbuildings Model: Vacant Interior Floors: Grade: Stories: Heat Fuel: Exterior Walls Heat Type: Roof Structure: AC Type: Roof Cover: Bedrooms: Bathrooms: Total Rooms: Outbuildings&Extra Features Code Description Units/SQ FT Appraised Value Assessed Value CNP2 GOOD QUALITY 1000 $7,500 $7,500 PAV1 PAVING-ASPHALT 10000 $4,500 $4,500 KSK1 KIOSK-SERV STA 195 $8,600 $8,600 Building Sketch No sketch is available for this parcel. http://www.town.barnstable.ma.us/Information O1/Assessment/results.asp?MAPPAR=2090'... 9/4/2001 ctluC ti - Cum • •ffd Farms MEMORANDUM To: Gloria From: Scott Amerault Date: 6/18/99 RE: Permit fee Gloria, per your request, please find enclosed a check for$25.00 which is the permit fee for the sign at Centerville Gulf, 1456 Falmouth Rd. Thank you again for your help, Scott _4 Town of Barnstable Building Department Complaint/Inquiry Report Date: Rec'd by: Assessor's No.: '?02, Complaint Name: ; Location s-� 4� Address M/p �r -7/_ Originator Nwne•_ Street: Village: State: Zip: ' Telephone: D/E Complaint Description: Inquiry /J w Description: ��% •% For Office Use Only Inspector's Action/Comments . Date: Inspector: Follow-up Action Additional Info. Attached Copy Distribution: White-Department Fde ` Yellow-Inspector Pink-Inspector(Return to Office Manager) i ;5��,� �`� . � � � �� jc7 OZ � SHED REGISTRATION ca location of shed(address) von Ig end;yp property owner's name size of shed signs re date Old King's Highway Historic District Commission jurisdiction? THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN ' w r.•: shed �i G EOGRAPHIE INF ORMATION Sys TI ao - - r rip a 'bass shrovir�era he �A'C�' I y IOU \ 4 ara�for a$s lass;ng purmsgs r r d \ and 610 M"represer,, rcfu : rei ;c" 7 + r5i s,4Ss Y=r 000pp R 9 _ •20 , 16 41.0 -7-.. :� \•�36.8 r 50°0 i\49°8 X 49°4 }\ 46.6 ��4��45°5 U45.4 \ 44.9 -- --- - ----- ----- _ - - \ 5 __-. 45. �•\ 4.2 k ►�PpC5 CEGTtp U. �hin�l�S � '�o„I• bo�di IN W, o5af r)*f�erz CL'00 0;) 70 P PLATE . Z'X y" PurCuN - /`rr/2•S ro+r+c• r�/B Act'Tc'N i y`X �/° PoS'T i cx�;l` PK+tt.rN 6/0' cox PLYwood ..i•x y'• floes�orsta Z'af. • _cvp��.e led �X�Sad-�x • A DT AU. Far-h-'X-' + 800+�5 �v�l dimtn5tonc.l HARB�� • �• 44 120 Great Western Road (508) 760-4500 P.O. Box 708 ��.' Y' o'J Fax (508)760-4930 South Dennis,MA 02660 Toll Free 1 (800)368-SHED 7433 58550 DEPARTMENT OF PUBLIC SAFETY 58550 ONE .ASHBURTON PLACE, RM 1301 BOSTON, `MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE - Number: Expires: , Restricted To: 1G DDO JAMES D MCGRATH �� o (i�. Detach bottom, fold , sign on PO BOX 708 � �° `back, and laminate license card. S DENNIS, MA 02660 Keep top for receipt and change of address notification. 072. HOME IMPROVEMENT CONTRACTOR Registration 109374 Type - INDIVIDUAL Expiration 09/11/96 PINE HARBOR BUILDING CO.,INC. JAMES D. McGRATH 9.,fe4WOX 708/120 GT..WESTERN RD ADwsma da ,.. S DENNIS MA 02660 The Contnntn)l'calth oj,llu.c.cac-huscttc De1)artntcttt of Mdustriul:l cc•itlents 011ice ollaYestigalinns 00 11•ushin;;fon Sircrc•f Bosfoii, Musc. 02111 Workers' Compensation Insurance Affidavit Itc n inf m ti n: ''TT tr- 7 PI asc PR T l ji name location• �ciw hone>y I am a homeowner performing all work myself. l am a sole proprietor and have no one working in any capacity _ ^r�;<.s�-fir..ra F:�t e�awsKlnF9RR'.r. .. nR. 'xP'!� "��'...�.°�y`.w'�'.?0'PF!i.;.. +� •, l�"''i'v"`f r�r"Rrt`�_r.......�� _ . �-. 1 am an employer providing workers' compensation for my employees working L)n this job. coo any natnc: rflc.� 1 lrij�. o rc? addr 3 rn rci r Q r it r�� S rrlA hnn - 0`7 ay0 15C insurance co...Afflu 1 1 is # C 55I 3 .. ....... .. ..... .a.. _.,.ter- -.:+-• r -c •rr +r+o < r. .-.w s aft...>....r,•.:..,. I am a sole proprietor, general contractor, or homeowner(circle one) and hav:hired the contractors listed below who have the following workers' compensation polices: company name: address: cih•: phone N: insurance co. policy# _v_._.._. ...«....._..�\-.._.. .. ._Ir::r.4�i.....�1:_3�.JZ:i.:t�tiJL♦.iJiI.Y:I.i...l�i4.�YY..►.��_..�bi.r• — _ �a[L1f�Y�J�'�-.:1'L�i.i«w'L.iY�V\-��iL..+... comPan.• name: address: city: phone k: insurance co. nalicv# 'Atta Ch edditl- _ ._..... - .. ..r..-.. "y-r"r`•'- •t,�+rn:'F-. --�•w•xz^�r•r-••nr onalshcetif-riecess_arp:'=e:'�: I'q �Ye�.r�M.n.,r(� ,•� �. �. ---'- F 11L.,i:n"5:...3•- --1••ilS�ex�:L. ra..r »:>ss-.f._. _ir_ Failure to secure coverage as required under Sectionr25A of\1CL 152 can lead to the imposition c•`criminal penalties of a fine up to S1.i110.110 aIld/or line years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and it five of S100.00 a day against me. I understand that a copy of this statement may be fon%arded to the Office of Investigations of the DIA for coverage ve.-ification. do herehl•certify trill r 1f a 'n all pe ti, s J to-th f to i i n-provided c;ove is trae and correct. Signature D:itc �( Print name Iffc rG Fionc ']/ - 03 I ,t o(Tieial Ilse Only do nut write in this area In he completed by city or town official city or toNvn: permidlicense q 7_____.O!Itiildinlg Department ]Licensing Board O check if immediate response is required (]Selectmen's Office l]Ilealtll Deparunc;nt contact person: phune q; rlOther ; v.wr'�•._«..r.....__�r'...�._.._.. �•`.tT`n. .^I'•t 7 .-r.�:CL•nr.C.f".A•�r �N.." ....� ',_... 'r�wd•e... •� "n• �-.�.r.-�l�'G-wf�=�T`�S:_` Ae!':'�i'1cSSY�f':_ — _ __ _ _ __ .. Ifelacd 1.1AI .i Suggested Affidavit for Home Improvement Contractor Permit Application For Office Use only NAME OF CITYITOWN Permit No Date AFFIDAVIT Home Improvement Contractor Law . Supplement to Permit Application MGLc.142A requires that the"reconstruction,alteration.renovation,repair,modernization,conversion,inprovement,removal demolition or construction of an addition to any pre-edsting owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors,with certain exceptions,along with other requirements. /� Type of Work: C5'fc �,V G�O1� o PMJJ T 136Cy1�46� Est.Cost/ Address of Work v Owner Name,/ Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s); _Work excluded by law _Job under S1,000 Building not owner-occupied, _Owner pulling own permit _Other (specify) Notice is hereby given that:. OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATIONTROGRAM OR GUARANTY FUND UNDER MGL c. 142.A Signed under 'penalties of perjury:Y I hereby apply for a permit as age t t n r: l I 7V Date tractor Na a Registration No. OR Notwithstanding the.above notice, I hereby apply for a permit as the owner of the above property: Data . Owner Name `j CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: DATE JOB LOCATION PROPERTY OWNER CONSTRUCTION SUPERVISOR (9r LICENSE NUMBER �rJ I PHONE -760-� ADDRESS Ph La S•. nn LS LICENSED DESIGNEE (IF ANY) 2 . 15 Responsibility of each licens'e ,holcer: 2 . 15 . 1 The license holder- shall be fully and completely responsible for all work for which he is sunervlsina. He shall be responsible for seeing that all work is done pursuant to the State Building Code and the drawincs as acoroved by the Buildinc Of=icial. - - - 2 . 15 . 2 The license holder shall be resbonsible to sunervise t e construczion, reconstruC-iOn, alterat4�..On, repair, removal or de-ol-i ti on involvina the structural elements of buildiias and s uC-�ures only pursuan- to. the State Bu=_IdinC Code and all a-olicable Laws of tae Commonwealth even thouch he, the li cen.se holder, is not the permit holder but only a subcontractor or contractor to the permit holder, 2 . 15 . 3 The license holder shall Lmnediate?y notify the b u i ldi c o_=_cial in writing of t:`le di scovef of any ,violations .which are covered by the building permit. �2 . 15 . 4 Any licensee who shall willfully violate'' Subs ect-ions 2 . 15 . 1 , 2 . 15 . 2 or. 2 ,,. 15 .3 or any otter sections of theses rules and recalations and any procedures as amended, shall be subject to revocation or suspension of the license by the Board. 2 . 16 All building per-mi t applications shall contain- the name, s_cnature and license number" of the construction supervisor who is to sunerviSe those e_nraced in construction, reconstruct on,. a '_teratlon, repair, removal or demol_t on as regulated by Sec--on 109 . 1 . 1 of the Code an .these rules and regulations . In the eve^- t. a- such licensee is no longer supervising said persons , the Work shall immediately cease until a successor license holder is substituted on the records of the building department. I have read and understand my,resnonsibilities under the rules and regulations for licensing constrsc-ion super-visors in accordance wimp Sec-ion 109 :`1 . 1 of the State Building Code . I understand t e conszruc�ion ins'Decrion procedures and e Specific inspec-io s as called for by the building official LICENSED CONSTRUCTION SUPERVISOR PLOT PLAN FOR LOT B Indicate location of garage or accessory building. Additions with dashed lines--- - — -- Sewerage disposal(cesspool) ® — Wen 1 � I (Lot....... .... .. ft. re ar) Abuttor't Abuttor's — I Name ame 'Lot/ Rear Yard Lot M .................fi U t'sis is a C. If this is u u co=er Icy; L v Comer lot, Writc it carat In d n:.me of narne c! othc meet. : Sidc. rc' HOUSE Sidcyard other s-c,_t. : ft. ft. Set Bads ............. .ft i (Loc.............. ....ft -vnxage) \ - -------------- --- - --- -------------------- --- \ / (Name of street) / \ Wormatioa. / \ Supplied by Mark North Point .a .��'+ .:-;:. _ .. .. _ .. ,. - .&*M�a�Cfi��W'.'�tikx?��Zr�Y�:.�t�k �sbR �c4Ttl+�,- t `�aa+s's.f:r•„v�..4 .+c«.,. 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R ^ • 1 �w B ' • Bang Deparim co pla�int/InQuirp Report /V _/� r Rec'd by: /L— Assessot's No.:�� Date• =�� Complaint Name: �� Address: Location WP Originator Name: Street: Vim: State: gyp' s Telephone:D/E Complaint C �- Description: e- � j Inquiry . Description: For Office Use Only Inspector's III I`' Inspector. 111100 Action/Comments Date: Follow-up Action Addidonal Info. Attached Cop}•Distribution: White-Depar=ant File Yellow-Inspector Pink-Inspector(Return to Office Manager) TO ALL NEW BUSINESS OWNERS Fill in please: APPLICANT'S fill YOUR NAME:S�— YOUR HOME ADDRESS:Q 7_Lti.oA*�. BUSINESS TELEPHONE x-E " Telephone Num (Home)_b7o 26 4 /26 L, ber NAME.OF NEW BUSINESS ,v TYPE.OF BUSINESS... IS THIS A HOME OCCUPATION? ADDRESS OF BUSINESS G O u . _G-•+ �-r ' '` AP/PARCEL NUMBER Z� a l q things you muso in order to be in compliance with the rules and regulations of the Town of When starting a new business there are several Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall). 1. GO TO BUILDING INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual a�br�i ormed�Iab�y, ermit requirements that pertain to this type of business. Auth ed Si nat e COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has.been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. TOWN OF BARNSTABLE -;° BUILDING PERMIT PARCEL ID 209 019 GEOBASE ID 128.17 ADDRESS 1456 FALMOUTH ROAD (ROUTE PHONE - CENTERVILLE ZIP LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 67101 DESCRIPTION 2 SIDED 16 SQ FT SIGN GAS 28 PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: Department of ARCHITECTS: _Regulatory Services TOTAL FEES: $50.00 BOND $.00 �tNE 1Ip�_ CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE • +► �ARIVSTABLE, MASS. BUILDIN �ISIO�1 BY�_ _ _ DATE ISSUED 02/21/2003 EXPIRATION DATE I r Town of Barnstable Regulatory Services ' Thomas F.Geller,DirectorMA =y.. wilding Division Ralph Crowen,Building Commissioner 367 Main street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer Application for Sign Permit "WI 6rli Applicant: a- � 2 Qa Assessors No. Doing Business As: �C Telephone No. —�1] Sign Location Street/Road: move 3C nod r vI Zoning District: Old Kings Highway? Ye�o Hyannis Historic District? Ye( i) Property Owner, Q` 6 a Name:- f f Telephone: 'A Address: ati S I Y b C;0ca 1 SipSign Con ®r - COOLS l � Telephone: 1-%4 4 I Address: 1 Gn RQ�5axvVillager.. Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. `Is the sign to be electrified? Yes/No (Note:ljyes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application,that the informetson is eorreot and that the use and construction shall confornn to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinance. d A ent: Date: )Oet�" � `D� Signature of owner/Authorizeg �t t Size:- l�� Pern-tit Fee: Z" "Or Sign Permit was approved: Disapproved: Signature of Building Official Dater Signl.doc rev.8/31/98 .t 7,� Arno n ` C � s GOICS py lqv� a k_K � o Q t k. r y a I 0 ss GNs Lil Lo(3L)�� PY-� (D L-T:' -PLTT- IL 6 T a• " _• ) F7o o. Utz =� 3► � i � l o u � �.� • '�• Oe _• 0 , _• 31 3 In • 4m cAnw _• _• rh ac, VV =• tMAW �'f. s T` � '.max R � car.: • t Ft, f ^` ... Sri , • ,r _i • -r - r� i�. _• i LAO -----------I,- _• -P- r! �� IRW • d 700 -i 1- 7 0 0 30 r� �• y 4� e yA I , 0�1;.�4#-' 1"t,"��N VC IA!,N; 4 '4A, a. A n. 114* �'x Vr'I, N/F EDMM M. LUNDBERG LOT# 20 4000 N/F RDARDSON ROAD ASSOC. LOT# 16 _ _______ —42 N, Lab - - OF existing encroaching CWY L 0 1930 Lr existing sanitary light pole (5) V leaching pit - I \\ "�x ,13eN • ® t approximate edge /,-of treeline (P � �. 39 q V 4(j dPA 41.55 eyosting edge of encroaching pavemen' existing asphalt pavement- ` \\�� l \,� rY__._, y 42 -- 43-- -.00e existingi 2" vent riser existing concrete_pad"— 77 7 7 \QR!m 44.92 16 U.P. b, % existing 31' x 45' canopy a as N/F JOHN A. BALDASARO Hxi,1/1, fence 00 CO 0 WW LOT# 18 0' -------------- --- '0 0 A C BMW 0 0 existing asphalt X berm 0 typ.) 0 0 44 ex-ltinq, Wait term '-�I " \ k 25.00' existing 4" dia. island barrier (4) L Jill existing concrete pad existing 210.000 & 1 8000 45.48 gallon underground fiberglass tj MW gasoline storage, tanks 4539 (installed September 1. 1988" Vw MW zo 0 existing axb opening (typ.) 86 �Ilu .G. RFm 46.670\ existing 3' x 30' concrete TEL M exist landscaped area gas island w/ 2 M.G.D. (2) to be expanded to accomodate Sig" existing GULF sign to be relocated as shown STA 28 FALMoUT 327-T' X ROAD am ROUTE SURVEY by: PAUL J. ZEMANEK, P.L.S. AZIMUTH SURVEY SERVICE T A N K N 0 T E S 136 CARESWELL STREET MARSH IELD, MA 02050 j. TANK CAPACITY CONTENT MATERIAL INSTALLED A __q@,Ilon gasoline_ 9/1/88 fiberglass G R A P H I C S C A L E N 0 T E B jQtQL0__gglon gasoline fiberglass C 10,000 gall _ga_qoline fiberglass 9/1/88 REFERENCE 15 MADE -1) A PLAN 20 0 20 40 60 1456 Pairnouth Road Route 28 ENTITLED PLAN OF LAND IN REVISIONS 28,526.40 SQUARE FEET CENTERVILLE (BARNSTABLE) ll FOR RENGLIFF REALTY TRUST 6-30-94 REMOVED P.E. STAMP BLOCK CENTERVILLE, MASSACHUSETTS 2. OWNF.R/OPERA7OR: (day or nigh!) 0.65 ACRES PREPARED By DAVID N. GREENE 7-18-94 ADDED EXISTING CONTOILk, — ill = 20.001 C�.Imberiand Farms, Inc. scale� 1'- 110.00' DATED JJNE 1964 5-27-99 RELOCATE GLL-F SIGN V# 1777 777 Dedham Street FILED IN BOOK 1-16, PG. 33 0 February 11. 1994 Canton, MA 02021 ALSO r'OUNTY L.O. OF 1930 r Qc FILED IN TUBE 5 SHEET 6 OF 24 Store* 2362 UU /usr2/msp/db,V1777 (617) 1328-4900 0� Gas Station* 852420 777 Dedham Street Canton. Massaohusetts 02'021 M.SaP' 1596-1945 AS - BUILT SITE PLAN SHET1of5 74% t • Vf, el't 04 N�4 0 ".'4A �W'4"L AL _ .,..t �,. '�*�gyy °" s" 'y'3A=+. ".rc' +rrr.�n;p}u�.y�F+y¢ 'i;• 'fp'!t " ' "�"T'r` q.;.:�;'y^n,w }, Li,,a,, .. ,.. -.:.. ..,��' :. '..,. .,e k .we,'aF �' S!y„K..{.ry•.')'dy{;g�i� ?�%;+ E"`��y �''.�'; ;,� "�;',G�"•+ �.��}�-'a�?� - � ' 4, 1 1 x 4 -8- DEEP CONCRETE FOMIATION _ • \ /' *8 REBAR (61 d' / _ ' CiIf 41Sf T fE .° ON CENTER 3" CLEARANCE / � r / FOUNDATION SECT ION DETAIL, NOT 1 Q .A,,� a P 0 1 SONATUBE DEIAIL NOT rO ,:AL E: 1" HOLES (4) 4 li 4 112' „ANCHOR BOLTS 1"0 x 4'-0" LONG x 3" _ —_..=_... 48` o --- 24" 0 x 5'-8" LONG SONATUBE --' @ 5' 0" BELOW GRADE e s 13"xl3'x1' BASE PLATE r CV ems' i 1 { I 1'x4"x1/4" ':"TEEL TL.b;E BASE PLATE DETA I L NOT TO SCALE REVISIONS V* 1777 �1456 Falmouth Road - Route 28 - -- - CE�ENTERVILLE,, MASSACHUSETTS SCALES* S NOTED �FU �❑`I May 2i 19�+9 —` - r(icx Y 1 f 777 Dedhm Street Cantai, Massactwetts 02021 - MISC.p flsign"A) A DIVISION OF CUMB&tAND FAF#AS, W. M.T.C. SIGN DRAV\/ ING , {}�� •iBABISTASIE,/* IMSC? C^n-few'l Ik TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION TO ERECT AND MAINTAIN SIGN axtJ, '^Ccyt-r,n Po^TYPE OF CONSTRUCTION FREE STANDING OR ATTACHED I u r. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location !H 3 L>Q-%UI !l:£ Proposed Use Zoning District 19^ Fire District ...Address _Address /Tc/oi^\jl Vr Name of Owner Nome of Builder Diagram of Lot and Sign with Dimensions to be Placed Thereon. r ^/-vr Cuarfi ^ Uj^r^A.y <C7^UJCfC EOliil llifli'sBins.u I hereby agree to confprm to all the Rules and Regulation^of the Town of Barnstable regarding the above construction. All permits subject to approval of the Inspector of Wires. No.Permit for Location Owner Type of Construction Plot Lot Permit Granted 19 Date of Inspection L__19 Date Completed ^:19 PERMIT REFUSED 19 Approved 19 "^y^mo^fci \/^ca-io4 TOWN OF BARNSTABLE Tfr^vn-f^v-VT I](2- BUILDING INSPECTOR APPLICATION TO ERECT AND AAAINTAIN SIGN _: iV;y ffi ^Mg'TTc^TYPE OF CONSTRUCTION FREE STANDING OR ATTACHED /i h cJ 2,f 19jk^ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location l-/n -<'JA '' ,'/V Proposed Use Z \^-/0 I ^ Zoning District Fire District _ Name of Owner 'ThMth A''Aririre^^99 <"r~ Nome of Builder h I 9)Z/-Address ^^^^^ Diagram of Lot and Sign with Dimensions to be Placed Thereon. 9^ /•^t/At\ /3-/0" r \ oJr^'1 4 r f '•«»\ I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name All permits subject to approval of the Inspector of Wires. No.Permit,for Location Owner Type of Construction Plot Permit Granted Date of Inspection Date Completed .. Lot PERMIT REFUSED Approved .. -19 .19 .19 19 19